title: A study protocol testing the implementation, efficacy, and cost effectiveness of the ezParent program in pediatric primary care.
abstract: Up to 20% of children demonstrate behavior problems that interfere with relationship development and academic achievement. Parent participation in behavioral parent training programs has been shown to decrease child problem behaviors and promote positive parent-child relationships. However, attendance and parent involvement in face-to-face parent training remain low. Testing the implementation, efficacy, and cost of alternative delivery models is needed to (a) increase the reach and sustainability of parent training interventions and (b) address the barriers to parent participation and implementation of such programs, specifically in primary health care settings. The purpose of this paper is to describe the study protocol evaluating the implementation, efficacy, and cost-effectiveness of delivering the tablet-based ezParent program in pediatric primary care sites.
  
  
  
  The implementation of the ezParent in four pediatric primary care sites will be evaluated using a descriptive design and cost-effectiveness analysis. The efficacy of the ezParent will be tested using a randomized controlled trial design with 312 parents of 2 to 5year old children from pediatric primary care settings. Data on parenting and child behavior outcomes will be obtained from all participants at baseline, and 3, 6, and 12months post baseline.
  
  
  
  Integrating and evaluating the implementation of the ezParent in pediatric primary care is an innovative opportunity to promote positive parenting with potential for universal access to the preschool population and for low cost by building on existing infrastructure in pediatric primary care.
authors: Rush University College of Nursing, 600 S. Paulina Street, Chicago, IL 60612, USA. Electronic address: susan_m_breitenstein@rush.edu.
authors: Susan M
authors: SM
authors: Breitenstein
authors: Rush University College of Nursing, 600 S. Paulina Street, Chicago, IL 60612, USA. Electronic address: michael_schoeny@rush.edu.
authors: Michael
authors: M
authors: Schoeny
authors: Northwestern University Feinberg School of Medicine, Psychiatry and Behavioral Sciences, 303 E Chicago Ave, Chicago, IL 60611, USA.
authors: Heather
authors: H
authors: Risser
authors: Rush University College of Health Sciences, 600 S. Paulina Street, Chicago, IL 60612, USA. Electronic address: tricia_j_johnson@rush.edu.
authors: Tricia
authors: T
authors: Johnson
mesh_terms: D002652:Child Behavior; D002675:Child, Preschool; D034201:Computers, Handheld; D003362:Cost-Benefit Analysis; D006801:Humans; D010287:Parent-Child Relations; D010290:Parents / Q000193:education*; D010353:Patient Education as Topic / Q000191:economics / Q000379:methods*; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D012107:Research Design; D020377:Self Efficacy
keywords: Implementation hybrid design; Internet; Parenting; Prevention; Primary care; eHealth