Banaschak Hannes, Bartolini Flaminia, Salman Ramazan, Bethge Matthias
Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
Ethno-Medical Center, Hannover, Germany.
Front Public Health. 2023 Jul 14;11:1089685. doi: 10.3389/fpubh.2023.1089685. eCollection 2023.
Chronic illnesses can have an unfavorable impact on the participation opportunities of children and adolescents. The German health care system offers medical rehabilitation in order to prevent negative effects, however, migrant children and adolescents make use of this option less frequently than their peers without a migrant background. A multimodal information campaign was developed to increase the use of medical rehabilitation by children and adolescents with a migrant background, and to reduce disparities in health care.
The process evaluation will examine the implementation of a multimodal information campaign intended to increase the use of medical rehabilitation by migrant children and adolescents. The information campaign follows a low-threshold participatory approach. In a first step, persons from different migrant communities in Berlin and Hamburg are trained to become transcultural health mediators. These mediators then share their knowledge about chronic illnesses and medical rehabilitation with other families at information events held in their native language. The transcultural mediators also support migrant families in applying for medical rehabilitation. The effectiveness of the intervention will be tested by a trend study with repeated cross-sectional surveys. For this purpose, all families in the project regions of Berlin and Hamburg whose child has received medical rehabilitation are surveyed annually in order to be able to map changes in the proportions of children and adolescents with a migrant background over the course of the project.
The study protocol describes a complex intervention to increase the use of medical rehabilitation by migrant children and adolescents, and the accompanying process evaluation and trend study. The intervention is intended to contribute to reducing health inequalities in Germany.
The study described in this protocol will provide extensive data on the multimodal information campaign and can thus help organizations and institutions adapt or further develop similar measures for other regions.
German Clinical Trials Register (DRKS00019090).
慢性病会对儿童和青少年的参与机会产生不利影响。德国医疗保健系统提供医学康复服务以预防负面影响，然而，移民儿童和青少年比没有移民背景的同龄人较少使用这一服务。为了提高有移民背景的儿童和青少年对医学康复的利用率，并减少医疗保健方面的差距，开展了一项多模式宣传活动。
过程评估将考察一项旨在提高移民儿童和青少年对医学康复利用率的多模式宣传活动的实施情况。该宣传活动采用低门槛参与式方法。第一步，对来自柏林和汉堡不同移民社区的人员进行培训，使其成为跨文化健康调解员。然后，这些调解员在以其母语举办的信息活动中，与其他家庭分享有关慢性病和医学康复的知识。跨文化调解员还协助移民家庭申请医学康复。干预措施的有效性将通过重复横断面调查的趋势研究来检验。为此，每年对柏林和汉堡项目地区所有其子女接受过医学康复的家庭进行调查，以便能够了解项目实施过程中有移民背景的儿童和青少年比例的变化情况。
该研究方案描述了一项旨在提高移民儿童和青少年对医学康复利用率的复杂干预措施，以及相应的过程评估和趋势研究。该干预措施旨在为减少德国的健康不平等现象做出贡献。
本方案中描述的研究将提供关于多模式宣传活动的大量数据，从而有助于各组织和机构针对其他地区调整或进一步制定类似措施。
德国临床试验注册中心（DRKS00019090）。
