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Primary Care Interventions for Early Childhood Development: A Systematic Review

Elizabeth Peacock-Chambers1,2, Kathryn Ivy3, Megan Bair-Merritt4

  • 1Institute for Healthcare Delivery and Population Science, Baystate Health, Springfield, Massachusetts; epc@bu.edu.

Pediatrics
|November 16, 2017
PubMed

Insights

Pediatric primary care interventions can improve child development and parenting. However, comparing studies is difficult due to varied outcome measures and evaluation times.

Area of Science:

  • Pediatric primary care
  • Child development
  • Parenting behaviors

Background:

  • Pediatric primary care settings are ideal for promoting positive parenting and child development.
  • Numerous interventions have been developed and tested in these settings over the last two decades.

Purpose of the Study:

  • To review evidence on primary care interventions impacting parenting and child development.
  • To recommend effective interventions for pediatric clinics.

Main Methods:

  • Literature search of PubMed and PsycINFO (1999-2017).
  • Included studies described primary care interventions and outcomes for child development or parenting.
  • Analyzed 48 studies detailing 24 distinct interventions.

Main Results:

  • Interventions focused on general developmental support, behavioral development, or specific topics.
  • Two interventions reduced developmental delay; four improved cognitive scores; six improved behavioral outcomes.
  • Effective strategies included modeling, coaching, and role-playing.

Conclusions:

  • Several interventions showed positive outcomes for children aged 0-3 years.
  • Study limitations include varied outcome measures, evaluation times, and results, hindering direct comparisons.
  • Community or home-based interventions were excluded from this review.
Abstract

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