Maternal and Infant Nutrition and Nurture Unit, University of Central Lancashire, Preston, PR1 2HE, UK.
BMC Pregnancy Childbirth. 2019 Jul 22;19(1):253. doi: 10.1186/s12884-019-2388-2.
During pregnancy and postnatally, women seek information from a variety of sources. The potential to incorporate educational pregnancy and parenting resources into conventional health services is underexplored. In 2014-2016, UK-based charity Best Beginnings used an embedding model to embed three of their resources - the Baby Buddy app, Baby Express magazine, and 'From Bump to Breastfeeding' DVD - into maternity and early years care pathways at three sites in the north of England. A mixed-methods evaluation comprising an impact evaluation and a process evaluation was undertaken. Here we report findings from the process evaluation that aimed to understand the embedding process, explore maternity and early years' professionals' views and use of the resources, explore women's engagement with and views of the resources, and identify barriers and facilitators to the embedding process.
We carried out semi-structured interviews with stakeholders (professionals involved in embedding) and observations of embedding activities to understand how embedding worked. Surveys of postnatal women were conducted over a two-month period both prior to, and after, the resources had been embedded, to ascertain engagement with and views of the resources. A survey of professionals was carried out post-embedding to understand how, where and when the resources were used in practice, and professionals' views. Descriptive and thematic analyses were undertaken.
Thirty stakeholders took part in interviews. Surveys were completed by 146 professionals, and by 161 and 192 women in the pre and post-embedding phases respectively. Themes derived from analysis of qualitative data were 'Implementation of the embedding model', 'Promotion and distribution of, and engagement with, the resources', 'Fit with care pathways', and 'Perceptions of the resources'. While survey responses indicated that embedding of the resources into practice was not yet complete, those who had used the resources believed that they had helped increase knowledge, build confidence and support relationship-building.
Incorporating supportive parenting resources into maternity and early years' care pathways requires a planned embedding approach, committed champions, and senior management support. Findings indicate largely positive views of women and professionals, and suggest the resources can be a beneficial aid for families.
在孕期和产后，女性会从各种渠道获取信息。将教育性孕产和育儿资源纳入常规保健服务的潜力尚未得到充分开发。2014 年至 2016 年，英国慈善机构 Best Beginnings 采用嵌入式模式，将其三种资源——Baby Buddy 应用程序、Baby Express 杂志和“从怀孕到母乳喂养”DVD——嵌入英格兰北部三个地点的母婴保健和早期儿童保健路径中。采用了一项混合方法评估，包括影响评估和过程评估。在此，我们报告了过程评估的结果，旨在了解嵌入式过程，探索母婴保健和早期儿童专业人员对资源的看法和使用情况，探索女性对资源的参与度和看法，并确定嵌入式过程的障碍和促进因素。
我们对利益攸关方（参与嵌入式工作的专业人员）进行了半结构化访谈，并对嵌入式活动进行了观察，以了解嵌入式工作的运作方式。在资源嵌入前后的两个月内，对产后女性进行了调查，以确定她们对资源的参与度和看法。在资源嵌入后，对专业人员进行了调查，以了解他们在实践中如何、何处和何时使用资源以及他们的看法。进行了描述性和主题分析。
共有 30 名利益攸关方参与了访谈。在资源嵌入前后分别有 146 名专业人员和 161 名和 192 名女性完成了调查。从定性数据分析中得出的主题包括“实施嵌入式模型”、“资源的推广和分发以及对资源的参与”、“与保健路径的契合”和“对资源的看法”。虽然调查结果表明，资源的嵌入尚未完全融入实践，但那些使用过资源的人认为，这些资源有助于增加知识、增强信心和支持关系建设。
将支持性育儿资源纳入母婴保健和早期儿童保健路径需要采用有计划的嵌入式方法、有坚定的拥护者和高级管理层的支持。调查结果表明，女性和专业人员的看法基本是积极的，并表明这些资源可以成为家庭的有益帮助。
