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适用于受伤儿童的Cellie应对工具包:初步可行性、可接受性及结果

The Cellie Coping Kit for Children with Injury: Initial feasibility, acceptability, and outcomes.

作者信息

Marsac M L, Weiss D, Kohser K L, Van Allen J, Seegan P, Ostrowski-Delahanty S, McGar A, Winston F K, Kassam-Adams N

机构信息

Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Child Care Health Dev. 2018 Jul;44(4):599-606. doi: 10.1111/cch.12565. Epub 2018 Apr 15.

Abstract

PURPOSE

Physical and psychological challenges can arise from paediatric injury, which can impact child health outcomes. Evidence-based resources to promote recovery are limited. The low cost, portable Cellie Coping Kit for Children with Injury provides evidence-based strategies to help children manage injury-related challenges. This study aimed to describe intervention feasibility and explore initial outcomes (learning, quality of life [QOL], and trauma symptoms).

METHODS

Three independent pilot studies were conducted. Child-parent dyads (n = 61) participated in the intervention; ~36% completed a 4-week follow-up assessment.

RESULTS

Results suggested that the intervention was feasible (e.g., 95% of parents would recommend the intervention; >85% reported that it was easy to use). Over 70% of participants reported learning new skills. No statistically significant differences were detected for children's QOL or trauma symptoms preintervention to postintervention.

CONCLUSION

Preliminary research suggests that the Cellie Coping Kit for Children with Injuries is a feasible, low-cost, preventive intervention, which may provide families with strategies to promote recovery from paediatric injury. Future research, including a randomized controlled trial, ought to further examine targeted long-term intervention outcomes.

摘要

目的

儿科损伤可能引发身体和心理挑战,进而影响儿童的健康结局。促进康复的循证资源有限。低成本、便于携带的“Cellie儿童损伤应对工具包”提供了循证策略,以帮助儿童应对与损伤相关的挑战。本研究旨在描述干预的可行性,并探索初步结果(学习情况、生活质量[QOL]和创伤症状)。

方法

进行了三项独立的试点研究。儿童-家长二元组(n = 61)参与了干预;约36%完成了为期4周的随访评估。

结果

结果表明干预是可行的(例如,95%的家长推荐该干预;>85%报告称其易于使用)。超过70%的参与者报告学到了新技能。干预前至干预后,儿童的生活质量或创伤症状未发现统计学上的显著差异。

结论

初步研究表明,“Cellie儿童损伤应对工具包”是一种可行的、低成本的预防性干预措施,可为家庭提供促进儿科损伤康复的策略。未来的研究,包括随机对照试验,应进一步检查有针对性的长期干预结果。

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