1. Training pediatric residents to provide parent education: a randomized controlled trial.
- Author
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McCormick E, Kerns SE, McPhillips H, Wright J, Christakis DA, and Rivara FP
- Subjects
- Child, Child Abuse prevention & control, Child Behavior, Child, Preschool, Female, Humans, Infant, Male, Parenting, Parents psychology, Regression Analysis, Self Efficacy, Washington, Education, Nonprofessional methods, Internship and Residency methods, Parent-Child Relations, Parents education, Pediatrics education, Professional-Family Relations
- Abstract
Objective: We evaluated the effect of Primary Care Positive Parenting Program (Triple P) training on pediatric residents and the families they serve to test 2 hypotheses: first, training would significantly improve resident skill in identifying and addressing discrete parenting and child behavior problems; and second, parents would report an improvement in their sense of self-efficacy, use of positive discipline strategies, and their child's behavior., Methods: Study participants included pediatric residents from 3 community clinics of a pediatric residency program, as well as English-speaking parents of children aged 18 months to 12 years without a diagnosed behavior disorder cared for by study residents. Residents were randomized to receive Primary Care Triple P training either at the beginning or end of the study period. The measured resident outcomes were self-assessed confidence and skills in giving parenting advice. The measured family outcomes were parent sense of self-efficacy, child externalizing behavior, and discipline strategies., Results: Primary Care Triple P training had a positive, significant, and persistent impact on residents' parenting consultation skills (mean increase on Parent Consultation Skills Checklist 48.11, 95% confidence interval [CI] 40.07, 57.36). Parents visiting intervention-trained residents demonstrated improved disciplinary practices compared to parents visiting control residents (mean change in Child Discipline Survey 0.322, 95% CI 0.02, 0.71), with stronger differential effects for parents with lower baseline skills (mean Child Discipline Survey change 0.822, 95% CI 0.48, 1.83). No differences were found for child behavior or parenting sense of confidence., Conclusions: Training residents in Primary Care Triple P can have a positive impact on consultation skills and parent disciplinary practices. This finding adds strength to the call for increased residency training in behavioral pediatrics., (Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
- Published
- 2014
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