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家庭导航以减少早期干预服务的差异:一个随机对照试验

James P Guevara^1,2,3, Marsha Gerdes¹, Ellie Segan¹

¹Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

|March 8, 2026

概括

家庭导航计划改善了早期干预 (EI),为低收入,多元化的儿童完成转诊和服务启动. 然而,该计划没有影响EI服务时间或儿童发展结果.

科学领域:

儿科健康儿科健康
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

早期干预 (EI) 服务利用率的差异在服务不足的人群中仍然存在.
发育迟缓的低收入,少数民族儿童在获得EI服务方面面临重大障碍.

研究的目的:

评估家庭导航 (FN) 对EI服务使用和儿童发展的影响.
评估FN在减少低收入,种族多样性儿童之间的差距方面的有效性.

主要方法:

随机对照试验涉及358名怀疑发育迟缓的30个月以下儿童.
家庭导航 (FN) 与12个月内通常护理的比较.
结果包括完成多学科评估,EI服务启动/持续时间和Bayley-3发展分数.

主要成果:

接受FN治疗的儿童的多学科评估完成率 (aOR=2.1) 和EI服务启动率 (64.4%对54.7%) 显著更高.
在FN和常规护理组之间,在EI服务持续时间或Bayley-3发展得分方面没有发现显著差异.
研究人口主要是黑人,家庭收入低于55,000美元.

结论:

家庭导航有效地改善了弱势群体获得早期干预服务的机会.
在少数群体中,FN计划有望缓解少数群体在EI获得方面的差异.
需要进一步的研究来探索 FN 对长期发展结果的影响.

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