Riley Andrew R, Walker Bethany L, Wilson Anna C, Hall Trevor A, Stormshak Elizabeth A, Cohen Deborah J
Department of Pediatrics, Institute on Development & Disability, Oregon Health & Science University, Portland, OR.
Department of Counseling, Family and Human Services, College of Education, University of Oregon, Eugene, OR.
J Dev Behav Pediatr. 2019 Dec;40(9):669-678. doi: 10.1097/DBP.0000000000000736.
Early childhood parenting interventions are increasingly delivered in primary care, but parental engagement with those interventions is often suboptimal. We sought to better understand parents' preferences for the content and delivery method of behavioral health guidance in pediatric primary care and to determine the relationship of those preferences with demographic characteristics, child behavior problems, and parenting style.
Participants were 396 parents of young children recruited from primary care offices. We collected measures of parental preferences (including behavioral topics, intervention strategies, and methods of delivery) for behavioral intervention in primary care, child behavior symptoms, parenting style, and demographic characteristics. Descriptive statistics were used to identify parents' most preferred behavioral topics and intervention delivery methods. We used a hierarchical regression approach to determine whether parenting style predicted parents' preferences beyond demographic and child-level factors.
Nearly all parents (96%) endorsed a behavioral topic (e.g., aggression) as important. Most preferred to receive intervention during routine medical appointments. Child behavior problems correlated with parents' overall interest in behavioral guidance, but clinically significant symptoms did not differentiate interest in any single topic. Socioeconomic factors and negative parenting practices predicted some parental preferences. Notably, lax parenting generally predicted higher interest in behavioral intervention, whereas hostile and physically controlling parenting predicted lower interest.
Most parents are interested in behavioral guidance as part of primary care, but their preferences for the content and delivery of that guidance vary by known socioeconomic, child, and parenting risk factors. Tailoring intervention to parents' preferences may increase engagement with available interventions.
幼儿养育干预措施越来越多地在初级保健中实施，但父母对这些干预措施的参与度往往不尽人意。我们试图更好地了解父母对儿科初级保健中行为健康指导的内容和提供方式的偏好，并确定这些偏好与人口统计学特征、儿童行为问题和养育方式之间的关系。
参与者是从初级保健办公室招募的396名幼儿家长。我们收集了父母对初级保健中行为干预的偏好（包括行为主题、干预策略和提供方式）、儿童行为症状、养育方式和人口统计学特征的测量数据。描述性统计用于确定父母最喜欢的行为主题和干预提供方式。我们采用分层回归方法来确定养育方式是否能在人口统计学和儿童层面因素之外预测父母的偏好。
几乎所有父母（96%）都认可某个行为主题（如攻击行为）很重要。大多数人更喜欢在常规医疗预约期间接受干预。儿童行为问题与父母对行为指导的总体兴趣相关，但具有临床意义的症状并未区分对任何单一主题的兴趣。社会经济因素和消极的养育方式预测了一些父母的偏好。值得注意的是，宽松的养育方式通常预示着对行为干预的更高兴趣，而敌对和身体控制型的养育方式则预示着较低的兴趣。
大多数父母对作为初级保健一部分的行为指导感兴趣，但他们对该指导的内容和提供方式的偏好因已知的社会经济、儿童和养育风险因素而异。根据父母的偏好调整干预措施可能会提高对现有干预措施的参与度。
