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Parental Trust in School-Based Health Care: A Systematic Review
Andrea S Nahum1,2, Hursuong Vongsachang3, David S Friedman4
1Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287.
Parental trust is crucial for school-based health programs (SBHPs). This review identified nine key themes, including safety, effectiveness, and communication, that influence parental trust in SBHPs.
Area of Science:
- Public Health
- Health Services Research
- Pediatric Health
Background:
- School-based health programs (SBHPs) aim to reduce health inequalities.
- Parental trust significantly impacts participation in SBHPs.
- Understanding parental trust is essential for SBHP effectiveness.
Purpose of the Study:
- To systematically review and outline themes related to parental trust in school-based health programs (SBHPs).
- To identify factors influencing parental confidence and willingness to engage with SBHPs.
Main Methods:
- Systematic review of peer-reviewed primary research articles published between 1969 and 2019.
- Searched multiple databases including MEDLINE, Embase, and Web of Science.
- Extracted data on study characteristics and identified themes related to parental trust, critically appraised using the CASP checklist.
Main Results:
- Nine major themes emerged regarding parental trust in SBHPs.
- These themes include safety, effectiveness, health professional qualifications, communication, confidentiality, provider characteristics, health system factors, pharmaceutical industry influence, and research data sharing.
Conclusions:
- The identified themes offer a framework for understanding and evaluating parental trust in SBHPs.
- This framework can guide the development of interventions to enhance parental trust and engagement in SBHPs.
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