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为听力损失家庭及儿童向早期干预过渡开发以家庭为中心的干预措施:行为改变轮的应用

Development of a family-centred intervention for families and children with hearing loss transitioning into early intervention: application of the Behaviour Change Wheel.

作者信息

Nickbakht Mansoureh, Meyer Carly, Beswick Rachael, Scarinci Nerina

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.

The HEARing CRC, Melbourne, Australia.

出版信息

Int J Audiol. 2025 May;64(5):525-534. doi: 10.1080/14992027.2024.2402823. Epub 2024 Sep 25.

Abstract

OBJECTIVE

To describe the application of the Behaviour Change Wheel (BCW) to the development of a family-centred intervention for families of children with hearing loss transitioning into early intervention.

DESIGN

The BCW was used in a mixed methods design to understand the gaps in family-centred service provision and to identify appropriate intervention functions and implementation options to address these gaps.

STUDY SAMPLE

Families and health professionals participated in different steps of the BCW.

RESULTS

The qualitative interviews revealed that families required individualised information and support. The quantitative and interview data suggested inconsistencies in the provision of information and support to some families. It was determined that administration of a needs assessment by the support professionals was the most appropriate target behaviour to address this issue. In the analysis of the professionals' capabilities, opportunities, and motivations for administration of a needs assessment, a resource limitation was identified, and therefore, a Minimum Data Set for a Needs Assessment Tool was developed to facilitate the assessment of families' needs during the transition period.

CONCLUSIONS

This study provided an example of how the BCW could be successfully applied to the design of a family-centred intervention for families of children with hearing loss.

摘要

目的

描述行为改变轮(BCW)在为听力损失儿童家庭向早期干预过渡制定以家庭为中心的干预措施中的应用。

设计

采用混合方法设计使用BCW,以了解以家庭为中心的服务提供方面的差距,并确定适当的干预功能和实施选项来弥补这些差距。

研究样本

家庭和健康专业人员参与了BCW的不同步骤。

结果

定性访谈表明家庭需要个性化信息和支持。定量和访谈数据表明在向一些家庭提供信息和支持方面存在不一致。确定由支持专业人员进行需求评估是解决此问题的最合适目标行为。在分析专业人员进行需求评估的能力、机会和动机时,发现了资源限制,因此开发了需求评估工具的最小数据集,以促进在过渡期间对家庭需求的评估。

结论

本研究提供了一个示例,说明BCW如何能够成功应用于为听力损失儿童家庭设计以家庭为中心的干预措施。

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