Abstract
CONTEXT: More than 4 decades of research indicate that parenting interventions are effective at preventing and treating mental, emotional, and behavioral disorders in children and adolescents. Pediatric primary care is a viable setting for delivery of these interventions. OBJECTIVE: Previous meta-analyses have shown that behavioral interventions in primary care can improve clinical outcomes, but few reviews have been focused specifically on the implementation of parenting interventions in primary care. We aimed to fill this gap. DATA SOURCES: We reviewed 6532 unique peer-reviewed articles published in PubMed, the Cumulative Index to Nursing and Allied Health Literature, and PsycInfo. STUDY SELECTION: Articles were included if at least part of the intervention was delivered in or through primary care; parenting was targeted; and child-specific mental, emotional, and behavioral health outcomes were reported. DATA EXTRACTION: Articles were reviewed in Covidence by 2 trained coders, with a third coder arbitrating discrepancies. RESULTS: In our review of 40 studies, most studies were coded as a primary. Few researchers collected implementation outcomes, particularly those at the service delivery system level. LIMITATIONS: Including only published articles could have resulted in underrepresentation of implementation-related data. CONCLUSIONS: Parenting interventions delivered and implemented with fidelity in pediatric primary care could result in positive and equitable impacts on mental, emotional, and behavioral health outcomes for both parents and their children. Future research on the implementation strategies that can support adoption and sustained delivery of parenting interventions in primary care is needed if the field is to achieve population-level impact.
| Original language | English (US) |
|---|---|
| Article number | e20193548 |
| Journal | Pediatrics |
| Volume | 146 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 2020 |
Funding
FUNDING: Supported by grant P30 DA027828 from the National Institute on Drug Abuse, awarded to Dr Brown. Additional support was provided by grant U18 DP006255 from the National Center for Chronic Disease Prevention and Health Promotion of the Centers of Disease Control and Prevention, under the Childhood Obesity Research Demonstration Project 2.0, awarded to Dr Smith and Cady Berkel, and by grant 2018-68001-27550 from the US Department of Agriculture, National Institute for Food and Agriculture, Agriculture and Food Research Initiative, awarded to Dr Smith and Cady Berkel. The opinions expressed in this article are the views of the authors and do not necessarily reflect the official policy or position of any other part of the US Department of Health and Human Services nor the US Department of Agriculture. Funded by the National Institutes of Health (NIH).
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health