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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Feasibility of Implementing Infant Home Visiting in a Central Australian Aboriginal Community
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Feasibility of Implementing Infant Home Visiting in a Central Australian Aboriginal Community

机译：在澳大利亚中央土着社区实施婴幼儿家庭的可行性

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The Australian Nurse-Family-Partnership Program, an adaption of the Olds' Nurse-Family-Partnership (NFP), commenced in Alice Springs in 2009 (Central Australia FPP), aiming to improve the health and social outcomes of Aboriginal mothers and infants. This study explores the feasibility of NFP implementation in a remote Australian Aboriginal community. Feasibility was defined by programme uptake by eligible women, retention in the programme, actual vs. scheduled visits and extent of programme content delivery. Programme uptake was established from pregnancy data in the patient Clinical Information System and programme referrals to December 31, 2015. Rates of withdrawal, retention and content delivery were derived from FPP data and compared with published NFP data. Modified Poisson regression was used to identify client characteristics associated with retention beyond the child's first birthday. There were 469 valid referrals (43% of eligible pregnancies) and 299 women with at least one completed home visit by December 31, 2015. Of these, 41% completed the programme to the child's second birthday and 53% beyond the child's first birthday. Dominant reasons for leaving were moved out of service area (35%) and declined further participation (35%). There was a statistically significant positive association for programme retention with later gestational age at referral (RR=1.27, p value=0.03). A high proportion (75%) of scheduled visits was achieved and high delivery of programme content (80%). Central Australia FPP is the first implementation of the NFP model in a remote Aboriginal community. This study found that it can be implemented successfully in this setting. Outcome evaluation is needed to test achievement of hypothesised benefits.
机译：澳大利亚护士家庭伙伴计划是一项适应老年护士家庭合作（NFP）的适应，于2009年（澳大利亚中部FPP）在Alice Springs，旨在改善原住民和婴儿的健康和社会成果。本研究探讨了NFP实施在远程澳大利亚原住民社区中的可行性。可行性由符合条件的妇女，在方案中保留，实际与预定访问和方案内容交付程度的持续保留来定义可行性。计划摄取是从患者临床信息系统的妊娠数据和2015年12月31日的妊娠数据建立。戒断，保留和内容递送的率来自FPP数据，并与已发表的NFP数据进行比较。改进的泊松回归用于识别与孩子的第一个生日超出保留相关的客户特征。 2015年12月31日，有469名有效的推荐（43％的符合条件的怀孕）和299名妇女，至少有一个完整的房屋访问，其中41％，41％完成了该计划的第二个生日，53％以外的第一个生日。离开的主要原因被移出服务区（35％），进一步参与（35％）。在转诊时具有统计学上显着的阳性阳性关联，以后的胎龄（RR = 1.27，P值= 0.03）。达到了高比例（75％）的预定访问，并高举方案含量（80％）。澳大利亚中央FPP是偏远原住民社区中的第一次实施NFP模型。本研究发现它可以在此设置中成功实现。需要计算评估来测试假设益处的成就。

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