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 Journal of Child Health Care 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
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引用次数: 0

摘要

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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Acceptability and feasibility of a group-based intervention to improve outcomes for children at risk for developmental delays in Kenya: A piloted randomized trial.

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.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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