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Facilitated Group Care for Maternal and Child Health Model Fidelity: A Scoping Review

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Název: Facilitated Group Care for Maternal and Child Health Model Fidelity: A Scoping Review
Autoři: Gresh, Ashley, Parker, Phoebe, Batchelder, Anne, Lazar, Jalana, Marea, Christina X., Bjelland, Camilla, Jeremiah, Rohan D., Machado-Kayzuka, Giovanna Cristina, Geibel, Hayden, Patel, Dhruvi R., Kapito, Esnath, Norr, Kathleen F., Patil, Crystal L.
Zdroj: Department of Pediatrics Faculty Publications
Informace o vydavateli: ODU Digital Commons
Rok vydání: 2025
Sbírka: Old Dominion University: ODU Digital Commons
Témata: Child, Female, Humans, Pregnancy, Child health, Group processes, Maternal health services/organization & administration, Maternal child health services/organization & administration, Group care, SDG3: Good health and well-being, Fidelity, Health care service delivery, Implementation science, Maternal and child health, Health Services Research, Pediatrics
Popis: Group care is a transformative model of prenatal, postnatal, and well-child care. The Centering-based group care model has three core components: health care, interactive learning, and community building. It has been implemented in 33 countries with associated improved maternal and child health outcomes. Maintaining fidelity to the model is essential for its effectiveness. However, to date no standardised measure of fidelity to the group care model exists. This review aimed to explore how fidelity is measured in group care and identify common themes to understand what is essential to maintain fidelity. We used the scoping review framework by Arksey & O'Malley, which included a consultation of experts and the Conceptual Framework for Implementation Fidelity to organise themes across group care fidelity measurement tools. Twenty-four articles were included spanning 12 countries in Africa, Asia, Europe, and North America. Common themes were: 1) adherence to the three core components; 2) exposure is not well understood; 3) quality of delivery is interconnected with facilitators' training; 4) participant responsiveness is focused on group dynamics; and 5) programme differentiation focused on type of facilitators. This review lays the foundation for creating a standardised tool to measure fidelity to the group care model across settings.
Druh dokumentu: text
Popis souboru: application/pdf
Jazyk: unknown
Relation: https://digitalcommons.odu.edu/pediatrics_pubs/2; https://digitalcommons.odu.edu/context/pediatrics_pubs/article/1001/viewcontent/Patel_2025_FacilitatedGroupCareforMaternalandChildHealthModelFidelityOCR.pdf
DOI: 10.1080/17441692.2025.2517788
Dostupnost: https://digitalcommons.odu.edu/pediatrics_pubs/2
https://doi.org/10.1080/17441692.2025.2517788
https://digitalcommons.odu.edu/context/pediatrics_pubs/article/1001/viewcontent/Patel_2025_FacilitatedGroupCareforMaternalandChildHealthModelFidelityOCR.pdf
Rights: © 2025 The Authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the authors or with their consent.
Přístupové číslo: edsbas.3AEB049D
Databáze: BASE
Popis
Abstrakt:Group care is a transformative model of prenatal, postnatal, and well-child care. The Centering-based group care model has three core components: health care, interactive learning, and community building. It has been implemented in 33 countries with associated improved maternal and child health outcomes. Maintaining fidelity to the model is essential for its effectiveness. However, to date no standardised measure of fidelity to the group care model exists. This review aimed to explore how fidelity is measured in group care and identify common themes to understand what is essential to maintain fidelity. We used the scoping review framework by Arksey & O'Malley, which included a consultation of experts and the Conceptual Framework for Implementation Fidelity to organise themes across group care fidelity measurement tools. Twenty-four articles were included spanning 12 countries in Africa, Asia, Europe, and North America. Common themes were: 1) adherence to the three core components; 2) exposure is not well understood; 3) quality of delivery is interconnected with facilitators' training; 4) participant responsiveness is focused on group dynamics; and 5) programme differentiation focused on type of facilitators. This review lays the foundation for creating a standardised tool to measure fidelity to the group care model across settings.
DOI:10.1080/17441692.2025.2517788