Does Trainee Involvement Affect Anticipatory Guidance in Well-Child Care?

Sgrignoli, Nicholas R.; Lehman, Erik; Sekhar, Deepa L.

doi:10.1177/0009922813500339

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Furthermore, using email or mobile messaging apps may further reduce costs and possibly increase the spread of the intervention [49]; even if equity is a challange for technology-based parenting interventions [54,55]. The Baby Newsletter allows all parents to receive written pediatric anticipatory guidance that would otherwise not be received and extends the pediatrician's contact with the family [25,[56][57][58].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

et al. 2020

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Background: Anticipatory guidance for parents is commonly used to improve parenting skills. The objective of this pre/post-intervention controlled study was to evaluate the effectiveness of a periodic newsletter with advice on childcare and development in improving parenting self-efficacy. Methods: This was a non-randomized pre/post-intervention controlled study. All the parents of children born between September 2014 and December 2015 resident in the S. Ilario d'Enza municipality (Italy) received eight Baby Newsletters. Parents resident in other municipalities of the same Health District were the control. Parents with linguistic barriers or with preterm or hospitalized children were excluded. Improvement in parenting self-efficacy was measured through the TOPSE (Tool to Measure Parenting Self-Efficacy) questionnaire during the first week (t0) after delivery and at 5 (t1) and 12 months (t2) of life at two vaccination appointments. A score ranging from 0 to 60 was computed for each of the eight domains investigated by the TOPSE. Variations of each TOPSE score between delivery and 12 months in the two groups were compared, adjusting for parity, education, age of parents, and child's sex, and stratifying by parity and education. Results /findings: One hundred thirty-six families accepted to participate in the study. Scores at 12 months were higher than 1 week after delivery in both groups for all TOPSE domains. The improvement was slightly stronger in the Newsletter group for almost all the skills except learning and knowledge [difference in the mean of variation:-0.48 (95% CI: − 3.17; 2.21)]; the difference was significant only for play and enjoyment [2.18 (95% CI: 0.12; 4.25)]. The increase in scores in almost all domains was more pronounced for parents with high education level at first child. Conclusions: The intervention was effective in improving parents' ability to play. However, it risks worsening existing differences between parents with high and with low education levels. Trial registration: Clinical trial registration: NCT03268408.

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Section: Discussionmentioning

confidence: 99%

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

et al. 2020

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“…Mothers with different ethnic/racial background can all benefit from pediatric AG directly and/or indirectly to reduce stress and promote effective parenting practices. Given that pediatric providers have identified many barriers to AG provision, including lack of time, training, reimbursement, and potential resources for referral (Erickson, Hill, & Siegel, 2001; Sgrignoli, Lehman, & Sekhar, 2014), how to balance the expanding recommendations for AG and efficiency of AG delivery (Coker, Windon, Moreno, Schuster, & Chung, 2013) will be an important topic for future research. In addition to investigating direct effects, explicating the mediating mechanism allowed us better to understand the role of parental stress in linking AG to parenting.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pediatric Anticipatory Guidance on Mothers of Young Children

et al. 2016

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Provision of anticipatory guidance to parents during well-child visits is a defining component of pediatric primary care. Using nationally representative data from the 2000 U.S. National Survey of Early Childhood Health, this study addressed the questions of whether, how, and what mothers of children below age 3 with different ethnic/racial background could benefit from anticipatory guidance. Structural equation modeling results showed that across ethnic/racial groups, guidance was directly associated with decreased maternal stress and directly and indirectly associated with effective parenting practices in child development, discipline, and safety. Moreover, guidance was consistently associated with decreased stress (effect size = .159/.123/.252) and increased effective parenting practices in child development (total effect = .090/.179/.296), discipline (total effect = .079/.138/.111), and safety (total effect = .186/.204/.229) in White/Black/Latino groups, respectively. Finally, whereas guidance was directly associated with child safety in all groups, it was indirectly contributed to child development and discipline via maternal stress in the Latino group only.

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“…In New York City, a 2007 modification to regulations on beverage offerings in childcare facilities stated SSBs should not be provided, and a follow-up study indicated that 67% of centers were in compliance. 21,22 Providers inquiring about daily SSB intake should remind parents to include SSBs offered in their childcare center in the "total." However, policy alone is unlikely to be successful in reducing SSB intake among young children.…”

Section: Discussionmentioning

confidence: 99%

“…This counseling frequently involves recommendations on nutrition, diet, and exercise. 21,22 Providers inquiring about daily SSB intake should remind parents to include SSBs offered in their childcare center in the “total.” Parents should be made aware that if their child is enrolled in outside of home care, SSBs may be routinely offered with snacks or meals. Providers can explain to parents that this information may not be provided as part of a daily report on meals and toileting.…”

Section: Discussionmentioning

confidence: 99%

Report of Sugar-Sweetened Beverages Offered in Pennsylvania Childcare Centers

Lutzkanin

Myers

Schaefer

et al. 2015

Clin Pediatr (Phila)

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The study objective was to quantify sugar-sweetened beverage (SSB) offerings to children in Pennsylvania (PA) childcare centers and determine whether this information is communicated to parents. In October 2014, a SurveyMonkey link was sent to 4461 PA childcare centers. The 518 respondents represented 88% of PA counties. 279 centers (54%) serve SSBs. 330 (65%) of childcare centers provide parents a report of their child's daily intake. Of 185 centers serving SSBs and providing a daily intake report, 91% include SSB consumption. In total, 38% of centers (103/272) offer but do not report SSB consumption. In 96% of centers, parents may request their child not receive SSBs. In conclusion, though more than half of PA childcare centers surveyed offer SSBs, those providing daily intake reports usually include SSB consumption. Requiring daily intake reports may be a strategy to increase parental awareness of items consumed outside the home.

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Does Trainee Involvement Affect Anticipatory Guidance in Well-Child Care?

Abstract: Priority anticipatory guidance is covered only one third as often when the well-child visit is not conducted by the primary attending. When involving trainees, continuity of care and parental concerns must be emphasized.

Cited by 3 publications

References 12 publications

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

Effects of Pediatric Anticipatory Guidance on Mothers of Young Children

Report of Sugar-Sweetened Beverages Offered in Pennsylvania Childcare Centers

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