Feasibility and Acceptability in a Community-Partnered Implementation of CenteringParenting for Group Well-Child Care
Feasibility and Acceptability in a Community-Partnered Implementation of CenteringParenting for Group Well-Child Care
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DOI：
10.1016/j.acap.2018.06.001
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发表时间：
2018-08-01
影响因子：
3.1
通讯作者：
Coker, Tumaini R.
中科院分区：
文献类型：
--
作者：
Jones, Kai A.;Do, Stephanie;Coker, Tumaini R.
背景技术背景：在社区学术合作伙伴关系，我们实施了一个基于组的模式，良好的儿童保健（WCC）（CenteringParenting），并进行了可行性和可接受性的试点测试家庭在联邦合格的健康中心（CNOHC）。方法：CNOHC实施CenteringParenting的所有WCC访问在生命的第一年，从2周的访问。在14个月的时间里，每个新的CenteringParenting组的父母都参加了这项研究。基线数据在入组时（婴儿年龄< 31天）收集，并在6个月的随访调查中再次收集。主要结果是可行性和可接受的CenteringParenting，我们还收集了探索性措施（父母的护理经验，利用，自我效能和社会支持）。大多数婴儿是拉丁裔，黑人或“其他”种族/民族;超过90%的婴儿有医疗补助保险。在28名完成6个月随访的CenteringParenting参与者中，25名完成了CenteringParenting组2周至6个月之间的所有访视。在CenteringParenting参与者中，97%至100%的人报告有足够的时间与他们的提供者和足够的患者教育，并在访视时满足他们的需求;大多数人报告在小组访视时感到舒适，所有人都报告希望继续为他们的WCC提供CenteringParenting。CenteringParenting参与者的平均分数的探索性措施表现出积极的护理经验，整体满意度的护理，在养育子女的信心，和父母的社会supports.CONCLUSIONS：社区学术合作伙伴关系实施CenteringParenting;干预是可以接受的，可行的少数，低收入人群。我们强调执行方面的主要挑战。
BACKGROUND: In a community-academic partnership, we implemented a group-based model for well-child care (WCC) (CenteringParenting) and conducted a pilot test for feasibility and acceptability among families at a federally qualified health center (FQHC).METHODS: The FQHC implemented CenteringParenting for all WCC visits in the first year of life, starting at the 2-week visit. Over a 14-month time period, parents from each new CenteringParenting group were enrolled into the study. Baseline data were collected at enrollment (infant age < 31 days) and again at a 6-month follow-up survey. Main outcomes were feasibility and acceptability of CenteringParenting; we also collected exploratory measures (parent experiences of care, utilization, self-efficacy, and social support).RESULTS: Of the 40 parent-infant dyads enrolled in the pilot, 28 CenteringParenting participants completed the 6-month follow-up assessment. The majority of infants were Latino, black, or "other" race/ethnicity; over 90% were Medicaid insured. Of the 28 CenteringParenting participants who completed the 6-month follow-up, 25 completed all visits between ages 2 weeks and 6 months in the CenteringParenting group. Of the CenteringParenting participants, 97% to 100% reported having adequate time with their provider and sufficient patient education and having their needs met at visits; most reported feeling comfortable at the group visit, and all reported wanting to continue CenteringParenting for their WCC. CenteringParenting participants' mean scores on exploratory measures demonstrated positive experiences of care, overall satisfaction of care, confidence in parenting, and parental social support.CONCLUSIONS: A community-academic partnership implemented CenteringParenting; the intervention was acceptable and feasible for a minority, low-income population. We highlight key challenges of implementation.