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综合健康与社会关怀中心幸福协调项目的可接受性、可行性及初步有效性:一项混合方法研究

Acceptability, Feasibility, and Preliminary Effectiveness of a Wellbeing Coordination Program in an Integrated Health and Social Care Hub: A Mixed Methods Study.

作者信息

Chen Lingling, White Natalie, Patten Emma, Barth Danielle, Constable Leanne N, Hall Teresa, Kabir Ashraful, Hiscock Harriet, Loveday Sarah

机构信息

Health Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Centre for Community Child Health, The Royal Children's Hospital, Melbourne, Victoria, Australia.

出版信息

Int J Integr Care. 2025 Feb 19;25(1):10. doi: 10.5334/ijic.8644. eCollection 2025 Jan-Mar.

Abstract

INTRODUCTION

Families experiencing adversity often have complex needs and face barriers to accessing health and social care. This study evaluated the acceptability, feasibility and preliminary effectiveness of a Wellbeing Coordination (WBC) program to improve access to services. The program combined care navigation and social prescribing within an integrated health and social care Child and Family Hub.

METHODS

Mixed-methods design, with data collected through surveys and interviews from: 1) caregivers who participated in the WBC program ( = 11) and those who did not ( = 18), and 2) practitioners working in the Hub ( = 21).

RESULTS

Caregivers and practitioners found the WBC program acceptable and mostly feasible, demonstrating the potential to alleviate caregivers' loneliness and enhance their health, connection to the community, and knowledge and confidence in supporting child and family health and wellbeing.

DISCUSSION

Future WBC program enhancements could include a robust communication strategy to ensure what the program offers is clearly understood by practitioners and caregivers, establishing organisational structures to provide adequate support for the wellbeing coordinator and adopting flexible eligibility criteria.

CONCLUSION

The WBC program appears acceptable and feasible. Future research should establish program effectiveness with larger and more diverse caregiver samples.

摘要

引言

经历逆境的家庭往往有复杂的需求,在获得健康和社会护理方面面临障碍。本研究评估了幸福协调(WBC)计划在改善服务获取方面的可接受性、可行性和初步效果。该计划在综合健康和社会护理儿童与家庭中心内将护理导航和社会处方相结合。

方法

采用混合方法设计,通过对以下对象进行调查和访谈收集数据:1)参与WBC计划的照顾者(n = 11)和未参与的照顾者(n = 18),以及2)在中心工作的从业者(n = 21)。

结果

照顾者和从业者认为WBC计划是可接受的,并且大多可行,这表明该计划有潜力减轻照顾者的孤独感,增强他们的健康、与社区的联系以及在支持儿童和家庭健康与幸福方面的知识和信心。

讨论

未来对WBC计划的改进可能包括制定强有力的沟通策略,以确保从业者和照顾者清楚了解该计划提供的内容;建立组织结构,为幸福协调员提供充分支持;采用灵活的资格标准。

结论

WBC计划似乎是可接受的且可行的。未来的研究应以规模更大、更多样化的照顾者样本确定该计划的效果。

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