Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

Barboza, Madelene; Marttila, Anneli; Burström, Bo; Kulane, Asli

doi:10.1177/1049732321994538

Cited by 9 publications

(3 citation statements)

References 24 publications

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“…Integrating new research findings about professional roles during REHV into pre-implementation support, training and supervision protocols could be a way of addressing potential competency driver barriers in new implementations of REHV. For example, Barboza et al ( 45 ) describe essential contributions of the family support social worker's role in REHV for program delivery. Inclusion of these findings in in pre-implementation training and supervision can offset perceived barriers stemming from unclear professional roles.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

Lundgren,

Nilses,

Eckerdal

et al. 2024

Front. Health Serv.

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BackgroundAlthough there is growing awareness that early childhood development programs are important for a sustainable society, there is a knowledge gap about how to implement such programs. Successful implementation requires attention to implementation drivers (competency, organization, and leadership) during all phases of the implementation. The purpose of this study was to describe cross-sectoral operational workgroups’ perceptions of facilitators, barriers and solutions related to implementation drivers in the preparationphase of implementing an evidence-based early childhood home visiting program.MethodsQuantitative and qualitative data were collected from twenty-four participants, divided into 5 groups, during implementation planning workshops. The workshops were guided by a structured method informed by the principles of Motivational Interviewing and within a framework of implementation drivers. Groups sorted cards with statements representing implementation drivers according to perceptions of facilitators and barriers, and percentages were calculated for each type of implementation determinant, for each type of driver. The groups discussed their card sorting and wrote action plans to address barriers, yielding documentation that was analyzed using deductive qualitative content analysis.ResultsA mixed-methods analysis resulted identification of facilitators, barriers, unknowns and solutions in two to three subcategories under each main category of implementation driver. A competent and confident workforce, and enthusiasm and commitment were key facilitators. Key barriers were unclear roles and responsibilities, and insufficient articulation of local vision and goals. Many factors were described as yet unknown. Specific solutions were generated to support the implementation.ConclusionsOur study furthers the scientific understanding of how to take evidence-based early childhood programs from research to practice within an implementation drivers framework. Facilitators, barriers and solutions in key areas during the preparation phase were identified with the help of a novel tool. The results provide useful knowledge for decision makers and organizations preparing similar initiatives in communities striving to attain sustainable development goals.

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Section: Discussionmentioning

confidence: 99%

Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

Lundgren,

Nilses,

Eckerdal

et al. 2024

Front. Health Serv.

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show abstract

“…(17,18,36), community factors (built environment, community support, etc.) (37,38) and other aspects. These studies mainly analyze the effects of single or multiple factors, and it is easy to overlook the impact of other factors on the physical fitness of young children.…”

Section: Construction Of Decision Tree Modelmentioning

confidence: 99%

A cohort study of factors influencing the physical fitness of preschool children: a decision tree analysis

Lv,

Fu,

Zhao

et al. 2023

Front. Public Health

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ObjectiveBased on the decision tree model, to explore the key influencing factors of children’s physical fitness, rank the key influencing factors, and explain the complex interaction between the influencing factors.MethodsA cohort study design was adopted. 1,276 children (ages 3–6) from 23 kindergartens in Nanchang, China, were chosen for the study to measure the children’s physical fitness at baseline and a year later and to compare the physical fitness scores at the two stages. The study was conducted following the Chinese National Physical Fitness Testing Standard (Children Part); To identify the primary influencing factors of changes in physical fitness, a decision tree model was developed, and a questionnaire survey on birth information, feeding patterns, SB, PA, dietary nutrition, sleep, parental factors, and other relevant information was conducted.ResultsThe levels of physical fitness indicators among preschool children showed a significant increase after 1 year. The accuracy of the CHAID model is 84.17%. It showed that 7 variables were strongly correlated with the physical changes of children’s fitness, the order of importance of each variable was weekend PA, weekend MVPA, mother’s BMI, mother’s sports frequency, father’s education, mother’s education, and school day PA. Three factors are related to PA. Four factors are related to parental circumstances. In addition to the seven important variables mentioned, variables such as breakfast frequency on school day, puffed food, frequency of outing, school day MVPA, parental feeling of sports, father’s occupation, and weekend breakfast frequency are all statistically significant leaf node variables.ConclusionPA, especially weekend PA, is the most critical factor in children’s physical fitness improvement and the weekend MVPA should be increased to more than 30 min/d based on the improvement of weekend PA. In addition, parental factors and school day PA are also important in making decisions about changes in fitness for children. The mother’s efforts to maintain a healthy BMI and engage in regular physical activity are crucial for enhancing the physical fitness of children. Additionally, other parental factors, such as the parents’ educational levels and the father’s occupation, can indirectly impact the level of physical fitness in children.

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“…Thus, the strate- This universal strategy needs to be complimented with the allocation of sufficient resources to clinics in socioeconomically disadvantaged catchment areas, according to the principles of proportionate universalism, 6 to enable the nurses there to provide parent support on equal terms with clinics in more affluent areas. Well-designed home visitation programmes 29 and intensified collaboration with the social services 30 are other secondary preventive interventions that can be used in secondary preventive strategies for mental health in pre-schoolers in these areas.…”

Section: Implic Ationsmentioning

confidence: 99%

Birth order and socioeconomic disadvantage predict behavioural and emotional problems at age 3 years

et al. 2021

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Repeated classroom studies have demonstrated increasing rates of psychological and psychosomatic symptoms in school children in Sweden over time since the 1980s, with the most pronounced increase in female adolescent pupils. 1 This trend has been accompanied by a considerable increase in the use of child and adolescent psychiatric care, particularly with diagnoses of anxiety and depression, 2 and a less favourable trend in youth suicides than other countries in northern Europe. 1 These worrying trends have made mental health a top priority for child public health in Sweden. 1 The well-baby clinics are the main actors in health promotion and illness prevention for children before school age in Sweden. These clinics reach more than 99% of all Swedish families with new-borns with a median of more than ten encounters with health professionals during the first 18 months after birth. 3 Primary prevention of

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Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

Cited by 9 publications

References 24 publications

Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

A cohort study of factors influencing the physical fitness of preschool children: a decision tree analysis

Birth order and socioeconomic disadvantage predict behavioural and emotional problems at age 3 years

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