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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.