Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 4/2021

19-02-2021 | Original Paper

Behavior Checker® Staff Training for Positive Parenting in Primary Care: Changes in the Knowledge, Attitudes, and Confidence

Auteurs: Deborah J. Moon, Stephen J. Lauer, Barbara Unell

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Adverse Childhood Experiences have been associated with an increased risk for various health and mental health challenges in adulthood, which shed new light on positive parenting as important preventive healthcare. Although behavioral parenting interventions have been shown to be effective in promoting positive parenting and reducing harsh discipline, beneficiaries have been limited to parents with identified needs. Lately, primary care has been increasingly recognized as an ideal platform to disseminate evidence-based positive discipline strategies at the population level. Behavior Checker® is a multi-component primary care-based parenting intervention, seeking to maximize the utility of primary care in population-based positive parenting promotion. The purpose of this study was to examine the effects of Behavior Checker® training on pediatric staff’s perceived knowledge, attitude, and confidence in educating parents about positive discipline strategies. Pre- and post-training surveys were administered to staff who participated in the Behavior Checker® training in a university-affiliated pediatric clinic located in a Midwestern metropolitan region. A paired t-test and Wilcoxon signed-rank tests were conducted to compare pre- and post-training scores in the perceived knowledge and confidence in educating parents about positive discipline strategies to manage common behavioral issues of children. The level of perceived knowledge and confidence significantly increased following staff’s participation in the training. A larger study is warranted.
Literatuur
go back to reference Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147.CrossRef Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147.CrossRef
go back to reference Barth, R. P., & Liggett-Creel, K. (2014). Common components of parenting programs for children birth to eight years of age involved with child welfare services. Children and Youth Services Review, 40, 6–12.CrossRef Barth, R. P., & Liggett-Creel, K. (2014). Common components of parenting programs for children birth to eight years of age involved with child welfare services. Children and Youth Services Review, 40, 6–12.CrossRef
go back to reference Bender, H. L., Allen, J. P., McElhaney, K. B., Antonishak, J., Moore, C. M., Kelly, H. O. B., & Davis, S. M. (2007). Use of harsh physical discipline and developmental outcomes in adolescence. Development and Psychopathology, 19(01), 227–242.CrossRefPubMedPubMedCentral Bender, H. L., Allen, J. P., McElhaney, K. B., Antonishak, J., Moore, C. M., Kelly, H. O. B., & Davis, S. M. (2007). Use of harsh physical discipline and developmental outcomes in adolescence. Development and Psychopathology, 19(01), 227–242.CrossRefPubMedPubMedCentral
go back to reference Berkule, S. B. P., Cates, C. B. P., Dreyer, B. P. M. D., Huberman, H. S. M. D. M. P. H., Arevalo, J. B. A., Burtchen, N. M. D., Weisleder, A. P., & Mendelsohn, A. L. M. D. (2014). Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care. Clinical Pediatrics, 53(5), 460–469.CrossRefPubMedPubMedCentral Berkule, S. B. P., Cates, C. B. P., Dreyer, B. P. M. D., Huberman, H. S. M. D. M. P. H., Arevalo, J. B. A., Burtchen, N. M. D., Weisleder, A. P., & Mendelsohn, A. L. M. D. (2014). Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care. Clinical Pediatrics, 53(5), 460–469.CrossRefPubMedPubMedCentral
go back to reference Brown, J., Cohen, P., Johnson, J. G., & Salzinger, S. (1998). A longitudinal analysis of risk factors for child maltreatment: findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse & Neglect, 22(11), 1065–1078.CrossRef Brown, J., Cohen, P., Johnson, J. G., & Salzinger, S. (1998). A longitudinal analysis of risk factors for child maltreatment: findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse & Neglect, 22(11), 1065–1078.CrossRef
go back to reference Combs-Orme, T. P., Nixon, B. H. L., & Herrod, H. G. M. D. (2011). Anticipatory guidance and early child development: pediatrician advice, parent behaviors, and unmet needs as reported by parents from different backgrounds. Clinical Pediatrics, 50(8), 729–737.CrossRefPubMed Combs-Orme, T. P., Nixon, B. H. L., & Herrod, H. G. M. D. (2011). Anticipatory guidance and early child development: pediatrician advice, parent behaviors, and unmet needs as reported by parents from different backgrounds. Clinical Pediatrics, 50(8), 729–737.CrossRefPubMed
go back to reference Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Science, 4, 50 https://doi.org/10.1186/1748-5908-4-50.CrossRef Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Science, 4, 50 https://​doi.​org/​10.​1186/​1748-5908-4-50.CrossRef
go back to reference Dubowitz, H., Lane, W. G., Semiatin, J. N., Magder, L. S., Venepally, M., & Jans, M. (2011). The safe environment for every kid model: Impact on pediatric primary care professionals. Pediatrics, 127(4), e962–e970.CrossRefPubMedPubMedCentral Dubowitz, H., Lane, W. G., Semiatin, J. N., Magder, L. S., Venepally, M., & Jans, M. (2011). The safe environment for every kid model: Impact on pediatric primary care professionals. Pediatrics, 127(4), e962–e970.CrossRefPubMedPubMedCentral
go back to reference Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8.CrossRefPubMed Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://​doi.​org/​10.​1016/​S0749-3797(98)00017-8.CrossRefPubMed
go back to reference Grazier, K. L., Smiley, M. L., & Bondalapati, K. S. (2016). Overcoming barriers to integrating behavioral health and primary care services. Journal of Primary Care & Community Health, 7(4), 242–248.CrossRef Grazier, K. L., Smiley, M. L., & Bondalapati, K. S. (2016). Overcoming barriers to integrating behavioral health and primary care services. Journal of Primary Care & Community Health, 7(4), 242–248.CrossRef
go back to reference Grazier, K. L., Smith, J. E., Song, J., & Smiley, M. L. (2014). Integration of depression and primary care: Barriers to adoption. Journal of Primary care & Community Health, 5(1), 67–73.CrossRef Grazier, K. L., Smith, J. E., Song, J., & Smiley, M. L. (2014). Integration of depression and primary care: Barriers to adoption. Journal of Primary care & Community Health, 5(1), 67–73.CrossRef
go back to reference Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2009). Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention. American Psychological Association. Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2009). Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention. American Psychological Association.
go back to reference Lang, T., & Rayner, G. (2012). Ecological public health: the 21st century’s big idea? An essay by Tim Lang and Geof Rayner. BMJ, 345, e5466.CrossRefPubMed Lang, T., & Rayner, G. (2012). Ecological public health: the 21st century’s big idea? An essay by Tim Lang and Geof Rayner. BMJ, 345, e5466.CrossRefPubMed
go back to reference McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education & Behavior, 15(4), 351–377. McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education & Behavior, 15(4), 351–377.
go back to reference Moon, J., Unell, B., & Johnson-Motoyama, M. (2016). A Feasibility study of behavior checker: enhancing the capacity of pediatric staff to deliver evidence-based strategies to manage children’s common behavioral issues for parents society for prevention research 25th ANNUAL MEETING, Washington D.C. https://spr.confex.com/spr/spr2017/webpr. Moon, J., Unell, B., & Johnson-Motoyama, M. (2016). A Feasibility study of behavior checker: enhancing the capacity of pediatric staff to deliver evidence-based strategies to manage children’s common behavioral issues for parents society for prevention research 25th ANNUAL MEETING, Washington D.C. https://​spr.​confex.​com/​spr/​spr2017/​webpr.
go back to reference Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health, 36, 24–34.CrossRefPubMed Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health, 36, 24–34.CrossRefPubMed
go back to reference Sege, R. D., Siegel, B. S., ABUSE, C. O. C., CHILD, C. O. P. A. O., & HEALTH, F. (2018). Effective discipline to raise healthy children. Pediatrics, 142(6), e20183112. Sege, R. D., Siegel, B. S., ABUSE, C. O. C., CHILD, C. O. P. A. O., & HEALTH, F. (2018). Effective discipline to raise healthy children. Pediatrics, 142(6), e20183112.
go back to reference Shonkoff, J. P. (2012). Leveraging the biology of adversity to address the roots of disparities in health and development. Proceedings of the National Academy of Sciences, 109 (Supplement 2), 17302–17307. Shonkoff, J. P. (2012). Leveraging the biology of adversity to address the roots of disparities in health and development. Proceedings of the National Academy of Sciences, 109 (Supplement 2), 17302–17307.
go back to reference Turner, K. M., Nicholson, J. M., & Sanders, M. R. (2011). The role of practitioner self-efficacy, training, program and workplace factors on the implementation of an evidence-based parenting intervention in primary care. The Journal of Primary Prevention, 32(2), 95–112.CrossRefPubMed Turner, K. M., Nicholson, J. M., & Sanders, M. R. (2011). The role of practitioner self-efficacy, training, program and workplace factors on the implementation of an evidence-based parenting intervention in primary care. The Journal of Primary Prevention, 32(2), 95–112.CrossRefPubMed
go back to reference Unell, B., & Wyckoff, J. (2016). Behavior checker: pediatric telephone and office prescriptions for managing common behavioral issues (1st ed.). Raised with Love and Limits Foundation. Unell, B., & Wyckoff, J. (2016). Behavior checker: pediatric telephone and office prescriptions for managing common behavioral issues (1st ed.). Raised with Love and Limits Foundation.
go back to reference Weiss, B., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1992). Some consequences of early harsh discipline: Child aggression and a maladaptive social information processing style. Child Development, 63(6), 1321–1335.CrossRefPubMed Weiss, B., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1992). Some consequences of early harsh discipline: Child aggression and a maladaptive social information processing style. Child Development, 63(6), 1321–1335.CrossRefPubMed
go back to reference Woods-Jaeger, B., Thompson, J. E., Foye-Fletcher, A., Siedlik, E., Chakawa, A., Dalbey, K., & Gupta, R. C. (2020). Parent engagement in an integrated care parenting intervention to prevent toxic stress. Clinical Practice in Pediatric Psychology, 8(3), 298–303.CrossRef Woods-Jaeger, B., Thompson, J. E., Foye-Fletcher, A., Siedlik, E., Chakawa, A., Dalbey, K., & Gupta, R. C. (2020). Parent engagement in an integrated care parenting intervention to prevent toxic stress. Clinical Practice in Pediatric Psychology, 8(3), 298–303.CrossRef
Metagegevens
Titel
Behavior Checker® Staff Training for Positive Parenting in Primary Care: Changes in the Knowledge, Attitudes, and Confidence
Auteurs
Deborah J. Moon
Stephen J. Lauer
Barbara Unell
Publicatiedatum
19-02-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 4/2021
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-021-01917-3

Andere artikelen Uitgave 4/2021

Journal of Child and Family Studies 4/2021 Naar de uitgave