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Updated: Jun 18, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

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Published on: February 11, 2017

Implementation of Emotional Connection Training in Pediatric Primary Care: Mixed Methods Study.

Elizabeth Erickson¹, J Blakely Amati², Dani Dumitriu³

¹Department of Pediatrics, Medical Center, Duke University, Durham, NC, United States.

JMIR Medical Education

|June 16, 2026

Summary

Pediatric providers found the "Lens of Emotional Connection" training module highly acceptable and valuable for improving early relational health (ERH) observation skills. While feasibility was limited by low completion rates, the module shows potential for scalable ERH promotion in primary care.

Keywords:

community pediatrics developmental-behavioral health early relational health medical education resident education

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Area of Science:

Pediatric Primary Care
Early Relational Health (ERH)
Child Development

Background:

The American Academy of Pediatrics advocates for promoting early relational health (ERH) in pediatric primary care.
Limited educational resources exist for observing and promoting ERH, necessitating scalable training solutions.

Purpose of the Study:

To evaluate the acceptability, feasibility, and impact of the "Lens of Emotional Connection" training module.
The module aims to enhance practitioners' understanding and observation of emotional connection as a key component of ERH.

Main Methods:

A self-paced, asynchronous ~45-minute online training module was developed.
Pediatric providers at 8 clinical sites participated, completing pre-post surveys and focus groups.

Main Results:

High acceptability was reported, with 93% finding it a good way to learn and 91% gaining valuable knowledge.
Significant improvements were observed in familiarity with emotional connection (Cohen d=1.14) and confidence in assessing parent-child relationships (Cohen d=1.28).
Module completion rates were low (31.7%), with suggestions for more detailed content and live training options.

Conclusions:

The "Lens of Emotional Connection" module is highly acceptable and impactful for pediatric providers.
While voluntary participation limits feasibility, the training's design offers a scalable approach to ERH promotion.
Iterative development and organizational reach position this training for widespread implementation in pediatric settings.