The Effect of Physician-Parent Discussions and a Brief Intervention on Caregivers' Plan to Discipline: Is it Time for a New Approach?

被引：10

作者：

Scholer, Seth J. ^{[1
,2
]}

Hudnut-Beumler, Julia

Dietrich, Mary S. ^{[3
]}

机构：

[1] Vanderbilt Univ, Dept Pediat, Sch Med, Nashville, TN 37232 USA

[2] Monroe Carell Jr Childrens Hosp Vanderbilt, Nashville, TN USA

[3] Vanderbilt Univ, Sch Nursing, Sch Med Biostat, Nashville, TN 37240 USA

来源：

CLINICAL PEDIATRICS | 2011年 / 50卷 / 08期

关键词：

violence; child abuse; parenting; counseling; education; aggression; prevention and control; child behavior; intervention; primary care; VIOLENCE-PREVENTION PROGRAM; EARLY-CHILDHOOD; ANTICIPATORY GUIDANCE; NATIONAL-SURVEY; YOUNG-CHILDREN; ATTITUDES; ADVICE;

D O I：

10.1177/0009922811400730

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Consecutive English- or Spanish-speaking caregivers of 1- to 5-year-old children were randomized to view a multimedia program (approximately 5-10 minutes) in a pediatric primary care clinic. After the clinic visit, 258/259 caregivers participated in a brief personal interview. In the multivariate logistic model, caregivers were more likely to have been assisted in their plans to discipline if they had had a discussion about discipline with their physician (odds ratio [OR] = 4.93; 95% confidence interval [CI] = 1.08-22.46), viewed the multimedia program (OR = 259.29; 95% CI = 56.56-1188.61), or viewed the multimedia program and had had a discussion with their physician (OR = 507.05; 95% CI = 86.81-2961.45) than if they had had no discussion and had not viewed the multimedia program. In addition to face-to-face discussions, routinely viewed educational material may help teach caregivers about discipline. The results have implications for improving primary care services, child abuse prevention, and violence prevention.

引用

页码：712 / 719

页数：8