Children’s Health Services Research, 410 W 10th Street, Suite 1000, Indianapolis, IN 46202-5140, USA.
J Dev Behav Pediatr. 2012 Jun;33(5):423-30. doi: 10.1097/DBP.0b013e3182560d87.
To conduct a pilot study to test the feasibility and acceptability of using children's books to understand caregiver perceptions of parenting practices around common behavior challenges.
A prospective 1-month pilot study was conducted in 3 community-based pediatric clinics serving lower income families living in central Indianapolis. One hundred caregivers of 4- to 7-year-old children presenting for a well-child visit chose 1 of 3 available children's books that dealt with a behavioral concern the caregiver reported having with the child. The book was read aloud to the child in the caregiver's presence by a trained research assistant and given to the families to take home. Outcomes measured were caregiver intent to change their interaction with their child after the book reading, as well as caregiver reports of changes in caregiver-child interactions at 1 month.
Reading the book took an average of 3 minutes. Most (71%) caregivers reported intent to change after the book reading; two-thirds (47/71) were able to identify a specific technique or example illustrated in the story. One month later, all caregivers remembered receiving the book, and 91% reported reading the book to their child and/or sharing it with someone else. Three-fourths of caregivers (60/80) reported a change in caregiver-child interactions.
The distribution of children's books with positive parenting content is a feasible and promising tool, and further study is warranted to see whether these books can serve as an effective brief intervention in pediatric primary care practice.
开展一项试点研究，以检验使用儿童读物来了解照护者对常见行为挑战方面育儿实践看法的可行性和可接受性。
在印第安纳波利斯市中心为低收入家庭提供服务的 3 家社区儿科诊所进行了为期 1 个月的前瞻性试点研究。100 名 4 至 7 岁儿童的照护者选择了 3 本可供选择的儿童读物中的 1 本，这些书涉及照护者报告的与孩子有关的行为问题。一名训练有素的研究助理在照护者在场的情况下为孩子大声朗读了这本书，并将其交给家庭带回家。测量的结果是照护者在阅读完书后改变与孩子互动的意愿，以及照护者报告在 1 个月后照护者-儿童互动的变化。
阅读这本书平均用时 3 分钟。大多数（71%）照护者报告在阅读后有改变的意愿；三分之二（47/71）的人能够识别出故事中说明的特定技巧或示例。一个月后，所有照护者都记得收到了这本书，91%的人报告说他们已经给孩子读过书，或者与其他人分享过。四分之三的照护者（60/80）报告说照护者-儿童互动发生了变化。
分发具有积极育儿内容的儿童读物是一种可行且有前途的工具，需要进一步研究以确定这些书籍是否可以作为儿科初级保健实践中的有效简短干预措施。
