Early Identification and Intervention for Behavior Problems in Primary Care: A Comparison of Two Abbreviated Versions of Parent-Child Interaction Therapy
Section snippets
Participants
This study was approved by the Institutional Review Board at the university health sciences center. Maternal caregivers of 3- to 6-year-olds were recruited from three pediatric primary care clinics. Clinic 1 was a private pediatrician's office. Clinic 2 was a university-hospital-affiliated clinic serving primarily low-income families. Clinic 3 was a university-hospital-affiliated clinic serving families from a range of socioeconomic backgrounds. Screening packets with the ECBI and a survey of
Results
The mean ECBI Intensity score during the initial screening with 111 children was 115.06 (SD = 42.68), which is approximately ½ standard deviation above the normative mean (Eyberg & Pincus, 1999). For the three sites, mean ECBI Intensity scores were 103.27 (SD = 34.07; n = 44) at Clinic 1; 127.66 (SD = 49.00; n = 41) at Clinic 2; and 115.15 (SD = 40.89; n = 26) at Clinic 3. Differences between clinics were significant, F(2, 108) = 3.63, p = .030, with higher scores at Clinic 2 than Clinic 1, t(83) = 2.68, p = .009,
Discussion
Elevated levels of child behavior problems reported during pediatric primary care screening, and improvements in child behavior, parenting strategies, and parental sense of control reported following two brief preventive interventions for young children, highlight the need for and utility of psychological services within pediatric primary care. Our hypothesis that brief parenting groups would be more effective than self-directed anticipatory guidance was not supported. Substantial improvements
Acknowledgement
This research was supported by grants from the Florida Psychological Association and The Melissa Institute. We thank Nancy Worthington, M.D., and Kathleen Ryan, M.D. for their contributions to this research. This article is based on a dissertation by Michelle D. Berkovits (under her maiden name of Harwood), supervised by Sheila M. Eyberg. Some of the data were previously presented at the National Conference on Child Health Psychology in Miami, Florida, April 2008.
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