Valan Lotha, Isaksson Ulf, Hörnsten Asa, Carlsund Asa
Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Department of Nursing, Umea University, Umea, Sweden.
Int J Pediatr. 2025 Jun 24;2025:8780069. doi: 10.1155/ijpe/8780069. eCollection 2025.
The Swedish child health care (CHC) program provides voluntarily, at no cost, services for children from birth to 5 years old. Participation rates are 99% of Swedish parents enrolling their children in some form of CHC program. Parental groups, comprising parents with similar experiences, can help reduce parental stress and foster the development of effective coping strategies. The study is aimed at evaluating a digital support intervention involving parents, child health nurses, and researchers. This cluster-randomized, prospective pilot intervention study, conducted in northern Sweden, had three follow-up points: baseline, 4 months, and 8 months. Data were collected from autumn 2022 to late spring 2023 and evaluated effects on parental stress and satisfaction, eHealth literacy, and satisfaction with CHC, accessibility, and support. The 18-item Parental Stress Scale was used to assess parental stress and satisfaction. eHealth literacy was measured using the 10-item eHEALS scale, and parental satisfaction and opinions on accessibility to CHC were measured using a three-item Visual Analogue Scale. The intervention group was offered to participate in various digital activities, while the control group received the usual CHC. Parental satisfaction and stress levels within and between the intervention and control groups showed no significant changes from baseline to 8 months. Regarding eHealth literacy, differences were observed between the groups; however, both groups demonstrated improvement at the 8-month follow-up. The control group scored higher in eHealth literacy from baseline. The same pattern was identified regarding the parents' perceptions of internet usability and importance. Concerning satisfaction with CHC, accessibility, and support, the control group scored higher at baseline. Interestingly, the lines of the intervention and control groups crossed over at the 8-month follow-up. Despite a limited outcome change, the results showed a tendency to benefit some parents. Our findings suggest that further evaluation, possibly with other more suitable measurements or questionnaires, an extended intervention period, and a larger sample, is necessary to understand the implications of these results fully.
瑞典儿童保健（CHC）项目为从出生到5岁的儿童免费提供自愿服务。瑞典99%的父母会以某种形式让孩子参加CHC项目。由有相似经历的父母组成的家长团体有助于减轻父母压力，并促进有效应对策略的形成。该研究旨在评估一项涉及父母、儿童保健护士和研究人员的数字支持干预措施。这项在瑞典北部进行的整群随机前瞻性试点干预研究有三个随访时间点：基线、4个月和8个月。数据收集时间为2022年秋季至2023年春末，评估其对父母压力与满意度、电子健康素养以及对CHC、可及性和支持的满意度的影响。使用18项父母压力量表评估父母压力与满意度。使用10项电子健康素养量表（eHEALS）测量电子健康素养，使用三项视觉模拟量表测量父母对CHC可及性的满意度和看法。干预组被邀请参加各种数字活动，而对照组接受常规CHC服务。从基线到8个月，干预组和对照组内部及之间的父母满意度和压力水平均无显著变化。在电子健康素养方面，两组之间存在差异；然而，两组在8个月随访时均有改善。对照组从基线开始在电子健康素养方面得分更高。在父母对互联网可用性和重要性的认知方面也发现了相同模式。在对CHC、可及性和支持的满意度方面，对照组在基线时得分更高。有趣的是，干预组和对照组在8个月随访时出现了交叉。尽管结果变化有限，但结果显示出对一些父母有益的趋势。我们的研究结果表明，可能需要采用其他更合适的测量方法或问卷、延长干预期并扩大样本量进行进一步评估，以充分理解这些结果的意义。
