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A study protocol testing the implementation, efficacy, and cost effectiveness of the ezParent program in pediatric
Susan M Breitenstein1, Michael Schoeny1, Heather Risser2
1Rush University College of Nursing, 600 S. Paulina Street, Chicago, IL 60612, USA.
Insights
This study evaluates ezParent, a tablet-based program, to improve child behavior and parent-child relationships in primary care. It aims to increase access to behavioral parent training by overcoming attendance barriers.
Area of Science:
- Child Psychology
- Behavioral Health Interventions
- Primary Care Pediatrics
Background:
- Behavior problems affect up to 20% of children, impacting relationships and academics.
- Behavioral parent training (BPT) improves child behavior and parent-child relationships.
- Low attendance and parent involvement limit traditional face-to-face BPT.
Purpose of the Study:
- To evaluate the implementation, efficacy, and cost-effectiveness of the tablet-based ezParent program.
- To assess ezParent's potential for increasing reach and sustainability of BPT.
- To address barriers to parent participation in primary health care settings.
Main Methods:
- A randomized controlled trial will assess ezParent's efficacy in 312 parents of 2-5-year-old children.
- Implementation will be evaluated using a descriptive design and cost-effectiveness analysis.
- Data on parenting and child behavior will be collected at baseline, 3, 6, and 12 months.
Main Results:
- N/A - This section describes the study protocol, results are pending.
Conclusions:
- Integrating ezParent into pediatric primary care offers innovative potential for promoting positive parenting.
- The program may provide universal access to preschool populations at a low cost.
- Leveraging existing primary care infrastructure can enhance BPT delivery and sustainability.
Introduction:
Up to 20% of children demonstrate behavior problems that interfere with relationship development and academic achievement. Parent participation in behavioral parent training programs has been shown to decrease child problem behaviors and promote positive parent-child relationships. However, attendance and parent involvement in face-to-face parent training remain low. Testing the implementation, efficacy, and cost of alternative delivery models is needed to (a) increase the reach and sustainability of parent training interventions and (b) address the barriers to parent participation and implementation of such programs, specifically in primary health care settings. The purpose of this paper is to describe the study protocol evaluating the implementation, efficacy, and cost-effectiveness of delivering the tablet-based ezParent program in pediatric primary care sites.
Methods:
The implementation of the ezParent in four pediatric primary care sites will be evaluated using a descriptive design and cost-effectiveness analysis. The efficacy of the ezParent will be tested using a randomized controlled trial design with 312 parents of 2 to 5year old children from pediatric primary care settings. Data on parenting and child behavior outcomes will be obtained from all participants at baseline, and 3, 6, and 12months post baseline.
Discussion:
Integrating and evaluating the implementation of the ezParent in pediatric primary care is an innovative opportunity to promote positive parenting with potential for universal access to the preschool population and for low cost by building on existing infrastructure in pediatric primary care.
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