Integrating a Parenting Assessment into Practice: Pediatric Providers’ Time and Perspectives

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2024-09-16 DOI:10.1007/s10995-024-03984-6

Amber J Cooke, Tahra I Attar, Victoria L Carr, Anna C Whitney, Rory J Tinker, Kathryn L Carlson, Merrill M Stoppelbein, Laura A Jana, Seth J Scholer

{"title":"Integrating a Parenting Assessment into Practice: Pediatric Providers’ Time and Perspectives","authors":"Amber J Cooke, Tahra I Attar, Victoria L Carr, Anna C Whitney, Rory J Tinker, Kathryn L Carlson, Merrill M Stoppelbein, Laura A Jana, Seth J Scholer","doi":"10.1007/s10995-024-03984-6","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To integrate a parenting assessment into primary care and assess pediatric providers’ time needed to review it and their perceptions of the process.</p><h3 data-test=\"abstract-sub-heading\">Description</h3><p>The Quick Parenting Assessment (QPA) is a validated, 13 item parent support tool that assesses for healthy and unhealthy parenting practices. Higher QPAs indicate more unhealthy parenting being used. In a clinic serving low-income parents, the QPA was integrated into the 15 month, 30 month, 5 year, and 8 year well child visits. After each well child visit in which the QPA was administered, providers were invited to complete a one-page survey—315 surveys were included in the analysis.</p><h3 data-test=\"abstract-sub-heading\">Assessment</h3><p>Most QPAs (78.7%) were low risk (QPA < = 2), 14.6% were medium risk (QPA = 3–4), and 6.7% were high risk (QPA > 4). The median time was 15–30 s to review low risk QPAs and 30 s to 1 min to review high risk QPAs. For most QPA reviews, health care providers reported that the QPA increased their objectivity in determining the level of support needed (68%), facilitated communication about parenting (77%), and increased the value of the visit (68%).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>A validated parenting assessment tool, integrated into pediatric primary care, appears to work for pediatric health care providers. These findings have implications for supporting parents in pediatrics, value-based care, and disease prevention.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":"44 1","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Maternal and Child Health Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10995-024-03984-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

To integrate a parenting assessment into primary care and assess pediatric providers’ time needed to review it and their perceptions of the process.

Description

The Quick Parenting Assessment (QPA) is a validated, 13 item parent support tool that assesses for healthy and unhealthy parenting practices. Higher QPAs indicate more unhealthy parenting being used. In a clinic serving low-income parents, the QPA was integrated into the 15 month, 30 month, 5 year, and 8 year well child visits. After each well child visit in which the QPA was administered, providers were invited to complete a one-page survey—315 surveys were included in the analysis.

Assessment

Most QPAs (78.7%) were low risk (QPA < = 2), 14.6% were medium risk (QPA = 3–4), and 6.7% were high risk (QPA > 4). The median time was 15–30 s to review low risk QPAs and 30 s to 1 min to review high risk QPAs. For most QPA reviews, health care providers reported that the QPA increased their objectivity in determining the level of support needed (68%), facilitated communication about parenting (77%), and increased the value of the visit (68%).

Conclusion

A validated parenting assessment tool, integrated into pediatric primary care, appears to work for pediatric health care providers. These findings have implications for supporting parents in pediatrics, value-based care, and disease prevention.

Abstract Image

查看原文本刊更多论文

将育儿评估纳入实践：儿科医生的时间和观点

目的将育儿评估纳入初级保健，并评估儿科医疗服务提供者审查该评估所需的时间以及他们对这一过程的看法。说明快速育儿评估（QPA）是一种经过验证的家长支持工具，共有 13 个项目，可评估健康和不健康的育儿方式。QPA 分数越高，表明采用的不健康养育方式越多。在一家为低收入父母提供服务的诊所，QPA 被纳入了 15 个月、30 个月、5 年和 8 年的儿童健康检查中。大多数 QPA（78.7%）为低风险（QPA = 2），14.6%为中风险（QPA = 3-4），6.7%为高风险（QPA = 4）。审核低风险 QPA 的中位时间为 15-30 秒，审核高风险 QPA 的中位时间为 30 秒至 1 分钟。对于大多数 QPA 审查，医疗服务提供者表示，QPA 提高了他们确定所需支持程度的客观性（68%），促进了有关养育子女的沟通（77%），并提高了就诊的价值（68%）。这些发现对在儿科、基于价值的护理和疾病预防中为父母提供支持具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.