The Early STEPS Pilot Study: The Impact of a Brief Consultation Session on Self-reported Parenting Satisfaction.

Introduction: Evidence-based parenting interventions can augment parental knowledge and skills to reduce parental stress and increase self-efficacy, leading to improved developmental outcomes for children. However, parenting interventions are often multi-session and require considerable time commitm...

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Published in:Maternal & Child Health Journal Vol. 25; no. 12; pp. 1923 - 1930
Main Authors: Zachry, Anne H., Jones, Tamekia, Flick, Jami, Richey, Phyllis
Format: clinical trial research tables/charts Journal Article
Published: Springer Nature Dec2021
Online Access:View this record in EBSCOhost
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      dt: Dec2021
      vid: 25
      iid: 12
      pid: 237
      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-021-03234-z
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      ppf: 1923
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        atl: The Early STEPS Pilot Study: The Impact of a Brief Consultation Session on Self-reported Parenting Satisfaction.
      aug:
        au:
          Zachry, Anne H.
          Jones, Tamekia
          Flick, Jami
          Richey, Phyllis
        affil: Department of Occupational Therapy, University of Tennessee Health Science Center, 930 Madison Ave, Suite 616, 38163, Memphis, TN, USA
      sug:
        subj:
          Parenting Education
          Self Report
          Parental Attitudes
          Pediatric Care
          Primary Health Care
          Poverty
          Urban Health Services
          Early Intervention
          Child Development
          Occupational Therapy Assessment
          Referral and Consultation
          Human
          Pilot Studies
          Pretest-Posttest Design
          Prospective Studies
          Child, Preschool
          Child
          Descriptive Statistics
          Scales
          Quasi-Experimental Studies
          Questionnaires
          Coefficient alpha
          Summated Rating Scaling
          Spearman's Rank Correlation Coefficient
          Wilcoxon Rank Sum Test
          Male
          Female
          Adult
          Middle Age
          Clinical Trials
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: Evidence-based parenting interventions can augment parental knowledge and skills to reduce parental stress and increase self-efficacy, leading to improved developmental outcomes for children. However, parenting interventions are often multi-session and require considerable time commitments from parents and primary care physicians. We conducted a pilot study to evaluate the effect of a brief consultation session on self-reported parental satisfaction and to assess the feasibility and effectiveness of incorporating occupational therapists (OTs) into a low-income urban pediatric primary care setting to conduct developmental screenings. Methods: OTs conducted one 45-min consultation on positive parenting practices and promoting child development with parents in a pediatric primary care practice. A one group pretest–posttest design with 6-month follow-up was utilized. Participants included 55 families with 60 children, ages 2 to 65 months 30 days. The primary outcome measure was the change in Parenting Sense of Competence Scale (PSOC) scores from baseline to 6-month follow-up. Additional outcomes were screening results, referral numbers, and follow through in obtaining early intervention services. Results: The paired difference between PSOC scores at baseline and 6 months indicated a significant increase in parenting satisfaction (p < 0.0001). Of 41 children referred, 26 were eligible and obtained services, 12 were lost to follow-up, and 3 did not qualify for services. Discussion: Our preliminary findings suggest one consultation session on positive parenting practices and promoting child development may increase parenting satisfaction. Moreover, OTs can reduce the burden on primary care physicians by providing screenings, consultations, and follow-up. Further research is warranted to evaluate these findings.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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