Matthew M Davis, Marie E Heffernan, Lucy A Bilaver, Lauren S Wakschlag, Neil Jordan, Justin D Smith
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引用次数: 0
摘要
背景:证据的力量是推动儿童心理健康护理的关键,但可能不足以推动实践的改变。加速转化设计(DART)框架提出了一种多方面的方法:将实施速度作为有效性证据、干预需求、风险总和及成本的函数。为了给 DART 的实证应用提供信息,我们征求了护理人员对关键要素的偏好:2022年3月至4月,我们在伊利诺伊州有≥1名儿童的家庭(照顾者人数=1,326)中进行了一次具有人口代表性的在线调查:在每种情况下,照顾者的步调偏好得分差异很大。平均得分最高(7.28,95% 置信区间[95% CI:7.06, 7.50])的情景是:儿童的养育者认为该计划会有帮助(有效性),而照顾者认为该计划是需要的(需求)。相比之下,平均得分最低(5.13,95% CI [4.91,5.36])的情景是:在线信息暗示该计划会有帮助(有效性),而家长担心该计划的经济成本(成本)。照顾者的步调偏好得分并不因社会人口因素的不同而一致:在这一 DART 框架的实证探索中,需求、成本和风险等因素与有效性证据相结合,可能会影响照顾者对儿童心理健康干预措施实施进度的偏好。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
Potential parental determinants of the pace of evidence-based practice change in children's mental health care.
Background: Strength of evidence is key to advancing children's mental health care but may be inadequate for driving practice change. The Designing for Accelerated Translation (DART) framework proposes a multifaceted approach: pace of implementation as a function of evidence of effectiveness, demand for the intervention, sum of risks, and costs. To inform empirical applications of DART, we solicited caregiver preferences on key elements.
Method: In March-April 2022, we fielded a population-representative online survey in Illinois households (caregivers N = 1,326) with ≥1 child <8 years old. Six hypothetical scenarios based on the DART framework were used to elucidate caregivers' preferences on a 0-10 scale (0 = never; 10 = as soon as possible) for pace of implementation of a family-based program to address mental health concerns.
Results: Caregivers' pace preference scores varied significantly for each scenario. The highest mean score (7.28, 95% confidence interval [95% CI: 7.06, 7.50]) was for a scenario in which the child's provider thinks the program would be helpful (effectiveness) and the caregiver believes the program is needed (demand). In contrast, the lowest mean score (5.13, 95% CI [4.91, 5.36]) was for a scenario in which online information implies the program would be helpful (effectiveness) and the parent is concerned about the program's financial costs (cost). Caregivers' pace preference scores did not vary consistently by sociodemographic factors.
Conclusion: In this empirical exploration of the DART framework, factors such as demand, cost, and risk, in combination with evidence of effectiveness, may influence caregivers' preferred pace of implementation for children's mental health interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Families Systems & HealthHEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍:
Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.