title: A Brief Intervention Facilitates Discussions About Discipline in Pediatric Primary Care.
abstract: 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.
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville TN, USA seth.scholer@vanderbilt.edu.
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Scholer
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Hudnut-Beumler
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville TN, USA.
authors.forename: Anamika
authors.initials: A
authors.lastname: Mukherjee
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA.
authors.forename: Mary S
authors.initials: MS
authors.lastname: Dietrich
mesh_terms: D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D002649:Child Abuse / Q000517:prevention & control*; D002652:Child Behavior / Q000523:psychology; D002668:Child Rearing / Q000523:psychology*; D002675:Child, Preschool; D003376:Counseling / Q000379:methods; D004505:Education, Nonprofessional / Q000379:methods*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008297:Male; D016487:Parenting; D010290:Parents / Q000523:psychology; D010372:Pediatrics / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D015397:Program Evaluation; D013714:Tennessee; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D001741:Black or African American
keywords: aggression; child abuse; child behavior; counseling; education; intervention; parenting; pediatrics; prevention and control; primary care; violence