Marie-Mitchell Ariane, Delgado Cindy, Gilgoff Rachel
Loma Linda University, Loma Linda, CA, USA.
Claremont Graduate University, Claremont, CA, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241306302. doi: 10.1177/21501319241306302.
The objective of this study was to describe characteristics of effective pediatric primary care interventions that focused on parenting education about healthy parent-child relationships. A scoping review of 4 electronic databases searched for related systematic reviews published in English from January 2000 to June 2023. The full texts of 14 systematic reviews were evaluated by 2 independent reviewers and used to identify 25 unique parenting interventions of which 21 improved outcomes more than the comparison group. Results demonstrate that a range of low to high intensity interventions can improve parent-child relationships, and many of these also improve parent mental health and child behaviors. By contrast, multi-component interventions were needed to improve child development and reduce injuries. Interventions that decreased child injuries focused on reducing parental stress through professional support, access to community resources, and mental health information. Future research is needed on pediatric primary care parenting education that incorporates responsive parenting, includes patient samples with ACEs, and measures physical health outcomes or biomarkers.
本研究的目的是描述有效的儿科初级保健干预措施的特点，这些干预措施侧重于关于健康亲子关系的育儿教育。对4个电子数据库进行了范围审查，以查找2000年1月至2023年6月期间以英文发表的相关系统评价。14篇系统评价的全文由2名独立评审员进行评估，并用于识别25种独特的育儿干预措施，其中21种干预措施比对照组更能改善结局。结果表明，一系列低强度到高强度的干预措施都可以改善亲子关系，其中许多干预措施还能改善父母的心理健康和孩子的行为。相比之下，需要多成分干预措施来改善儿童发育并减少伤害。减少儿童伤害的干预措施侧重于通过专业支持、获取社区资源和心理健康信息来减轻父母的压力。未来需要开展关于儿科初级保健育儿教育的研究，该研究应纳入敏感性育儿，纳入有不良童年经历（ACEs）的患者样本，并测量身体健康结局或生物标志物。
