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Parenting Interventions in Pediatric Primary Care: A Systematic Review
Justin D Smith1, Gracelyn H Cruden2, Lourdes M Rojas3
1Center for Prevention Implementation Methodology for Drug Abuse and HIV and Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; jd.smith@northwestern.edu.
Parenting interventions effectively treat child mental health issues. Pediatric primary care settings can deliver these, but research on implementation strategies is needed for broader impact.
Area of Science:
- Child and Adolescent Psychiatry
- Implementation Science
- Pediatric Primary Care
Background:
- Parenting interventions are proven effective for child mental, emotional, and behavioral disorders.
- Pediatric primary care is a suitable setting for delivering these interventions.
Purpose of the Study:
- To review the implementation of parenting interventions in pediatric primary care.
- To identify gaps in research regarding implementation outcomes.
Main Methods:
- Systematic review of 6532 articles from PubMed, CINAHL, and PsycInfo.
- Inclusion criteria: interventions in or via primary care, targeting parenting, reporting child outcomes.
- Data extraction and review by trained coders.
Main Results:
- Analysis of 40 studies revealed limited data on implementation outcomes, especially at the service delivery system level.
- Most studies focused on intervention delivery rather than system-level implementation.
Conclusions:
- Fidelity in delivering parenting interventions in primary care can improve child and parent mental health.
- Further research on implementation strategies is crucial for widespread adoption and sustained delivery of these interventions.
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