Promotion of positive parenting and prevention of socioemotional disparities

Adriana Weisleder*, Carolyn Brockmeyer Cates, Benard P. Dreyer, Samantha Berkule Johnson, Harris S. Huberman, Anne M. Seery, Caitlin F. Canfield, Alan L. Mendelsohn

*Corresponding author for this work

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

OBJECTIVE: The goal of this study was to determine what effects pediatric primary care interventions, focused on promotion of positive parenting through reading aloud and play, have on the socioemotional development of toddlers from low-income, primarily immigrant households. METHODS: This randomized controlled trial included random assignment to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or to a control group. Mother-newborn dyads were enrolled postpartum in an urban public hospital. In VIP, dyads met with an interventionist on days of well-child visits; the interventionist facilitated interactions in play and shared reading through provision of learning materials and review of videotaped parent-child interactions. In BB, parents were mailed parenting pamphlets and learning materials. This article analyzes socioemotional outcomes from 14 to 36 months for children in VIP and BB versus control. RESULTS: A total of 463 dyads (69%) contributed data. Children in VIP scored higher than control on imitation/play and attention, and lower on separation distress, hyperactivity, and externalizing problems, with effect sizes ∼0.25 SD for the sample as a whole and ∼0.50 SD for families with additional psychosocial risks . Children in BB made greater gains in imitation/play compared with control. CONCLUSIONS: These findings support the efficacy of VIP, a preventive intervention targeting parent-child interactions, for enhancing socioemotional outcomes in low-income toddlers. Given the low cost and potential for scalability of primary care interventions, findings support expansion of pediatric-based parenting programs such as VIP for the primary prevention of socioemotional problems before school entry.

Original languageEnglish (US)
Article numbere20153239
JournalPediatrics
Volume137
Issue number2
DOIs
StatePublished - Feb 1 2016

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Parenting
Reading
Primary Health Care
Learning
Pediatrics
Pamphlets
Public Hospitals
Urban Hospitals
Primary Prevention
Postpartum Period
Randomized Controlled Trials
Parents
Mothers
Newborn Infant
Costs and Cost Analysis
Control Groups

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Weisleder, A., Cates, C. B., Dreyer, B. P., Johnson, S. B., Huberman, H. S., Seery, A. M., ... Mendelsohn, A. L. (2016). Promotion of positive parenting and prevention of socioemotional disparities. Pediatrics, 137(2), [e20153239]. https://doi.org/10.1542/peds.2015-3239
Weisleder, Adriana ; Cates, Carolyn Brockmeyer ; Dreyer, Benard P. ; Johnson, Samantha Berkule ; Huberman, Harris S. ; Seery, Anne M. ; Canfield, Caitlin F. ; Mendelsohn, Alan L. / Promotion of positive parenting and prevention of socioemotional disparities. In: Pediatrics. 2016 ; Vol. 137, No. 2.
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Weisleder, A, Cates, CB, Dreyer, BP, Johnson, SB, Huberman, HS, Seery, AM, Canfield, CF & Mendelsohn, AL 2016, 'Promotion of positive parenting and prevention of socioemotional disparities', Pediatrics, vol. 137, no. 2, e20153239. https://doi.org/10.1542/peds.2015-3239

Promotion of positive parenting and prevention of socioemotional disparities. / Weisleder, Adriana; Cates, Carolyn Brockmeyer; Dreyer, Benard P.; Johnson, Samantha Berkule; Huberman, Harris S.; Seery, Anne M.; Canfield, Caitlin F.; Mendelsohn, Alan L.

In: Pediatrics, Vol. 137, No. 2, e20153239, 01.02.2016.

Research output: Contribution to journalArticle

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AU - Weisleder, Adriana

AU - Cates, Carolyn Brockmeyer

AU - Dreyer, Benard P.

AU - Johnson, Samantha Berkule

AU - Huberman, Harris S.

AU - Seery, Anne M.

AU - Canfield, Caitlin F.

AU - Mendelsohn, Alan L.

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N2 - OBJECTIVE: The goal of this study was to determine what effects pediatric primary care interventions, focused on promotion of positive parenting through reading aloud and play, have on the socioemotional development of toddlers from low-income, primarily immigrant households. METHODS: This randomized controlled trial included random assignment to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or to a control group. Mother-newborn dyads were enrolled postpartum in an urban public hospital. In VIP, dyads met with an interventionist on days of well-child visits; the interventionist facilitated interactions in play and shared reading through provision of learning materials and review of videotaped parent-child interactions. In BB, parents were mailed parenting pamphlets and learning materials. This article analyzes socioemotional outcomes from 14 to 36 months for children in VIP and BB versus control. RESULTS: A total of 463 dyads (69%) contributed data. Children in VIP scored higher than control on imitation/play and attention, and lower on separation distress, hyperactivity, and externalizing problems, with effect sizes ∼0.25 SD for the sample as a whole and ∼0.50 SD for families with additional psychosocial risks . Children in BB made greater gains in imitation/play compared with control. CONCLUSIONS: These findings support the efficacy of VIP, a preventive intervention targeting parent-child interactions, for enhancing socioemotional outcomes in low-income toddlers. Given the low cost and potential for scalability of primary care interventions, findings support expansion of pediatric-based parenting programs such as VIP for the primary prevention of socioemotional problems before school entry.

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Weisleder A, Cates CB, Dreyer BP, Johnson SB, Huberman HS, Seery AM et al. Promotion of positive parenting and prevention of socioemotional disparities. Pediatrics. 2016 Feb 1;137(2). e20153239. https://doi.org/10.1542/peds.2015-3239