Child–Adult Relationship Enhancement in Primary Care (PriCARE): A Randomized Trial of a Parent Training for Child Behavior Problems

Primary Care Interventions for Early Childhood Development: A Systematic Review

“…Four interventions resulted in decreased behavioral intensity between 2 and 24 months after the intervention: IY, 35,36 Triple P levels 3 and 4, 38, 40 -45 PCIT, 46 and PriCARE. 53 Children engaged in the Webster-Stratton intervention exhibited fewer behavioral problems at 6 months, but this difference did not persist at the 12-month follow-up. 49,50 The Universal Parenting Program 47,48 and ezParent 52 did not result in any difference in child behavior between the intervention and control groups.…”

“…BB provided a monthly newsletter and age-specific General behavioral interventions included Incredible Years (IY), 35,36 Positive Parenting Program (Triple P), 37 -45 Parent-Child Interaction Therapy (PCIT), 46 Universal Parenting Program (also called Toddlers without Tears), 47,48 Webster-Stratton, 49,50 Family Foundations, 51 ezParent, 52 and PriCARE. 53 Triple P was the most widely disseminated and studied program, which included 9 publications from 4 different countries. Triple P had 5 levels of intervention intensity designed to match the severity of the child's behavioral problems (Table 2).…”

“…In contrast to the general developmental interventions, behavioral interventions tended to target participants on the basis of behavioral concerns rather than demographic factors. The researchers for IY, 35,36 Webster-Stratton, 49,50 and PriCARE 53 studies enrolled children that scored above a certain threshold on behavioral assessments or whose parents reported concerns regarding their child's behavior. Triple P tailored the intervention intensity on the basis of the severity of the child's behavioral problems.…”

The Effects of Primary Care–Based Parenting Interventions on Parenting and Child Behavioral Outcomes: A Systematic Review

“…Given the focus of universal, primary care-based parenting interventions on prevention, it is worth exploring the possibility of incorporating intervention components targeting various dimensions of parental well-being. These effects could be assessed through measures of On the other hand, no positive effects on child behavioral outcomes were found in PriCARE although the intervention dosage was actually increased from a 6-hour two-day training to six weekly 90-min group sessions (Schilling et al, 2016). The original intervention, CARE, was developed to prevent childhood trauma and maltreatment by enhancing adults' ability to positively interact with children in an agency setting rather than to address intensive behavioral problems in children (Gurwitch et al, 2016).…”

Preventive Behavioral Health Programs in Primary Care: A Systematic Review

“…78 Most interventions in our review had sound theoretical bases. In 22 of the 44 studies, a PMT program (parent-child interaction therapy [PCIT], 26 Triple P Positive Parenting Program, 27,35,50,59,62,71,72 Brief Parent Training, 45,46 Incredible Years, 48, 49, 51, 56 -58, 60 or others 25,29,38,44,63,[68][69][70] ) was incorporated into primary care. PMT is based on social learning theory and has been thoroughly evaluated in other settings.…”