评估低收入和中等收入国家的照顾者与儿童的互动:对工具和方法的系统审查
L Bozicevic1, C Lucas2, D N Magai2
1Department of Primary Care & Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UK.
Journal of reproductive and infant psychology
|March 5, 2024
概括
响应式照顾对儿童早期发展至关重要. 本次审查强调了在低收入和中等收入国家评估照顾者与儿童互动的有限的验证工具,强调了对文化适应措施的需要.
科学领域:
- 全球儿童发展研究研究
- 公共卫生干预措施 公共卫生干预措施
- 发展心理学是发展心理学.
背景情况:
- 联合国可持续发展目标 (SDGs) 优先考虑了早期儿童发展,得到了培养护理框架的支持,强调了响应式护理.
- 评估照顾者与儿童之间的互动对于评估响应式照顾至关重要,但关于低收入和中等收入国家 (LMICs) 工具使用和适应的数据很少.
- 在LMIC中的儿童面临更高的发育不良结果的风险,强调需要有效的评估工具.
研究的目的:
- 系统地审查评估护理人员与儿童互动的方法.
- 评估这些评估工具在LMICs中的可行性和文化适应性.
- 为研究人员和从业人员提供全面指南.
主要方法:
- 进行了过去20年发表的研究的系统审查,重点是LMICs.
- 分析了护理人员与儿童互动评估工具的特征,有效性 (使用COSMIN 偏差风险检查清单) 和研究质量 (使用混合方法评估工具).
- 包括在LMIC环境中评估照顾者与儿童互动的研究.
主要成果:
- 确定了59项研究,在20个LMIC中使用了34种不同的工具.
- 大多数工具 (86.5%) 涉及视频记录的观测 (家庭或实验室),较小的比例使用直接现场观测 (13.5%) 或自我报告.
- 大多数工具起源于西方国家,缺乏报告的有效性和可靠性,并且在LMIC环境中没有文化验证.
结论:
- 对于在LMIC环境中使用的经过验证的护理人员和儿童互动测量措施非常稀缺.
- 现有的工具往往缺乏在不同的全球背景下证明的有效性,适用性和可行性.
- 未来的研究必须优先考虑在全球范围内开发和验证文化上适当和可行的工具,以评估护理人员和儿童之间的互动.
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