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Voluntary or required viewing of a violence prevention program in pediatric primary care
Seth J Scholer1, Courtney A Walkowski, Len Bickman
1Department of Pediatrics, Vanderbilt University, Nashville, TN 37232-9225, USA. seth.scholer@vanderbilt.edu
Insights
Pediatricians can effectively use well-child visits to teach parents childhood aggression management skills. The "Play Nicely" program increased comfort and willingness to discuss child behavior and discipline.
Area of Science:
- Pediatrics
- Child Psychology
- Behavioral Science
Background:
- Childhood aggression is a common concern for parents.
- Pediatric well-child visits offer opportunities for preventative education.
- Effective behavior management strategies are crucial for child development.
Purpose of the Study:
- To evaluate the effectiveness of the "Play Nicely" intervention for childhood aggression management.
- To assess parental acceptance and perceived benefits of the program during well-child visits.
- To explore the integration of violence prevention education into routine pediatric care.
Main Methods:
- A quasi-experimental design comparing voluntary and required viewing groups of parents.
- Intervention: "Play Nicely" program focused on childhood aggression management skills.
- Data collection involved assessing parental satisfaction, comfort in managing aggression, and willingness to discuss behavior.
Main Results:
- 100% of parents were pleased the program was offered by their pediatrician.
- 94% of parents felt more comfortable managing childhood aggression after viewing the program.
- Approximately 75% of parents in both groups showed increased willingness to discuss child behavior and discipline with their pediatrician.
Conclusions:
- The "Play Nicely" program is well-received by parents during well-child visits.
- Pediatrician-led delivery of aggression management education can enhance parental confidence and communication.
- Integrating such educational materials into routine care supports childhood violence prevention efforts.
Abstract:
Participants were parents of children less than 7 years of age who presented with their child for a well child visit. Viewed in the waiting room, the intervention was Play Nicely, which teaches childhood aggression management skills. A total of 138 parents were invited to view the program; 57 (41%) accepted (voluntary group). A second group of 35 parents viewed the program as part of the clinic visit (required group); all 35 (100%) accepted. There were no differences between the groups in the proportion of parents who were pleased that the program was offered by their pediatrician (100%) and the proportion who felt more comfortable managing aggression after the viewing experience (94%). Approximately 75% of both groups reported an increased willingness to discuss child behavior and discipline strategies with their pediatrician. These findings have implications for how providers can more routinely introduce educational material into the well child visit that relates to childhood aggression, discipline, and violence prevention.
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