综合行为健康和实施每个孩子的安全环境在儿科初级保健中的方法:混合方法研究研究
Lawrence A Palinkas1, Rosemarie Belanger2, Lisa Saldana3
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA.
概括
综合行为健康护理 (IBH) 可能有助于实施儿童虐待预防计划,如每个孩子的安全环境 (SEEK). 然而,定量数据没有显示 SEEK 采用IBH 在儿科实践中的显著改善.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 行为健康整合行为健康整合
- 预防虐待儿童的行为
背景情况:
- 综合行为健康护理 (IBH) 在儿科环境中越来越多地被采用.
- 每个孩子的安全环境 (SEEK) 是一种基于证据的方法来预防虐待儿童.
- IBH与SEEK的实施之间的关联需要进一步调查.
研究的目的:
- 确定儿科实践中的综合行为健康护理 (IBH) 是否改善了"每个孩子的安全环境" (SEEK) 计划的实施.
- 探索在有或没有IBH的儿科初级保健机构中实施SEEK的促进因素和障碍.
主要方法:
- 一个纵向多站点试验涉及44个美国儿科实践,其中一半提供IBH.
- 与49名实践领导人和工作人员进行了半结构化采访.
- 实施阶段完成测量被用来收集关于实施进展的定量数据.
主要成果:
- 定性数据表明,IBH可以促进SEEK的采用和实施,反之亦然.
- 定量分析显示,在项目启动率,实施活动的完成率或与IBH和无IBH实践之间的能力方面,没有统计学上显著的差异.
- 与IBH的实践经历了更长的程序启动时间.
结论:
- 综合行为健康护理可以支持针对健康的社会决定因素和减少儿童虐待风险的干预措施的实施.
- 目前的定量调查结果没有提供有意义的证据表明IBH改善了SEEK的吸收.
- 需要进一步的研究,以充分了解IBH对SEEK等计划实施的影响.
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