Implementation Evaluation of HUGS/Abrazos During the COVID-19 Pandemic: A Program to Foster Resiliency in Pregnancy and Early Childhood.

Autor:	Liu M; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States.; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.; Harvard Medical School, Boston, MA, United States., Simione M; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States.; Department of Pediatrics, Harvard Medical School, Boston, MA, United States., Perkins ME; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Price SN; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Luo M; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Lopez W; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Catalan VM; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Chen ST; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States., Torres C; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.; MGH Chelsea HealthCare Center, Chelsea, MA, United States., Kwete GM; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.; MGH Revere HealthCare Center, Revere, MA, United States., Seigel M; Harvard Medical School, Boston, MA, United States.; Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, United States., Edlow AG; Harvard Medical School, Boston, MA, United States.; Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, United States., Parra MY; MGH Chelsea HealthCare Center, Chelsea, MA, United States., Hunter ML; MGH Chelsea HealthCare Center, Chelsea, MA, United States., Boudreau AA; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States.; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.; MGH Chelsea HealthCare Center, Chelsea, MA, United States., Taveras EM; Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States.; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.; Kraft Center for Community Health, Massachusetts General Hospital, Boston, MA, United States.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 May 20; Vol. 10, pp. 862388. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.862388
Abstrakt:	Early life adversity can significantly impact child development and health outcomes throughout the life course. With the COVID-19 pandemic exacerbating preexisting and introducing new sources of toxic stress, social programs that foster resilience are more necessary now than ever. The Helping Us Grow Stronger (HUGS/Abrazos) program fills a crucial need for protective buffers during the COVID-19 pandemic, which has escalated toxic stressors affecting pregnant women and families with young children. HUGS/Abrazos combines patient navigation, behavioral health support, and innovative tools to ameliorate these heightened toxic stressors. We used a mixed-methods approach, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, to evaluate the implementation of the HUGS/Abrazos program at Massachusetts General Hospital from 6/30/2020-8/31/2021. Results of the quality improvement evaluation revealed that the program was widely adopted across the hospital and 392 unique families were referred to the program. The referred patients were representative of the communities in Massachusetts disproportionately affected by the COVID-19 pandemic. Furthermore, 79% of referred patients followed up with the initial referral, with sustained high participation rates throughout the program course; and they were provided with an average of four community resource referrals. Adoption and implementation of the key components in HUGS/Abrazos were found to be appropriate and acceptable. Furthermore, the implemented program remained consistent to the original design. Overall, HUGS/Abrazos was well adopted as an emergency relief program with strong post-COVID-19 applicability to ameliorate continuing toxic stressors while decreasing burden on the health system. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Liu, Simione, Perkins, Price, Luo, Lopez, Catalan, Chen, Torres, Kwete, Seigel, Edlow, Parra, Hunter, Boudreau and Taveras.)
Databáze:	MEDLINE
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