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家长在 COVID-19 大流行期间对初级保健中的行为服务的偏好。

Parents' Preferences for Behavioral Services in Primary Care During the COVID-19 Pandemic.

机构信息

Department of Psychology, Wichita State University, Wichita, KS. Dr. Petts is now at the School of Psychology and Counseling, Fairleigh Dickinson University, Teaneck, NJ.

Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH; and.

出版信息

J Dev Behav Pediatr. 2022;43(5):291-296. doi: 10.1097/DBP.0000000000001033. Epub 2021 Nov 1.

Abstract

OBJECTIVE

Pediatric primary care is an ideal setting to provide behavioral health services to young children and their families during the COVID-19 pandemic. However, it is unclear how the pandemic altered parents' priorities and preferences to obtain behavioral services in this setting.

METHOD

Between July 2020 and January 2021, 301 parents of young children in 5 pediatric sites across the United States completed survey measures on their preferences for behavioral topics and service delivery methods in primary care. The current sample was compared with a previous sample of parents (n = 396) who completed the same measures in 2018.

RESULTS

Child self-calming was the only behavioral topic that was rated as significantly more important in the pandemic cohort in comparison with the prepandemic cohort. The pandemic cohort also reported significantly more interest in using certain media resources (e.g., mobile apps and videos) as a delivery method and less interest in group classes/seminars. After controlling for demographic differences between the samples, there was an increased preference for multimedia resources overall in the pandemic cohort, as well as a decreased preference for usual care.

CONCLUSION

Parents generally endorse similar priorities for behavioral topics in primary care during the pandemic as they did before the pandemic. However, there is a clear preference for more remote and media-based services during the pandemic. Pediatric practices may consider augmenting behavioral health services with multimedia resources during and after the COVID-19 pandemic to meet parents' needs.

摘要

目的

儿科初级保健是在 COVID-19 大流行期间为幼儿及其家庭提供行为健康服务的理想场所。然而,目前尚不清楚大流行如何改变了父母在这种环境中获得行为服务的优先事项和偏好。

方法

在 2020 年 7 月至 2021 年 1 月期间,美国 5 个儿科地点的 301 名幼儿家长完成了关于他们在初级保健中对行为主题和服务提供方式的偏好的调查措施。当前样本与 2018 年完成相同措施的先前样本(n = 396)进行了比较。

结果

与大流行前队列相比,儿童自我平静是唯一被认为在大流行队列中更为重要的行为主题。大流行队列还报告说,他们对使用某些媒体资源(例如,移动应用程序和视频)作为提供方法更感兴趣,而对小组班/研讨会的兴趣减少。在控制样本之间的人口统计学差异后,大流行队列对多媒体资源的总体偏好增加,而对常规护理的偏好减少。

结论

父母普遍认可大流行期间初级保健中行为主题的优先级与大流行前相同。然而,大流行期间对远程和基于媒体的服务有明显的偏好。儿科实践在 COVID-19 大流行期间和之后可能会考虑使用多媒体资源来增强行为健康服务,以满足家长的需求。

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