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CHAMPP4KIDS:一项混合方法研究方案,旨在评估在加拿大背景下使用“终身健康育儿”材料的可接受性和可行性。

CHAMPP4KIDS: Mixed methods study protocol to evaluate acceptability and feasibility of Parenting for Lifelong Health materials in a Canadian context.

机构信息

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.

School of Nursing, McMaster University, Hamilton, Ontario, Canada.

出版信息

PLoS One. 2024 Mar 7;19(3):e0298156. doi: 10.1371/journal.pone.0298156. eCollection 2024.

Abstract

BACKGROUND

Parents and caregivers play a key role in children's healthy development and well-being. Traditional parenting interventions promote positive parenting practices and are key to preventing child maltreatment. However, numerous barriers can limit access to programs, barriers which were further exacerbated by the COVID-19 pandemic. The Parenting for Lifelong Health group developed mass media and public health communication materials to promote positive caregiving behaviours on a population level. The Champions of Positive Parenting 4 Kids (CHAMPP4KIDS) study will examine the acceptability and feasibility of these materials for service providers and caregivers of children aged 2-6 years in Ontario, Canada.

METHODS

This study will use a convergent mixed-methods design. Consenting service providers (n = 200) and caregivers (n = 100) will complete a quantitative survey to rate, rank and give feedback on Parenting for Lifelong Health tip sheets and social media ads. Caregivers will also complete self-report scales measuring depression and anxiety. We will hold focus group discussions with a sub-sample of surveyed providers (n = 40) and caregivers (n = 25). An adapted Trials of Improved Practices methodology will explore caregiver perspectives after implementing the tip sheets. Primary quantitative outcomes will be descriptive statistics of rankings, Likert Scale scores and descriptive analysis of caregiver depression and anxiety. Qualitative data will be analyzed using Rapid Qualitative Inquiry and triangulated through a convergent coding matrix.

DISCUSSION

The Parenting for Lifelong Health COVID-19 parenting materials offer succinct, engaging parenting information in a mass media format that addresses some challenges associated with accessing in-person programming. The CHAMPP4KIDS study will provide mixed methods insights on the materials' acceptability and feasibility from different groups in a Canadian context, with a focus on marginalized families. The use of Trials of Improved Practices methodology could prove a useful tool for participant-led adaptation of existing parenting, early childhood development and other health intervention materials.

摘要

背景

父母和照顾者在儿童的健康发展和幸福方面发挥着关键作用。传统的育儿干预措施促进了积极的育儿实践,是预防儿童虐待的关键。然而,许多障碍限制了人们对项目的参与,而这些障碍在 COVID-19 大流行期间进一步加剧了。“终身健康育儿”小组开发了大众媒体和公共卫生传播材料,以在人群层面促进积极的育儿行为。“儿童积极养育拥护者 4 人组”(CHAMPP4KIDS)研究将检验这些材料对加拿大安大略省 2-6 岁儿童的服务提供者和照顾者的可接受性和可行性。

方法

本研究将采用收敛混合方法设计。同意参与的服务提供者(n=200)和照顾者(n=100)将完成一份定量调查,对“终身健康育儿”小贴士和社交媒体广告进行评分、排名和反馈。照顾者还将完成自我报告量表,以衡量抑郁和焦虑程度。我们将与调查的服务提供者(n=40)和照顾者(n=25)的一个子样本进行焦点小组讨论。经过改编的“改进实践试验”方法将在照顾者实施小贴士后探索其观点。主要的定量结果将是排名、李克特量表得分的描述性统计以及照顾者抑郁和焦虑的描述性分析。定性数据将使用快速定性询问进行分析,并通过收敛编码矩阵进行三角分析。

讨论

“终身健康育儿”COVID-19 育儿材料以大众媒体的形式提供简洁、吸引人的育儿信息,解决了与获取面对面项目相关的一些挑战。“CHAMPP4KIDS”研究将从加拿大的不同群体(重点是边缘化家庭)提供关于这些材料的可接受性和可行性的混合方法见解。采用“改进实践试验”方法可能会成为参与者主导现有育儿、幼儿发展和其他健康干预材料改编的有用工具。

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