Use of videotaped interactions during pediatric well-child care: impact at 33 months on parenting and on child development.
OBJECTIVE
We performed a randomized, controlled trial to assess the impact of the Video Interaction Project (VIP), a program based in pediatric primary care in which videotaped interactions are used by child development specialists to promote early child development.


METHODS
Ninety-nine Latino children (52 VIP, 47 controls) at risk of developmental delay based on poverty and low maternal education were assessed at age 33 months. VIP was associated with improved parenting practices including increased teaching behaviors.


RESULTS
VIP was associated with lower levels of parenting stress. VIP children were more likely to have normal cognitive development and less likely to have developmental delays.


CONCLUSIONS
This study provides evidence that a pediatric primary care-based intervention program can have an impact on the developmental trajectories of at-risk young preschool children.
Mendelsohn
Alan L
AL
New York University School of Medicine/Bellevue Hospital Center, New York, NY 10016, USA. alm5@nyu.edu
Valdez
Purnima T
PT
Flynn
Virginia
V
Foley
Gilbert M
GM
Berkule
Samantha B
SB
Tomopoulos
Suzy
S
Fierman
Arthur H
AH
Tineo
Wendy
W
Dreyer
Benard P
BP
D002657:Child Development; D002675:Child, Preschool; D015331:Cohort Studies; D002658:Developmental Disabilities / Q000517:prevention & control*; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D007223:Infant; D008297:Male; D008425:Maternal Behavior; D009034:Mother-Child Relations; D017063:Outcome Assessment, Health Care; D016487:Parenting; D010372:Pediatrics; D011203:Poverty; D011320:Primary Health Care / Q000379:methods*; D014743:Videotape Recording