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Can Discipline Education be Culturally Sensitive?

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Abstract

Objectives Inappropriate discipline such as harsh physical punishment is a social determinant of health. The objective was to determine if a brief parent training intervention that teaches discipline strategies is culturally sensitive. Methods English or Spanish-speaking parents of 1–5 year old children viewed a multimedia program that teaches appropriate discipline strategies. The intervention, Play Nicely, was viewed in the exam room before the physician’s visit. Parents viewed 4 of 20 discipline strategies of their choosing; the average viewing time was 7 min. Results Of 204 parents eligible to participate, 197 (96 %) completed the study; 41 % were Black, 31 % were White, and 21 % were Hispanic. At least 80 % of parents from each racial/ethnic group reported that the program built their confidence to care for their child, addressed their family needs, explained things in a way they could understand, respected their family values, and was sensitive to their personal beliefs. Overall, 80 % of parents reported that the program answered individual questions. One parent (0.5 %) reported that the program did not respect her family values. Conclusions for Practice Discipline education can be integrated into the pediatric primary care clinic in a way that is family-centered and culturally sensitive for the majority of parents. The results have implications for the development and implementation of population-based parenting programs and the primary prevention of child abuse and violence.

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Acknowledgments

We thank Dr. Aida Yared for her review of the manuscript. We acknowledge Laurie Albritton for her work translating the Play Nicely program into Spanish. We acknowledge Mary Dietrich for her assistance with the analysis.

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Authors and Affiliations

  1. Vanderbilt University School of Medicine, Nashville, TN, USA

    Ashley E. Smith & Julia Hudnut-Beumler

  2. Department of Pediatrics, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, TN, 37232, USA

    Seth J. Scholer

Authors
  1. Ashley E. Smith
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  2. Julia Hudnut-Beumler
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  3. Seth J. Scholer
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Correspondence to Seth J. Scholer.

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Smith, A.E., Hudnut-Beumler, J. & Scholer, S.J. Can Discipline Education be Culturally Sensitive?. Matern Child Health J 21, 177–186 (2017). https://doi.org/10.1007/s10995-016-2107-9

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  • DOI: https://doi.org/10.1007/s10995-016-2107-9

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