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The TREE Program: Promoting Positive Early Childhood Experiences During Well-Child Visits.

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Summary
This summary is machine-generated.

The Talk Read Engage Encourage (TREE) program improved caregiver-child interactions and pediatric resident confidence in coaching families. This developmental coaching intervention shows promise for early childhood development in primary care settings.

Keywords:
developmental coachingmarginalized childrenpediatric primary carepediatric residentspositive early childhood experiencespositive parent-child relationshipsrelational health

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Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Health Services Research

Background:

  • Early childhood development is crucial for lifelong well-being.
  • Historically marginalized children often face barriers to optimal early experiences.
  • Pediatric primary care offers a setting to support caregiver-child interactions.

Purpose of the Study:

  • To evaluate the feasibility of the developmental coaching TREE program.
  • To assess the program's impact on caregiver-child interactions.
  • To examine changes in pediatric residents' coaching competency and self-efficacy.

Main Methods:

  • Quasi-experimental design with intervention and control groups.
  • Convenience sample of 167 families with children aged 0-2 years.
  • Data collected on caregiver verbal responsivity and resident confidence.

Main Results:

  • Caregivers in the intervention group showed significant increases in verbal responsivity.
  • Pediatric residents reported significant improvements in promoting positive interactions and confidence.
  • The TREE program demonstrated feasibility and positive outcomes despite COVID-19 disruptions.

Conclusions:

  • The TREE program is a promising practice for enhancing relational health in early childhood.
  • Integrating developmental coaching into pediatric visits can support positive caregiver-child interactions.
  • The findings support the operationalization of early childhood experience promotion within primary care.