父母对初级保健行为服务的偏好和COVID-19大流行:一种混合方法研究
Katherine A Hails1, Brianna C Wellen2, Marisa Simoni3
1Prevention Science Institute, University of Oregon, USA.
Journal of pediatric psychology
|June 27, 2023
概括
随着COVID-19大流行,家庭功能恶化,父母对综合行为健康 (IBH) 支持的愿望增加. 较低的SES和少数民族家长对IBH服务表现出更大的兴趣,突出了需要可访问的远程医疗选择的需要.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 行为健康整合行为健康整合
- 家庭心理学 家庭心理学
背景情况:
- COVID-19大流行严重影响了家庭的运作和父母的福祉.
- 了解父母对综合行为健康 (IBH) 的态度对于有效的儿科护理至关重要.
- 家庭因素在塑造父母对医疗保健服务的偏好方面发挥着重要作用.
研究的目的:
- 研究家庭因素如何影响家长对COVID-19大流行期间儿科初级保健综合行为健康 (IBH) 的态度.
- 调查COVID-19对家庭的影响与他们对IBH的兴趣之间的关系.
- 探索先前存在的家庭特征如何预测对不同IBH模式的兴趣.
主要方法:
- 在五个初级保健诊所对301名年龄在1.5-5岁的儿童的父母进行了调查.
- 评估家庭背景因素 (收入,种族/种族,童年逆境),COVID-19的影响,家庭功能和IBH偏好.
- 与23名家长进行了定性访谈,以深入了解定量发现.
主要成果:
- 增加的COVID-19影响与父母心理健康和儿童行为状况较差相关,并且对虚拟IBH支持的兴趣减少.
- 来自较低社会经济地位 (SES) 和种族/少数民族背景的家长对IBH模式表示更大的兴趣.
- 定性数据显示,流行病压力因素增加了儿童医生提供行为支持的需求,强调了所需的提供者沟通和服务灵活性.
结论:
- 调查结果强调了加强家长在初级保健中获得IBH服务的重要性.
- 积极提供基于证据的资源和持续的远程医疗支持对于满足家庭行为健康需求至关重要.
- 定制IBH服务以满足不同的家庭需求和偏好,对于成功实施至关重要.
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