Abstract
Introduction: We examined changes in family engagement before vs. during the pandemic in pediatric and family services as well as perceived facilitators and barriers to family engagement.Methods: We employed a mixed-method assessment of staff and caregiver perspectives related to pediatric and family medicine clinics and family resource centers in rural northern New England. We used narrative synthesis to analyze qualitative interviews (n=29) and descriptive statistics for quantitative surveys (n=108).Results: Staff felt they were not doing as well at engaging families during vs. pre-pandemic, identifying numerous facilitators and barriers. We found differences in resources used by families before vs. during the pandemic. We identified discordant perspectives between caregivers and staff regarding how well clinics and centers were identifying and responding to family needs.Discussion: Leaders in pediatrics, advanced practice nursing, and related fields can draw upon our findings to make decisions about what services and modalities they provide post-pandemic.
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