连接家庭:贫困查和初级保健幼儿家庭的财政支持导航:试点随机对照试验
Imaan Bayoumi1, Patricia C Parkin2, Mary Martin3
1Department of Family Medicine (I Bayoumi), Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada; Centre for Studies in Primary Care (I Bayoumi and M Martin), Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada; Public Health Sciences (I Bayoumi), Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Academic pediatrics
|March 26, 2025
概括
这项试点研究发现,有可能将面临经济困难的幼儿家庭纳入试验测试社区支持工作者 (CSW) 援助的试验. 建议进行进一步的研究,以完善干预措施,以改善儿童和家长的结果.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会工作 社会工作 社会工作
背景情况:
- 幼儿家庭的经济压力可能会对儿童的发展和父母的福祉产生负面影响.
- 社区支持工作者 (CSWs) 可以提供一种可行的方法,将家庭与必要的财务和社会资源联系起来.
- 之前的研究还没有充分探讨社会社会工作者在初级保健机构为这一群体提供结构化干预的可行性.
研究的目的:
- 评估对社区支持工作者 (CSW) 领导的干预进行随机对照试验 (RCT) 的可行性.
- 评估CSW支持的社会系统导航对遇到经济困难的幼儿家庭的影响.
- 检查与儿童社会情感健康和育儿压力相关的二次结果.
主要方法:
- 一项试点随机对照试验 (RCT) 进行,报告有经济困难的父母-子女二合一 (2-5岁儿童).
- 干预组获得了CSW支持的社会系统导航;控制组获得了资源摘要.
- 可行性结果包括招聘,保留和遵守率;二级结果使用了优势和困难量表 (SDQ) 和育儿压力指数 (PSI).
主要成果:
- 招聘实现了50%的入学率 (74个符合条件的DYAD中的37个).
- 在6个月后的保留率为78%,在12个月后为60%.
- 干预的坚持程度各不相同,有35.7%的参与者没有参加任何CSW会议;然而,初步分析表明6个月后对育儿压力的潜在积极影响.
结论:
- 进行一项试验,招募经历经济紧张的幼儿家庭是可行的.
- 有必要进行最终的试验,进行修改以提高干预的坚持.
- 这项研究为未来的研究提供了基础,研究CSW支持的针对弱势家庭的干预措施的有效性.
相关概念视频
Preventive Healthcare Services
957
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
957
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Specialized Care Centers and Settings-II
689
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
689
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Specialized Care Centers and Settings-I
905
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
905


