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Integrating a Parenting Assessment into Practice: Pediatric Providers' Time and Perspectives.
Amber J Cooke1, Tahra I Attar1, Victoria L Carr1
1Vanderbilt Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctors' Office Towers, 8th Floor, 2200 Children's Way, Nashville, TN, 37232, USA.
Maternal and Child Health Journal
|September 16, 2024
Summary
Integrating the Quick Parenting Assessment (QPA) into pediatric primary care is feasible and beneficial. Pediatric providers found the QPA increased objectivity, improved communication, and enhanced visit value, supporting parents effectively.
Area of Science:
- Pediatric primary care
- Parenting assessment tools
- Health services research
Background:
- Parenting practices significantly impact child development and health outcomes.
- Primary care settings offer a crucial opportunity to identify and support parents facing challenges.
- Validated tools are needed to efficiently assess parenting in busy clinical environments.
Purpose of the Study:
- To integrate the Quick Parenting Assessment (QPA) into routine pediatric primary care visits.
- To evaluate the time pediatric providers need to review the QPA.
- To assess provider perceptions of the QPA's utility and impact on patient care.
Main Methods:
- The Quick Parenting Assessment (QPA), a 13-item tool, was administered during well-child visits (15 months, 30 months, 5 years, 8 years).
- Pediatric providers completed surveys after QPA administration to assess time and perceptions.
- 315 provider surveys were analyzed to determine feasibility and impact.
Main Results:
- Most QPAs indicated low risk (78.7%), with medium (14.6%) and high risk (6.7%) identified.
- Review time was minimal: 15-30 seconds for low-risk and 30 seconds to 1 minute for high-risk QPAs.
- Providers reported increased objectivity (68%), improved communication (77%), and enhanced visit value (68%) with QPA use.
Conclusions:
- The validated Quick Parenting Assessment (QPA) is a practical tool for pediatric primary care.
- Integration of the QPA supports pediatric healthcare providers in assessing and addressing parenting needs.
- Findings support the use of parenting assessments for value-based care and disease prevention in pediatrics.
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