Butera Christiana D, Yeh Amy, Biniwale Manoj, Bloch Edward, Craddock Debi, Doyle Mary, Iyer Sai N, Kretch Kari S, Liu Nora, Mirzaian Christine B, Sargent Barbara, Solano Priscilla, Swaine Margaret, Dusing Stacey C
Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90033, USA.
Los Angeles General Medical Center, Los Angeles, CA 90033, USA.
J Clin Med. 2024 Dec 6;13(23):7442. doi: 10.3390/jcm13237442.
: The Early Identification and Intervention for Infants (Ei3) Network is an interdisciplinary team dedicated to improving early detection and intervention of cerebral palsy (CP) in California. This paper describes the key (1) awareness-building and (2) capacity-building strategies utilized by the Ei3 Network in the first two years. : Awareness-building methods included interactive conference discussions, resource deliverable creation, and the creation of a framework for dissemination. Capacity-building methods were hosting assessment training, gathering stakeholder feedback, and implementation training. All deliverables were created with a minimum of 3 review and revision cycles. We planned, hosted, and provided scholarships for training, including the Hammersmith Infant Neurological Examination (HINE), Prechtl's GMA, and an implementation conference. Preliminary descriptive statistics and paired samples -tests were performed on HINE training surveys. : Seven resource deliverables were created and distributed. A professional website, @steps2home.org, was launched. Online channels gained followers (146, Instagram; 198, X; 298, Mailchimp). Providers participated in various trainings: the Sykes Symposium on early detection and intervention (70), HINE (211), GMA Basic or Advanced (46), and Implementation Conference (six facilities from April 2023 to June 2024). HINE training participants reported increased ability to identify CP ( = 0.001), knowledge of ( = 0.004) early detection, ability to implement early detection guidelines ( < 0.001), and confidence in performing the HINE on the post-test (79.87%). The first two years of Ei3 resulted in increased awareness of the early detection guidelines through resources to help providers and families navigate complex care systems and dissemination through online and in-person strategies. We built capacity by training an increased number of providers to identify infants at risk of CP and implement the early detection guidelines. Engagement of stakeholders in focus groups, reviewing documents, and including a parent panel throughout the process increased the value of this work and should support the expansion of the network in the next year.
婴儿早期识别与干预（Ei3）网络是一个跨学科团队，致力于改善加利福尼亚州脑瘫（CP）的早期检测与干预。本文描述了Ei3网络在前两年所采用的关键（1）提高认识和（2）能力建设策略。提高认识的方法包括互动式会议讨论、创建资源交付成果以及创建传播框架。能力建设方法包括举办评估培训、收集利益相关者反馈以及实施培训。所有交付成果至少经过3次审核和修订周期才创建完成。我们计划、举办并提供培训奖学金，包括哈默史密斯婴儿神经学检查（HINE）、普雷茨尔的全身运动评估（GMA）以及一次实施会议。对HINE培训调查进行了初步描述性统计和配对样本检验。
创建并分发了7份资源交付成果。推出了专业网站@steps2home.org。在线渠道增加了关注者（Instagram上146人；X上198人；Mailchimp上298人）。提供者参加了各种培训：早期检测与干预的赛克斯研讨会（70人）、HINE（211人）、GMA基础或高级培训（46人）以及实施会议（2023年4月至2024年6月有6个机构参加）。HINE培训参与者报告称，识别脑瘫的能力有所提高（P = 0.001），对早期检测的知识有所增加（P = 0.004），实施早期检测指南的能力有所提高（P < 0.001），并且在测试后对进行HINE检查的信心增强（79.87%）。Ei3的前两年通过提供资源提高了对早期检测指南的认识，以帮助提供者和家庭应对复杂的护理系统，并通过线上和线下策略进行传播。我们通过培训更多的提供者来识别有脑瘫风险的婴儿并实施早期检测指南来建设能力。利益相关者参与焦点小组、审核文件以及在整个过程中纳入家长小组，增加了这项工作的价值，并应支持该网络在明年的扩展。
