ZusammenfassungKontaktbeschränkende Maßnahmen waren zur Eindämmung des SARS-CoV-2-Infektionsgeschehens ab Frühjahr 2020 in Deutschland notwendig. Jedoch stellten sie Familien, insbesondere Familien in Belastungslagen, vor besondere Herausforderungen. Der Beitrag geht der Frage nach, inwieweit sich die Coronapandemie bis zum Mai 2021 auf die Lebenssituation der Familien ausgewirkt hat und wie eine längerfristige Betreuung im Kontext der Frühen Hilfen fortgeführt werden konnte. Die Analysen basieren hauptsächlich auf einer qualitativen Studie mit psychosozial belasteten Müttern von jungen Kindern, 2 Befragungen von Gesundheitsfachkräften, die Familien in den Frühen Hilfen längerfristig unterstützen, sowie einer Befragung von kommunalen Akteuren, die für die Steuerung und Umsetzung der Frühen Hilfen in den Kommunen verantwortlich sind.Psychosozial belastete Familien erleben existenzielle Ängste und eine generelle Überforderung in der Pandemie. Innerfamiliale Konflikte scheinen zuzunehmen. Die längerfristige Unterstützung durch die Frühen Hilfen wurde vom persönlichen Kontakt im häuslichen Umfeld vorrangig in die Distanz verlagert. Obwohl im Verlauf der Pandemie viele Fachkräfte wieder zum ursprünglichen Versorgungskonzept zurückkehrten, werden Elemente der „Hilfe auf Distanz“ weiterhin ergänzend eingesetzt.Aufgrund der pandemiebedingten zusätzlichen Belastungen der Familien, die in den Frühen Hilfen begleitet werden, war die Fortführung der Unterstützung noch wichtiger als ohnehin schon. Die Formate einer „Hilfe auf Distanz“, die in der Pandemie notgedrungen erprobt wurden, könnten das Potenzial haben, die Hilfeleistungen der Gesundheitsfachkräfte in den Frühen Hilfen zu ergänzen und so zu einem Qualitätsentwicklungsschub beizutragen.
Background In order for Early Childhood Intervention (ECI) to be effective, data-based information on families’ resources, burden and current use of support services for families with young children, as well as on children’s health and development is needed. The study Kinder in Deutschland [Children in Germany]–KiD 0–3 2022 aims at providing these data to help us understand families’ situation and needs in Germany now, including families’ experience of the COVID-19 pandemic. Method The study will recruit up to 300 pediatricians who will invite parents of children aged up to 48 months to participate in the study during a well-child visit. Parents (goal N = 8,000) will complete an online-questionnaire with their own web-enabled device. Pediatricians will complete a short questionnaire about each participating family. The questionnaires cover family psychosocial burden and resources, child health and development, use of family support services, as well as the families’ experiences of the COVID-19 pandemic. Data will be analyzed to assess patterns of families´ psychosocial burdens and resources, use of support services for families with young children, and children´s health and development. Concordance between parent and pediatrician report will be assessed and comparisons with the predecessor study of 2015 will be drawn. Dissemination Findings will be disseminated through scientific conferences, open access peer-reviewed journals, and dissemination channels of the National Centre for Early Prevention. Discussion The present study will provide parent and pediatrician reports on how families with young children are doing in Germany. These data will be used to inform Germany’s early childhood intervention (ECI) program (“Frühe Hilfen”) on current needs of families with young children.
Background Family risk factors, e.g. low socioeconomic status or parental mental health disorders, can affect children’s health and development. Thus, targeted preventive services for families with psychosocial burden are crucial. The German Early Childhood Intervention (ECI) program is a preventive approach that aims to strengthen parent’s resources by supportive services. However, research has revealed that only a proportion of the families considered to have substantial risk factors access the ECI program. To increase pediatricians’ skills in identifying risk factors, and to improve the cross-sectoral collaboration between relevant professionals and the referral of families to supportive services, the PATH-intervention (Pediatric Attention To Help) was developed. The PATH-intervention includes interprofessional quality circles and a one-day training program for the pediatricians. This study aims to evaluate this complex cross-sectoral care intervention for families with psychosocial burden. Methods Using a prospective quasi-experimental, controlled (matched-pair), longitudinal mixed-method design, we will compare families under treatment of pediatricians trained in the PATH-intervention with families under treatment of a control group of pediatricians. Participating families are asked to complete online-surveys. As a primary outcome, we will examine the use of supportive services of the ECI by burdened families. Secondary outcomes are the proportion of correctly identified families with psychosocial burden by the pediatricians, as well as information provision and motivation of the families to use the supportive services. Additionally, the cost-effectiveness ratio will be investigated. In the process evaluation, we will qualitatively explore the acceptance of the PATH-intervention of all involved stakeholders and the treatment fidelity of the trained pediatricians. Discussion This study will determine whether the PATH-intervention enables the pediatricians to identify and recommend supportive services to burdened families, as well as the families’ use of the supportive services of the ECI. Qualitative data will give insight into the acceptance of the intervention from the perspective of all stakeholders and the treatment fidelity. Results of this study could be the starting point for the broader implementation of the PATH-intervention as standard care. Trial registration German Clinical Trials Register (DRKS): DRKS00023461 (3rd December 2020); WHO UTN: U1111- 260-6575.
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