Elizabeth Peacock-Chambers1,2, Kathryn Ivy3, Megan Bair-Merritt4. 1. Institute for Healthcare Delivery and Population Science, Baystate Health, Springfield, Massachusetts; epc@bu.edu. 2. Department of Pediatrics, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts. 3. School of Medicine, Boston University, Boston, Massachusetts; and. 4. Division of General Pediatrics, Boston Medical Center, Boston, Massachusetts.
Abstract
CONTEXT: The pediatric primary care setting offers a platform to promote positive parenting behaviors and the optimal development of young children. Many new interventions have been developed and tested in this setting over the past 2 decades. OBJECTIVE: To summarize the recent published evidence regarding the impact of primary care-based interventions on parenting behaviors and child development outcomes; to provide recommendations for incorporation of effective interventions into pediatric clinics. DATA SOURCES: A literature search of PubMed and PsycINFO was conducted from January 1, 1999, to February 14, 2017. STUDY SELECTION: Publications in which primary care-based interventions and reported outcomes regarding the child's development or parenting behaviors associated with the promotion of optimal child development are described. DATA EXTRACTION: Forty-eight studies in which 24 interventions were described were included. Levels of evidence and specific outcome measures are reported. RESULTS: Included interventions were categorized as general developmental support, general behavioral development, or topic-specific interventions. Two interventions resulted in reductions in developmental delay, 4 improved cognitive development scores, and 6 resulted in improved behavioral intensity or reduction in behavioral problems. Interventions used a variety of theory-based behavior change strategies such as modeling, group discussion, role play, homework assignment, coaching, and video-recorded interactions. Three interventions report the cost of the intervention. LIMITATIONS: Community or home-based interventions were excluded. CONCLUSIONS: Although several interventions resulted in improved child development outcomes for children aged 0 to 3 years, comparison across studies and interventions is limited by use of different outcome measures, time of evaluation, and variability of results.
CONTEXT: The pediatric primary care setting offers a platform to promote positive parenting behaviors and the optimal development of young children. Many new interventions have been developed and tested in this setting over the past 2 decades. OBJECTIVE: To summarize the recent published evidence regarding the impact of primary care-based interventions on parenting behaviors and child development outcomes; to provide recommendations for incorporation of effective interventions into pediatric clinics. DATA SOURCES: A literature search of PubMed and PsycINFO was conducted from January 1, 1999, to February 14, 2017. STUDY SELECTION: Publications in which primary care-based interventions and reported outcomes regarding the child's development or parenting behaviors associated with the promotion of optimal child development are described. DATA EXTRACTION: Forty-eight studies in which 24 interventions were described were included. Levels of evidence and specific outcome measures are reported. RESULTS: Included interventions were categorized as general developmental support, general behavioral development, or topic-specific interventions. Two interventions resulted in reductions in developmental delay, 4 improved cognitive development scores, and 6 resulted in improved behavioral intensity or reduction in behavioral problems. Interventions used a variety of theory-based behavior change strategies such as modeling, group discussion, role play, homework assignment, coaching, and video-recorded interactions. Three interventions report the cost of the intervention. LIMITATIONS: Community or home-based interventions were excluded. CONCLUSIONS: Although several interventions resulted in improved child development outcomes for children aged 0 to 3 years, comparison across studies and interventions is limited by use of different outcome measures, time of evaluation, and variability of results.
Authors: Rachel S Gross; Mary Jo Messito; Perri Klass; Caitlin F Canfield; H Shonna Yin; Pamela A Morris; Daniel S Shaw; Benard P Dreyer; Alan L Mendelsohn Journal: Acad Pediatr Date: 2021 Nov-Dec Impact factor: 3.107
Authors: Catherine Louise Taylor; Daniel Christensen; Joel Stafford; Alison Venn; David Preen; Stephen Rade Zubrick Journal: BMJ Open Date: 2020-04-20 Impact factor: 2.692