Division of Obstetrics and Foetal Medicine, Department Obstetrics and Gynaecology, Erasmus MC-Sophia Children's Hospital, University Medical Centre, Rotterdam, South-Holland, the Netherlands.
Tranzo, Tilburg University, Tilburg, North-Brabant, The Netherlands.
PLoS One. 2024 Oct 31;19(10):e0305557. doi: 10.1371/journal.pone.0305557. eCollection 2024.
Suboptimal circumstances during the early life course, ranging from 100 days before conception to 1000 days following birth, significantly impact a child's future health and well-being. To optimize these circumstances, collaboration is needed which includes professionals working in medical, social and public domains, as well as parents. This action research protocol aims to improve care for (future) parents facing suboptimal circumstances during the early life course by enhancing inter-professional, cross-domain collaboration and (future) parents-professional collaboration. By employing iterative action research cycles, we seek to foster integrated care pathways and improve continuity of care across the medical, social and public domains. The research will be conducted in Rotterdam, the Netherlands.
Four action research cycles incorporating descriptive qualitative and quantitative studies, including focus groups, questionnaires and observations with (future) parents facing suboptimal circumstances, professionals and policymakers. This intervention study will not only foster improved, integrated care around identification of the need of additional support, referral and care, but also foster the necessary conditions for a self-supporting neighbourhood care learning network of (future) parents, professionals and policymakers to encourage bidirectional feedback and enable reflection beyond a single organisation. These interventions will also be evaluated.
The results will be disseminated through peer-reviewed publications, layman summaries, regional and national knowledge platforms and presentations and factsheets relevant to all involved actors.
从受孕前 100 天到出生后 1000 天，生命早期阶段的不理想环境会对儿童的未来健康和幸福产生重大影响。为了优化这些环境，需要医疗、社会和公共领域的专业人员以及家长共同合作。本项行动研究旨在通过加强跨专业、跨领域的合作以及（未来）家长与专业人员的合作，改善面临生命早期阶段不理想环境的（未来）家长的护理。通过迭代行动研究周期，我们旨在促进医疗、社会和公共领域的综合护理途径，并改善护理的连续性。研究将在荷兰鹿特丹进行。
本研究包含四个行动研究周期，采用描述性定性和定量研究，包括对面临不理想环境的（未来）家长、专业人员和政策制定者进行焦点小组、问卷调查和观察。这项干预研究不仅将促进围绕额外支持、转介和护理需求的更好的综合护理，还将为（未来）家长、专业人员和政策制定者的自我支持邻里护理学习网络创造必要条件，鼓励双向反馈，并使单个组织之外的反思成为可能。这些干预措施也将进行评估。
研究结果将通过同行评审的出版物、通俗易懂的摘要、地区和国家知识平台以及与所有相关参与者相关的演示文稿和情况说明书进行传播。
