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家庭伙伴:挪威一项家庭访视干预试点随机研究的研究方案

Family Partner: study protocol for a pilot randomised study of a home-visitation intervention in Norway.

作者信息

Pedersen Eirin, Malmberg-Heimonen Ira, Finne Joakim, Pontoppidan Maiken, Dion Jacinthe, Tømmerås Truls, Tøge Anne Grete

机构信息

Oslo Metropolitan University, Norway.

VIVE: the Danish Centre for Social Science Research, Denmark.

出版信息

Scand J Public Health. 2024 Aug;52(6):761-768. doi: 10.1177/14034948231189773. Epub 2023 Aug 14.

Abstract

AIM

Every year, about 5% of children in Norway experience severe child maltreatment and need support from the child welfare services. However, research-supported interventions for this group are lacking. The current study piloted an intensive home-visitation intervention, Family Partner, which aims to reduce child maltreatment among at-risk parents by improving parental skills, agency and trust in the welfare services, and children's well-being. The randomised controlled trial piloted in this study examines the acceptability of the Family Partner intervention for staff and families and evaluates its feasibility for a full-scale randomised controlled trial.

METHODS

This protocol outlines a prospective, parallel, pilot randomised trial of the Family Partner intervention in three Norwegian municipal child welfare services. The participants are families with children under 12 years of age, where the parents are identified as having challenges. Families in the treatment group receive the Family Partner intervention, while families in the control group receive ordinary child welfare services. Data are collected at baseline, and at 3, 6, 12 and 18 months after recruitment. The pilot study monitor retention and adherence to inform the feasibility of a future full-scale randomised study. To assess the acceptability of the trial and intervention, a subsample of the participating families, as well as the family partners and representatives of the child welfare services in each municipality, are invited to complete qualitative interviews.

CONCLUSIONS

The results will guide the design of a fully powered randomised controlled trial of the Family Partner intervention compared with ordinary child welfare services.

TRIAL REGISTRATION

ClinicalTrials.gov identifier: NCT04957394; Pilot Trial of Family Partner: a Child Maltreatment Prevention Intervention (FAMPART); registered on 12 July 2021.

摘要

目的

在挪威,每年约有5%的儿童遭受严重虐待,需要儿童福利服务机构的支持。然而,针对这一群体的有研究支持的干预措施却很缺乏。当前的研究对一项强化家访干预措施“家庭伙伴”进行了试点,该措施旨在通过提高父母技能、增强父母在福利服务方面的能动性和信任以及改善儿童福祉,来减少高危父母对儿童的虐待行为。本研究中进行的随机对照试验考察了“家庭伙伴”干预措施对工作人员和家庭的可接受性,并评估其用于大规模随机对照试验的可行性。

方法

本方案概述了在挪威三个市的儿童福利服务机构中对“家庭伙伴”干预措施进行的一项前瞻性、平行、试点随机试验。参与者为有12岁以下子女且父母被认定存在困难的家庭。治疗组的家庭接受“家庭伙伴”干预措施,而对照组的家庭接受普通儿童福利服务。在基线时以及招募后的3个月、6个月、12个月和18个月收集数据。试点研究监测保留率和依从性,以了解未来大规模随机研究的可行性。为评估试验和干预措施的可接受性,邀请参与家庭的一个子样本以及每个市的家庭伙伴和儿童福利服务机构代表完成定性访谈。

结论

研究结果将指导设计一项与普通儿童福利服务相比,对“家庭伙伴”干预措施进行的充分有力的随机对照试验。

试验注册

ClinicalTrials.gov标识符:NCT04957394;家庭伙伴:一项预防儿童虐待的干预措施(FAMPART)试点试验;于2021年7月12日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd9/11308327/372699785d23/10.1177_14034948231189773-fig1.jpg

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