一项关于实施忠诚度的研究,以适应社区模式的增强群体产前护理改进为基础
Bridgette Blebu1,2, Martha Tesfalul3, Guadalupe Ramirez4
1Department of Obstetrics and Gynecology, The Lundquist Institute for Biomedical Research and Innovation at Harbor-UCLA Medical Center, Torrance, CA, United States.
Translational behavioral medicine
|February 16, 2026
概括
增强群体产前护理 (GPC) 显示出中度至高度的忠实度,但面临招聘和照顾孩子的挑战. 社区伙伴关系对于成功实施和扩大GPC计划至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生干预措施 公共卫生干预措施
- 医疗保健提供系统
背景情况:
- 团体产前护理 (GPC) 旨在改善母亲的健康状况,减少差异.
- 实施挑战和社区伙伴关系在GPC交付中的作用需要进一步了解.
研究的目的:
- 检查一个名为Glow!的增强GPC (eGPC) 程序的实现忠实度. GPC 和支持.
- 为了在随机试验中比较产前护理提供者和社区机构 (虚拟与面对面) 的协作交付.
主要方法:
- 采用了混合方法的融合设计.
- 量化调查评估了联合促进者对核心内容和流程组件的坚持.
- 采访和重点小组的定性数据探索了实施经验,与定量发现相结合.
主要成果:
- 由于入学人数低,近一半的启动队列被取消;26个队列被完成,平均6名参与者.
- 平均内容忠实度为68% (虚拟:73%,面对面:61%),流程忠实度高 (89%).
- 招聘挑战,促进者参与,与日常护理的整合和虚拟交付成为关键主题.
结论:
- 实现了中等至高的忠实度,但eGPC的实施面临着严重的招聘和儿童保育障碍,COVID-19大流行加剧了这一障碍.
- 社区伙伴关系对于加强GPC交付和实现可持续扩展至关重要,特别是在资源有限的环境中.
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