Justin D Smith1, Gracelyn H Cruden2, Lourdes M Rojas3, Mark Van Ryzin4, Emily Fu5, Matthew M Davis6, John Landsverk2, C Hendricks Brown5. 1. Center for Prevention Implementation Methodology for Drug Abuse and HIV and Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; jd.smith@northwestern.edu. 2. Oregon Social Learning Center, Eugene, Oregon. 3. Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida. 4. Oregon Research Institute, Eugene, Oregon; and. 5. Center for Prevention Implementation Methodology for Drug Abuse and HIV and Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. 6. Division of Academic General Pediatrics, Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago and Departments of Pediatrics, Medicine, Medical Social Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Abstract
CONTEXT: More than 4 decades of research indicate that parenting interventions are effective at preventing and treating mental, emotional, and behavioral disorders in children and adolescents. Pediatric primary care is a viable setting for delivery of these interventions. OBJECTIVE: Previous meta-analyses have shown that behavioral interventions in primary care can improve clinical outcomes, but few reviews have been focused specifically on the implementation of parenting interventions in primary care. We aimed to fill this gap. DATA SOURCES: We reviewed 6532 unique peer-reviewed articles published in PubMed, the Cumulative Index to Nursing and Allied Health Literature, and PsycInfo. STUDY SELECTION: Articles were included if at least part of the intervention was delivered in or through primary care; parenting was targeted; and child-specific mental, emotional, and behavioral health outcomes were reported. DATA EXTRACTION: Articles were reviewed in Covidence by 2 trained coders, with a third coder arbitrating discrepancies. RESULTS: In our review of 40 studies, most studies were coded as a primary. Few researchers collected implementation outcomes, particularly those at the service delivery system level. LIMITATIONS: Including only published articles could have resulted in underrepresentation of implementation-related data. CONCLUSIONS: Parenting interventions delivered and implemented with fidelity in pediatric primary care could result in positive and equitable impacts on mental, emotional, and behavioral health outcomes for both parents and their children. Future research on the implementation strategies that can support adoption and sustained delivery of parenting interventions in primary care is needed if the field is to achieve population-level impact.
CONTEXT: More than 4 decades of research indicate that parenting interventions are effective at preventing and treating mental, emotional, and behavioral disorders in children and adolescents. Pediatric primary care is a viable setting for delivery of these interventions. OBJECTIVE: Previous meta-analyses have shown that behavioral interventions in primary care can improve clinical outcomes, but few reviews have been focused specifically on the implementation of parenting interventions in primary care. We aimed to fill this gap. DATA SOURCES: We reviewed 6532 unique peer-reviewed articles published in PubMed, the Cumulative Index to Nursing and Allied Health Literature, and PsycInfo. STUDY SELECTION: Articles were included if at least part of the intervention was delivered in or through primary care; parenting was targeted; and child-specific mental, emotional, and behavioral health outcomes were reported. DATA EXTRACTION: Articles were reviewed in Covidence by 2 trained coders, with a third coder arbitrating discrepancies. RESULTS: In our review of 40 studies, most studies were coded as a primary. Few researchers collected implementation outcomes, particularly those at the service delivery system level. LIMITATIONS: Including only published articles could have resulted in underrepresentation of implementation-related data. CONCLUSIONS: Parenting interventions delivered and implemented with fidelity in pediatric primary care could result in positive and equitable impacts on mental, emotional, and behavioral health outcomes for both parents and their children. Future research on the implementation strategies that can support adoption and sustained delivery of parenting interventions in primary care is needed if the field is to achieve population-level impact.
Authors: Valentina Postorino; William G Sharp; Courtney E McCracken; Karen Bearss; T Lindsey Burrell; A Nichole Evans; Lawrence Scahill Journal: Clin Child Fam Psychol Rev Date: 2017-12
Authors: Hannah Scheuer; Margaret R Kuklinski; Stacy A Sterling; Richard F Catalano; Arne Beck; Jordan Braciszewski; Jennifer Boggs; J David Hawkins; Amy M Loree; Constance Weisner; Susan Carey; Farah Elsiss; Erica Morse; Rahel Negusse; Andrew Jessen; Andrea Kline-Simon; Sabrina Oesterle; Charles Quesenberry; Oleg Sofrygin; Tae Yoon Journal: Contemp Clin Trials Date: 2021-11-14 Impact factor: 2.226
Authors: Leigha A MacNeill; Norrina B Allen; Roshaye B Poleon; Teresa Vargas; K Juston Osborne; Katherine S F Damme; Deanna M Barch; Sheila Krogh-Jespersen; Ashley N Nielsen; Elizabeth S Norton; Christopher D Smyser; Cynthia E Rogers; Joan L Luby; Vijay A Mittal; Lauren S Wakschlag Journal: Dev Psychopathol Date: 2021-12-07
Authors: Lauren S Wakschlag; Amy L Finlay-Jones; Leigha A MacNeill; Aaron J Kaat; C Hendricks Brown; Matthew M Davis; Patricia Franklin; Cady Berkel; Sheila Krogh-Jespersen; Justin D Smith Journal: Front Public Health Date: 2022-04-14
Authors: Frances L Doyle; Alina Morawska; Daryl J Higgins; Sophie S Havighurst; Trevor G Mazzucchelli; John W Toumbourou; Christel M Middeldorp; Carys Chainey; Vanessa E Cobham; Paul Harnett; Matthew R Sanders Journal: Child Psychiatry Hum Dev Date: 2022-01-06