社区卫生工作者干预的以公平为中心的发展,以提高对ADHD护理的参与度
Andrea E Spencer1,2,3,4, Jacqueline Krystel Loubeau3, Jennifer Sikov3,5
1Ann & Robert H. Lurie Children's Hospital of Chicago, IL, USA.
像START这样的社区卫生工作者干预措施改善了儿童的多动症护理参与度. 这一新型计划在试点研究中证明了可行性,可接受性和治疗利用率的增加.
科学领域:
- 儿科健康 儿科健康
- 心理健康干预 心理健康干预
- 健康 公平 卫生 公平
背景情况:
- 参与注意力缺陷多动症 (ADHD) 护理的障碍导致了受影响儿童的重大不平等.
- 社区卫生工作者 (CHW) 的干预提供了一个有希望的途径,以提高治疗参与度和减轻这些差异.
研究的目的:
- 描述一种新的,手动化的,用于ADHD的5模块CHW干预的开发,名为START (ADHD和相关治疗的支持).
- START的主要目标是改善儿童及其家属对ADHD护理的参与度.
主要方法:
- 开始干预是使用种族和少数民族家庭和社区咨询委员会的投入来开发的.
- 一项单臂,适应性试点可行性研究与新诊断患有多动症的儿童 (6-12岁) 的主要照顾者进行.
- 数据收集包括流程指标,干预前后调查以及定性护理人员退出访谈.
主要成果:
- 该试点研究招募了18个家庭,其中15个完成了START干预,16个完成了问卷.
- 护理人员报告了高满意度和推START的意愿,其中大多数表明考虑药物治疗,治疗和学校服务的可能性增加.
- 干预后,门诊治疗 (p=.0034),ADHD知识 (p<.0001) 和17个干预目标中的16个干预目标的得分 (p<.05) 显著增加.
结论:
- 在护理人员中,START干预证明了卓越的可行性和可接受性.
- 在干预后,治疗利用率显著增加.
- 基于护理人员的反,START得到了改进,增强了个性化,并为未来的临床试验扩展到六个模块.
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