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首页> 美国卫生研究院文献>Journal of Clinical and Translational Science >2331 Community-informed adaptation of Group Well Child visits for limited English proficiency Latino families
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2331 Community-informed adaptation of Group Well Child visits for limited English proficiency Latino families

机译：2331社区知情人士针对适应能力有限的拉丁裔家庭的探访小组儿童探访

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OBJECTIVES/SPECIFIC AIMS: We propose to adapt a curriculum for group well-child care in order to (1) improve the experience of care for Latino immigrant families, (2) better address maternal psychosocial concerns impacting parenting and (3) teach parenting practices that promote healthy behaviors, and (4) improve LEP parent health literacy, engagement, and self-management in care. METHODS/STUDY POPULATION: This study is composed of a series of focus groups with 4 target populations: (1) The Johns Hopkins Bayview Children’s Medical Practice Latino Family Advisory Board (LFAB) (multiple meetings). The LFAB has been in existence since 2011, and has experience in iteratively adapting educational materials, both written and video, and in providing input on social work services and healthcare utilization. We will meet with the LFAB over the course of up to 8 meetings. During these meetings, the following themes will be discussed: (A) The concept of Group Well Child Care will be discussed and LFAB members will be asked about potential benefits and drawbacks of this format. (B) LFAB members will also be asked about group discussion topics that should be prioritized. Study staff will both bring up a list of topics (feeding, sleep, development, behavior, parent stress) and ask for input on additional items that should be discussed. (C) Core components of the mothers and babies course, a group perinatal depression intervention originally developed with Latina mothers, will be presented and discussed with board members, who will be asked to prioritize the components for salience and perceived helpfulness as well as inclusion in the Group Visit Curriculum. Potential benefits and drawbacks of including components of this program will also be asked of LFAB members. Members will not be asked about their depressive symptoms. (2) Pediatric providers (including social workers, MDs, NPs, and RNs) (1 focus group) who agree to participate will also be asked about perceived benefits and drawbacks of the group well-child care model, topics that should be prioritized in the educational components, and the benefits and drawbacks of including components of a perinatal depression prevention program in the group well child visit curriculum. (3) Obstetric group visit providers—Obstetric providers of group prenatal care to LEP Latinas at JHBMC will be asked about the benefits and drawbacks of group prenatal care with their patient population, as well as topics perceived to be of relevance to the patient population based on their experience with group prenatal care and discussions that emerged during the course of the facilitated groups. (4) Obstetric group visit patients (3 focus groups) LEP Latina patients who have participated in at least 3 group prenatal visits will be invited to participate in focus groups exploring the aforementioned topics. The experience of discussing psychosocial issues, including maternal depressive symptoms, in the group visit format will be emphasized. RESULTS/ANTICIPATED RESULTS: One focus group with obstetric providers and has thus far been conducted. Obstetric providers reported that patients were very open in discussing prior experiences with postpartum depression, and discussed feelings of loneliness with their peers in this setting. Anxiety was also frequently discussed. History of domestic violence was discussed more frequently than current domestic violence. DISCUSSION/SIGNIFICANCE OF IMPACT: Group visits may represent an opportunity to more effectively address psychosocial concerns in Latinas. Work needs to be done to understand which topics are most effectively and appropriately addressed in the group Versus individual format.
机译：目标/特定目的：我们建议调整团体儿童保育的课程，以（1）改善对拉丁美洲移民家庭的照料体验，（2）更好地解决影响育儿的孕产妇心理社会问题，以及（3）教养育儿做法促进健康行为，以及（4）提高LEP父母的健康素养，参与度和自我管理能力。方法/研究人群：这项研究由具有4个目标人群的一系列焦点小组组成：（1）约翰霍普金斯湾景儿童医学实践拉丁裔家庭咨询委员会（LFAB）（多次会议）。 LFAB自2011年以来一直存在，并且在反复修改书面和视频教学材料以及提供有关社会工作服务和医疗保健利用的意见方面具有经验。我们将在多达8次会议上与LFAB会面。在这些会议期间，将讨论以下主题：（A）将讨论团体儿童保育的概念，并将询问LFAB成员这种格式的潜在利弊。 （B）LFAB成员还将被问到应优先考虑的小组讨论主题。研究人员将提出一个主题列表（喂养，睡眠，发育，行为，父母压力），并要求提供其他应讨论的项目的投入。 （C）母婴课程的核心组成部分，将与拉丁裔母亲一起进行分组围产期抑郁干预，并将与董事会成员进行讨论，他们将被要求优先考虑显着性和感知帮助的组成部分，并纳入小组参观课程。 LFAB成员还将询问包含此计划的组件的潜在优缺点。不会向会员询问他们的抑郁症状。 （2）同意参加的儿科医疗服务提供者（包括社会工作者，MD，NP和RN）（1个焦点小组）也将被问到团体儿童保健模式的优缺点，应优先考虑这些主题。教育方面的内容，以及将围产期抑郁症预防计划的内容包括在团体健康儿童探望课程中的利弊。 （3）产科团体访问提供者-将向JHBMC的LEP Latinas产前团体护理的产科提供者询问团体产前护理对其患者人群的利弊，以及被认为与患者人群相关的主题他们在团体产前护理方面的经验以及在便利团体过程中出现的讨论。 （4）产科小组访问患者（3个焦点小组）至少参加了3次小组产前访问的LEP拉丁患者将被邀请参加探讨上述主题的焦点小组。将强调以小组访问的形式讨论心理社会问题（包括孕产妇抑郁症状）的经验。结果/预期结果：迄今为止，已经开展了一个与产科医师合作的焦点小组会议。产科医师报告说，患者对讨论产后抑郁的既往经历非常开放，并在这种情况下与同伴讨论了孤独感。焦虑也经常被讨论。与当前的家庭暴力相比，讨论家庭暴力的历史更为频繁。讨论/意义：小组访问可能是一个机会，可以更有效地解决拉美裔的社会心理问题。需要做的工作是了解以小组形式与个人形式最有效，最恰当地解决哪些主题。

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