Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Allied Health, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Syst Rev. 2021 Mar 4;10(1):67. doi: 10.1186/s13643-021-01615-7.
Waiting lists are an ongoing issue for publicly funded community and hospital-based health services. Parents and caregivers are instrumental supports in the health and well-being of young and school-aged children, yet little is known about the way they can be supported during waiting periods. Given mounting evidence about the value of early intervention in physical and mental health literature, and waits for some public health services extending past 12 months, it is both timely and warranted to explore interim interventions that may be applied in this period.
Intervention studies that have applied an educational programme, information, group-based support or individualised therapy to primary caregivers of children (heron referred to as parent-directed interventions), waiting for diagnostic assessment at any inpatient or outpatient health service and aged between 1 and 12 years of age, will be reviewed. These will include intervention studies of any type that have included more than 5 participants or participant groups and where a control or comparison group has been included. Abstract screening, full-text review, data extraction and risk of bias will be conducted by two reviewers. Relevant databases in health and education will be systematically searched using key words and Medical Subject Headings (MeSH) and grey literature will be explored. Databases will include PubMed, Ovid for MEDLINE and PsycINFO, EBSCO for the Cumulative Index of Nursing and Allied Health Literature (CINAHL), and the Education Resources Information Center (ERIC). Covidence© will be used to support abstract and full text screening, which will be completed by two main reviewers. Results will be tabulated, summarised and meta-analysed using a random-effects model, in any instance where concordant outcome measures have been applied. Results will be published and reported in line with PRISMA reporting guidelines.
Given little is known about effective support for families when children are awaiting diagnostic assessment for any medical, developmental or behavioural condition, the authors will synthesise existing evidence about parent-directed interventions in this period. It is hoped that by understanding the existing evidence interventions that are proven to be effective will be adopted and intervention innovation can occur.
PROSPERO 2020 CRD42020159360.
公共资助的社区和医院为基础的卫生服务的候诊名单是一个持续存在的问题。家长和照顾者是儿童健康和幸福的重要支持，但对于他们在候诊期间如何得到支持的了解甚少。鉴于越来越多的证据表明早期干预在身心健康文献中的价值，以及一些公共卫生服务的等待时间超过 12 个月，探索在此期间可能应用的临时干预措施是及时且合理的。
将审查应用教育计划、信息、小组支持或个体化治疗给等待任何住院或门诊卫生服务诊断评估的 1 至 12 岁儿童的主要照顾者（下文简称家长指导干预）的干预研究。这些研究将包括任何类型的干预研究，包括超过 5 名参与者或参与者群体，并且包括对照组或比较组。两名评审员将进行摘要筛选、全文审查、数据提取和偏倚风险评估。将使用关键词和医学主题词 (MeSH) 系统地搜索健康和教育相关数据库，并探索灰色文献。数据库将包括 PubMed、Ovid for MEDLINE 和 PsycINFO、EBSCO for 护理和联合健康文献累积索引 (CINAHL)，以及教育资源信息中心 (ERIC)。Covidence© 将用于支持摘要和全文筛选，由两名主要评审员完成。在应用一致的结果衡量标准的情况下，将使用随机效应模型对结果进行制表、总结和荟萃分析。结果将按照 PRISMA 报告指南进行发表和报告。
鉴于当儿童等待任何医疗、发育或行为状况的诊断评估时，对家庭的有效支持知之甚少，作者将综合该时期家长指导干预的现有证据。希望通过了解现有证据，可以采用经过验证的有效干预措施，并进行干预创新。
PROSPERO 2020 CRD42020159360。
