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":"将育儿评估纳入实践：儿科医生的时间和观点","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":"{\"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. 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Integrating a Parenting Assessment into Practice: Pediatric Providers’ Time and Perspectives
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.
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.
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