在“阳光计划”试验中评估孕产妇能力：凸显儿童健康因果路径中的一个隐藏环节。
Assessing Maternal Capabilities in the SHINE Trial: Highlighting a Hidden Link in the Causal Pathway to Child Health.
作者信息
Matare Cynthia R, Mbuya Mduduzi N N, Pelto Gretel, Dickin Katherine L, Stoltzfus Rebecca J
机构信息
Division of Nutritional Sciences, Cornell University, Ithaca, New York.
Division of Nutritional Sciences, Cornell University, Ithaca, New York Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
出版信息
Clin Infect Dis. 2015 Dec 15;61 Suppl 7(Suppl 7):S745-51. doi: 10.1093/cid/civ851.
A potential bottleneck for increasing the adoption of child health interventions has been limited attention to designing actions that are built on the essential role that caregivers play in determining their effectiveness. In the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, we utilize the concept of maternal capabilities to examine participants' skills and attributes that affect their ability to provide appropriate care for their young child, fully engage with trial interventions, and influence the response to these interventions at the household level. We hypothesize that the impact of SHINE interventions on child stunting and anemia will be modified by these maternal capabilities. Drawing upon multiple theories, we identify and define critical maternal capabilities domains, and describe how they are measured in the trial. Description of maternal capabilities and their role as potential modifiers on impact will increase understanding of the impact of SHINE interventions, and the generalizability of our findings.
增加儿童健康干预措施采用率的一个潜在瓶颈在于，在设计基于照顾者在决定干预措施有效性方面所起关键作用的行动时，受到的关注有限。在卫生、卫生设施、婴儿营养功效（SHINE）试验中，我们利用母亲能力的概念来研究参与者的技能和特质，这些技能和特质会影响她们为幼儿提供适当照料、充分参与试验干预措施以及在家庭层面影响对这些干预措施反应的能力。我们假设，这些母亲能力会改变SHINE干预措施对儿童发育迟缓及贫血的影响。借鉴多种理论，我们确定并定义了关键的母亲能力领域，并描述了在试验中如何对其进行测量。对母亲能力及其作为影响潜在调节因素的作用进行描述，将增进对SHINE干预措施影响的理解，以及我们研究结果的可推广性。
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