为了更好地理解现实世界的家庭访问计划:巴西的育儿机制的大规模有效性研究
Morgan Rebecca Healy1, Eduardo Viegas da Silva2,3, Anton Rask Lundborg4
1PEDAL, Faculty of Education, University of Cambridge, Cambridge, UK.
BMJ global health
|February 21, 2024
概括
巴西的Primeira Infância Melhor (PIM) 家庭访问计划改善了儿童早期发育中的响应性护理. 这种早期干预对低收入家庭带来了更大的好处,突出了有针对性的支持的影响.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 社会政策 社会政策 社会政策
背景情况:
- 为儿童早期发展 (ECD) 扩展育儿计划,需要了解干预的有效性和可持续性.
- 现实世界的干预机制对于ECD计划的长期成功至关重要.
- 这项研究调查了Primeira Infância Melhor (PIM) 家庭访问计划对巴西护理实践的影响.
研究的目的:
- 评估PIM家庭访问计划对育儿实践的影响.
- 确定收入,儿童年龄和计划持续时间等因素如何适度干预的影响.
- 提供有关 ECD 干预措施有效扩大规模的见解.
主要方法:
- 一项纵向的,准实验性研究,使用2015年佩洛塔斯出生队列的倾向性得分匹配.
- 在4岁时使用视频录像和标准化尺度评估护理实践 (敏感性,指导性,响应性,强制性).
- 进行了适度分析,以检查家庭收入,儿童年龄和参与时间的影响.
主要成果:
- 该PIM计划对父母的反应能力 (β=0.08) 和敏感性 (β=0.10) 有积极的影响.
- 对于二次结果措施,没有观察到任何显著的影响.
- 在家庭收入较低的父母 (β=0.18) 中,对敏感度的积极影响更强.
结论:
- 全州范围内的PIM家庭访问计划有效地提高了巴西的响应性护理.
- 干预的好处在低收入家庭中更为明显,这表明了有针对性的方法的价值.
- 这些发现支持了成功扩展PIM和类似的有针对性的ECD计划的可能性.
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