Evaluation of a Child-centred Psychosocial Healthcare Intervention (KIDPROTEKT) - Results of a Cluster Randomized Controlled Trial in Paediatric and Gynaecologic Practices.

IF 3.6 1区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychosocial Intervention Pub Date : 2023-01-01 DOI:10.5093/pi2023a2

Désirée Kolodziej, Philipp Wolkwitz, Gerhard Schön, Sönke Siefert, Silke Pawils

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引用次数: 2

Abstract

KID-PROTEKT is a child-centred psychosocial healthcare intervention which aims at improving the identification of psychosocial needs and navigation in the outpatient gynaecologic and paediatric setting. In this cluster randomized-controlled trail we examined the effect of KID-PROTEKT on the referrals (to support services) in comparison to the regular gynaecologic and paediatric outpatient healthcare . A variant based on the qualification of the healthcare providers (qualified treatment, QT) and a variant with social worker (supported treatment, ST) were compared to the regular healthcare (treatment as usual, TAU). Twenty-four gynaecologic and paediatric practices were randomized to one of three study arms. Therefore 8,458 pregnant women and families recruited in one of these practices were enrolled in the study. Participating patients reported on average 1.73 (SD = 1.34) psychosocial risks. In total 522 patients were linked to a support service. Compared to TAU, the probability of a referral was significantly higher in QT (OR = 10.70) and ST (OR = 11.28). Also, a higher number of psychosocial risks were linked to a referral (OR = 2.72). These findings support the importance of a psychosocial assessment in the gynaecologic and paediatric setting.

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评价以儿童为中心的心理社会保健干预(KIDPROTEKT)——一项儿科和妇科实践的随机对照试验结果

KID-PROTEKT是一项以儿童为中心的心理社会保健干预措施，旨在改善门诊妇科和儿科对心理社会需求的识别和导航。在这个集群随机对照试验中，我们检查了KID-PROTEKT对转诊(支持服务)的影响，并与常规妇科和儿科门诊医疗保健进行了比较。将基于医疗保健提供者资格的变体(合格治疗，QT)和社会工作者的变体(支持治疗，ST)与常规医疗保健(常规治疗，TAU)进行比较。24名妇科和儿科医生被随机分为三个研究组。因此，8458名孕妇及其家庭参与了这项研究。参与研究的患者报告的平均心理社会风险为1.73 (SD = 1.34)。总共有522名患者与支持服务联系在一起。与TAU相比，QT (OR = 10.70)和ST (OR = 11.28)的转诊概率显著高于TAU。此外，更高数量的心理社会风险与转诊有关(OR = 2.72)。这些发现支持了在妇科和儿科环境中进行心理社会评估的重要性。

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来源期刊

Psychosocial Intervention PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

8.00

自引率

8.30%

发文量

审稿时长

14 weeks

期刊介绍： Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.