Role of Pediatric Health Care Professionals in the Provision of Parenting Advice: A Qualitative Study With Mothers From 4 Minority Ethnocultural Groups

Dumont-Mathieu, Thyde; Bernstein, Bruce; Dworkin, Paul H.; Pachter, Lee M.

doi:10.1542/peds.2005-2604

Cited by 29 publications

(23 citation statements)

References 25 publications

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“…These perspectives have been elicited and used for health care services for the general pediatric age range, and for younger children specifically [13,29,[31][32][33][34], as well as for health service evaluation tools, and development of primary care interventions and systems of care [35][36][37][38][39][40]. Although our study focused on the perspectives of adolescents, we were able to augment our data with perspectives from parents.…”

Section: Discussionmentioning

confidence: 99%

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

Coker

Sareen

Chung

et al. 2010

Journal of Adolescent Health

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Section: Discussionmentioning

confidence: 99%

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

Coker

Sareen

Chung

et al. 2010

Journal of Adolescent Health

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“…12,[17][18][19][20] Few studies have collected in-depth information about why parents attend visits and how they value aspects of well-child care. 21 In this study, with diverse focus groups of parents, we addressed several core questions: Why do parents currently attend well-child visits? What aspects of visits do they find most valuable?…”

mentioning

confidence: 99%

What Do Families Want From Well-Child Care? Including Parents in the Rethinking Discussion

et al. 2009

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WHAT'S KNOWN ON THIS SUBJECT:Schor called on pediatricians to rethink well-child care. Gaps exist between traditional wellchild care and contemporary needs and pressures. A key, but largely missing, perspective in the rethinking of discussions has been that of parents. WHAT THIS STUDY ADDS:In this qualitative study, we asked parents to address several core issues including why they attend well-child care visits, the aspects of care they find most valuable, and what changes could enhance the well-child experience.abstract OBJECTIVE: The content and systems surrounding well-child care have received increasing attention, and some propose that it is time to rethink both the delivery structure and central themes of well-child visits. A key, but largely missing perspective in these discussions has been that of parents, whose experiences and expectations are central to developing approaches responsive to family needs. In this study, we asked parents to address several core issues: why they attend wellchild visits; aspects of well-child care that they find most valuable; and changes that could enhance the well-child care experience. METHODS: Twenty focus groups with parents (n ϭ 131 [91% mothers])were conducted by using a semistructured interview guide. Verbatim transcripts were coded for key words, concepts, and recurrent themes. RESULTS:Primary reasons for visit attendance included reassurance (child and parent) and an opportunity to discuss parent priorities. Families valued an ongoing relationship with 1 clinician who was childfocused and respected parental expertise, but continuity of provider was not an option for all participants. Suggestions for enhancement included improved promotion of well-child care, greater emphasis on development and behavior, and expanded options for information exchange. CONCLUSIONS:As the consumers of care, it is critical to understand parents' needs and desires as changes to the content and process of well-child care are considered. Taking into account the multifaceted perspectives of families suggests both challenges and opportunities for the rethinking discussion. Pediatrics 2009;124:858-865

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“…Consequentemente, o presente estudo demonstrou que o ajustamento e a saúde mental infantil devem ser analisados à luz dos processos familiares. Nesse sentido, os dados deste estudo parecem recomendar a introdução de rotinas avaliativas do funcionamento familiar para aumentar a eficácia da intervenção pediátrica, uma vez que essa variável parece apresentar forte poder preditivo e explicativo do ajustamento psicossocial das crianças [29][30][31] . De fato, nossos dados sugerem que a PAM-R pode ser um recurso importante para o despiste da qualidade da relação parental nos serviços de saúde mental infantil e familiar.…”

Section: Discussionunclassified

Medida da aliança parental: validação portuguesa e construção de uma versão reduzida

Lamela¹,

Castro²,

Figueiredo³

2013

Rev. psiquiatr. clín.

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ResumoObjetivo: A Medida de Aliança Parental (PAM) avalia a qualidade da relação interparental na prestação de cuidados da criança. O presente artigo apresenta a validação de uma versão portuguesa da medida, bem como examina as qualidades psicométricas de uma versão reduzida com 6 itens do instrumento (PAM-R). Método: A amostra foi constituída por 182 pais (63% mães), dos quais 72 preencheram um instrumento de avaliação dos problemas de ajustamento psicológico das crianças. Resultados: As análises fatoriais confirmatórias não corroboraram a estrutura dos dois modelos testados. No entanto, excelentes valores foram encontrados nos índices de adequação do modelo da PAM-R. Não foram encontrados erros de especificação no modelo unidimensional testado, o que suporta a validade fatorial da versão reduzida da PAM. A PAM-R apresentou excelentes valores de consistência interna e uma correlação negativa e significativa com a medida de problemas de ajustamento das crianças. Conclusões: PAM-R emerge como uma medida que possibilita a avaliação do impacto das dimensões familiares no funcionamento e desenvolvimento psicológico das crianças, em contextos de prestação de cuidados de saúde primários. D, et al. / Rev Psiq Clín. 2013;40(6):215-9 Palavras-chave: Aliança parental, avaliação psicológica, validação, coparentalidade. Lamela AbstractObjective: The Parenting Alliance Measure (PAM) assesses the quality interparental relationship in childbearing. The present study aims to validate the Portuguese version of this measure and also develop and examine the psychometric properties of a 6-items short-version of PAM (PAM-R). Method: The sample was composed by 182 parents (63% mothers), 72 of them filled in a questionnaire regarding psychological adjustment problems of their children. Results: Confirmatory Factorial Analyses did not support the structure of the PAM's two tested models. However, PAM-R showed excellent fit. Specification errors were not found in the tested unidimensional model that supports the factorial validity of the short-version of PAM. The PAM-R showed excellent values of internal consistency and a significant and negative correlation between PAM-R and children's behavior problems was found. Discussion: PAM-R emerges as a measure that enables the assessment of the effects of the family dimensions on children's psychological development and adjustment in primary health care settings. D, et al. / Rev Psiq Clín. 2013;40(6):215-9 Keywords: Parenting alliance, assessment, validation, coparenting. LamelaEndereço para correspondência: Diogo Lamela. Escola de Psicologia, Universidade do Minho, Campus de Gualtar -4710-057 -Braga, Portugal. E-mail: dlamela@ese.ipvc.pt IntroduçãoAo longo das últimas décadas, a investigação tem consistentemente demonstrado uma relação direta entre a saúde psicológica e física das crianças e variáveis familiares, tais como a qualidade da relação conjugal e da relação pais-criança (parentalidade) e o funcionamento familiar [1][2][3][4] . Mais recentemente, a investigação tem também revel...

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Role of Pediatric Health Care Professionals in the Provision of Parenting Advice: A Qualitative Study With Mothers From 4 Minority Ethnocultural Groups

Cited by 29 publications

References 25 publications

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

What Do Families Want From Well-Child Care? Including Parents in the Rethinking Discussion

Medida da aliança parental: validação portuguesa e construção de uma versão reduzida

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