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'Provision of safety netting information during child health consultations; a systematic narrative review of caregivers' perspectives'. 在儿童健康咨询期间提供安全网信息;一个系统的叙述回顾照顾者的观点”。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-12-01 Epub Date: 2023-04-28 DOI: 10.1177/13674935231158197
Dave Owen, Sue Latter

Safety netting (SN) provides specific information to caregivers identifying need to re-consult. SN is often used to bridge diagnostic uncertainty for first-contact healthcare professionals. This systematic narrative review investigated experiences of caregivers' regarding SN information received during acute child health consultations. Searches between April and December 2021 of six bibliographic databases (CINAHL, PsycINFO, BNI, EMCARE, MEDLINE and Web of Science) identified 3258 records. No studies were excluded based on quality and nine papers were included; the Mixed Methods Appraisal Tool was used to critically analyse papers and findings were summarised narratively. Four themes emerged: Importance of receiving Red-Flag-Symptom information, influences of specific mediums for information transfer to caregivers, key principles of SN as desired by caregivers and contextual influences of information transfer to caregivers. Quality of evidence was fair; review findings could provide underpinning principles to enable first-contact clinicians to enhance their person-centred approach to SN practice. There was a paucity of evidence generally, with a relatively small number of studies that captured specific SN activity during consultations. More research is also needed to capture the full-breadth of first-contact clinicians, particularly in non-clinical settings such as the home or school.

安全网(SN)提供具体的信息,以确定护理人员需要重新咨询。SN通常用于消除首次接触医疗保健专业人员的诊断不确定性。本系统的叙述回顾调查了护理人员在急性儿童健康咨询期间收到的SN信息的经验。在2021年4月至12月期间,对六个书目数据库(CINAHL, PsycINFO, BNI, EMCARE, MEDLINE和Web of Science)进行了检索,确定了3258条记录。没有研究因质量而被排除,9篇论文被纳入;使用混合方法评估工具对论文进行批判性分析,并对研究结果进行叙述性总结。出现了四个主题:接收红旗症状信息的重要性、特定媒介对信息传递给照顾者的影响、照顾者期望的SN关键原则以及信息传递给照顾者的语境影响。证据质量公正;审查结果可以提供基础原则,使首次接触的临床医生能够加强他们以人为本的SN实践方法。证据普遍缺乏,在咨询期间捕获特定SN活动的研究相对较少。还需要进行更多的研究,以全面了解初次接触临床医生的情况,特别是在家庭或学校等非临床环境中。
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引用次数: 0
Pediatric clinicians' perspectives on assessing concerns about young children's social-emotional wellbeing in primary care. 儿科临床医生对在初级保健中评估幼儿社会情感健康问题的看法。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-12-01 Epub Date: 2023-03-14 DOI: 10.1177/13674935231163362
James L Merle, Allison J Carroll, Nivedita Mohanty, Cady Berkel, Courtney Scherr, Matthew M Davis, Lauren S Wakschlag, Justin D Smith

We surveyed pediatric primary care clinicians working in Federally Qualified Health Centers about their perceptions of children's social-emotional wellbeing. We identified clinician's current methods for assessing social-emotional wellbeing in practices, perceived implementation barriers to providing behavioral health care, and interest in adopting a validated, low-burden developmentally sensitive parent-report instrument for screening for social-emotional wellbeing in young children. We surveyed 72 PCCs working in FQHCs from 9 US states. Analyses included examining central tendencies, correlations, analysis of variance, and group differences via t-tests. Average PCC perceptions of social-emotional wellbeing importance for overall health were statistically significantly higher than their confidence in providing care for common social-emotional wellbeing concerns (mean difference = 1.31, 95% CI = 1.13-1.49). PCCs expressed low satisfaction with currently available screening measures for identifying concerns in social-emotional wellbeing. Fewer than half of clinicians reported using any standardized parent-reported measure for identifying concerns in social-emotional wellbeing. Assessment methods and decision tools that improve clinician confidence concerning risk indications are needed, particularly at the critical early childhood period. Policymakers and payers ought to facilitate funding mechanisms that support pediatric PCCs in identifying early concerns in social-emotional wellbeing and providing referral guidance to evidence-based interventions to support parents and caregivers.

我们调查了在联邦合格卫生中心工作的儿科初级保健临床医生对儿童社会情感健康的看法。我们确定了临床医生目前在实践中评估社会情感健康的方法、在提供行为健康护理时遇到的实施障碍,以及对采用经过验证、对发展敏感的低负担家长报告工具筛查幼儿社会情感健康的兴趣。我们对来自美国 9 个州的 72 名在 FQHC 工作的家长委员会成员进行了调查。分析包括研究中心倾向、相关性、方差分析以及通过 t 检验的群体差异。在统计学上,PCC 对社会情感健康对整体健康重要性的平均看法明显高于他们对提供常见社会情感健康问题护理的信心(平均差异 = 1.31,95% CI = 1.13-1.49)。PCC 对目前可用来识别社会情感健康问题的筛查措施的满意度较低。只有不到一半的临床医生表示使用过任何标准化的家长报告措施来识别社交情感方面的问题。我们需要能提高临床医生对风险迹象的信心的评估方法和决策工具,尤其是在儿童早期的关键时期。政策制定者和支付者应促进资助机制,以支持儿科家长委员会识别社会情感健康方面的早期问题,并为循证干预提供转诊指导,从而为家长和看护者提供支持。
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引用次数: 0
Child maltreatment and pediatric pain: A survey of healthcare professionals' pain knowledge and pain management techniques. 儿童虐待和儿童疼痛:医疗保健专业人员的疼痛知识和疼痛管理技术的调查。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-12-01 Epub Date: 2023-04-05 DOI: 10.1177/13674935231167965
Sarah Campbell, Matthew Baker, Kelly McWilliams, Shanna Williams

Children who have been maltreated are at an increased risk of having their pain under-recognized and undertreated by healthcare professionals, and thus, are more susceptible to adverse outcomes associated with undertreated pain. This study's aims were to examine: (1) if healthcare professionals' pediatric pain knowledge is associated with their pain assessment methods, (2) if maltreatment-specific pain knowledge is associated with consideration of child maltreatment when deciding on a pain management strategy, and (3) if pediatric pain knowledge would relate to maltreatment-specific pain knowledge. A sample (N = 108) of healthcare professionals responded to a survey designed to examine their current knowledge and utilization of pediatric pain assessment and management with emphasis on the effects of child maltreatment. Findings revealed healthcare professionals' knowledge of pediatric pain is independent of their pain assessment and management practices. However, general pain knowledge was associated with maltreatment-specific pain knowledge and generally, healthcare professionals were knowledgeable of child maltreatment's impact on pediatric pain. Participants who considered a history of maltreatment were also more likely to employ sensitive questioning strategies when asking children about their pain.

遭受虐待的儿童的疼痛被卫生保健专业人员忽视和治疗的风险更大,因此,更容易受到与治疗不足的疼痛相关的不良后果的影响。本研究的目的是检验:(1)医疗保健专业人员的儿童疼痛知识是否与他们的疼痛评估方法有关,(2)在决定疼痛管理策略时,虐待特异性疼痛知识是否与考虑儿童虐待有关,以及(3)儿童疼痛知识是否与虐待特异性疼痛知识有关。样本(N = 108)的卫生保健专业人员回应了一项调查,旨在检查他们目前的知识和利用儿科疼痛评估和管理,重点是儿童虐待的影响。研究结果显示,医疗保健专业人员对儿童疼痛的了解是独立于他们的疼痛评估和管理实践的。然而,一般的疼痛知识与虐待特定的疼痛知识相关,一般来说,医疗保健专业人员了解儿童虐待对儿童疼痛的影响。考虑过虐待史的参与者在询问孩子的痛苦时也更有可能采用敏感的提问策略。
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引用次数: 0
Feeling stretched: Parents' narratives about challenges to resilience when their child has a tracheostomy. 感到紧张:当孩子接受气管切开术时,父母讲述了他们对恢复能力的挑战。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-12-01 Epub Date: 2023-04-12 DOI: 10.1177/13674935231169409
Alison Flynn, Karen Whittaker, Adam J Donne, Lucy Bray, Bernie Carter

This study aimed to examine how parents develop personal resilience when facing the challenges of caring for a child with tracheostomy. This study employed a longitudinal qualitative design. Unstructured narrative interviews with 12 parents (from nine families) whose child had a new tracheostomy were undertaken at three time points over 12 months. Data were analysed using a socio-narratology method. Findings reveal the journey parents experienced, how their feelings changed and the processes involved in developing resilience over the first 12 months of their child having a tracheostomy. Stories told by parents early in their journey revealed emotional upheaval, negative emotions, stress and shock. Due to medical need, parents had little or no choice for their child to have a tracheostomy. Once their child's life was out of danger, parents started to reframe their experiences and beliefs. Resilience played a major part in how parents perceived and faced their situation, allowing them to deal with what came their way and to move forward with their lives. Different aspects of resilience such as self-awareness, grit, gratitude, internal locus of control and reframing came to the fore at different time points. Parents talked feeling stretched by the challenges they faced and how they reframed their perspectives about their child's tracheostomy. Parents' resilience and reframing is discussed in relation to the ABC-X model. This study identifies a theoretical model that explains this process of change, this results in transferable knowledge, useful for understanding and explaining the experience of other parents and families.

本研究旨在探讨父母在面对照顾气管切开术患儿的挑战时如何培养个人的适应力。本研究采用纵向定性设计。在12个月内的三个时间点,对来自9个家庭的12位父母进行了非结构化的叙述访谈,这些父母的孩子接受了新的气管切开术。使用社会叙事学方法分析数据。研究结果揭示了父母经历的旅程,他们的感受是如何变化的,以及在孩子接受气管切开术后的前12个月里,他们培养韧性的过程。父母在旅途早期讲述的故事揭示了他们的情绪动荡、负面情绪、压力和震惊。由于医疗需要,父母很少或没有选择让他们的孩子进行气管切开术。一旦孩子的生命脱离了危险,父母就开始重新构建他们的经历和信念。适应力在父母如何看待和面对他们的处境方面发挥了重要作用,使他们能够处理他们遇到的问题,并继续他们的生活。弹性的不同方面,如自我意识、毅力、感恩、内在控制点和重构,在不同的时间点出现。父母们谈到了他们所面临的挑战,以及他们如何重新审视自己对孩子气管切开术的看法。本文结合ABC-X模型讨论了父母的弹性和重构。本研究确定了一个解释这一变化过程的理论模型,这产生了可转移的知识,有助于理解和解释其他父母和家庭的经验。
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引用次数: 0
Family caregivers' needs for information on pediatric cystic fibrosis: A qualitative study. 家庭照顾者对小儿囊性纤维化信息的需求:定性研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-11-26 DOI: 10.1177/13674935241303539
Samara Macedo Cordeiro, Helen Bras da Silva, Fernanda Machado Silva-Rodrigues

Cystic fibrosis (CF) affects not just patients but also their families, highlighting the need for a comprehensive care approach. This descriptive qualitative study aimed to explore the informational needs of family caregivers of children with CF, focusing on how these needs can be addressed within a Patient and Family-Centered Care (PFCC) framework. The study was conducted at a public hospital in Brazil. Thirteen caregivers were interviewed, and their responses were analyzed using content analysis guided by PFCC principles. Analysis revealed three primary themes: Types of Information for Family Caregivers of Children and Adolescents with CF; sources of Information for Family caregivers of Children and Adolescents with CF; and Beyond Information: the need for emotional support and family-centered care in CF management. Caregivers sought comprehensive information about CF management from healthcare professionals and informal sources like social media. Our findings emphasize the diverse and evolving informational needs of family caregivers. Overall, this study underscores the necessity of incorporating PFCC principles, especially those addressing information sharing, in managing CF, extending beyond medical treatment to include emotional support and active family participation in care and decision-making processes.

囊性纤维化(CF)不仅影响患者,也影响其家庭,因此需要采取综合护理方法。这项描述性定性研究旨在探讨囊性纤维化患儿家庭护理人员的信息需求,重点是如何在以患者和家庭为中心的护理(PFCC)框架内满足这些需求。研究在巴西一家公立医院进行。对 13 名护理人员进行了访谈,并在 PFCC 原则指导下采用内容分析法对他们的回答进行了分析。分析揭示了三个主要的主题:儿童和青少年 CF 患者家庭护理者的信息类型;儿童和青少年 CF 患者家庭护理者的信息来源;以及信息之外:在 CF 管理中对情感支持和以家庭为中心的护理的需求。照顾者从医疗保健专业人员和社交媒体等非正式渠道寻求有关 CF 管理的全面信息。我们的研究结果表明,家庭护理者对信息的需求多种多样且不断变化。总体而言,本研究强调了在 CF 管理中纳入 PFCC 原则的必要性,尤其是那些涉及信息共享的原则,这些原则不仅包括医疗,还包括情感支持和家庭积极参与护理和决策过程。
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引用次数: 0
Investigating parental perspectives of the enablers and barriers to communication with their preterm infants: A narrative study. 调查父母对早产儿沟通的促进因素和障碍的看法:叙事研究
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-11-26 DOI: 10.1177/13674935241302437
Julia Petty, Celia Harding, Lisa Whiting

Learning to communicate with infants in a neonatal unit setting is challenging. Parents need time and support to feel confident and acquire skills that enable them to care for, be close to, and communicate with their infant. This qualitative, narrative-based study sought to investigate parents' understanding of factors that enhance or prevent the development of early communication and interaction between preterm infants and parents within a neonatal setting. Our study used a narrative interview approach with eight parents of premature infants, to explore the enablers and challenges to communication. Reflexive thematic analysis revealed four main themes: Impact of being in the neonatal unit, different communication strategies, communication barriers and an ongoing need for support at home. Our findings provide parental insight into communication between themselves and their premature infants. Overall, parents spoke highly of communication strategies that they were taught but it was clear they received varying advice and support, in the neonatal unit and post-discharge. There is a need for clear, consistent, and culturally appropriate communication strategies with greater awareness of how to facilitate them. Since failure to enable parent-infant interactions may potentially mean delayed language development, there is an essential need for tailored parent-accessible resources.

在新生儿病房环境中学习与婴儿沟通具有挑战性。父母需要时间和支持来建立信心并掌握技能,从而能够照顾、亲近婴儿并与之交流。这项以叙事为基础的定性研究旨在调查父母对促进或阻碍早产儿与父母在新生儿环境中进行早期交流和互动的因素的理解。我们的研究采用叙事访谈法,采访了八位早产儿家长,以探讨促进沟通的因素和面临的挑战。反思性主题分析揭示了四大主题:新生儿病房的影响、不同的沟通策略、沟通障碍以及对家庭支持的持续需求。我们的研究结果为父母提供了他们与早产儿沟通的见解。总体而言,家长们对所学到的沟通策略给予了高度评价,但很明显,他们在新生儿病房和出院后得到的建议和支持各不相同。因此,有必要制定清晰、连贯且与文化背景相适应的沟通策略,并提高对如何促进沟通策略的认识。由于无法实现父母与婴儿之间的互动可能意味着语言发展的延迟,因此有必要为父母提供量身定制的资源。
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引用次数: 0
Maintaining health-related quality of life and sense of belonging for pediatric patients with chronic illnesses by using a telepresence robot. 使用远程呈现机器人,保持儿科慢性病患者与健康相关的生活质量和归属感。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-11-21 DOI: 10.1177/13674935241301819
Clarissa Zillner, Gerda Rockenbauer, Agnes Turner, Martin Röhsner, Katrin Klebermass-Schrehof, Thomas Pletschko

Children with chronic illnesses often miss school, leading to negative outcomes like diminished health-related quality of life (HRQoL) and sense of belonging. Telepresence robots are suggested to keep these children connected to peers and education, yet little research has explored their impact. This study assessed effects of a telepresence system on HRQoL and sense of belonging in 29 patients with chronic illnesses aged 6 to 18 years, who were absent from school. Using a one-group pre-posttest design, participants completed questionnaires before and 6 months after receiving the robot. It was expected that HRQoL and sense of belonging would remain stable due to the robot. Wilcoxon tests indicated no decline in HRQoL (Z = -.958, 95% CI [-3.1, 8.3]) or sense of belonging (Z = -1.409, 95% CI [-0.3, 0.8]). Spearman correlations revealed a significant correlation between age and changes in school (rs = 0.621, 95% CI [0.200, 0.848]) and friends' subscales (rs = 0.579, 95% CI [-0.136, 829]), suggesting adolescents benefit particularly from the robot. Consistent with prior research, this study shows no change in psychosocial factors, indicating a stabilizing effect of telepresence robots and contributing to sustainable psychosocial care for pediatric patients.

患有慢性病的儿童经常旷课,导致与健康相关的生活质量(HRQoL)和归属感下降等负面结果。有人建议使用网真机器人让这些儿童与同伴和教育保持联系,但很少有研究探讨其影响。本研究评估了远程呈现系统对 29 名缺课的 6 至 18 岁慢性病患者的 HRQoL 和归属感的影响。采用单组前-后试验设计,参与者在接受机器人之前和之后 6 个月完成问卷调查。我们预计,使用机器人后,患者的 HRQoL 和归属感将保持稳定。Wilcoxon 检验表明,HRQoL(Z = -.958, 95% CI [-3.1, 8.3])和归属感(Z = -1.409, 95% CI [-0.3, 0.8])没有下降。斯皮尔曼相关性表明,年龄与学校(rs = 0.621,95% CI [0.200,0.848])和朋友分量表(rs = 0.579,95% CI [-0.136,829])的变化之间存在显著相关性,这表明青少年尤其能从机器人中受益。与之前的研究一致,本研究显示社会心理因素没有变化,表明远程呈现机器人具有稳定作用,有助于为儿科患者提供可持续的社会心理护理。
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引用次数: 0
Attitudes of health and social care professionals towards the use of blended diets for enteral tube feeding for children and young people. 医疗和社会护理专业人员对使用混合饮食为儿童和青少年进行肠管喂养的态度。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-11-19 DOI: 10.1177/13674935241299277
Gemma Phillips, Fiona McCullough, Pippa Hemingway

Using a blended diet as an alternative to commercial formula is becoming more popular amongst parents and carers of children and young people (CYP) requiring long-term enteral tube feeding (ETF). Emerging evidence has demonstrated physiological and social benefits; however, families report feeling unsupported to use a blended diet in settings outside the home. This study aimed to explore the attitudes of health and social care staff towards the use of blended diets for CYP. Health and social care professionals with experience of blended diets were invited to partake in an online semi-structured qualitative interview. Thematic analysis was used to identify themes. Five participants from health, education and social care settings were interviewed. Online interviews worked effectively for data collection to allow flexibility to accommodate participants' care roles and avoid face-to-face contact necessary with Coronavirus disease 2019 restrictions. Three themes were identified in the data:• Change from medicalised enteral tube feeding practice.• Individual, person-centred approach.• Open support networks and responsibility.Findings showed that blended diets can be accommodated; however, barriers to implementation remain. Medicalisation of ETF continues to impair acceptance of blended diets whilst effective multi-disciplinary team communication and support facilitates its use in settings outside the home.

在需要长期肠内管喂养(ETF)的儿童和青少年(CYP)的家长和照护者中,使用混合饮食来替代商业配方奶粉正变得越来越流行。新的证据表明,混合饮食对生理和社会都有益处;然而,有家庭表示,在家庭以外的环境中使用混合饮食时感到缺乏支持。本研究旨在探讨医疗和社会护理人员对儿童青少年使用混合饮食的态度。研究人员邀请有混合饮食经验的医疗和社会护理专业人员参与在线半结构化定性访谈。访谈采用主题分析法确定主题。来自医疗、教育和社会护理机构的五位参与者接受了访谈。在线访谈对数据收集非常有效,既能灵活地适应参与者的护理角色,又能避免因 2019 年冠状病毒疾病限制而必须进行的面对面接触。数据中确定了三个主题:-改变医疗化的肠管喂养做法;-以个人为中心的方法;-开放的支持网络和责任。研究结果表明,混合饮食是可以接受的;但是,实施过程中仍然存在障碍。ETF 的医疗化继续影响着人们对混合饮食的接受程度,而多学科团队的有效沟通和支持则有利于在家庭以外的环境中使用混合饮食。
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引用次数: 0
Relationship functioning and impact of health coverage models for parents of childhood cancer patients: A systematic review. 儿童癌症患者父母的关系功能和医疗保险模式的影响:系统综述。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-10-17 DOI: 10.1177/13674935241285473
Louisa Rygh, TyKera Marrow, Debra Sue Pate, Cynthia W Karlson

The current systematic literature review aimed to summarize and evaluate existing literature regarding parental relationship functioning during and after childhood cancer, with an exploratory evaluation regarding the impact of national health coverage model (proxy for finances). This review used MEDLINE, PsychInfo, Embase, and CENTRAL search database. Articles were reviewed (N = 3060) against inclusion criteria, with 512 abstracts screened and 87 full-text retrieved and reviewed. Inclusion criteria: (1) childhood cancer, (2) measures parental relationship functioning, (3) English, and (4) new, empirical data. A modified version of the Downs and Black checklist was used to assess risk of bias. Narrative synthesis was used to present and discuss results. Final included articles (N = 36) revealed mostly positive or neutral findings across parental relationship functioning subdomains within 6 months (T1) and after 6 months (T2) of childhood cancer diagnosis. Sexual intimacy was negatively impacted across timepoints. Parental stress was higher than norms at T1. Marital conflict and adjustment were also worse at T1 but returned to previous levels at T2. Some variability in parental relationship functioning was observed among the different health coverage models, but these differences were not significant. Results support systematic screening and systems-based parent support programs for families of children with cancer. Mixed-methods studies examining parental relationships longitudinally and utilizing operational definitions for out-of-pocket spending are needed.

本系统性文献综述旨在总结和评估有关儿童患癌期间和之后父母关系功能的现有文献,并对国家医疗保险模式(财务状况的代表)的影响进行探索性评估。本综述使用了 MEDLINE、PsychInfo、Embase 和 CENTRAL 搜索数据库。根据纳入标准对文章进行了审查(N = 3060),筛选出 512 篇摘要,检索并审查了 87 篇全文。纳入标准(1) 儿童癌症;(2) 衡量父母关系功能;(3) 英语;(4) 新的经验数据。采用唐斯和布莱克核对表的修订版来评估偏倚风险。叙事综合法用于呈现和讨论结果。最终纳入的文章(N = 36)显示,在儿童癌症确诊后 6 个月内(T1)和 6 个月后(T2),父母关系功能子域的研究结果大多为正面或中性。性亲密关系在各个时间点均受到负面影响。在 T1 阶段,父母的压力高于正常值。在 T1 阶段,婚姻冲突和适应性也较差,但在 T2 阶段恢复到了以前的水平。在不同的医疗保险模式中,父母关系功能存在一些差异,但这些差异并不显著。研究结果支持为癌症患儿家庭提供系统筛查和基于系统的家长支持计划。我们需要对父母关系进行纵向研究,并利用自付费用的操作定义进行混合方法研究。
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引用次数: 0
Acceptability and feasibility of a group-based intervention to improve outcomes for children at risk for developmental delays in Kenya: A piloted randomized trial. 以小组为基础的干预措施的可接受性和可行性,以改善肯尼亚有发育迟缓风险的儿童的成果:随机试验试点。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-10-03 DOI: 10.1177/13674935241261744
Megan S McHenry, Brianna Alex, Anna Roose, Catherine Raciti, Eren Oyungu, Ananda R Ombitsa, Cleophas Cherop, Beatrice Kaniaru, Carolyne Cherop, Chandy C John, Rachel C Vreeman

The Care for Child Development (CCD) program may improve child development outcomes in resource-limited settings, but has not yet been adapted to group-based settings to facilitate sustainable dissemination. In this study, we determined the acceptability and feasibility of a group-based CCD program, with evaluation of program outcomes for child development, home environment, and symptoms of maternal depression as secondary outcomes. We evaluated this adapted program using a 2 × 2 crossover-designed pilot study administered over 10 bi-weekly sessions. Acceptability and feasibility were assessed through focus group discussions using qualitative methods. Child development, home observations, and symptoms of maternal depression were evaluated at baseline, 6 months, and 12 months and assessed quantitatively. Twenty-six mother-child dyads participated. Overall, they perceived CCD as acceptable and feasible, and especially beneficial within its group-based format. Although there were no measured improvements in child development, improvements in stimulating home environments (mean difference 2.5, 95% C.I. [0.37, 4.72]) were found. Further scale-up of this intervention is needed to determine effectiveness.

儿童发展关怀(CCD)项目可改善资源有限环境中的儿童发展成果,但尚未将其应用到以小组为基础的环境中,以促进项目的可持续推广。在本研究中,我们确定了以小组为基础的 CCD 计划的可接受性和可行性,并对计划在儿童发展、家庭环境和母亲抑郁症状方面的成果进行了评估,以此作为次要成果。我们通过一项 2 × 2 交叉设计的试点研究,对这项经过调整的计划进行了评估,该研究每两周进行一次,共进行了 10 次。采用定性方法,通过焦点小组讨论评估了可接受性和可行性。在基线、6 个月和 12 个月时对儿童发展、家庭观察和母亲抑郁症状进行评估,并进行定量评估。共有 26 个母子二人组参加。总的来说,他们认为 CCD 是可以接受的、可行的,尤其是以小组为基础的形式。虽然在儿童发展方面没有测得改善,但在刺激性家庭环境方面有所改善(平均差异为 2.5,95% C.I. [0.37,4.72])。需要进一步扩大这项干预措施的规模,以确定其有效性。
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引用次数: 0
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