Effects of Pediatric Anticipatory Guidance on Mothers of Young Children

Hsu, Hui‐Chin; Lee, Shih‐Yu; Lai, Chin-Man; Tsai, Wan-Ling; Chiu, Hsiao-Tung

doi:10.1177/0193945916681292

Cited by 8 publications

(6 citation statements)

References 50 publications

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“…Applying TVIC principles to the care of Indigenous mothers and infants, PCPs can take a strengths-based approach, build trusting relationships and involve social and community supports that can help to counter the presence of risk factors . Providing anticipatory guidance can effectively promote positive health interactions, building trusting relationships, reducing distress and enabling mothers to make informed choices to promote their child's health and development (Hsu et al, 2018). Mothers who are well-informed and know what to expect for the care of their infant (ie.…”

Section: Discussionmentioning

confidence: 99%

“…Mothers who are well-informed and know what to expect for the care of their infant (ie. Follow-up visits, developmental milestones, safety precautions) are more confident parents (Hsu et al, 2018). Clinics can promote confidentiality, and ensure safe and private areas are available for sensitive conversations .…”

Section: Discussionmentioning

confidence: 99%

“…First, PCPs who provided anticipatory guidance demonstrated their ability to predict which knowledge and skills mothers needed to care for their infant (Hsu, Lee, Lai, Tsai, & Chiu, 2018). Mothers whose PCPs counselled them on what to expect also said they were more confident in their understanding of their infant's health, needs and treatment plans.…”

Section: Personnelmentioning

confidence: 99%

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Indigenous mothers’ experiences of using primary care in Hamilton, Ontario, for their infants

Wright

Jack

Ballantyne

et al. 2019

International Journal of Qualitative Studies on Health and Well

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Purpose: Access to primary care can help mitigate the negative impacts of social inequity that disproportionately affect Indigenous people in Canada. Despite this, however, Indigenous people cite difficulties accessing care. This study seeks to understand how Indigenous mothers-typically responsible for the health of their infants-living in urban areas, experience selecting and using health services to meet the health needs of their infants. Results provide strategies to improve access to care, which may lead to improved health outcomes for Indigenous infants and their families. Methods: This qualitative interpretive description study is guided by the Two-Eyed Seeing framework. Interviews were conducted with 19 Indigenous mothers and 5 primary care providers. Results: The experiences of Indigenous mothers using primary care for their infants resulted in eight themes. Themes were organized according to three domains of primary care: structural, organizational and personnel. Conclusions: Primary care providers can develop contextual-awareness to better recognize and respond to the health and well-being of Indigenous families. Applying culturally safe, trauma and violence-informed and family-centred approaches to care can promote equitable access and positive health care interactions which may lead to improved health outcomes for Indigenous infants and their families. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Personnelmentioning

confidence: 99%

See 1 more Smart Citation

Indigenous mothers’ experiences of using primary care in Hamilton, Ontario, for their infants

Wright

Jack

Ballantyne

et al. 2019

International Journal of Qualitative Studies on Health and Well

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“…Additionally, the just-in-time provision of information is incongruent with the provision of anticipatory guidance, a long-standing hallmark of pediatric care (Reisinger & Bires, 1980). It requires the pediatric clinician to think forward and identify potential issues and educate families on these concerns in advance, so families can anticipate challenges and be prepared to address them once they arise (Hsu et al, 2018; Reisinger & Bires, 1980). Anticipatory guidance has been associated with lower parental stress and improved clinical outcomes when employed (Hsu et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Addressing Schooling in Children With Cancer—It's Everybody's Job, So It's Nobody's Job: An Explanatory Mixed-Methods Evaluation

Thornton¹,

Henegan

Carey

et al. 2022

Journal of Pediatric Hematology/Oncology Nursing

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Background: Neurocognitive deficits from childhood cancer treatment are common, long-standing, and negatively impact multiple domains of life leading to challenges with schooling and education. The purpose of this study is to describe caregiver-reported experiences of neurocognitive effects from therapy and to understand the roles clinicians play in this domain in the United States. Methods: An explanatory mixed-methods study of 174 caregivers of children with cancer provided insight into how clinicians provided information on neurocognitive effects of treatment and their experiences with school-related resources. Clinicians provided descriptions of how they provide this information and assist families with accessing services or transition back to school after therapy. Results: Caregivers identified that physicians, nurses, and social workers primarily provide information regarding neurocognitive effects of treatment. Over half (55.9%) of families seek additional information elsewhere and 49.4% report doing so because the information they received from their team was inadequate. Nearly 40% of caregivers report accessing school supports feels like a constant fight and over 40% were not offered homebound educational services by their school. Qualitative interviews with providers found that clinicians focus on therapy-related physical symptoms of treatment and only discuss neurocognitive effects when prompted by families or when children are returning to school. Discussion: Clinicians’ focus on physical symptoms and just-in-time thinking when it comes to providing education or school-related services may explain why families endorse infrequent education on the topic and challenges with school reintegration. Improved education for clinicians on this topic, integration of interdisciplinary teams, and new clinical practice models may improve the family experience.

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“…Many surveys have highlighted how few parents receive anticipatory guidance [15,[25][26][27][28][29][30][31]. Parents with high education level have easier access to primary care, receive more advice, and ask the doctor for more information [25,28], while families with less social support and who are more deprived (for example, newly arrived immigrants in Italy) often receive less advice and almost certainly have less access to understandable anticipatory guidance for developmental milestones [32].…”

Section: Introductionmentioning

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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Effects of Pediatric Anticipatory Guidance on Mothers of Young Children

Cited by 8 publications

References 50 publications

Indigenous mothers’ experiences of using primary care in Hamilton, Ontario, for their infants

Indigenous mothers’ experiences of using primary care in Hamilton, Ontario, for their infants

Addressing Schooling in Children With Cancer—It's Everybody's Job, So It's Nobody's Job: An Explanatory Mixed-Methods Evaluation

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

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