University of Delaware, Newark, Delaware, USA.
Infant Ment Health J. 2022 Jan;43(1):140-142. doi: 10.1002/imhj.21966. Epub 2022 Jan 10.
Parents of infants and young children who experience harsh circumstances are among those most vulnerable to the added stressors associated with COVID-19. Home visiting models have been shown to enhance outcomes for parents and infants when delivered in person, but in many parts of the world, the pandemic rendered in-person home visits difficult or impossible. In this special section, we examine adaptations made by home visiting programs to allow continued service delivery through telehealth, and strategies for assessing whether interventions maintain reach and fidelity when implemented remotely. In the first paper, Bullinger et al. (program implementers of SafeCare) provide evidence of the increased risk of maltreatment during COVID-19 for many families, and thus the need for home visiting services. Rybińska et al., developers and implementers of Family Connects, present evidence regarding their success in reaching families through telehealth. Roben and colleagues, in the third paper, report that clinicians implementing Attachment and Biobehavioral Catch-up through telehealth maintained fidelity at similar rates seen through in-person implementation. Finally, Tabachnick et al. describe procedures for collecting physiological data from infants and parents while conducting assessments remotely.
父母是婴儿和幼儿的监护人,他们在经历困难环境时,最容易受到与 COVID-19 相关的额外压力因素的影响。家访模式已被证明可以在亲自提供服务时改善父母和婴儿的结果,但在世界许多地区,大流行使得亲自家访变得困难或不可能。在这个特别部分中,我们研究了家访计划所做的适应调整,以允许通过远程医疗继续提供服务,以及在远程实施时评估干预措施是否保持可达性和保真度的策略。在第一篇论文中,Bullinger 等人(SafeCare 的项目实施者)提供了证据,表明 COVID-19 期间许多家庭的虐待风险增加,因此需要家访服务。开发和实施家庭联系计划的 Rybińska 等人提供了有关他们通过远程医疗成功联系家庭的证据。在第三篇论文中,Roben 及其同事报告说,通过远程医疗实施依恋和生物行为追赶的临床医生保持了相似的保真度,与通过亲自实施的保真度相当。最后,Tabachnick 等人描述了在远程进行评估时从婴儿和父母收集生理数据的程序。