Integrating Maternal Depression Screening Into an Early Intervention Program: An Implementation Evaluation.

Integrating Maternal Depression Screening Into an Early Intervention Program: An Implementation Evaluation.
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DOI:
10.1177/10783903221116648
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发表时间:
2022-09
影响因子:
2
通讯作者:
Beeber, Linda S.
Beeber, Linda S.
中科院分区:
医学4区
文献类型:
--
作者:
Salomon, Rebecca E.;Waldrop, Julee B.;Baker, Maureen;Mandel, Marcia A.;LaForett, Dore R.;Beeber, Linda S.

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在所有50个州,为疑似或诊断为发育迟缓的婴幼儿提供早期干预(EI)服务,以改善长期儿童认知和学业成果。当EI登记儿童的母亲出现抑郁症状时,EI服务的摄取可能会受到影响。本文的目的是提出一个抑郁症状筛查干预的母亲组成的工具包开发EI工作人员和家庭,症状筛查的母亲和后续协议。为了正式评估干预措施的实施情况,我们的研究团队遵循了实施研究的综合框架(CFIR)。参与者是两个办事处的12名EI服务协调员。在开发工具包和教育模块时采用了焦点小组和个别访谈的方法。通过五个CFIR领域,我们评估了实施的干预措施,以便让其他团队从我们的经验中学习。我们的团队成功地与供应商合作开发预期的交付成果。尽管如此,SC发现进行筛选具有挑战性,并报告了混合成功。准备EI SC将心理健康筛查纳入其现有的技能组合需要研究团队的高水平支持,从而对员工和家庭的障碍和潜在奖励有充分的了解。
In all 50 states, early intervention (EI) services to improve long-term child cognitive and academic outcomes are provided to infants and toddlers with suspected or diagnosed developmental delays. When mothers of EI-enrolled children experience depressive symptoms, uptake of EI services can be compromised. The purpose of the article is to present a depressive symptom screening intervention for mothers consisting of toolkit development for EI staff and families, symptom screening for mothers and follow-up protocol. To formally evaluate the implementation of the intervention, our research team followed the consolidated framework for implementation research (CFIR). Participants were 12 EI service coordinators across two offices. Focus groups and individual interviews were used to develop the toolkit and education module. Through the five CFIR domains, we evaluated the implemented intervention in order to allow other teams to learn from our experiences. Our team successfully partnered with SCs to develop the intended deliverables. Still, the SCs found it challenging to conduct the screenings and reported mixed success. Preparation of EI SCs to integrate mental health screenings into their existing skillsets requires a high level of support from the research team, resulting in a rich understanding of the barriers—and potential rewards—for staff and families.
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