Primary Care and Parenting

Utilizing the Primary Care Setting to Deliver a Brief Program to Enhance Parenting Behaviors

The objective of this study to evaluate potential impact of a brief, low-cost primary care-based intervention of parenting self-efficacy, knowledge, and behavior.

Study Overview

• Status: Completed
• Conditions: Parenting; Knowledge, Attitudes, Practice; Development, Child
• Intervention / Treatment: Behavioral: Sit Down and Play; Other: Handout

Detailed Description

Enriching parenting behaviors in early childhood promotes child development and offers a promising strategy to reduce future educational disparities. However, current interventions are limited by cost and have not been widely disseminated. Recognized as a target for research to improve early childhood development and subsequent school readiness skills among at-risk families, the primary care setting offers an ideal opportunity to reach the millions of children living in poverty. However, what remains unknown is how to more efficiently leverage the primary care setting to deliver a sustainable and effective preventive program to promote positive parenting behaviors and encourage early childhood development in low-income families. Therefore, the investigators designed Sit Down and Play (SDP) a brief parent-directed program delivered in the primary care setting. Modeled after the widely disseminated literacy program Reach Out and Read and grounded in social cognitive theory, SDP is intended to take place during each pediatric well-child visit occurring in a child's first two years with the goal of promoting positive parenting behaviors.

• Study Type: Interventional
• Enrollment (Actual): 61
• Phase: Early Phase 1

Contacts and Locations

Study Locations

• United States
  • Illinois
    • Chicago, Illinois, United States, 60612
      • University of Illinois at Chicago

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 months to 1 year (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

Parent is 18 years or older Child is present for a 6, 9, or 12 month well-child visit who attends University of Illinois at Chicago (UIC) for well-child care Adult present with child at appointment is parent/caregiver of child

Exclusion Criteria:

Parent is non-English speaking Child is acutely sick

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Parent of child to receive intervention, Sit Down and Play	Behavioral: Sit Down and Play; Sit Down and Play (SDP) is designed to be a brief, low-cost intervention that incorporates key theoretical constructs to elicit positive parenting behaviors. It is intended to be delivered by existing clinical staff, nonprofessionals, or volunteers during each of the eight well-child visits between 2-24 months of age while a family waits to be seen by their pediatrician in the examination room; Other Names: Handout
Active Comparator: Control; Parent will receive handout to promote positive behavior	Other: Handout; Handout providing written descriptions of strategies to encourage positive parenting behaviors

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Parental Knowledge	Change in parental knowledge regarding importance of talking with children	Enrollment and 7 months post-enrollment
Change in participation in cognitively stimulating activities	Change in participation in cognitively stimulating activities such as reading and play as measured by the StimQ	Enrollment and 7 months post-enrollment
Change in parenting self-efficacy	Change in perceived self-efficacy in parenting activity as measured by The Tool to Measure Parenting Self Efficacy	Enrollment and 7 months post-enrollment

Collaborators and Investigators

• Sponsor: University of Illinois at Chicago
• Collaborators: Society of Developmental and Behavioral Pediatrics
• Investigators: Principal Investigator: Reshma Shah, MD, University of Illinois at Chicago

Study record dates

Study Major Dates

• Study Start (Actual): April 3, 2017
• Primary Completion (Actual): February 11, 2018
• Study Completion (Actual): April 6, 2018

Study Registration Dates

• First Submitted: May 7, 2017
• First Submitted That Met QC Criteria: May 7, 2017
• First Posted (Actual): May 10, 2017

Study Record Updates

• Last Update Posted (Actual): February 13, 2020
• Last Update Submitted That Met QC Criteria: February 12, 2020
• Last Verified: February 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: 2014-0337_2; SDBP (Other Identifier: Society of Developmental and Behavioral Pediatrics)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No