Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Department of School Development and Leadership, Faculty of Learning and Society, Malmö University, Malmö, Sweden.
Front Public Health. 2021 Feb 9;9:537468. doi: 10.3389/fpubh.2021.537468. eCollection 2021.
The Swedish Child Healthcare (CHC) system aims to provide equal and fair health care for all children and families in Sweden. Currently in Sweden, the CHC offers every family two home visits during the child's 1st year of life. During 2019, an extended home visit programme, called Grow Safely, was started in the region of Scania for first-time parents. The aim of the extended home visit programme was to provide support for first-time parents in order to improve the overall health of the child and family and contribute to better conditions for equal health. Instead of two home visits during the 1st year, a subsample of first-time parents would receive six visits during the child's first 15 months. These six visits would be conducted by CHC nurses and social workers, midwives, and dental assistants. In the present paper, we describe a research project related to the regional extended home visit programme; the project aims to illuminate the experiences of the participants and to investigate the perceived benefits of the programme in relation to improved health, social and emotional interaction between parent and child, and attitudes toward authorities and surrounding society. In order to evaluate the introduction of the intervention, three qualitative interview studies and one quantitative study with follow-up questionnaires will be conducted. Since the research project also comprises studies focusing on the implementation and expectations of politicians, civil servants, organizational managers, and professionals working within the programme, interviews within these fields will be conducted. Sweden has a well-established CHC programme, but improvements are always possible. Previous research has shown that home visits are an effective tool to improve both the child's physical and mental health as well as the parents' well-being. However, this kind of intervention involves a significant investment from all organizations involved in the home visits; hence, it is important that the intervention is evaluated. The research project described in the present paper intends to examine the impact of the intervention, and its findings will aid decisionmakers in determining the future of the home visit programme.
瑞典儿童保健 (CHC) 系统旨在为瑞典所有儿童和家庭提供平等和公平的医疗保健。目前，瑞典的 CHC 在儿童生命的第一年为每个家庭提供两次家访。2019 年，在斯科讷地区为首次当父母的人启动了一项名为“安全成长”的扩展家访计划。该扩展家访计划的目的是为首次当父母的人提供支持，以改善儿童和家庭的整体健康状况，并为平等健康创造更好的条件。在第一年，接受家访的家庭数量从两次增加到六次，而不是两次。这些六次家访将由 CHC 护士和社会工作者、助产士和牙医助理进行。在本文中，我们描述了一个与该地区扩展家访计划相关的研究项目；该项目旨在阐明参与者的经验，并研究该计划在改善健康、亲子之间的社会和情感互动以及对当局和周围社会的态度方面的预期收益。为了评估干预措施的引入，将进行三项定性访谈研究和一项带有后续问卷的定量研究。由于该研究项目还包括关注政治家、公务员、组织管理者以及在该计划中工作的专业人员的实施和期望的研究，因此将在这些领域进行访谈。瑞典拥有完善的 CHC 计划，但总是可以进行改进。先前的研究表明，家访是改善儿童身心健康以及父母幸福感的有效工具。然而，这种干预需要所有参与家访的组织都进行大量投资；因此，对干预措施进行评估很重要。本文描述的研究项目旨在检验干预措施的影响，其研究结果将有助于决策者确定家访计划的未来。
