Assessing Maternal Capabilities in the SHINE Trial: Highlighting a Hidden Link in the Causal Pathway to Child Health.
Assessing Maternal Capabilities in the SHINE Trial: Highlighting a Hidden Link in the Causal Pathway to Child Health.
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DOI：
10.1093/cid/civ851
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发表时间：
2015-12-15
期刊：
影响因子：
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通讯作者：
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
中科院分区：
文献类型：
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作者：
Matare CR;Mbuya MN;Pelto G;Dickin KL;Stoltzfus RJ;Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
更多地采用儿童保健干预措施的一个潜在瓶颈是，没有充分注意制定以照顾者在确定其有效性方面发挥的重要作用为基础的行动。在环境卫生婴儿营养功效（SHINE）试验中，我们利用母亲能力的概念来检查参与者的技能和属性，这些技能和属性影响他们为幼儿提供适当护理的能力，充分参与试验干预措施，并影响家庭对这些干预措施的反应。我们假设，SHINE干预措施对儿童发育迟缓和贫血的影响将被这些母亲的能力所改变。借鉴多种理论，我们确定和定义关键的母性能力领域，并描述它们是如何在试验中测量的。描述母亲的能力和他们的作用，作为影响的潜在修饰符将增加对SHINE干预措施的影响的理解，以及我们的研究结果的普遍性。
A potential bottleneck for increasing the adoption of child health interventions has been limited attention to designing actions that are built on the essential role that caregivers play in determining their effectiveness. In the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, we utilize the concept of maternal capabilities to examine participants' skills and attributes that affect their ability to provide appropriate care for their young child, fully engage with trial interventions, and influence the response to these interventions at the household level. We hypothesize that the impact of SHINE interventions on child stunting and anemia will be modified by these maternal capabilities. Drawing upon multiple theories, we identify and define critical maternal capabilities domains, and describe how they are measured in the trial. Description of maternal capabilities and their role as potential modifiers on impact will increase understanding of the impact of SHINE interventions, and the generalizability of our findings.