Researchers, practitioners, and policymakers in the field of child and family welfare have emphasized the need for child-centered services for children growing up in families experiencing complex and multiple problems (FECMP). However, the provision of evidence-based services for these children requires knowledge of the care activities of these services. The aim of this study was to investigate care activities and considerations related to the care provision of child-centered care for children growing up in FECMP. To study these care activities and considerations we investigated the care process of a program called Child and Youth Coaching. Hybrid coding was used to identify and compare care activities from multiple sources. In the first phase of analysis a coding scheme of care activities was derived from the program manual. Secondly, these care activities were identified from practice using daily care reports, intake forms, and interviews with coaches and the developers of the intervention. During this stage additional care activities were identified from practice. All care activities were compared across sources to assess whether care provision in practice adhered to the program manual (fidelity), and to investigate whether care provision varied across cases (flexibility). Furthermore, considerations that played a role in care provision were identified (considerations). The results showed treatment fidelity for most care activities. However, some treatment standards were only broadly defined in the program manual. Flexibility in treatment was mainly observed in the adaptation of problem assessment to the capabilities and interests of the child. Overall, Child and Youth Coaching promoted child participation by focusing on children’s perspectives in problem assessment, setting care goals, and determining care activities. However, several barriers to child participation were identified such as non-disclosure about the family situation, young age, and a lack of motivation. Although children experiencing these barriers to participation need additional attention in future intervention development and research, we conclude Child and Youth Coaching is a promising program in promoting the participation and wellbeing of children growing up in FECMP.

儿童和家庭福利领域的研究人员，从业人员和政策制定者强调，需要为以家庭为中心的成长中遇到复杂和多重问题的儿童提供以儿童为中心的服务（FECMP）。但是，为这些儿童提供循证服务需要了解这些服务的照管活动。这项研究的目的是调查与在FECMP中成长的儿童以儿童为中心的照料提供照料有关的照料活动和注意事项。为了研究这些照料活动和注意事项，我们调查了名为“儿童和青年教练”计划的照料过程。混合编码用于识别和比较来自多个来源的护理活动。在分析的第一阶段，从程序手册中得出了护理活动的编码方案。其次，这些护理活动是通过日常护理报告，摄入形式以及与教练和干预措施开发人员的访谈从实践中识别出来的。在这一阶段，从实践中确定了其他护理活动。所有来源的所有护理活动都进行了比较，以评估实践中的护理提供是否遵守计划手册（保真度），并调查各个案例中的护理提供是否有所不同（灵活性）。此外，确定了在护理提供中起作用的考虑因素（注意事项）。结果显示大多数护理活动的治疗保真度。但是，某些治疗标准仅在程序手册中进行了广泛定义。在适应问题评估以适应儿童的能力和兴趣方面，主要观察到治疗的灵活性。总体，儿童和青年教练通过关注儿童在问题评估，设定护理目标和确定护理活动方面的观点，促进了儿童的参与。但是，发现了一些阻碍儿童参与的障碍，例如不公开家庭情况，年龄小和缺乏动力。尽管遇到这些障碍的儿童在未来的干预开发和研究中需要更多的关注，但我们得出结论认为，儿童和青年教练是一项有前途的计划，可以促进FECMP中成长的儿童的参与和幸福。年纪轻轻，缺乏动力。尽管遇到这些障碍的儿童在未来的干预开发和研究中需要更多的关注，但我们得出结论认为，儿童和青年教练是一项有前途的计划，可以促进FECMP中成长的儿童的参与和幸福。年纪轻轻，缺乏动力。尽管遇到这些障碍的儿童在未来的干预开发和研究中需要更多的关注，但我们得出结论认为，儿童和青年教练是一项有前途的计划，可以促进FECMP中成长的儿童的参与和幸福。