桥梁接入和影响:初级保健家长干预减少了在虚拟和面对面的交付模式中早期的行为问题
Fithi Andom1, Joanne N Wood2, Li Jiang3
1The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Frontiers in pediatrics
|February 27, 2026
概括
在初级保健中虚拟儿童与成人关系增强 (PriCARE) 显著改善了儿童早期的行为问题,并增加了计划完成率. 这种虚拟交付方法显示了与面对面的程序相似的有效性,扩大了对关键行为干预措施的访问.
科学领域:
- 儿科的行为健康.
- 基于证据的干预措施.
- 数字健康数字健康
背景情况:
- 儿童早期的行为问题很常见,并与不良结果有关,包括虐待风险.
- 在初级保健中增强儿童与成人关系 (PriCARE) 是一种基于证据的小组育儿计划,在面对面试验中被证明是有效的.
- 面对面的PriCARE的障碍包括劳动力短缺和有限的基础设施,需要探索虚拟交付.
研究的目的:
- 评估虚拟PriCARE在改善儿童行为结果方面的有效性.
- 将虚拟PriCARE的结果与之前的实验结果进行比较.
主要方法:
- 一个多中心随机对照试验 (RCT),涉及18个月至6岁儿童的照顾者.
- 在基线和6至8个月的随访期间,使用艾伯格儿童行为清单 (ECBI) 评估儿童行为.
- 临时分析比较了使用线性回归和ANCOVA的虚拟和先前实验试验之间的ECBI评分变化.
主要成果:
- 与常规护理相比,虚拟PriCARE显示了儿童行为问题 (ECBI强度和问题得分) 的显著减少.
- 虚拟组 (23.8%完成) 与实体组 (18.9%完成) 相比,观察到更高的出席率.
- 根据交付方式 (虚拟与面对面) 发现没有显著的差异效应.
结论:
- 虚拟PriCARE是早期儿童行为问题的有效干预措施,与亲自分娩相比较.
- 更高的完成率和可比的有效性表明,虚拟交付可以扩大对行为干预措施的访问.
- 这种方法提供了可扩展的预防策略,以促进儿童福祉和减轻虐待风险.
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