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一个虚拟家庭准备干预,以特殊医疗需求的儿童和青少年为中心
Jennifer S Griffin1, Thomas J Hipper2, Esther Chernak3
1Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa.
虚拟家庭准备干预 (VHPI) 显著改善了有特殊医疗需求的儿童和青少年 (CYSHCN) 的家庭的应急准备. 对于这些弱势群体,VHPI提高了关键安全措施和整体准备度.
科学领域:
- 公共卫生 公共卫生
- 应急准备情况 应急准备情况
- 儿科医疗保健 儿科医疗保健
背景情况:
- 具有特殊医疗需求的儿童和青少年 (CYSHCN) 需要量身定制的应急准备策略.
- 现有的应急计划可能无法充分满足CYSHCN的独特需求.
- 开发可访问和有效的干预措施对于这一群体的安全至关重要.
研究的目的:
- 评估虚拟家庭准备干预 (VHPI) 对患有CYSHCN.的家庭的有效性.
- 为了测量VHPI之前和之后的应急准备情况的变化.
- 确定在患有CYSHCN.的家庭中改善准备能力的具体领域.
主要方法:
- 开发并测试了一种虚拟家庭准备干预 (VHPI).
- 该VHPI包括前/后访谈,资源包和个性化推.
- 参与者是患有CYSHCN的家庭,他们依赖医疗技术,身体/移动性需求,沟通/智力挑战或感官损失.
- 用确定率和19项综合得分来衡量准备程度,并使用概括估计方程进行分析.
主要成果:
- 在创建紧急信息表格 (31%至47%) 和疏散套件 (50%至68%) 中观察到显著的改进.
- 平均准备性得分从基线时的13.33/19增加到VHPI后的14.96 (P < .01).
- 调整后的回归显示了更高的干预后得分,房屋所有者 (1.22步) 和租户 (1.85步) 的显着增加.
结论:
- 虚拟家庭准备干预 (VHPI) 有效地提高了CYSHCN.家庭的应急准备.
- 该研究强调了针对性虚拟干预对弱势群体的积极影响.
- 未来的研究应该集中在将VHPI纳入常规医疗家庭护理访问中.
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