在COVID-19大流行期间儿童首次访问家庭的影响:来自随机对照试验的证据
Samantha Xia1, Mervett Hefyan2, Meghan McCormick3
1MDRC, University of Missouri.
概括
"儿童优先"家庭访问计划在疫情期间通过混合模式提供,显示了潜在的好处. 它减少了护理人员的失业和药物滥用,同时增加了虚拟服务的接收.
科学领域:
- 儿童发展和家庭福利研究.
- 危机期间的公共卫生干预措施.
- 基于证据的育儿支持计划.
背景情况:
- 家庭访问计划被证明可以增强儿童的发展和家庭的福祉.
- 由于COVID-19的流行,这些计划需要转向混合和在线服务交付.
- 在充满挑战的时代,大规模的混合家庭访问模式的影响需要进一步调查.
研究的目的:
- 评估作为混合服务实施的儿童优先家庭访问计划的12个月影响.
- 评估对照顾者福祉,育儿,儿童行为和经济稳定的影响.
- 了解该计划在与大流行相关的挑战中所具有的有效性.
主要方法:
- 一个随机对照试验,涉及224个家庭被分配到儿童优先或典型的社区服务.
- 在大约一年后,对182名护理人员进行了注册后调查.
- 使用固定现场效应来分析计划影响的回归模型.
主要成果:
- 有关证据表明,Child First减少了护理人员的失业和药物滥用.
- 该计划与在疫情期间增加虚拟服务的接收有关.
- 没有发现对护理人员心理健康,儿童福利参与,儿童行为或经济指标有重大影响.
结论:
- 混合儿童优先模式在疫情期间对特定护理人员的结果和服务利用情况产生了一些积极影响.
- 在其他领域的零发现表明了可以改进计划的领域,或突出了广泛危机期间干预的复杂性.
- 需要进一步的研究和政策考虑,以优化混合或危机环境中的家庭访问计划.
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