Promotion of Positive Parenting and Prevention of Socioemotional Disparities
| Autor: | Adriana Weisleder, Alan L. Mendelsohn, Anne M. Seery, Benard P. Dreyer, Carolyn Brockmeyer Cates, Caitlin F. Canfield, Harris S. Huberman, Samantha Berkule Johnson |
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| Rok vydání: | 2015 |
| Předmět: |
Pediatrics
medicine.medical_specialty Urban Population Psychological intervention Child Behavior Mothers Child Behavior Disorders Article law.invention Developmental psychology 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics medicine Humans 0501 psychology and cognitive sciences Single-Blind Method Toddler Poverty Shared reading Socioemotional selectivity theory Parenting Random assignment business.industry Hospitals Public 05 social sciences Infant Newborn Infant Videotape Recording Mother-Child Relations Primary Prevention Distress Child Preschool Pediatrics Perinatology and Child Health Female New York City business Psychosocial 050104 developmental & child psychology |
| Zdroj: | Pediatrics. 137(2) |
| ISSN: | 1098-4275 |
| Popis: | OBJECTIVE: The goal of this study was to determine what effects pediatric primary care interventions, focused on promotion of positive parenting through reading aloud and play, have on the socioemotional development of toddlers from low-income, primarily immigrant households. METHODS: This randomized controlled trial included random assignment to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or to a control group. Mother–newborn dyads were enrolled postpartum in an urban public hospital. In VIP, dyads met with an interventionist on days of well-child visits; the interventionist facilitated interactions in play and shared reading through provision of learning materials and review of videotaped parent–child interactions. In BB, parents were mailed parenting pamphlets and learning materials. This article analyzes socioemotional outcomes from 14 to 36 months for children in VIP and BB versus control. RESULTS: A total of 463 dyads (69%) contributed data. Children in VIP scored higher than control on imitation/play and attention, and lower on separation distress, hyperactivity, and externalizing problems, with effect sizes ∼0.25 SD for the sample as a whole and ∼0.50 SD for families with additional psychosocial risks . Children in BB made greater gains in imitation/play compared with control. CONCLUSIONS: These findings support the efficacy of VIP, a preventive intervention targeting parent–child interactions, for enhancing socioemotional outcomes in low-income toddlers. Given the low cost and potential for scalability of primary care interventions, findings support expansion of pediatric-based parenting programs such as VIP for the primary prevention of socioemotional problems before school entry. |
| Databáze: | OpenAIRE |
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