A Family-Centered Intervention to Monitor Children's Development in a Pediatric Outpatient Setting: Design and Feasibility Testing

Abstract

The patient experience team at a private tertiary care hospital used the Theory of Change to design a family-centered developmental monitoring intervention, building on an ongoing initiative. The design entailed (i) a monitoring form: Survey of Well-Being of Young Children (SWYC) being an easy parent-report measure; (ii) family support intervention: the Care for Child Development module to enhance parent-child interactions; (iii) timing: utilizing wait time to also enhance families' experience; (iv) the service providers: psychology trainees as volunteers; and (v) reinforcement: by the pediatrician in the regular consultation health visit capitalizing on the established rapport with families. All families with children under 5 years 5 months 31 days of age in selected acute, complex, and developmental care clinics were eligible. Feedback from stakeholders indicated that the monitoring process was useful and imparted important information for parents and pediatricians, while the trainees felt the experience to be significant for their own learning. The authors conclude that the designed intervention model for a family-centric approach was acceptable and feasible. Key recommendations have been presented for further scale-up.

A Nursing Philosophy of Family Empowerment in Caring Under-Five Children Illness

“…Several studies have stated that family-centered nursing interventions by empowering families are effective in increasing the closeness of children and parents and the ability of parents to care for their children (Rasheed et al, 2021;Arief et al, 2020;Piotrowska et al, 2017), By involving families in child care, it reduces parental concerns about the child care process while the child is sick (M. . Another study states that family empowerment by health workers can reduce parental stress and also improve the quality of life of sick children (Mohammadzadeh et al, 2022).…”