父亲参与家庭访问:从持续质量改进学习协作学习的发现
Amy E Treat1, Helen Milojevich, David Bard
1Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Drs Treat and Bard); and Center for Child and Family Policy, Duke University Durham, North Carolina (Dr Milojevich).
Journal of public health management and practice : JPHMP
|August 9, 2024
概括
家庭访问计划成功地使用质量改进策略将父亲的参与度提高了39%. 父亲愿意接受父母的支持,并参与家庭访问服务.
科学领域:
- 儿童和家庭研究 儿童和家庭研究
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 父亲的参与对于儿童的发展和家庭的福祉至关重要.
- 家庭访问 (HV) 计划往往难以有效地吸引父亲.
- 持续质量改进 (CQI) 提供了一种结构化的方法来增强节目服务.
研究的目的:
- 描述一个CQI学习协作的实施,以增加父亲在HV中的参与.
- 确定有效的策略,让父亲参与育儿和HV服务.
- 分享从参与合作的机构中学到的经验教训.
主要方法:
- 提供基于证据的HV模型的11个地方机构参与了.
- 机构进行了3个快速循环计划-做-学习-行动 (PDSA) 项目,以改善父亲的参与.
- 从714个家庭收集了关于父亲的育儿和HV参与的数据.
主要成果:
- 平均父亲参与度从基线到随访增加了39%.
- 超过60%的PDSA项目达到或超过了其具体,可衡量,可实现,现实,时间有限 (SMART) 目标.
- 父亲们表现出对参与的开放性和对育儿指导的响应性.
结论:
- 在提高父亲参与HV方面,CQI学习协作是有效的.
- 有针对性的策略可以成功地增加父亲参与育儿和HV服务.
- 调查结果强调了父亲在家庭支持计划中更大程度参与的潜力.
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