Andersson Ann-Christine, Golsäter Marie
Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
The Child Health Care Service, Region Jönköping County, Jönköping, Sweden.
BMC Public Health. 2025 Sep 9;25(1):3045. doi: 10.1186/s12889-025-24114-z.
The first year of a child's life is essential for promoting a healthy life, and the transition to becoming a parent can be a challenge; parents need to develop confidence in their own capacity to care for their child. The national Child Health Services programme in Sweden offers parental support, both on a universal level and in accordance with the individual family's needs. This study explores parents' experiences of an extended home-visit programme offered through a Family Centre to all first-time parents in a municipality.
This case study is based on a qualitative reflexive thematic approach, using interviews with first-time parents. Fourteen mothers and five fathers who had taken part in the extended home-visit programme were interviewed by telephone between February 2023 and April 2024.
The analysis resulted in one overarching theme, Universal home-visits create preconditions for tailored parental support, and four subthemes: Relations and continuity are essential; Different professional competencies complement each other and reinforce support; Home environments increase the feeling of security; and The universal approach facilitates acceptance. The parents had mainly positive experiences and thought that extended home-visits could benefit all first-time parents, not only those in socioeconomically vulnerable areas.
This study shows that universal extended home-visits create preconditions for more family-tailored support and strengthen first-time parents in developing their parenthood, which in turn increases the possibilities for optimal growth and development of the child.
儿童生命的第一年对于促进健康生活至关重要，而向为人父母的转变可能是一项挑战；父母需要对自己照顾孩子的能力建立信心。瑞典的国家儿童健康服务计划在普遍层面以及根据各个家庭的需求提供家长支持。本研究探讨了父母对通过家庭中心向一个市镇的所有初为人父母者提供的扩展家访计划的体验。
本案例研究基于定性反思主题法，采用对初为人父母者的访谈。2023年2月至2024年4月期间，通过电话采访了14名母亲和5名父亲，他们参与了扩展家访计划。
分析得出一个总体主题，即普遍家访为量身定制的家长支持创造了前提条件，以及四个子主题：关系和连续性至关重要；不同的专业能力相互补充并加强支持；家庭环境增强安全感；普遍方法便于接受。父母们主要有积极的体验，并认为扩展家访对所有初为人父母者都有益，不仅是那些处于社会经济弱势地区的人。
本研究表明，普遍的扩展家访为更针对家庭的支持创造了前提条件，并增强了初为人父母者发展其为人父母能力的信心，这反过来又增加了儿童实现最佳成长和发展的可能性。
