title: Leveraging Healthcare to Promote Responsive Parenting: Impacts of the Video Interaction Project on Parenting Stress.
abstract: We sought to determine impacts of a pediatric primary care intervention, the Video Interaction Project, on 3-year trajectories of parenting stress related to parent-child interactions in low socioeconomic status (SES) families. A randomized controlled trial (RCT) was conducted, with random assignment to one of two interventions (Video Interaction Project [VIP]; Building Blocks [BB]) or control (C). As part of VIP, dyads attended one-on-one sessions with an interventionist who facilitated interactions in play and shared reading through review of videotaped parent-child interactions made on primary care visit days; learning materials and parenting pamphlets were also provided to facilitate parent-child interactions at home. Parenting stress related to parent-child interactions was assessed for VIP and Control groups at 6, 14, 24, and 36 months using the Parent-Child Dysfunctional Interaction subscale of the Parenting Stress Index- Short Form, with 378 dyads (84%) assessed at least once. Group differences emerged at 6 months with VIP associated with lower parenting stress at 3 of 4 ages considered cross-sectionally and an 17.7% reduction in parenting stress overall during the study period based on multi-level modeling. No age by group interaction was observed, indicating persistence of early VIP impacts. Results indicated that VIP, a preventive intervention targeting parent-child interactions, is associated with decreased parenting stress. Results therefore support the expansion of pediatric interventions such as VIP as part of a broad public health strategy to address poverty-related disparities in school-readiness.
authors.forename: Carolyn Brockmeyer
authors.initials: CB
authors.lastname: Cates
authors.forename: Adriana
authors.initials: A
authors.lastname: Weisleder
authors.forename: Benard P
authors.initials: BP
authors.lastname: Dreyer
authors.forename: Samantha Berkule
authors.initials: SB
authors.lastname: Johnson
authors.forename: Kristina
authors.initials: K
authors.lastname: Vlahovicova
authors.forename: Jennifer
authors.initials: J
authors.lastname: Ledesma
authors.forename: Alan L
authors.initials: AL
authors.lastname: Mendelsohn
keywords: child development; intervention; parent-child interactions; parenting stress; toxic stress