Evaluation of the strategy of parental support at Primary Health care as a reinforcement of the online course ‘Gaining health and wellbeing from birth to three’
e202112192
Keywords:
Early prevention, Parental support, Organizational research, Primary health care, Social paediatrics, Positive parentingAbstract
Background: E-parenting is an opportunity to provide parental support as a universal prevention strategy. This study analysed the extent to which the promotion actions improve universal use of the online course ‘Positive parenting: Gaining health and wellbeing from birth to three’ (GH&W) (http://aulaparentalidad-msssi.com/) at the primary care centers.
Methods: The profile of participants and the adherence to the course in a national sample of families using the GH&W course were compared with another Canarian sample distributed in three groups: only GH&W (level 1), GH&W + face-to-face group activities (level 2), and users who also received individual support in the medical checking (level 3). It was carried out in 20 health centers on the islands of Tenerife and Gran Canaria randomly assigned to one of the three levels. Participants were 175 national parental figures and 160 parental figures users of the Canary Health Service, both with children from 0 to 3 years. The sociodemographic profile and the completion rate of the GH&W were registered, as well as a template of implementation quality indicators for innovative experiences. To compare the sociodemographic profile differences between groups, a Chi-square contingency analysis with standardized residuals was performed.
Results: Compared to the national sample mainly of high educational level, primiparous mothers and 14% completion, the Canarian sample attracted different educational levels and multiparous mothers, with a higher completion rate at levels 2 and 3 (62.5% and 67.5%) than at level 1 (38.5%).
Conclusions: The universal use of the course and its adherence improve due to the inclusion of face-to-face activities. The implementation process in the selected health centers satisfactorily meets the quality indicators of an innovative initiative.
Downloads
References
1. Ministerio de Sanidad Servicios Sociales e Igualdad. Estrategia de Promoción de La Salud y Prevención En El Sistema Nacional de Salud. Madrid: Dirección General de Salud Pública, Calidad e Innovación; 2013.
2. Shonkoff JP, Fisher PA. Rethinking evidence-based practice and two-generation programs to create the future of early childhood policy. Dev Psychopathol. 2013;24(6188):1635–1653. doi: 10.1017/S0954579413000813
3. Guralnick MJ. Developmental Science and Preventive Interventions for Children at Environmental Risk. Infants Young Child. 2013;26(4):270-285. doi: 10.1097/IYC.0b013e3182a6832f
4. Shields L. What is “family-centered care”? Eur J Pers Cent Healthc. 2015;3(2):139-144. doi: 10.5750/ejpch.v3i2.993
5. Coyne I. Families and health-care professionals’ perspectives and expectations of family-centred care: Hidden expectations and unclear roles. Health Expect. 2013;18(5):796-808. doi: 10.1111/hex.12104
6. Kuo DZ, Houtrow AJ, Arango P, Kuhlthau KA, Simmons JM, Neff JM. Family-centered care: Current applications and future directions in pediatric health care. Matern Child Health J. 2012;16(2):297-305. doi: 10.1007/s10995-011-0751-7
7. Kuhlthau KA, Bloom S, Van Cleave J et al. Evidence for family-centered care for children with special health care needs: A systematic review. Acad Pediatr. 2011;11(2):136-143. doi: 10.1016/j.acap.2010.12.014
8. Rodrigo MJ, Byrne S, Alvarez M. Interventions to Promote Positive Parenting in Spain. En: Romano J., Israelashvili M, editores. The Cambridge Handbook of International Prevention Science. Cambridge: Cambridge University Press; 2016. p. 929-956. doi: 10.1017/9781316104453.040
9. Nolte E, Kluge H, Figueras J. How do we ensure that innovation in health service delivery and organization is implemented, sustained and spread? Copenhague, Organización Mundial de la Salud; 2018. http://www.euro.who.int/en/about-us/partners/
10. Simmons R, Shiffman J. Scaling up health service innovations: a frameworkfor action. En Simmons R, Fajans P, Ghiron L, editores. Scaling up Health Service Delivery – From Pilot Innovations to Policies and Programmes. Génova: Organización Mundial de la Salud; 2007. p. 1-30. doi: 10.1016/j.puhe.2009.05.012
11. Rodrigo MJ, Martín-Quintana JC, Máiquez ML et al. Parentalidad Positiva: Ganar Salud y Bienestar de 0-3 Años Guía Para El Desarrollo de Talleres Presenciales Grupales Coordinación Técnica Institucional. Madrid: Ministerio de Sanidad Servicios Sociales e Igualdad; 2017.
12. Callejas E, Byrne S, Rodrigo MJ. ‘Gaining health and wellbeing from birth to three’: a web-based positive parenting programme for primary care settings. Early Child Dev Care. 2018;188(11):1552-1565. doi: 10.1080/03004430.2018.1490896
13. Rodrigo MJ, Byrne S, Álvarez M. Preventing child maltreatment through parenting programmes implemented at the local social services level. Eur J Dev Psychol. 2012;9(1):89-103. doi: 10.1080/17405629.2011.607340
14. Suárez A, Rodríguez JA, Rodrigo MJ. The Spanish online program “educar en Positivo” (“The Positive Parent”): Whom does it benefit the most? Interv Psicosoc. 2016;25(2):119-126. doi: 10.1016/j.psi.2016.03.001
15. Glascoe FP, Trimm F. Brief Approaches to Developmental-Behavioral Promotion in Primary Care: Updates on Methods and Technology. Pediatrics. 2014;133(5):884-897. doi: 10.1542/peds.2013-1859
16. McGoron L, Ondersma SJ. Reviewing the need for technological and other expansions of evidence-based parent training for young children. Child Youth Serv Rev. 2015;59:71-83. doi: 10.1016/j.childyouth.2015.10.012
17. Ritterband LM, Palermo TM. Introduction to the special issue: eHealth in pediatric psychology. J Pediatr Psychol. 2009;34(5):453-456. doi: 10.1093/jpepsy/jsp008
18. Lawson P, Flocke S. Teachable moments for health behavior change: a concept analysis. Patient Educ Couns. 2010;76(1):25-30. doi: 10.1016/j.pec.2008.11.002
19. Rodrigo MJ, Byrne S, Callejas E. Parentalidad Positiva: Ganar Salud y Bienestar - Guía práctica. 2017. Santa Cruz de Tenerife: Servicio Canario de Salud. Disponible en: https://www.gobiernodecanarias.org/sanidad/scs/contenidoGenerico.jsp?idDocument=44498469-553f-11e9-87fb-65362f2c5e8c&idCarpeta=85902744-c31f-11e9-a8a0-7f273508434f#4
20. Callejas E, Byrne S, Rodrigo MJ. Feasibility and effectiveness of’gaining Health & wellbeing from birth to three’positive parenting programme. Psychosocial Intervention, 2021, 30(1), p. 35-45. doi: 10.5093/pi2020a15
21. Servicio Canario de la Salud. Plan de Salud de Canarias 2016-2017. Las Palmas de Gran Canaria: Consejería de Sanidad del Gobierno Autónomo de Canarias; 2017.
22. Servicio Canario de la Salud. Programa de Salud Infantil. Las Palmas de Gran Canaria: Consejería de Sanidad del Gobierno Autónomo de Canarias; 2007.
23. Haberman SJ. The Analysis of Residuals in Cross-Classified Tables. Biometrics. 1973;29(1):205-220. doi: 10.2307/2529686
24. Myers-Walls J, Dworkin J. Parenting Education without Borders: Web-based Outreach. En: Ponzetti, Jr. J, editores. Evidence-Based Parenting Education. Nueva York: Routledge; 2015. p. 123-139. doi: 10.4324/9781315766676
25. Loh J, Harms C, Harman B. Effects of parental stress, optimism, and health-promoting behaviors on the quality of life of primiparous and multiparous mothers. Nurs Res. 2017;66(3):231-239. doi: 10.1097/NNR.0000000000000219
26. Panter-Brick C, Burgess A, Eggerman M, McAllister F, Pruett K, Leckman JF. Practitioner review: Engaging fathers - Recommendations for a game change in parenting interventions based on a systematic review of the global evidence. J Child Psychol Psychiat. 2014;55(11):1187-1212. doi: 10.1111/jcpp.12280
27. Axford N, Lehtonen M, Kaoukji D, Tobin K, Berry V. Engaging parents in parenting programs: Lessons from research and practice. Child Youth Serv Rev. 2012;34(10):2061-2071. doi: 10.1016/j.childyouth.2012.06.011
28. Callejas E, Rodrigo, M.J. Guía del programa semipresencial “Parentalidad positiva: Ganar salud y bienestar de 0 a 3 años”. Santa Cruz de Tenerife: Dirección General de Salud Pública del Servicio Canario de la Salud; 2021.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Enrique Callejas Castro, Sonia Byrne, María José Rodrigo López, Carmen T. Pitti González, Agustín Rafael Graffigña Logendio
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.
![¿Cómo evaluar para la RESP? [PARA REVISORES]](https://ojs.sanidad.gob.es/public/site/images/rmartinb/pastilla-revisores-0eaa113abcbc4fc554c7c6c7840ca4c6.jpg)
![¿Cómo recibir avisos sobre nuevos artículos de la RESP? [PARA LECTORES]](https://ojs.sanidad.gob.es/public/site/images/rmartinb/pastilla-lectores-aa689338e95aab07df45b4b0d583188f.jpg)
