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早产儿童结局相关研究与沟通中家长的优先事项。

Parent priorities for research and communication concerning childhood outcomes following preterm birth.

作者信息

Ginnell Lorna, Boardman James P, Reynolds Rebecca M, Fletcher-Watson Sue

机构信息

Salvesen Mindroom Research Centre, University of Edinburgh, Edinburgh, UK.

MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.

出版信息

Wellcome Open Res. 2021 Sep 30;6:151. doi: 10.12688/wellcomeopenres.16863.2. eCollection 2021.

Abstract

Children born preterm (before 37 weeks of gestation) are at risk for several adverse childhood outcomes. Parent priorities for research into these outcomes, and preferences for receiving information about these risks, have not previously been established. Here we report the results of an online survey designed to understand parent priorities for research and their preferences for receiving information about childhood outcomes. An online survey was circulated through social media and was completed by 148 parents of preterm children between the ages of 0 and 12 years from around the United Kingdom (UK). Survey questions were in the form of rating scale, multiple choice, ranking or open-ended free text questions. Descriptive analysis was applied to the quantitative data. Illustrative quotes were extracted from the qualitative free text data and a subset of these questions were analysed using framework analysis. Parent priorities for research centre around identification of factors which can protect against or improve adverse cognitive or developmental outcomes. The majority of parents would prefer for communication to begin within the first year of the child's life. Parents reported a knowledge gap among health visitors, early years educators and schools. In order to align with parent preferences, research should prioritise identification of protective factors and the development of effective interventions to improve outcomes. Training for health visitors and educational professionals could improve the experiences of families and children.

摘要

早产(妊娠37周前)出生的儿童面临多种不良童年结局的风险。此前尚未确定家长对这些结局研究的优先事项,以及他们对获取这些风险信息的偏好。在此,我们报告一项在线调查的结果,该调查旨在了解家长对研究的优先事项以及他们对获取儿童结局信息的偏好。一项在线调查通过社交媒体发布,来自英国各地的148名0至12岁早产儿童的家长完成了该调查。调查问题采用评分量表、多项选择、排序或开放式自由文本问题的形式。对定量数据进行了描述性分析。从定性自由文本数据中提取了说明性引语,并使用框架分析对这些问题的一个子集进行了分析。家长们对研究的优先事项集中在确定能够预防或改善不良认知或发育结局的因素上。大多数家长希望在孩子出生后的第一年内就开始沟通。家长们报告说,健康访视员、早期教育工作者和学校之间存在知识差距。为了符合家长的偏好,研究应优先确定保护因素并开发有效的干预措施以改善结局。对健康访视员和教育专业人员的培训可以改善家庭和儿童的体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b156/8546899/7a5ccb247390/wellcomeopenres-6-18998-g0000.jpg

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