在现实世界实施中支持响应式育儿:视频交互项目的最小有效剂量
Luciane R Piccolo1, Erin Roby1, Caitlin F Canfield1
1Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA.
Pediatric research
|December 1, 2023
概括
视频交互项目 (VIP) 的单一会议显著提高了幼儿家庭的响应式育儿行为. 这种干预措施支持早期的关系健康,即使参与度最小.
科学领域:
- 儿童发展 儿童发展
- 育儿干预措施 父母干预
- 公共卫生 公共卫生
背景情况:
- 视频交互项目 (VIP) 是一项医疗保健干预项目,使用视频反来对0-36个月龄段的儿童进行亲子互动.
- 之前的试验显示,在3-5次VIP访问后,早期的关系健康状况得到改善,但在现实环境中最小的有效剂量是未知的.
- 这项研究确定了VIP的最小有效剂量,用于在现实世界实施中增强响应式育儿行为.
研究的目的:
- 确定视频交互项目 (VIP) 的最小有效剂量,以改善响应式育儿行为.
- 评估单次VIP访问与多次访问对育儿实践的影响.
主要方法:
- 一项纵向前性研究,涉及183名公立医院儿科诊所的父母.
- 在基线和两个后续访问时使用观察性检查清单测量了响应式育儿行为.
- 多级模型被用来分析响应式育儿行为的变化,调整社会人口统计学因素.
主要成果:
- 一次VIP访问显著增加了响应式育儿行为 (科恩的d=0.52,p<0.05).
- 与基线相比,响应式育儿行为在一次访问后增加了超过22%,在两次访问后累计增加了37%.
- 在第二次VIP访问后 (累计2次访问:d = 0.76,p < 0.05) 观察到对响应式育儿的额外影响.
结论:
- 一次VIP访问足以增加响应式育儿行为.
- 调查结果支持广泛提供VIP服务,无论家庭是否有能力参加多次会议.
- 这项研究提供了关于VIP最小有效剂量的第一个证据,这对可扩展的儿科预防计划有影响,支持早期的关系健康.
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