Mytton Julie, Ingram Jenny, Manns Sarah, Thomas James
1University of the West of England, Bristol, UK.
Health Educ Behav. 2014 Apr;41(2):127-37. doi: 10.1177/1090198113485755. Epub 2013 May 2.
Parenting programs have the potential to improve the health and well-being of parents and children. A challenge for providers is to recruit and retain parents in programs. Studies researching engagement with programs have largely focused on providers', policy makers', or researchers' reflections of their experience of parents' participation. We conducted a systematic review of qualitative studies where parents had been asked why they did or did not choose to commence, or complete programs, and compared these perceptions with those of researchers and those delivering programs. We used data-mining techniques to identify relevant studies and summarized findings using framework synthesis methods. Six facilitator and five barrier themes were identified as important influences on participation, with a total of 33 subthemes. Participants focused on the opportunity to learn new skills, working with trusted people, in a setting that was convenient in time and place. Researchers and deliverers focused on tailoring the program to individuals and on the training of staff. Participants and researchers/deliverers therefore differ in their opinions of the most important features of programs that act as facilitators and barriers to engagement and retention. Program developers need to seek the views of both participants and deliverers when evaluating programs.
育儿项目有潜力改善父母和孩子的健康与幸福。对项目提供者来说，一个挑战是招募并留住参与项目的父母。研究项目参与情况的研究主要集中在提供者、政策制定者或研究人员对父母参与经历的反思上。我们对定性研究进行了系统综述，这些研究询问了父母为什么选择或不选择开始或完成项目，并将这些看法与研究人员和项目实施者的看法进行了比较。我们使用数据挖掘技术来识别相关研究，并使用框架综合方法总结研究结果。确定了六个促进因素主题和五个障碍主题，它们是参与的重要影响因素，共有33个子主题。参与者关注学习新技能的机会、与值得信赖的人合作，以及时间和地点便利的环境。研究人员和实施者则关注根据个人情况调整项目以及员工培训。因此，参与者与研究人员/实施者对项目中作为参与和留存促进因素及障碍的最重要特征的看法存在差异。项目开发者在评估项目时需要征求参与者和实施者双方的意见。
