Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA.
Penn State's Edna Bennett Pierce Prevention Research Center, College of Health and Human Development, Pennsylvania State University, 314 Biobehavioral Health Building, University Park, PA, 16802, USA.
Matern Child Health J. 2024 Oct;28(10):1663-1670. doi: 10.1007/s10995-024-03984-6. Epub 2024 Sep 16.
To integrate a parenting assessment into primary care and assess pediatric providers' time needed to review it and their perceptions of the process.
The Quick Parenting Assessment (QPA) is a validated, 13 item parent support tool that assesses for healthy and unhealthy parenting practices. Higher QPAs indicate more unhealthy parenting being used. In a clinic serving low-income parents, the QPA was integrated into the 15 month, 30 month, 5 year, and 8 year well child visits. After each well child visit in which the QPA was administered, providers were invited to complete a one-page survey-315 surveys were included in the analysis.
Most QPAs (78.7%) were low risk (QPA < = 2), 14.6% were medium risk (QPA = 3-4), and 6.7% were high risk (QPA > 4). The median time was 15-30 s to review low risk QPAs and 30 s to 1 min to review high risk QPAs. For most QPA reviews, health care providers reported that the QPA increased their objectivity in determining the level of support needed (68%), facilitated communication about parenting (77%), and increased the value of the visit (68%).
A validated parenting assessment tool, integrated into pediatric primary care, appears to work for pediatric health care providers. These findings have implications for supporting parents in pediatrics, value-based care, and disease prevention.
将育儿评估纳入初级保健，并评估儿科医务人员审查该评估所需的时间及其对该过程的看法。
快速育儿评估（QPA）是一种经过验证的、包含 13 个项目的家长支持工具，用于评估健康和不健康的育儿实践。QPA 得分越高，表示使用的不健康育儿方法越多。在一家为低收入家长服务的诊所中，将 QPA 纳入了 15 个月、30 个月、5 岁和 8 岁的儿童健康检查中。在每次进行 QPA 评估的儿童健康检查后，医务人员都会被邀请填写一份一页的调查问卷——共纳入了 315 份调查问卷进行分析。
大多数 QPA（78.7%）风险较低（QPA < = 2），14.6%风险中等（QPA = 3-4），6.7%风险较高（QPA > 4）。审查低风险 QPA 的中位数时间为 15-30 秒，审查高风险 QPA 的中位数时间为 30 秒至 1 分钟。对于大多数 QPA 审查，医务人员报告称 QPA 提高了他们确定所需支持水平的客观性（68%），促进了有关育儿的沟通（77%），并提高了就诊的价值（68%）。
一种经过验证的育儿评估工具，整合到儿科初级保健中，似乎对儿科医务人员有效。这些发现对支持儿科的父母、基于价值的护理和疾病预防具有重要意义。
