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“母亲力量”倡议:通过同伴支持和健康素养提升孟加拉国农村脑瘫患儿母亲的健康行为

The mPower (Mother's Power) Initiative: Improving Health Behavior Through Peer Support and Health Literacy for Mothers of Children with Cerebral Palsy in Rural Bangladesh.

作者信息

Perrins Genevieve, Jahan Israt, Khan Md Nuruzzaman, Al Imam Mahmudul Hassan, Power Rosalie, King Catherine, Muhit Mohammad, Badawi Nadia, Khandaker Gulam

机构信息

Central Queensland Public Health Unit, Rockhampton, QLD 4700, Australia.

Faculty of Medicine and Health, University of Sydney, Camperdown, Sydney, NSW 2050, Australia.

出版信息

Children (Basel). 2024 Nov 26;11(12):1438. doi: 10.3390/children11121438.

Abstract

BACKGROUND/OBJECTIVES: Cerebral palsy (CP) affects a substantial number of children, particularly in low- and middle-income countries such as Bangladesh. Maternal health literacy is critical to the health and well-being of children with CP, particularly in low-resource settings. In this study, we sought to assess how the mPower (mother's power) community-based intervention impacted mothers' CP-specific knowledge, as well as their utilization of rehabilitation services in rural Bangladesh.

METHODS

This quasi-experimental study was conducted with a group of mothers of children with CP, formed through the ongoing initiatives of the Bangladesh CP Register in rural Bangladesh. A pre-post-intervention comparison method was used to assess the outcomes of the intervention.

RESULTS

Mothers who participated in over two-thirds of the mPower sessions demonstrated a significant increase in CP-related knowledge (75.5% vs. 63.6%, = 0.04). Additionally, mothers who attended two-thirds of the mPower sessions utilized rehabilitation services more often compared to those who attended fewer sessions (55.3% vs. 22.6%, < 0.001).

CONCLUSIONS

The mPower intervention successfully improved health literacy and likely increased rehabilitation service utilization among mothers of children with CP in rural Bangladesh.

摘要

背景/目的:脑瘫(CP)影响着大量儿童,尤其是在孟加拉国等低收入和中等收入国家。孕产妇健康素养对脑瘫患儿的健康和福祉至关重要,特别是在资源匮乏的环境中。在本研究中,我们试图评估基于社区的“mPower(母亲的力量)”干预措施如何影响孟加拉国农村地区母亲们对脑瘫的特定知识,以及她们对康复服务的利用情况。

方法

这项准实验研究是针对一群脑瘫患儿的母亲开展的,这些母亲是通过孟加拉国脑瘫登记处在孟加拉国农村地区正在进行的倡议活动组建起来的。采用干预前后比较的方法来评估干预效果。

结果

参加超过三分之二“mPower”课程的母亲在脑瘫相关知识方面有显著增加(75.5%对63.6%,P = 0.04)。此外,参加三分之二“mPower”课程的母亲比参加课程较少的母亲更频繁地利用康复服务(55.3%对22.6%,P < 0.001)。

结论

“mPower”干预措施成功提高了健康素养,并可能增加了孟加拉国农村地区脑瘫患儿母亲对康复服务的利用。

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