To determine the effects of
pediatric primary care interventions on parent - child interactions in families with low socioeconomic status.
Objective To determine the effects of
pediatric primary care interventions on parent - child interactions in families with low socioeconomic status.
Given the likely lower cost of targeted
pediatric primary care interventions compared with home - based programs, 34 cost - effectiveness analyses will be needed to better understand implications for public health policy.
Not exact matches
Our approach to achieving this goal focuses on three objectives: (1) to develop a reliable, predictive panel of biomarkers (including both biological and bio-behavioral measures) that can identify children, youth, and parents showing evidence of toxic stress, and that can be collected in
pediatric primary care settings; (2) to conduct basic, animal and human research on critical periods in development and individual differences in stress susceptibility, thereby informing the timing and design of a suite of new
interventions that address the roots of stress - related diseases early in the life cycle; and (3) to build a strong, community - based infrastructure through which scientists, practitioners, parents, and community leaders can apply new scientific insights and innovative measures to the development of more effective
interventions in the first three postnatal years.
Specific home visitation programs, especially with nurses supporting parents prenatally and then after the baby is born, have been carefully evaluated.17 - 19 Parenting programs also offer valuable guidance and can be effective, such as the Triple P
intervention.20 Another example is the Safe Environment for Every Kid (SEEK) model of
pediatric primary care.21 Building on the relationship between pediatrician and family, SEEK identifies and helps address prevalent risk factors such as parental depression.
In conclusion, 2
interventions provided in
pediatric primary care for families with low SES, namely, VIP and BB, resulted in enhanced parent - child interactions critical for early development and school readiness.
Hubs serve as a single point of entry for families to link to services including health insurance,
primary care /
pediatric medical homes, WIC, Part C Early
Intervention, child behavioral health and mental health, and early education programs.
More recently, we (Lavigne et al., 2007) conducted a study comparing a minimal
intervention involving bibliotherapy and no therapist contact with a moderately intensive, 12 - session parent training program (Webster - Stratton, 1997) using two models for linking
primary care to mental health services: an «office» model in which services were provided by
primary care nurses, and a «referral» model, in which
pediatric psychologists provided treatment.
Promising school - based
interventions (Gross et al., 2003; Reid, Webster - Stratton, & Hammond, 2003) may not be useful if ODD symptoms occur primarily at home, and
interventions and referrals originating in
pediatric primary care offer certain advantages: (a) other than teachers, physicians have the most professional contact with the families of preschoolers; (b) pediatricians report that research on the role of the
primary care provider in treating mental health problems is important to them (Chien et al., 2006); and (c) parents tend to trust physicians» opinions, and pediatricians» recommendations are the best predictor of help - seeking for preschoolers» behavior problems (Lavigne et al., 1993).
Objective To determine if a nurse - led or psychologist - led parent - training program was more successful than a minimal
intervention in treating early childhood Oppositional Defiant Disorder (ODD) in
pediatric primary care.