Parent Mentoring and Child Anticipatory Guidance with Latino and African American Families

Farber, Michaela L. Z.

doi:10.1093/hsw/34.3.179

Cited by 22 publications

(63 citation statements)

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“…Eleven articles were identified through a reference search of accepted articles. Thirty-three articles were accepted; these included 13 articles primarily on alternative formats for WCC, 16,25-36 2 articles primarily on nonclinical locations for WCC, 37,38 17 articles primarily on nonphysicians/ non-NPs added to enhance WCC, 17,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] and 1 miscellaneous article. 55 Of 13 WCC format articles, 5 were on non-face-to-face formats, [25][26][27][28]36 and 8 were on group visit formats.…”

Section: Resultsmentioning

confidence: 99%

“…16,[29][30][31][32][33][34][35] Of the 17 WCC provider articles, 13 articles and 1 systematic review reported on the Healthy Steps for Young Children Program (HS, which uses a developmental specialist in WCC), 17,39-51 2 articles reported on a study using a developmental specialist in another intervention, 52,53 and 1 reported on use of a parent coach. 54 The WCC location articles included 1 intervention of home WCC 37 and 1 for preschool-based WCC. 38 The miscellaneous article reported findings from an intervention that included a social worker in visits and so was placed in the provider category.…”

Section: Resultsmentioning

confidence: 99%

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Well-Child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools

et al. 2013

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BACKGROUND AND OBJECTIVE: Various proposals have been made to redesign well-child care (WCC) for young children, yet no peerreviewed publication has examined the evidence for these. The objective of this study was to conduct a systematic review on WCC clinical practice redesign for children aged 0 to 5 years. METHODS:PubMed was searched using criteria to identify relevant English-language articles published from January 1981 through February 2012. Observational studies, controlled trials, and systematic reviews evaluating efficiency and effectiveness of WCC for children aged 0 to 5 were selected. Interventions were organized into 3 categories: providers, formats (how care is provided; eg, non-face-to-face formats), and locations for care. Data were extracted by independent article review, including study quality, of 3 investigators with consensus resolution of discrepancies. RESULTS:Of 275 articles screened, 33 met inclusion criteria. Seventeen articles focused on providers, 13 on formats, 2 on locations, and 1 miscellaneous. We found evidence that WCC provided in groups is at least as effective in providing WCC as 1-on-1 visits. There was limited evidence regarding other formats, although evidence suggested that non-face-to-face formats, particularly web-based tools, could enhance anticipatory guidance and possibly reduce parents' need for clinical contacts for minor concerns between well-child visits. The addition of a non-medical professional trained as a developmental specialist may improve receipt of WCC services and enhance parenting practices. There was insufficient evidence on nonclinical locations for WCC. CONCLUSIONS:

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Well-Child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools

et al. 2013

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“…13,[36][37][38] In a recent review of tools and strategies to improve WCC, we found evidence suggesting that inclusion of nonphysician providers into a health care team could improve receipt of anticipatory guidance and developmental and behavioral services. 16,17,[39][40][41][42] In Healthy Steps, a physician and child developmental specialist (typically a nurse, social worker, or early childhood educator) provide WCC in partnership. In a large, national, 3-year trial, intervention parents reported receiving more anticipatory guidance and more family-centered care and were more likely to be up-to-date on WCC.…”

Section: Discussionmentioning

confidence: 99%

A Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial

et al. 2016

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OBJECTIVE: The goal of this study was to examine the effects of a new model for well-child care (WCC), the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), on WCC quality and health care utilization among low-income families. METHODS:PARENT includes 4 elements designed by using a stakeholder-engaged process:(1) a parent coach (ie, health educator) to provide anticipatory guidance, psychosocial screening and referral, and developmental/behavioral guidance and screening at each wellvisit; (2) a Web-based tool for previsit screening; (3) an automated text message service to provide periodic, age-specific health messages to families; and (4) a brief, problem-focused encounter with the pediatric clinician. The Promoting Healthy Development Survey-PLUS was used to assess receipt of recommended WCC services at 12 months' postenrollment. Intervention effects were examined by using bivariate analyses. RESULTS:A total of 251 parents with a child aged ≤12 months were randomized to receive either the control (usual WCC) or the intervention (PARENT); 90% completed the 12-month assessment. Mean child age at enrollment was 4.5 months; 64% had an annual household income less than $20 000. Baseline characteristics for the intervention and control groups were similar. Intervention parents scored higher on all preventive care measures (anticipatory guidance, health information, psychosocial assessment, developmental screening, and parental developmental/behavioral concerns addressed) and experiences of care measures (family-centeredness, helpfulness, and overall rating of care). Fiftytwo percent fewer intervention children had ≥2 emergency department visits over the 12-month period. There were no significant differences in WCC or sick visits/urgent care utilization. CONCLUSIONS:A parent coach-led model for WCC may improve the receipt of comprehensive WCC for low-income families, and it may potentially lead to cost savings by reducing emergency department utilization.

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“…49 Some programs have been developed specifically to improve the delivery of preventive and primary care services for children in poverty. 16,[50][51][52][53] For example, the Parent-focused Encounters, Newborns to Toddlers Intervention, uses a health educator ("parent coach") to provide the bulk of well-child care (WCC) services. 16 At each visit, the parent coach provides anticipatory guidance; psychosocial screening/referral; and developmental and behavioral surveillance, screening, and guidance.…”

Section: Care Coordination Programsmentioning

confidence: 99%

Determinants of Health and Pediatric Primary Care Practices

Beck

Tschudy²,

Coker

et al. 2016

Pediatrics

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More than 20% of children nationally live in poverty. Pediatric primary care practices are critical points-of-contact for these patients and their families. Practices must consider risks that are rooted in poverty as they determine how to best deliver family-centered care and move toward action on the social determinants of health. The Practice-Level Care Delivery Subgroup of the Academic Pediatric Association's Task Force on Poverty has developed a roadmap for pediatric providers and practices to use as they adopt clinical practice redesign strategies aimed at mitigating poverty's negative impact on child health and well-being. The present article describes how care structures and processes can be altered in ways that align with the needs of families living in poverty. Attention is paid to both facilitators of and barriers to successful redesign strategies. We also illustrate how such a roadmap can be adapted by practices depending on the degree of patient need and the availability of practice resources devoted to intervening on the social determinants of health. In addition, ways in which practices can advocate for families in their communities and nationally are identified. Finally, given the relative dearth of evidence for many poverty-focused interventions in primary care, areas that would benefit from more in-depth study are considered. Such a focus is especially relevant as practices consider how they can best help families mitigate the impact of povertyrelated risks in ways that promote long-term health and well-being for children.abstract

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Parent Mentoring and Child Anticipatory Guidance with Latino and African American Families

Cited by 22 publications

References 0 publications

Well-Child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools

Well-Child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools

A Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial

Determinants of Health and Pediatric Primary Care Practices

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