2023-09-28 14:46:10 +00:00
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abstract: 'Background Health and social inequality are associated with multiple
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adverse childhood experiences including poverty, mental illness, and
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child maltreatment. While effective interventions currently exist for
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many health and social problems, large segments of the population
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experience barriers accessing needed services. In alignment with broader
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public health efforts to reduce health and social inequality in one
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state in the U.S.A., the current study describes the development and
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formative evaluation of a brief, low cost, portable model of
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prevention-oriented family service navigation called Navigate Your Way.
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Methods Caregivers of children experiencing significant unmet health or
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social service needs were recruited to the study. Participants completed
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an initial and closing telephone interview which included measures of
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past and current family health and social service utilization, service
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barriers, parenting stress, and child internalizing/externalizing
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behaviors. Between interviews participants created a family service plan
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and received 10 weeks of telephone and web-mediated family navigation,
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at which time process and fidelity of implementation data were
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collected. Frequency and descriptive statistics are provided for
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participant demographic characteristics, service barriers, intervention
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engagement, and primary and secondary study outcomes. Paired samples
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t-tests examined changes in study outcomes between initial and closing
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telephone interviews. Results Thirty two caregivers enrolled,
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twenty-nine completed the study. The age range was 20-59 (M = 39.5, SD =
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10.0). The majority identified as female (96.9\%, n = 31), racial/ethnic
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minority (56.2\%, n = 18), and reported an average 10 barriers to care
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(M = 10.4, SD = 4.1). The most frequently reported service needs were
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mental health care, housing, food security, transportation, and health
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insurance. The mean duration of intervention delivery was 83 days. Most
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participants (82.8\%, n = 24) were connected to one or more health or
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social services. Caregivers reported significant improvements to youth
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internalizing behaviors (d = 2.5, p = .05) and high levels of overall
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satisfaction with the navigation approach. Conclusion Telephone and
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web-mediated service navigation is a feasible and practical approach to
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supporting families in rapidly connecting to health and social care.
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Future research investigating the efficacy and implementation of
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Navigate Your Way in routine settings is indicated.'
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affiliation: 'Waid, J (Corresponding Author), Univ Minnesota Twin Cities, Sch Social
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Work, 1404 Gortner Ave,105 Peters Hall, St Paul, MN 55108 USA.
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Waid, Jeffrey; Kutzler, Courtney, Univ Minnesota Twin Cities, Sch Social Work, 1404
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Gortner Ave,105 Peters Hall, St Paul, MN 55108 USA.
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Tomfohrde, Olivia, Univ Minnesota Twin Cities, Family Social Sci, 1985 Buford Ave,
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St Paul, MN 55108 USA.
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Kutzler, Courtney, Univ Minnesota Twin Cities, Sch Publ Hlth, 420 Delaware St SE,
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Minneapolis, MN 55455 USA.'
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article-number: '1972'
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author: Waid, Jeffrey and Tomfohrde, Olivia and Kutzler, Courtney
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author-email: jdwaid@umn.edu
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author_list:
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- family: Waid
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given: Jeffrey
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- family: Tomfohrde
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given: Olivia
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- family: Kutzler
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given: Courtney
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da: '2023-09-28'
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doi: 10.1186/s12889-022-14320-4
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Children; Equity; Families; Health; Inequality; Maltreatment;
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Navigation; Prevention; Social Work'
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keywords-plus: DESIGNS; INCOME
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language: English
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month: OCT 27
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number: '1'
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number-of-cited-references: '35'
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papis_id: 34fdd7e4a46f1839f5f98638a46660a6
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ref: Waid2022promotinghealth
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times-cited: '1'
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title: 'Promoting health and social equity through family navigation to prevention
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and early intervention services: a proof of concept study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000874929200007
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '22'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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