Verger Sebastià, Riquelme Inmaculada, Bagur Sara, Paz-Lourido Berta
Childhood, Technology, Education and Diversity Research Group, Institute of Research and Innovation in Education (IRIE), Palma, Spain.
Department of Applied Pedagogy and Psychology of Education, University of the Balearic Islands, Palma, Spain.
Front Psychol. 2021 Apr 27;12:650736. doi: 10.3389/fpsyg.2021.650736. eCollection 2021.
Early intervention is developed following different types of service organization, which in turn require different professional and family roles. The aim of this study was to compare the perceived satisfaction and family quality of life amongst families receiving early intervention developed at centers in comparison to those receiving the routines-based early intervention in families' homes, that is a family centered intervention in ecological environments. Under a transformative paradigm, a mixed methods design was used, using the Consumer Report Effectiveness Scale (CRES-4) and the Beach Center Family Quality of Life Scale (FQOLS) and two focus groups as data collection instruments. The sample comprised 166 parents in the quantitative phase and 16 parents in the qualitative phase. Results showed that families receiving routines-based early intervention had greater satisfaction with the service although both groups showed similar scores for family quality of life in most of the analyzed domains. Three dimensions were identified throughout the qualitative phase: problem solving, professional team and service organization. Both the models analyzed have an impact on family quality of life and parents are in general satisfied. Strengths and weaknesses were found related to the problem-solving process, the role of the professional team, family empowerment and the service's organization. The areas requiring further development are the effective training of professionals focused on family practices, the exchange of information with the family and a more participatory organization that takes parent's perspectives into consideration. The value given to a combined model is another aspect highlighted in this study, as well as the need for a more agile assessment period to avoid unnecessary delays.
早期干预是根据不同类型的服务组织发展而来的，而这些服务组织又需要不同的专业人员和家庭角色。本研究的目的是比较在中心接受早期干预的家庭与在家庭中接受基于日常活动的早期干预（即在生态环境中以家庭为中心的干预）的家庭之间的感知满意度和家庭生活质量。在变革性范式下，采用了混合方法设计，使用消费者报告有效性量表（CRES - 4）、海滩中心家庭生活质量量表（FQOLS）以及两个焦点小组作为数据收集工具。样本包括定量阶段的166名家长和定性阶段的16名家长。结果表明，接受基于日常活动的早期干预的家庭对服务的满意度更高，尽管在大多数分析领域中，两组家庭在家庭生活质量方面的得分相似。在定性阶段确定了三个维度：问题解决、专业团队和服务组织。所分析的两种模式都对家庭生活质量有影响，家长总体上感到满意。研究发现了与问题解决过程、专业团队的作用、家庭赋权和服务组织相关的优势和不足。需要进一步发展的领域包括针对家庭实践的专业人员的有效培训、与家庭的信息交流以及一个更具参与性且考虑家长观点的组织。本研究还强调了综合模式的价值，以及需要一个更灵活的评估期以避免不必要的延误。
