LeCroy & Milligan Associates, Inc., Tucson, AZ 85743, USA.
Trewon Technologies, LLC, Leesburg, VA 20176, USA.
Int J Environ Res Public Health. 2024 Aug 16;21(8):1082. doi: 10.3390/ijerph21081082.
The Parents as Teachers Randomized Controlled Trial (PAT RCT) Case Study investigates the multifaceted impact of implementing the PAT RCT in Arizona, U.S.A., shedding light on both the positive and negative effects. There has been a recent focus on improving the implementation of RCTs in community settings, as this issue has not been fully addressed. This research presents a case study examining the implementation of a community-based RCT in home visitation. This study also addresses the strategies that can be employed to mitigate some of the challenges in the implementation of an RCT, offering valuable insights for future RCTs in the domain of home visiting. The PAT program, aimed at providing parent education and family engagement for children from birth to kindergarten, encompasses a range of services, including personal visits, group connections, child screenings, and community resource linkages. The Parents as Teachers Randomized Controlled Trial (PAT RCT) directly promotes health by educating parents about health and wellness as well as providing early child screenings and heath referrals, all of which enhance health outcomes through timely interventions and improved parental practices. Lessons from the study also aim to improve the implementation of future health-related RCTs, ensuring effective delivery and impactful results.
家长作为教师随机对照试验（PAT RCT）案例研究调查了在美国亚利桑那州实施 PAT RCT 的多方面影响，揭示了积极和消极两方面的影响。最近人们越来越关注改善社区环境中 RCT 的实施，因为这个问题尚未得到充分解决。本研究通过案例研究的方式，考察了在家庭探访中实施基于社区的 RCT 的情况。本研究还探讨了可以采用哪些策略来减轻 RCT 实施中的一些挑战，为未来家庭探访领域的 RCT 提供了有价值的见解。PAT 计划旨在为从出生到幼儿园的儿童提供家长教育和家庭参与，包括个人访问、团体联系、儿童筛查和社区资源联系等一系列服务。家长作为教师随机对照试验（PAT RCT）通过教育家长有关健康和健康的知识，以及提供早期儿童筛查和健康转介，直接促进健康，通过及时干预和改善父母的做法来提高健康结果。研究中的经验教训还旨在改善未来与健康相关的 RCT 的实施，确保有效的交付和有影响力的结果。
