Parent Perspectives on the Use of Group Well-Child Care to Address Toxic Stress in Early Childhood

Graber, Lauren K.; Roder-Dewan, Sanam; Brockington, Morgan; Tabb, Tamiya; Boynton-Jarrett, Renée

doi:10.1080/10926771.2018.1539423

Cited by 4 publications

(10 citation statements)

References 43 publications

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“…Table 1 includes curricula developed or utilized for GWCC. In addition to normal well-child care topics, curriculum development often focused on placing an emphasis on a specific content area based on context specific needs such as psychosocial well-being, vaccine refusal, toxic stress, nutrition, obesity, and burn prevention (Graber et al, 2019 ; Liebert, 2016 ; Machuca et al, 2016 ; MacMillan Uribe et al, 2019 ; Marchel et al, 2015 ; Platt et al, 2022 ; Thomas et al, 1984 ).…”

Section: Resultsmentioning

confidence: 99%

“…GWCC is associated with improvements in healthcare utilization (e.g., attendance, immunization rates) and with parent and clinician satisfaction (Desai et al, 2019 ; Fenick et al, 2020 ; Graber et al, 2019 ; Gullett et al, 2019 ; Irigoyen et al, 2020 ; Johnston et al, 2017 ; Jones et al, 2018 ; Machuca et al, 2016 ; Page et al, 2010 ; Platt et al, 2022 ; Rice & Slater, 1997 ; Rosenthal et al, 2016 ; Rushton et al, 2015 ). Clinicians have also described the potential impact of GWCC to shift power dynamics and improve quality of care (Desai et al, 2019 ; Lazar et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Gresh

Wilson

Fenick

et al. 2023

Matern Child Health J

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Objective To use scoping review methods to construct a conceptual framework based on current evidence of group wellchild care to guide future practice and research. Methods We conducted a scoping review using Arksey and O'Malley's (2005) six stages. We used constructs from the Consolidated Framework for Implementation Research and the quadruple aim of health care improvement to guide the construction of the conceptual framework. ResultsThe resulting conceptual framework is a synthesis of the key concepts of group well-child care, beginning with a call for a system redesign of well-child care to improve outcomes while acknowledging the theoretical antecedents structuring the rationale that supports the model. Inputs of group well-child care include health systems contexts; administration/ logistics; clinical setting; group care clinic team; community/patient population; and curriculum development and training. The core components of group well-child care included structure (e.g., group size, facilitators), content (e.g., health assessments, service linkages). and process (e.g., interactive learning and community building). We found clinical outcomes in all four dimensions of the quadruple aim of healthcare. Conclusion Our conceptual framework can guide model implementation and identifies several outcomes that can be used to harmonize model evaluation and research. Future research and practice can use the conceptual framework as a tool to standardize model implementation and evaluation and generate evidence to inform future healthcare policy and practice.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Gresh

Wilson

Fenick

et al. 2023

Matern Child Health J

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…4,5 Studies demonstrate that relevant factors include delivery of educational content, 8 parental social support and opportunities for shared learning, 9 and addressing toxic stress. [10][11][12] CenteringParenting is a GWCC model developed by the Centering Healthcare Institute. The CenteringParenting model aims to educate mothers on healthy child development, effective parenting, and self-care while also providing a space for social support among patients.…”

Section: Introductionmentioning

confidence: 99%

Clinician Satisfaction and Self-Efficacy With CenteringParenting Group Well-Child Care Model: A Pilot Study

Desai

Chen

Boynton-Jarrett

2019

J Prim Care Community Health

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Introduction: Group-based models for well-child care have been shown to positively affect patient experience. One promising group well-child care model is CenteringParenting. However, clinician self-efficacy with delivery of the model is unknown and clinician satisfaction with the model has been understudied. Objectives: To investigate sense of self-efficacy, degree of satisfaction, and comfort with trauma-informed care (TIC) among diverse clinical providers implementing the CenteringParenting curriculum. We also examined the relationship between self-efficacy, satisfaction, and comfort with TIC, and delivery of the model. Methods: Electronic surveys were sent to CenteringParenting providers (N = 98) from 49 clinics. Providers (N = 41) from 24 clinical sites completed the survey, corresponding to a 42% individual and 49% site response rate. Surveys explored provider: satisfaction with the curriculum, perceived self-efficacy, and perspective on competency with TIC. Results: Providers indicated that the CenteringParenting model achieves each of its four objectives (means ranged from 4.10 to 4.52 for each objective, with 5 being the highest possible response). Providers rated their level of satisfaction (scale of 1 [unsatisfied] to 5 [very satisfied]) with their ability to address patient concerns higher with CenteringParenting in the group care setting (mean = 4.10) than in the individual care setting (mean = 3.55). Respondents demonstrated a high mean average Self-Efficacy in Group Care score of 93.63 (out of 110). Unadjusted logistical regression analyses demonstrated that higher provider Self-Efficacy in Group Care score (odds ratio [OR] = 1.08) and higher comfort with TIC (OR = 22.16) is associated with curriculum content being discussed with a facilitative approach. Conclusions: Providers from diverse clinical sites report high satisfaction with and self-efficacy in implementing the CenteringParenting model.

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“…There is concern that traditional well-child care models do not adequately meet the needs of families experiencing socioeconomic disadvantage (Schor, 2004). Group well-child care (GWCC) is one form of redesign incorporating a two-generation approach, focusing on core family functioning components such as maternal well-being, parenting education, and support (Connor et al, 2018; Graber et al, 2019; Jones et al, 2018; Oldfield et al, 2019). In GWCC, the traditional 15–20 min individual visit is replaced by a 90–120 min visit in which 6–10 families with same-age infants participate in brief individual visits and a group discussion (Oldfield et al, 2020).…”

mentioning

confidence: 99%

Group well-child care model for Latino children in immigrant families: Adapting to and learning from the coronavirus disease 2019 (COVID-19) context.

Weiss-Laxer¹,

Brandt²,

Acosta³

et al. 2022

Families, Systems, & Health

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Introduction: Group well-child care (GWCC) is an alternative to traditional pediatric well-child care designed to increase parental social support and peer learning. This mixed methods study explored the adaptation and implementation of GWCC to a virtual format during coronavirus disease 2019 (COVID-19 pandemic) among Spanish-speaking Latino immigrant families. Method: Interviews were conducted with eight providers and 10 mothers from May through September 2020. Qualitative analyses used a priori codes based on an implementation science framework. Quantitative data included demographics, the COVID-19 Impact Scale, and virtual group attendance. Bivariate analyses identified correlates of virtual visit attendance. Results: Eighty percent of mothers reported the pandemic had moderately or extremely impacted at least one major life domain such as daily life, food security, or family conflict. Of 27 mothers offered virtual groups, 67% attended. Mothers who attended virtual groups reported lower English proficiency (p = .087) and fewer friends and family members with COVID-19 (M = 1.0 vs. 5.1, p , .05) than those who did not attend. Women described virtual GWCC as acceptable and a source of Nomi S.

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Parent Perspectives on the Use of Group Well-Child Care to Address Toxic Stress in Early Childhood

Cited by 4 publications

References 43 publications

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Clinician Satisfaction and Self-Efficacy With CenteringParenting Group Well-Child Care Model: A Pilot Study

Group well-child care model for Latino children in immigrant families: Adapting to and learning from the coronavirus disease 2019 (COVID-19) context.

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