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家访者对日本儿童保育支持家访项目的需求和看法:家访者的定性研究。

Home visitors' needs and perceptions of the benefits of a home visiting program for childcare support in Japan: A qualitative study of home visitors.

机构信息

Department of Global Health Promotion, Tokyo Medical and Dental University, Japan; Research Institute for Children's Social Care, Waseda University, Japan.

Department of Health Policy, National Center for Child Health and Development, Japan.

出版信息

Child Abuse Negl. 2024 Jul;153:106853. doi: 10.1016/j.chiabu.2024.106853. Epub 2024 May 14.

DOI:10.1016/j.chiabu.2024.106853
PMID:38749149
Abstract

BACKGROUND

The Home Visiting Program for Childcare Support (HV-CCS; "Yoiku Shien Homon Jigyo" in Japanese) has targeted families in need of parenting support and those at risk of child maltreatment in Japan.

OBJECTIVE

The aim of this study was to explore the needs and perceptions of benefits of home visitors in HV-CCS.

PARTICIPANTS AND SETTING

Sixteen home visitors agreed to participate in the interview.

METHODS

This study conducted 1-hour semi-structured interviews with 16 home visitors and analyzed approximately 18 h of interview data using thematic analysis.

RESULTS

The findings suggested that home visitors required training to enhance individual skills and knowledge about mental health of caregivers or children. Additionally, they required environmental support, particularly for transportation expenses and parking places. Multidisciplinary communicative support is also necessary, as well as system to improve the process of support. Home visitor perceived the HV-CCS as beneficial in preventing child maltreatment by improving parenting skills and home environment, providing psychological support for mothers, and entering families' intimate spaces.

CONCLUSIONS

To ensure the continuity and improvement of home visits for parents and children in Japan, it is essential to address the identified needs of home visitors.

摘要

背景

日本的儿童保育支持家访计划(HV-CCS;日语:「育児支援訪問事業」)以需要育儿支持的家庭和有儿童虐待风险的家庭为目标。

目的

本研究旨在探讨 HV-CCS 家访者的需求和对其益处的看法。

参与者和设置

16 名家访者同意参与访谈。

方法

本研究对 16 名家访者进行了 1 小时的半结构化访谈,并使用主题分析对大约 18 小时的访谈数据进行了分析。

结果

研究结果表明,家访者需要接受培训,以提高他们关于照顾者或儿童心理健康的个人技能和知识。此外,他们还需要环境支持,特别是交通费用和停车位。多学科沟通支持也是必要的,还需要一个系统来改进支持过程。家访者认为 HV-CCS 通过改善育儿技能和家庭环境、为母亲提供心理支持以及进入家庭的私密空间,有助于预防儿童虐待。

结论

为了确保日本父母和儿童的家访工作的连续性和改进,必须满足家访者的需求。

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