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智利初级保健中通过“C@nnected”小组视频会议干预提高母亲敏感性:一项可行性试验。

Group videoconferencing intervention "C@nnected" to enhance maternal sensitivity in primary care in Chile: A feasibility trial.

作者信息

Binda Victoria, Olhaberry Marcia, Castañon Carla, Abarca Constanza, Caamaño Catalina, Moran-Kneer Javier

机构信息

Department of Family Medicine, Medicine Faculty, Pontificia Universidad Católica de Chile, Santiago, Chile.

School of Psychology, Social Sciences Faculty, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Glob Ment Health (Camb). 2025 Jul 1;12:e81. doi: 10.1017/gmh.2025.10036. eCollection 2025.

Abstract

Early interventions supporting parental sensitivity have proven effective. Despite advancements in telemedicine, research on remote group parenting interventions remains limited. This study evaluated the feasibility and acceptability of "C@nnected," a brief group videoconferencing intervention aimed at enhancing maternal sensitivity in mother-infant dyads in primary care settings in Santiago, Chile. A feasibility randomized controlled trial (RCT) was conducted using quantitative and qualitative methods. Of 44 mother-infant dyads randomized, 26 were assigned to receive the intervention, whereas 18 were allocated to the control group. Eligibility and recruitment rates were 89% and 36%, respectively, with adherence at 50% and follow-up at 64.5%. The intervention demonstrated high acceptability in both the quantitative and qualitative evaluations. Mothers who participated in the intervention showed high scores in credibility and expectancy and reported increased knowledge, stronger bonds with their children and greater satisfaction and competence in their motherhood role. This pilot study underscores the potential of "C@nnected" while identifying areas for improvement. The findings provide valuable insights into refining and further evaluating its efficacy through an RCT.

摘要

支持父母敏感性的早期干预已被证明是有效的。尽管远程医疗取得了进展,但关于远程群体育儿干预的研究仍然有限。本研究评估了“连接”(C@nnected)的可行性和可接受性,这是一种简短的群体视频会议干预措施,旨在提高智利圣地亚哥初级保健机构中母婴二元组的母亲敏感性。采用定量和定性方法进行了一项可行性随机对照试验(RCT)。在44个随机分组的母婴二元组中,26个被分配接受干预,而18个被分配到对照组。符合条件率和招募率分别为89%和36%,依从率为50%,随访率为64.5%。该干预在定量和定性评估中均显示出较高的可接受性。参与干预的母亲在可信度和期望值方面得分较高,并报告称知识增加、与孩子的关系更紧密,对母亲角色的满意度和胜任感更强。这项试点研究强调了“连接”(C@nnected)的潜力,同时确定了需要改进的领域。研究结果为通过随机对照试验完善和进一步评估其疗效提供了有价值的见解。

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