title: Can Discipline Education be Culturally Sensitive?
abstract: Objectives Inappropriate discipline such as harsh physical punishment is a social determinant of health. The objective was to determine if a brief parent training intervention that teaches discipline strategies is culturally sensitive. Methods English or Spanish-speaking parents of 1-5 year old children viewed a multimedia program that teaches appropriate discipline strategies. The intervention, Play Nicely, was viewed in the exam room before the physician's visit. Parents viewed 4 of 20 discipline strategies of their choosing; the average viewing time was 7 min. Results Of 204 parents eligible to participate, 197 (96 %) completed the study; 41 % were Black, 31 % were White, and 21 % were Hispanic. At least 80 % of parents from each racial/ethnic group reported that the program built their confidence to care for their child, addressed their family needs, explained things in a way they could understand, respected their family values, and was sensitive to their personal beliefs. Overall, 80 % of parents reported that the program answered individual questions. One parent (0.5 %) reported that the program did not respect her family values. Conclusions for Practice Discipline education can be integrated into the pediatric primary care clinic in a way that is family-centered and culturally sensitive for the majority of parents. The results have implications for the development and implementation of population-based parenting programs and the primary prevention of child abuse and violence.
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA.
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Smith
authors.affiliation: Vanderbilt University School of Medicine, Nashville, TN, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Hudnut-Beumler
authors.affiliation: Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, 37232, USA. Seth.Scholer@Vanderbilt.edu.
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Scholer
mesh_terms: D000328:Adult; D044383:Black People / Q000208:ethnology / Q000523:psychology; D002649:Child Abuse / Q000517:prevention & control* / Q000523:psychology; D002652:Child Behavior; D002675:Child, Preschool; D065246:Culturally Competent Care / Q000379:methods* / Q000592:standards; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D007223:Infant; D008297:Male; D009518:New York; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000193:education*; D011320:Primary Health Care / Q000379:methods; D012574:Schools / Q000941:ethics*; D013663:Teaching / Q000592:standards; D044465:White People / Q000208:ethnology / Q000523:psychology; D001741:Black or African American
keywords: Aggression; Child abuse; Child behavior; Counseling; Education; Intervention; Parenting; Pediatrics; Prevention and control; Primary care; Violence