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Promoting social emotional development during the paediatric well-child visit: a demonstration project
Meghan L Johnson1, Sue Butts-Dion2, Meera Menon2
1Programs, National Institute for Children's Health Quality (NICHQ), Boston, Massachusetts, USA mjohnson@nichq.org.
BMJ Open Quality
|June 12, 2021
Summary
Supporting social emotional development from birth improves lifelong health. Quality improvement methods increased social-emotional screenings during well-child visits for young children.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Early social-emotional development is crucial for lifelong health.
- Well-child visits are key opportunities to support child development.
- Current pediatric practice often prioritizes physical and cognitive development over social-emotional aspects.
Purpose of the Study:
- To implement and test evidence-informed strategies for nurturing parent-child relationships.
- To promote the social-emotional development of young children through well-child visits.
- To integrate social-emotional screening into routine pediatric care.
Main Methods:
- Eighteen US pediatric practices formed a learning community.
- Quality improvement methods were used to test and implement 11 strategies.
- Outcome, process, and balancing measures were used to track improvements over 12 months.
Main Results:
- High participation rates were observed, with 72% attending webinars and 97% attending learning sessions.
- The percentage of children receiving age-appropriate social-emotional development screens increased from 83% to 93%.
- Improvement methods demonstrated promise in enhancing social-emotional screening rates.
Conclusions:
- Quality improvement science can effectively increase social-emotional screening in pediatric practices.
- Pediatric providers can be trained to better screen for and promote social-emotional development.
- Integrating social-emotional support into well-child visits holds significant potential for improving child health outcomes.
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