Effectiveness of father-inclusive interventions on maternal, paternal, couples, and early child outcomes in low- and middle-income countries: A systematic review.
Effectiveness of father-inclusive interventions on maternal, paternal, couples, and early child outcomes in low- and middle-income countries: A systematic review.
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低收入和中等收入国家父亲包容性干预措施对孕产妇、父亲、夫妇和幼儿结局的有效性：系统评价。
DOI：
10.1016/j.socscimed.2023.115971
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
McCann,JulietK
中科院分区：
文献类型：
--
作者：
Jeong,Joshua;Sullivan,EileenF;McCann,JulietK
针对幼儿的大多数干预措施都是针对女性照顾者的。将男性照顾者纳入方案参与者的相对较少，特别是在低收入和中等收入国家。没有从家庭系统的角度充分探讨通过父亲和男性照顾者的参与可以实现的各种潜在好处。我们回顾了让男性照顾者参与支持中低收入国家幼儿的干预措施，并总结了对母亲、父亲、夫妇和儿童结局的影响。我们检索了MEDLINE、Embase、PsycINFO、CINAHL、Web of Science和Global Health Library，以获得包括父亲或其他男性照顾者在内的社会和行为干预措施的定量评估研究，以改善中低收入国家5岁以下幼儿的养育护理。三位作者使用结构化表格独立提取数据。纳入了44篇文章，代表33项干预评价。最常见的干预措施是针对父亲沿着女性伴侣，主要是解决儿童营养和健康问题。在所有干预措施中，母亲结局是评价最多的结局（82%），其次是父亲结局（58%）、夫妻关系结局（48%）和儿童结局（45%）。总体而言，父亲参与的干预措施对母亲、父亲和夫妻关系的结果产生了积极影响。虽然与母亲、父亲和夫妇结局相比，儿童结局的支持性证据程度存在较大差异，但研究结果表明，所有结局大多数都是积极的。局限性包括相对薄弱的研究设计和干预措施，结果类型和测量工具的异质性。包括父亲和其他男性照顾者在内的干预措施有可能改善中低收入国家的母亲和父亲的照顾、夫妇关系动态和幼儿结局。需要更多的评估研究，使用严格的方法和强大的测量框架，以加强这一证据基础，父亲的参与对幼儿，照顾者和家庭的影响，在中低收入国家。
Most caregiving interventions for young children are directed to female caregivers. Relatively few have included male caregivers as program participants especially in low- and middle-income countries (LMICs). The range of potential benefits that can be achieved through the engagement of fathers and male caregivers has not been adequately explored from a family systems perspective. We reviewed interventions that engaged male caregivers to support young children in LMICs and summarized impacts on maternal, paternal, couples, and child outcomes. We searched MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Global Health Library for quantitative evaluation studies of social and behavioral interventions that included fathers or other male caregivers to improve nurturing care for young children under 5 years of age in LMICs. Three authors independently extracted data using a structured form. Forty-four articles, representing 33 intervention evaluations, were included. The most common type of intervention targeted fathers along with their female partners and primarily to address child nutrition and health. Across interventions, maternal outcomes were the most evaluated outcomes (82%), followed by paternal (58%), couple's relationship (48%) and child-level outcomes (45%). Overall, father-inclusive interventions had positive impacts on maternal, paternal and couples' relationship outcomes. Although there was greater variation in the degree of supportive evidence for child outcomes compared to maternal, paternal, and couples outcomes, findings suggested mostly positive effects across all outcomes. Limitations included relatively weak study designs and heterogeneity across interventions, outcome types, and measurement tools. Interventions that include fathers and other male caregivers have potential to improve maternal and paternal caregiving, couple's relationships dynamics, and early child outcomes in LMICs. More evaluation studies, using rigorous methods and robust measurement frameworks, is needed to bolster this evidence-base about the effect of fathers' engagement for young children, caregivers, and families in LMICs.
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影响因子：
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作者：
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DOI：
--
发表时间：
2017
期刊：
影响因子：
--
作者：
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JBI 的系统评论：研究选择和批判性评估。
DOI：
--
发表时间：
2014
期刊：
The American Journal of Nursing
影响因子：
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作者：
K. Porritt;J. Gomersall;C. Lockwood
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