Parents' and Clinicians' Perspectives of the Quick Parenting Assessment (QPA)

Integration of the Quick Parenting Assessment (QPA) Into Pediatrics: Parents and Clinicians' Perspectives

A quality improvement (QI) study that integrates an adverse childhood experiences (ACEs) instrument, including the Quick Parenting Assessment (QPA), into pediatric primary care visit.

Study Overview

• Status: Completed
• Conditions: Parenting; Social Stress

Detailed Description

Adverse childhood experiences (ACEs) are social determinants of health. ACEs include exposure to unhealthy parenting and family dysfunction. It is known that people who are exposed to adverse childhood experiences (ACEs) are at increased risk of over 40 health problems; some of these include heart disease, lung disease, obesity, smoking, alcoholism, illicit drug use, depression, suicide, and violence. The American Academy of Pediatrics recommends that primary care providers screen for and address ACEs/social determinants of health as part of the routine primary care visit.

Efforts are needed to develop and test algorithms that assess for ACEs in pediatric primary care and intervene as indicated.

The investigators have tested an ACEs screening instrument that includes the Quick Parenting Assessment with hundreds of parents of 2-10 year old children in the pediatric primary care clinic at Vanderbilt without incident (please see IRB# 161987).

The next step is a quality improvement (QI) study that integrates an ACEs screening algorithm into pediatric primary care visit.

In this study, the investigators integrate the Quick Parenting Assessment into the pediatric primary care visit at the 15 month, 30 month, 5 year, and 8 year visit. Key measures include parents' and health care providers' perspectives on the new service.

• Study Type: Observational
• Enrollment (Actual): 582

Contacts and Locations

Study Locations

• United States
  • Tennessee
    • Nashville, Tennessee, United States, 37232
      • Vanderbilt University Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Parents of young children presenting with their child for a well visit.

Description

Inclusion Criteria:

• Parents of 1-10 year old children presenting to a pediatric clinic for a well child visit.

Exclusion Criteria: Parents who do not speak English, Spanish, or Arabic.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Parent feedback	Parents provide feedback regarding whether the new ACEs screening tool works for them using a questionnaire. The questionnaire included questions about whether the ACEs assessment worked for the parent and whether it was culturally sensitive.	One day. The outcome will be assessed on same day as enrollment.
Health care provider feedback.	Health care providers provide feedback regarding whether the new ACEs screening tool works for them using a questionnaire. The questionnaire will include questions such as time spent reviewing the screening tool and whether the screening tool resulted in recommendations that would have otherwise not been made.	One day. This outcome will be assessed on same day as the parent's enrollment.

Collaborators and Investigators

• Sponsor: Vanderbilt University Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): December 18, 2018
• Primary Completion (Actual): March 4, 2022
• Study Completion (Actual): March 4, 2022

Study Registration Dates

• First Submitted: November 7, 2019
• First Submitted That Met QC Criteria: November 25, 2019
• First Posted (Actual): November 27, 2019

Study Record Updates

• Last Update Posted (Estimated): February 22, 2024
• Last Update Submitted That Met QC Criteria: February 20, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: 180956

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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