Andrew R Riley1, Bethany L Walker1, Anna C Wilson1, Trevor A Hall1, Elizabeth A Stormshak2, Deborah J Cohen3. 1. Department of Pediatrics, Institute on Development & Disability, Oregon Health & Science University, Portland, OR. 2. Department of Counseling, Family and Human Services, College of Education, University of Oregon, Eugene, OR. 3. Department of Family Medicine, Oregon Health & Science University, Portland, OR.
Abstract
OBJECTIVE: Early childhood parenting interventions are increasingly delivered in primary care, but parental engagement with those interventions is often suboptimal. We sought to better understand parents' preferences for the content and delivery method of behavioral health guidance in pediatric primary care and to determine the relationship of those preferences with demographic characteristics, child behavior problems, and parenting style. METHODS: Participants were 396 parents of young children recruited from primary care offices. We collected measures of parental preferences (including behavioral topics, intervention strategies, and methods of delivery) for behavioral intervention in primary care, child behavior symptoms, parenting style, and demographic characteristics. Descriptive statistics were used to identify parents' most preferred behavioral topics and intervention delivery methods. We used a hierarchical regression approach to determine whether parenting style predicted parents' preferences beyond demographic and child-level factors. RESULTS: Nearly all parents (96%) endorsed a behavioral topic (e.g., aggression) as important. Most preferred to receive intervention during routine medical appointments. Child behavior problems correlated with parents' overall interest in behavioral guidance, but clinically significant symptoms did not differentiate interest in any single topic. Socioeconomic factors and negative parenting practices predicted some parental preferences. Notably, lax parenting generally predicted higher interest in behavioral intervention, whereas hostile and physically controlling parenting predicted lower interest. CONCLUSION: Most parents are interested in behavioral guidance as part of primary care, but their preferences for the content and delivery of that guidance vary by known socioeconomic, child, and parenting risk factors. Tailoring intervention to parents' preferences may increase engagement with available interventions.
OBJECTIVE: Early childhood parenting interventions are increasingly delivered in primary care, but parental engagement with those interventions is often suboptimal. We sought to better understand parents' preferences for the content and delivery method of behavioral health guidance in pediatric primary care and to determine the relationship of those preferences with demographic characteristics, child behavior problems, and parenting style. METHODS:Participants were 396 parents of young children recruited from primary care offices. We collected measures of parental preferences (including behavioral topics, intervention strategies, and methods of delivery) for behavioral intervention in primary care, child behavior symptoms, parenting style, and demographic characteristics. Descriptive statistics were used to identify parents' most preferred behavioral topics and intervention delivery methods. We used a hierarchical regression approach to determine whether parenting style predicted parents' preferences beyond demographic and child-level factors. RESULTS: Nearly all parents (96%) endorsed a behavioral topic (e.g., aggression) as important. Most preferred to receive intervention during routine medical appointments. Child behavior problems correlated with parents' overall interest in behavioral guidance, but clinically significant symptoms did not differentiate interest in any single topic. Socioeconomic factors and negative parenting practices predicted some parental preferences. Notably, lax parenting generally predicted higher interest in behavioral intervention, whereas hostile and physically controlling parenting predicted lower interest. CONCLUSION: Most parents are interested in behavioral guidance as part of primary care, but their preferences for the content and delivery of that guidance vary by known socioeconomic, child, and parenting risk factors. Tailoring intervention to parents' preferences may increase engagement with available interventions.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Kathryn W Hoffses; Lisa Y Ramirez; Louise Berdan; Rachel Tunick; Sarah Morsbach Honaker; Tawnya J Meadows; Laura Shaffer; Paul M Robins; Lynne Sturm; Terry Stancin Journal: J Pediatr Psychol Date: 2016-08-26
Authors: Christopher L Hunter; Jennifer S Funderburk; Jodi Polaha; David Bauman; Jeffrey L Goodie; Christine M Hunter Journal: J Clin Psychol Med Settings Date: 2018-06
Authors: Andrew R Riley; Bethany L Walker; Krishnapriya Ramanujam; Wendy M Gaultney; Deborah J Cohen Journal: J Behav Health Serv Res Date: 2021-10-01 Impact factor: 1.475
Authors: Rachel A Petts; Bethany L Walker; Katherine A Hails; Marisa Simoni; Whitney J Raglin Bignall; Cody A Hostutler; Andrew R Riley Journal: J Dev Behav Pediatr Date: 2021-11-01 Impact factor: 2.988