Adapting community child and family health service models for rural and other diverse settings: A modified Delphi study to identify key elements.

Stockton, DA; Fowler, C; Debono, D; Travaglia, J

Adapting community child and family health service models for rural and other diverse settings: A modified Delphi study to identify key elements.

Stockton, DA Fowler, C

Debono, D

Travaglia, J

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Health Soc Care Community, 2022
Issue Date:: 2022-10-04

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Field	Value	Language
dc.contributor.author	Stockton, DA
dc.contributor.author	Fowler, C https://orcid.org/0000-0002-7838-8434
dc.contributor.author	Debono, D https://orcid.org/0000-0003-2095-156X
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466
dc.date.accessioned	2022-11-30T04:30:46Z
dc.date.available	2022-09-12
dc.date.available	2022-11-30T04:30:46Z
dc.date.issued	2022-10-04
dc.identifier.citation	Health Soc Care Community, 2022
dc.identifier.issn	0966-0410
dc.identifier.issn	1365-2524
dc.identifier.uri	http://hdl.handle.net/10453/163922
dc.description.abstract	Inequity in health outcomes is pervasive, with poorer health outcomes identified in rural, regional and remote communities. An international call to action emphasises the need for service models adapted for less well-resourced settings. The aim of this study was to identify key elements of a framework for the adaptation of specialist community-based child and family health (CFH) service models for rural and other under-resourced settings. A modified Delphi study was undertaken with a 12-person expert panel in CFH including Australian and international professionals and parents from rural and remote communities. The study was informed by the WHO Framework for Strengthening Health Service Systems building blocks, the outcomes of an integrative review of literature and a Participatory Action Research study. Experts assessed 107 potential elements for service model development and rated them for importance when adapting service models for different contexts. Round 1 of the Delphi generated considerable consensus with 80 of the 107 potential elements identified as necessary for the service model adaptation framework. A further 17 elements for CFH service models were added in round 2. While multiple varied elements are important for adapting CFH service models for diverse settings, some elements had common themes. Experts highlighted the importance of community engagement and participation; utilising both data and local knowledge to develop a robust understanding of the community context; and the need for a flexible approach to funding and modes of service delivery to address barriers to implementation and access.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Health Soc Care Community
dc.relation.isbasedon	10.1111/hsc.14052
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1607 Social Work
dc.subject.classification	Nursing
dc.title	Adapting community child and family health service models for rural and other diverse settings: A modified Delphi study to identify key elements.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1607 Social Work
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access	*
dc.date.updated	2022-11-30T04:30:45Z
pubs.publication-status	Published online

Abstract:

Inequity in health outcomes is pervasive, with poorer health outcomes identified in rural, regional and remote communities. An international call to action emphasises the need for service models adapted for less well-resourced settings. The aim of this study was to identify key elements of a framework for the adaptation of specialist community-based child and family health (CFH) service models for rural and other under-resourced settings. A modified Delphi study was undertaken with a 12-person expert panel in CFH including Australian and international professionals and parents from rural and remote communities. The study was informed by the WHO Framework for Strengthening Health Service Systems building blocks, the outcomes of an integrative review of literature and a Participatory Action Research study. Experts assessed 107 potential elements for service model development and rated them for importance when adapting service models for different contexts. Round 1 of the Delphi generated considerable consensus with 80 of the 107 potential elements identified as necessary for the service model adaptation framework. A further 17 elements for CFH service models were added in round 2. While multiple varied elements are important for adapting CFH service models for diverse settings, some elements had common themes. Experts highlighted the importance of community engagement and participation; utilising both data and local knowledge to develop a robust understanding of the community context; and the need for a flexible approach to funding and modes of service delivery to address barriers to implementation and access.

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http://hdl.handle.net/10453/163922