为多元文化家庭量身定制的mHealth育儿计划的开发和评估:一个三臂集群随机对照试验
1College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
Frontiers in public health
|October 27, 2023
概括
一个定制的mHealth育儿计划,与非专业卫生工作者的支持,显著改善了多元文化家庭的健康行为和电子健康素养. 这些对儿童健康管理的积极影响持续了干预后12周.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 家庭健康 家庭健康
背景情况:
- 多元文化家庭面临的挑战是如何获取和利用育儿信息来管理儿童健康.
- 幼儿健康需要可访问和相关的健康信息,以有效的育儿.
- 需要量身定制的干预措施来支持健康管理中的多样化家庭结构.
研究的目的:
- 开发,实施和评估一个量身定制的mHealth育儿计划,结合非专业卫生工作者支持.
- 通过改善促进健康的行为和电子健康素养,提高多元文化家庭儿童的健康.
- 评估干预对家庭力量和健康管理实践的长期有效性.
主要方法:
- 利用ADDIE模型进行程序开发,创建一个mHealth应用程序和非专业卫生工作者支持模块.
- 对101名已婚移民妇女 (越南,菲律宾,中国) 进行了三臂集群随机对照试验.
- 评估结果包括促进健康的行为,电子健康素养和基线和干预后的家庭力量.
主要成果:
- 实验组与对照组相比,在促进健康的行为 (p=0.041),电子健康素养 (p=0.037) 和家庭力量 (p=0.044) 上有显著的改善.
- 该干预措施在结束后长达12周的时间内表现出持续的积极效果.
- 单独的mHealth计划和与非专业卫生工作者支持相结合都显示出有效性,后者可能提供更大的持续效益.
结论:
- 适合环境的健康信息和支持对于面临进入障碍的家庭至关重要.
- 职业卫生工作者对于促进持续的行为变化和改善健康结果至关重要.
- 定制的移动健康干预措施可以有效地赋予多元文化家庭管理孩子健康的权力.
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