Scholer Seth J, Hudnut-Beumler Julia, Mukherjee Anamika, Dietrich Mary S
Vanderbilt University School of Medicine, Nashville, TN, USA Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville TN, USA
Vanderbilt University School of Medicine, Nashville, TN, USA.
Clin Pediatr (Phila). 2015 Jul;54(8):732-7. doi: 10.1177/0009922815586049. Epub 2015 May 14.
Participants were consecutive English or Spanish speaking parents of 1- to 5-year-old children presenting for a well-child visit. Parents viewed a 5- to 10-minute intervention that teaches appropriate discipline strategies. The participation rate was 99% (129/130). Thirty-six percent (46/129) reported they had a discussion about discipline with their pediatrician. Of the parents who had a discussion, 93% (43/46) agreed or strongly agreed that the intervention program helped with a discussion about discipline. One hundred percent (19/19) of Hispanic parents reported that the program was helpful compared with 86% (12/14) of Black parents and 91% (10/11) of White parents. Parents' qualitative responses revealed that the intervention helped by facilitating communication with their physician and/or by providing information. Brief interventions, integrated into the primary care visit can help parents have discussions about discipline with their physician. The results have implications for improving pediatric primary care services, violence prevention, and child abuse prevention.
参与者是前来进行健康儿童检查的1至5岁儿童的连续英语或西班牙语家长。家长观看了一个5至10分钟的干预视频，该视频教授适当的管教策略。参与率为99%（129/130）。36%（46/129）的家长报告称他们与儿科医生讨论过管教问题。在进行过讨论的家长中，93%（43/46）同意或强烈同意干预项目有助于关于管教的讨论。100%（19/19）的西班牙裔家长表示该项目有帮助，相比之下，86%（12/14）的黑人家长和91%（10/11）的白人家长也这样认为。家长的定性反馈表明，干预通过促进与医生的沟通和/或提供信息而有所帮助。纳入初级保健就诊的简短干预可以帮助家长与医生讨论管教问题。这些结果对改善儿科初级保健服务、预防暴力和预防儿童虐待具有启示意义。
