A study protocol testing the implementation, efficacy, and cost effectiveness of the ezParent program in pediatric primary care

Breitenstein, Susan M.; Schoeny, Michael; Risser, Heather J.; Johnson, Tricia J.

doi:10.1016/j.cct.2016.08.017

Cited by 13 publications

(12 citation statements)

References 60 publications

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“…These types of interventions were usually adapted from existing EBIs (71%). eHealth strategies applied include web-based parenting modules (included 4 to 12 interactive or structured parenting sessions), with (44, 45, 52–53, 54, 56, 57) or without (42, 47, 48, 50, 55) additional e-communication or e-support for parents (e.g., phone coaching, e-reminders, feedback messaging, email, social media groups). There were also some studies focused on parent support interventions (including information and emotion support) and wellness promotion (purpose) for families of children with challenging behavior.…”

Section: Resultsmentioning

confidence: 99%

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Use of Technology to Promote Child Behavioral Health in the Context of Pediatric Care: A Scoping Review and Applications to Low- and Middle-Income Countries

et al. 2019

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Background: The burden of mental, neurological, and substance (MNS) disorders is greater in low- and middle-income countries (LMICs). The rapid growth of digital health (i.e., eHealth) approaches offer new solutions for transforming pediatric mental health services and have the potential to address multiple resource and system barriers. However, little work has been done in applying eHealth to promote young children’s mental health in LMICs. It is also not clear how eHealth has been and might be applied to translating existing evidence-based practices/strategies (EBPs) to enable broader access to child mental health interventions and services. Methods: A scoping review was conducted to summarize current eHealth applications and evidence in child mental health. The review focuses on 1) providing an overview of existing eHealth applications, research methods, and effectiveness evidence in child mental health promotion (focused on children of 0–12 years of age) across diverse service contexts; and 2) drawing lessons learned from the existing research about eHealth design strategies and usability data in order to inform future eHealth design in LMICs. Results: Thirty-two (32) articles fitting our inclusion criteria were reviewed. The child mental health eHealth studies were grouped into three areas: i) eHealth interventions targeting families that promote child and family wellbeing; ii) eHealth for improving school mental health services (e.g., promote school staff’s knowledge and management skills); and iii) eHealth for improving behavioral health care in the pediatric care system (e.g., promote use of integrated patient-portal and electronic decision support systems). Most eHealth studies have reported positive impacts. Although most pediatric eHealth studies were conducted in high-income countries, many eHealth design strategies can be adapted and modified to fit LMIC contexts. Most user-engagement strategies identified from high-income countries are also relevant for populations in LMICs. Conclusions: This review synthesizes patterns of eHealth use across a spectrum of individual/family and system level of eHealth interventions that can be applied to promote child mental health and strengthen mental health service systems. This review also summarizes critical lessons to guide future eHealth design and delivery models in LMICs. However, more research in testing combinations of eHealth strategies in LMICs is needed.

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Section: Resultsmentioning

confidence: 99%

“…Average length of time per visit was 14.1 min (SD = 17.1). Participants completed on average 82% of the modules (out of 6 total modules) (47).…”

Section: Resultsmentioning

confidence: 99%

Use of Technology to Promote Child Behavioral Health in the Context of Pediatric Care: A Scoping Review and Applications to Low- and Middle-Income Countries

et al. 2019

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“…Messaging and resources could be delivered via text throughout the perinatal period with coordinated in-person prevention messaging during maternal doctor visits, ultrasounds, and well-child visits in the pediatric or family practice settings. Pediatric wellchild visits could provide a natural setting for disseminating prevention resources and implementing many aspects of prevention (e.g., Breitenstein et al 2016;Glassgow et al 2018). Currently, only 19 states require a child to have a physical medical exam before starting school; 41 states require a vision screening.…”

Section: Leverage Existing Infrastructurementioning

confidence: 99%

“…Providing this information in healthcare settings as health promotion could reduce the stigma of parents seeking support. Research has demonstrated the feasibility and effectiveness of providing parenting services and parent training in healthcare settings (e.g., Breitenstein et al 2016;Risser et al 2016;Tapia et al 2006).…”

Section: Leverage Existing Infrastructurementioning

confidence: 99%

“…In fact, a public health approach to supporting family well-being would include a model such as in Norway, where the International Child Development Program (ICDP) is offered free of charge by the Ministry of Children, Equality, and Social Inclusion to all parents identified with need or interest (Sherr et al 2011). Public health approaches could also include embedding parent resources into primary and specialty care (Breitenstein et al 2016;Glassgow et al, 2017;Risser et al 2016).…”

Section: Leverage Existing Infrastructurementioning

confidence: 99%

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Achieving Comprehensive Prevention of Child Abuse and Neglect

Risser

Svevo-Cianci²,

Karim³

et al. 2019

Int. Journal on Child Malt.

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The United States has developed a comprehensive array of child abuse and neglect (CAN) prevention resources and has allocated funding to provide these resources. Policy makers, practitioners, and advocates are committed to CAN prevention. However, the current paradigm used to prevent CAN is inadequate for four reasons. First, system-level policies and infrastructure are not fully aligned with children's needs for a safe and stable upbringing. Second, access to effective CAN prevention resources is not ubiquitous. Third, most people do not have clear roles in preventing CAN in their everyday lives. Fourth, fear of stigma prevents caregivers from seeking support and accessing services. We must shift the paradigm so that all policies promote child well-being, every family has equitable access to all opportunities, and every individual feels entitled to advocate for and engage in CAN prevention. By embedding an adapted Health Belief Model (aHBM) into an ecological model, we can improve policies, behaviors, and beliefs at all levels of the social ecology in order to shift the paradigm. In order to scale knowledge and advocacy for preventing CAN to the population, we propose a strategy that increases system collaboration, leverages existing infrastructure, and adopts multi-source funding models that invest in prevention services to inoculate society against CAN.

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Black, Mexican American, and White Caregiver Practices to Prevent Challenging Behavior

McGuire

Martin

Meadan

et al. 2022

Early Childhood Educ J

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A study protocol testing the implementation, efficacy, and cost effectiveness of the ezParent program in pediatric primary care

Cited by 13 publications

References 60 publications

Use of Technology to Promote Child Behavioral Health in the Context of Pediatric Care: A Scoping Review and Applications to Low- and Middle-Income Countries

Use of Technology to Promote Child Behavioral Health in the Context of Pediatric Care: A Scoping Review and Applications to Low- and Middle-Income Countries

Achieving Comprehensive Prevention of Child Abuse and Neglect

Black, Mexican American, and White Caregiver Practices to Prevent Challenging Behavior

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