Scottish Collaboration for Public Health Research and Policy, School of Health in Social Science, The University of Edinburgh, Edinburgh, UK
Scottish Collaboration for Public Health Research and Policy, School of Health in Social Science, The University of Edinburgh, Edinburgh, UK.
BMJ Open. 2020 Dec 30;10(12):e042305. doi: 10.1136/bmjopen-2020-042305.
The growing political emphasis on the early years reflects the importance of these formative years of life. Health visitors in the UK are uniquely positioned to improve health outcomes for children and families and to reduce health inequalities. Recently, there has been a policy change in Scotland in an attempt to enhance the delivery of the universal health visiting service. This study aims to examine the extent to which the enhanced Universal Health Visiting Pathway is implemented and delivered across Scotland and to assess any associated impacts.
A mixed-methods study incorporating four methodological components and uses realist evaluation as the overall conceptual framework. It comprises three phases (1) initial programme theory development; (2) programme theory validation and (3) programme theory refinement. The programme theory validation will use interview and focus group data of parents and health visitors, and conduct a case note review at five study sites. It also involves a national survey of parents and health visitors and routine data analysis of existing secondary data. The analyses of the ensuing qualitative and quantitative data will be carried out using a convergent mixed-methods approach to ensure continuous triangulation of multiple data. The findings of the evaluation will provide contextually relevant understanding of how the Universal Health Visiting Pathway works and evidence the impact of increased investments in health visiting in Scotland.
This protocol has been approved by the School of Health in Social Science Research Ethics Committee, University of Edinburgh. Additional approvals have been granted/will be sought from the Public Benefit and Privacy Panel for health and social care in Scotland for the case note review,survey and routine data analysis elements of the evaluation. The findings will be prepared as reports to the funders and presented at conferences. It will be submitted for publication in peer-reviewed journals.
对早期阶段的日益重视反映了生命最初几年的重要性。英国的健康访视员处于独特的位置，可以改善儿童和家庭的健康结果，并减少健康不平等。最近，苏格兰的政策发生了变化，试图加强普及健康访视服务的提供。本研究旨在考察增强型普遍健康访视途径在苏格兰的实施和提供程度，并评估任何相关影响。
一项混合方法研究，包括四个方法学组成部分，并使用现实主义评估作为总体概念框架。它由三个阶段组成：（1）初始方案理论发展；（2）方案理论验证；（3）方案理论细化。方案理论验证将使用父母和健康访视员的访谈和焦点小组数据，并在五个研究地点进行案例记录审查。它还涉及对父母和健康访视员的全国调查以及对现有二级数据的例行数据分析。对随之而来的定性和定量数据的分析将使用收敛性混合方法方法进行，以确保对多种数据的持续三角测量。评估的结果将提供有关普遍健康访视途径如何运作的具有上下文相关性的理解，并为苏格兰增加对健康访视的投资的影响提供证据。
本方案已得到爱丁堡大学社会科学研究伦理委员会的学校批准。已获得/将寻求苏格兰健康和社会护理公益和隐私小组的额外批准，用于案例记录审查、调查和评估的常规数据分析要素。研究结果将作为报告提交给资助者，并在会议上展示。它将提交给同行评议期刊发表。
