亲自与远程 (mHealth) 交付在肯尼亚农村的响应式育儿干预:一个集群随机对照试验
Research square
|August 26, 2024
概括
这项研究比较了亲自和混合的早期儿童发展 (ECD) 育儿干预措施. 混合模式使用mHealth和WhatsApp,旨在实现成本效益和在资源较少的环境中持续的影响.
科学领域:
- 全球健康 全球健康
- 发展心理学 发展心理学
- 公共卫生干预 公共卫生干预
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,5岁以下儿童中有43%的儿童由于贫困,营养不良和缺乏刺激而经历发育缺陷.
- 现有的幼儿发展 (ECD) 育儿干预措施往往太昂贵,无法扩大规模,并且它们的影响可能会随着时间的推移而减少.
- 迫切需要可扩展,可持续和低成本的ECD育儿干预措施.
研究的目的:
- 实验性地比较传统的亲自ECD育儿干预与混合模型,整合mHealth和远程交互.
- 评估混合交付模式在两年内相对有效性,成本和长期可持续性.
- 确定最佳的交付模式,以最大限度地扩展和持续改善资源有限的环境中的儿童发展结果.
主要方法:
- 一个集群随机对照试验 (cRCT),涉及肯尼亚90个村庄和大约1200个家庭.
- 纯粹面对面的基于团体的交付模式与使用智能手机用于视听内容和WhatsApp用于社交互动的混合模式的比较.
- 在12个月和24个月进行中线和终线调查,通过调解分析评估治疗意向对主要结果和调解途径的影响.
主要成果:
- 该研究假设混合ECD干预将更具成本效益.
- 预计远程互动可能不如面对面访问有效,这就提出了关于最具成本效益的计划的问题.
- 这项研究旨在提供关于不同交付模式对育儿行为和ECD结果持续影响的见解.
结论:
- 该项目将交付整合到肯尼亚农村医疗保健系统中现有的社区健康促进者 (CHP) 操作中.
- 该研究利用低成本技术,试图为资源有限的环境发现可扩展和可持续的解决方案.
- 这些发现将为开发有效和可访问的ECD干预措施提供信息,以改善全球儿童发展.
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