在中国的低资源环境中制度化数字育儿计划:使用RE-AIM框架对医疗保健和教育部门进行比较案例研究
Xinyu Shi1, Ruochen Ruan2, Yi Qie3,4
1School of Government, Beijing Normal University, Beijing, China.
Journal of medical Internet research
|January 6, 2026
概括
数字育儿计划可以改善幼儿发展,但成功实施需要具体的背景策略. 这项研究确定了农村和城市环境中的各种促进者和障碍,强调了为有效的数字干预提供量身定制的方法.
科学领域:
- 数字健康数字健康
- 儿童发展 儿童发展
- 实施科学 实施科学
背景情况:
- 数字育儿计划为幼儿发展提供了可扩展的,基于证据的支持.
- 实施的成功取决于背景,对不同环境的指导有限.
- 现有的研究缺乏对各种数字干预环境中的促进者和障碍物的全面理解.
研究的目的:
- 识别跨实施维度的共享和独特的促进者和障碍.
- 确定有效实施和制度化的差异化机制.
- 在中国不同城市和农村环境中比较数字育儿计划的实施情况.
主要方法:
- 多个案例研究设计,比较数字育儿计划的实施情况.
- 使用RE-AIM框架来评估覆盖范围,采用,实施和维护.
- 通过采访,焦点小组,观察和文档分析,从83个利益相关方收集数据.
主要成果:
- 共享的促进者包括强大的关系和信誉;共享的障碍涉及育儿保守主义和程序理解.
- 农村环境面临的挑战是医疗保健提供者的专业知识;城市环境看到基于角色相关性的教师采用.
- 实施方式各不相同,农村环境受益于非季节安排和标准化工作流程,而城市环境则需要灵活的工作流程.
结论:
- 数字育儿计划的实施是复杂的,受多层次因素的影响,因地区和环境而异.
- 具体的背景策略和差异化的交付模式对于有效实施和制度化至关重要.
- 根据当地结构和需求调整干预措施,提高了数字育儿支持的覆盖范围和可持续性.
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