Increasingly, childcare treatments are provided in primary care institutions, but family participation is generally low. The goal of the study was to learn more about parents’ preferences for the content and approach of mental health counseling in pediatric primary care. In addition, the connection between those preferences and demographic data, child behavior problems, and parenting style were investigated. The authors performed a poll to determine which behavioral issues are essential to parents, as well as the most appealing delivery techniques. 396 parents of young children were recruited from the primary care office as participants. The authors gathered data on parental preferences for behavioral intervention in primary care (including behavioral subjects, intervention strategies, and delivery methods), child behavior symptoms, parenting style, in addition, and demographic variables. Parents’ preferred behavioral subjects and intervention delivery methods were identified using descriptive statistics. To see if parenting style predicted parents’ choices beyond demographic and child-level characteristics, researchers utilized a hierarchical regression technique.
Consequently, nearly all parents (96%) rated a behavioral topic (such as aggression) as critical. The majority of people would like to be treated at normal medical appointments. Parents’ interest in behavioral guidance related to children’s behavioral difficulties, although clinically significant symptoms do not distinguish interest in any single subject. Socio-economic characteristics and poor parenting styles can predict the preferences of some parents. It is worth noting that loose parenting is associated with a higher interest in behavioral interventions, while anger and body-controlled parenting belongs to a decreased interest in behavioral interventions. In conclusion, the authors claim that most parents want behavioral assistance as part of their primary care. However, the recognized socio-economic, children and parents’ risk factors affect their choice of aid content and delivery methods. It is possible that tailoring an intervention to the preferences of parents will boost parental participation with available interventions.
Reflection
This page is directly related to concepts and terminology taught in class, such as conscious discipline, effective guidance intervention, behavioral support, and specific behavioral difficulties. All of these issues were discussed in this article because the authors’ goal in conducting their research was to learn about parents’ preferences for the content and delivery method of behavioral health help in pediatric primary care. In addition, the connection between those preferences and demographic data, child behavior problems, and parenting style were investigated. According to the authors, supporting safe and effective child discipline techniques is an important strategy for preventing child maltreatment and enhancing population health outcomes, and pediatric primary care has been identified as a critical site for parenting intervention. In terms of the study’s findings, the authors discovered that numerous elements, including the informational content and delivery methods of behavioral health interventions in primary care, could influence parents’ choices.
Many parents want more counseling on child discipline and other behavioral themes than they receive as part of their kid’s primary care, according to research, but the specific nature of this demand from a parental perspective is unknown. For example, the term “discipline” is commonly used to refer to a variety of parenting techniques used to address a variety of child behaviors, but previous research has treated “discipline” as a single concept. Because the effectiveness of discipline tactics varies depending on the type of behavior being addressed, it is critical to identify the specific child behaviors for which parents seek support rather than broad categories. Everything that was considered there has already been discussed during the course.
Implications for Instruction
This study adds to our understanding of parents’ goals and preferences for mental health care for their children in primary care. The findings show that behavioral themes are almost generally seen as an important aspect of primary care services for children under the age of five, although preferences for the content and delivery of behavioral care differ depending on a range of individual circumstances. Notably, the overall relevance of the behavioral categories reflected by the BIPS’s Emotions & Conduct and Healthy Habits subscales was linked with total child behavioral symptoms. Clinically significant, behavioral symptoms did not differentiate between interest in the behavioral topic, and behavioral symptoms were less predictive overall than expected. Determining the difference between singular behavioral concerns and clinical disorders may be important for intervention stratification, as multicomponent treatment packages often target constellations of symptoms (e.g., parent management training for disruptive behavior), whereas more discrete interventions can target individual behaviors (e.g., time-out for aggression). Developing discrete interventions that may be modified to target parents’ priority child behaviors is a key goal of family-centered care.
This study found that parenting style predicts attitudes toward behavioral health services in primary care, which is significant because most evidence-based parenting programs encourage authoritarian parenting. The relevance of behavioral subjects relating to conduct and emotions, as well as interest in all means of intervention delivery, was predicted by lax parenting in particular. This event shows that parents with a relaxed parenting style may understand the need for information and skills to help their children regulate their conduct better. Other negative parenting behaviors, on the other hand, did not predict more interest in his, her, their, etc. Behavior therapy, in some cases, predicts that interest will decrease. Higher physical control was linked to a decreased interest in supplementary behavioral services, which is concerning because parents who use corporal punishment may put their children at risk of maltreatment and other negative effects. More research is needed to establish the causes of this link; it may be necessary to engage these parents during childcare or provide access to media-based therapies. Motivational tactics or other engagement strategies, on the other hand, maybe especially important to engage parents who exercise control that is more physical.
Reference
Riley, A. R., Walker, B. L., Wilson, A. C., Hall, T. A., Stormshak, E. A., & Cohen, D. J. (2019). Parents’ Consumer Preferences for Early Childhood Behavioral Intervention in Primary Care.Journal of Developmental and Behavioral Pediatrics, 40(9), 669-678. Web.