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儿童社区研究(KiCS)的结果:一项混合方法研究,旨在考察社区层面对于儿童早期发展的影响。

Findings from the Kids in Communities Study (KiCS): A mixed methods study examining community-level influences on early childhood development.

机构信息

Centre for Community Child Health, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia.

Policy, Equity and Translation, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

出版信息

PLoS One. 2021 Sep 1;16(9):e0256431. doi: 10.1371/journal.pone.0256431. eCollection 2021.

Abstract

There is increasing international interest in place-based approaches to improve early childhood development (ECD) outcomes. The available data and evidence are limited and precludes well informed policy and practice change. Developing the evidence-base for community-level effects on ECD is one way to facilitate more informed and targeted community action. This paper presents overall final findings from the Kids in Communities Study (KiCS), an Australian mixed methods investigation into community-level effects on ECD in five domains of influence-physical, social, governance, service, and sociodemographic. Twenty five local communities (suburbs) across Australia were selected based on 'diagonality type' i.e. whether they performed better (off-diagonal positive), worse (off-diagonal negative), or 'as expected' (on-diagonal) on the Australian Early Development Census (AEDC) relative to their socioeconomic profile. The approach was designed to determine replicable and modifiable factors that were separate to socioeconomic status. Between 2015-2017, stakeholder interviews (n = 146), parent and service provider focus groups (n = 51), and existing socio-economic and early childhood education and care administrative data were collected. Qualitative and quantitative data analyses were undertaken to understand differences between 14 paired disadvantaged local communities (i.e. on versus off-diagonal). Further analysis of qualitative data elicited important factors for all 25 local communities. From this, we developed a draft set of 'Foundational Community Factors' (FCFs); these are the factors that lay the foundations of a good community for young children.

摘要

越来越多的国际社会关注基于地点的方法,以改善儿童早期发展(ECD)的成果。现有数据和证据有限,无法为制定明智的政策和进行实践改革提供依据。为社区层面的 ECD 影响开发证据基础是促进更明智和有针对性的社区行动的一种方法。本文介绍了澳大利亚儿童社区研究(KiCS)的总体最终结果,这是一项针对澳大利亚五个影响领域(身体、社会、治理、服务和社会人口统计学)的社区层面 ECD 影响的混合方法研究。25 个澳大利亚地方社区(郊区)是根据“对角线类型”选择的,即相对于其社会经济状况,它们在澳大利亚早期发展普查(AEDC)上的表现是更好(非对角线正)、更差(非对角线负)还是“预期”(对角线)。该方法旨在确定与社会经济地位分开的可复制和可修改的因素。在 2015-2017 年期间,进行了利益相关者访谈(n=146)、家长和服务提供商焦点小组(n=51),以及现有的社会经济和幼儿教育和护理行政数据收集。进行了定性和定量数据分析,以了解 14 对劣势地方社区(即对角线与非对角线)之间的差异。对定性数据的进一步分析引出了所有 25 个地方社区的重要因素。由此,我们开发了一套“基础社区因素”(FCF)草案;这些是为幼儿奠定良好社区基础的因素。

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