疫情期间家庭访问的影响:来自儿童第一次随机对照试验的证据
Samantha Xia1, Mervett Hefyan1, Meghan P McCormick1
1MDRC.
概括
在疫情期间通过混合模式提供儿童优先家庭访问计划,减少了护理人员的失业和药物滥用. 然而,对儿童行为和护理人员幸福感的影响并不显著.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 家庭访问计划对于儿童的发展和家庭的福祉至关重要.
- 由于COVID-19大流行,这些计划需要转向混合服务交付模式.
- 在大流行期间,混合家庭访问计划的大规模影响仍然未得到充分研究.
研究的目的:
- 评估"儿童优先"混合家庭访问计划对12个月的影响.
- 评估对服务接收,护理人员福祉,儿童行为和经济稳定的影响.
- 了解通过混合模型提供的心理治疗,亲子干预措施的有效性.
主要方法:
- 进行了一项随机对照试验,涉及226个家庭.
- 家庭被分配到儿童优先计划或典型的社区服务.
- 在一年后进行护理人员调查,以收集关键结果的数据.
主要成果:
- "儿童第一" (Child First) 显示,有迹象表明,减少了护理人员失业,住房流动和药物滥用.
- 该计划增加了护理人员在疫情期间接受虚拟服务的机会.
- 没有发现对护理人员心理健康,儿童行为或儿童福利参与的重大影响.
结论:
- "儿童优先"计划的混合实施表明,在疫情期间对家庭经济稳定和服务利用产生了一些积极影响.
- 需要进一步的研究,以探索在混合模型中对心理健康和儿童行为的影响.
- 调查结果对政策和实践产生影响,涉及在具有挑战性的情况下扩大家庭访问服务的政策和实践.
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