关键词: bronchiolitis community deprivation health promotion hospitalization intervention parent champion peer-led support respiratory syncytial virus socio-economic burden

来  源:   DOI:10.3390/children9101479

Abstract:
BACKGROUND: Bronchiolitis is a seasonal, global acute lower respiratory tract infection caused by respiratory syncytial virus (RSV) and is a leading cause of hospital admission in young children. A peer-led (parents to parents) intervention was implemented to empower parents of children at risk of bronchiolitis and reduce hospital admissions. This paper reported the evaluation that aimed to gain the perspectives and experiences of five key stakeholder groups.
METHODS: A qualitative remote interview-based design, informed by Appreciative Inquiry was used. Thematic analysis was used.
RESULTS: Sixty-five stakeholders participated: parents (n = 43; mothers, n = 42), Parent Champions (n = 9), Children\'s Centre Managers (n = 8), Children\'s Centre Group Leaders (n = 11), and Core Team (n = 4). An overarching theme \'Parents reaching out to parents\' was supported by five sub-themes (Raising awareness and sharing knowledge; Creating connection, trust, and confidence; Flourishing in their role as a Parent Champion; Rising to the challenges; and Knowledge is power, prevention is key: the government needs to know this.) Conclusions: Parent-to-parent peer support via the Parent Champions was perceived positively by parents who wanted to learn and improve the lives and health of their children. Parent Champions were successful in delivering information. Considering the socioeconomic burden of bronchiolitis to services and families, the potential for an upstream, relatively low cost, high-reach innovative intervention, as evidenced in this project, seems a valuable opportunity for improving children\'s respiratory health.
摘要:
背景:细支气管炎是季节性的,由呼吸道合胞病毒(RSV)引起的全球急性下呼吸道感染是导致幼儿入院的主要原因。实施了同伴主导(父母对父母)的干预措施,以授权有毛细支气管炎风险的儿童的父母并减少住院人数。本文报告了旨在获得五个主要利益相关者团体的观点和经验的评估。
方法:基于定性远程访谈的设计,使用了赞赏性询问。使用主题分析。
结果:65个利益相关者参与:父母(n=43;母亲,n=42),家长冠军(n=9),儿童中心经理(n=8),儿童中心组长(n=11),和核心团队(n=4)。一个总体主题“父母向父母伸出援手”得到了五个子主题的支持(提高认识和分享知识;建立联系,信任,和信心;在他们作为家长冠军的角色中蓬勃发展;迎接挑战;知识就是力量,预防是关键:政府需要知道这一点。)结论:想要学习和改善孩子的生活和健康的父母对父母通过父母冠军获得的同伴支持是积极的。家长冠军成功地提供了信息。考虑到细支气管炎对服务和家庭的社会经济负担,上游的潜力,相对较低的成本,高影响力的创新干预,正如这个项目所证明的那样,似乎是改善儿童呼吸健康的宝贵机会。
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