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

Autor: J Cooke A; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., Attar TI; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., L Carr V; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., C Whitney A; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., J Tinker R; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., L Carlson K; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., M Stoppelbein M; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA., A Jana L; Penn State's Edna Bennett Pierce Prevention Research Center, College of Health and Human Development, Pennsylvania State University, 314 Biobehavioral Health Building, University Park, PA, 16802, USA., J Scholer S; Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA. Seth.Scholer@VUMC.org.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2024 Oct; Vol. 28 (10), pp. 1663-1670. Date of Electronic Publication: 2024 Sep 16.
DOI: 10.1007/s10995-024-03984-6
Abstrakt: 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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