Evaluating the Keystones of Development - An Online Curriculum for Residents to Promote Positive Parenting in Primary Care.

This pilot outcome evaluation assesses the effectiveness of an online curriculum, the Keystones of Development, aimed at improving residents' knowledge, attitudes, and reported behaviors around promoting positive parenting and childhood development in well-child visits. We used an explanatory mixed-...

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Publicado en:Academic Pediatrics Vol. 22; no. 1; pp. 151 - 160
Autores principales: Hammond, Blair, Pressman, Aliza W., Quinn, Carrie, Benjamin, Mariel, Luesse, Hiershenee B., Mogilner, Leora
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
      vid: 22
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.acap.2021.06.005
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        atl: Evaluating the Keystones of Development - An Online Curriculum for Residents to Promote Positive Parenting in Primary Care.
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        au:
          Hammond, Blair
          Pressman, Aliza W.
          Quinn, Carrie
          Benjamin, Mariel
          Luesse, Hiershenee B.
          Mogilner, Leora
        affil: Mount Sinai Parenting Center (B Hammond, AW Pressman, C Quinn, M Benjamin, L Mogilner), New York, NY
      sug:
        subj:
          Interns and Residents
          Professional Knowledge Evaluation
          Professional Compliance
          Attitude of Health Personnel Evaluation
          Parenting Education
          Child Development
          Office Visits
          Human
          Funding Source
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Adult
          Analysis of Variance
          T-Tests
          Post Hoc Analysis
          Pretest-Posttest Design
          Pilot Studies
          Semi-Structured Interview
          United States
          Internship and Residency
          Self-Efficacy
          Adult: 19-44 years
          Male
          Female
      ab: This pilot outcome evaluation assesses the effectiveness of an online curriculum, the Keystones of Development, aimed at improving residents' knowledge, attitudes, and reported behaviors around promoting positive parenting and childhood development in well-child visits. We used an explanatory mixed-methods approach, including a single-arm pre-posttest of intervention effects on self-reported behavioral outcomes (discussing, modeling, and praising) and secondary outcomes (knowledge, perceived barriers, attitudes, and self-efficacy). Following this, a subset of residents participated in in-depth interviews to describe participant responses to the intervention. The study was conducted at 8 pediatric residency programs across the United States with 67 pediatric residents (mean age = 29; 79% female; 57% PGY1). Within one month postintervention, there was a statistically significant increase in the behaviors that promote positive parenting: discussing (P <. 01;d = 0.73) and modeling (P <. 01;d = 0.61) but not praising (P =. 05; d = 0.3). Significant changes in the secondary outcomes: knowledge (P <. 01), perceived barriers, (P <. 01), and retrospective self-efficacy (P <. 01) were seen. Interviews revealed that integration of curriculum content into clinical practice was due to the relevance of the material to primary care and the modeling of how to apply in the clinical setting. Curriculum format, content, and clinical application helped participants weave recommendations into the well-child visit. In this study, we demonstrated that the online curriculum, Keystones of Development , increased resident behaviors, knowledge, and self-efficacy, and decreased perceived barriers to promote parenting behaviors associated with improved child development outcomes in well-child visits. These findings were observed across participants demonstrating equal success regardless of demographic characteristics or study site.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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