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Transcutaneous Microcirculatory Imaging in Preterm Neonates
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Published on: December 31, 2015

"Welcome to the world".

Jane H Brice1, David Kingdon, Carol Runyan

  • 1Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7594, USA. brice@med.unc.edu

Prehospital Emergency Care
|March 18, 2009
PubMed
Summary
This summary is machine-generated.

This study evaluated the "Welcome to the World" home safety program for newborns. Process evaluation revealed suboptimal recruitment and reach, highlighting the need for integrated program monitoring and continuous improvement in emergency medical services (EMS) community initiatives.

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Area of Science:

  • Public Health
  • Emergency Medical Services
  • Program Evaluation

Background:

  • Emergency Medical Services (EMS) are increasingly tasked with community prevention. Outcome evaluations exist, but process evaluations of EMS community programs are lacking. The "Welcome to the World" (WTTW) program, a home safety screening for newborns, was initiated by Orange County EMS in 1998.

Purpose of the Study:

  • To conduct a retrospective process evaluation of the "Welcome to the World" (WTTW) program.
  • Assess recruitment, reach, context, dose delivered, dose received, and fidelity of the WTTW program.

Main Methods:

  • Retrospective process evaluation using programmatic data and records.
  • Key informant interviews and focus groups were conducted.
  • Analysis of print materials and program documentation.

Main Results:

  • Recruitment was suboptimal, with low participation from lower socioeconomic backgrounds.
  • The WTTW program reached approximately 4% of the target community.
  • Significant contextual challenges included demographic shifts (influx of Spanish-speaking immigrants) and economic downturns leading to budget cuts.
  • Home surveys and print materials were generally well-received; fidelity to the program's intent was observed.

Conclusions:

  • Effective organization and management are crucial for continuous program improvement and fidelity.
  • Future EMS-initiated community activities should integrate process evaluation from inception.
  • Careful monitoring of recruitment, reach, dose, and fidelity is essential for program success and replication.