Abstract
Objective
We evaluated the effect of Primary Care Positive Parenting Program (Triple P) training
on pediatric residents and the families they serve to test 2 hypotheses: first, training
would significantly improve resident skill in identifying and addressing discrete
parenting and child behavior problems; and second, parents would report an improvement
in their sense of self-efficacy, use of positive discipline strategies, and their
child's behavior.
Methods
Study participants included pediatric residents from 3 community clinics of a pediatric
residency program, as well as English-speaking parents of children aged 18 months
to 12 years without a diagnosed behavior disorder cared for by study residents. Residents
were randomized to receive Primary Care Triple P training either at the beginning
or end of the study period. The measured resident outcomes were self-assessed confidence
and skills in giving parenting advice. The measured family outcomes were parent sense
of self-efficacy, child externalizing behavior, and discipline strategies.
Results
Primary Care Triple P training had a positive, significant, and persistent impact
on residents' parenting consultation skills (mean increase on Parent Consultation
Skills Checklist 48.11, 95% confidence interval [CI] 40.07, 57.36). Parents visiting
intervention-trained residents demonstrated improved disciplinary practices compared
to parents visiting control residents (mean change in Child Discipline Survey 0.322,
95% CI 0.02, 0.71), with stronger differential effects for parents with lower baseline
skills (mean Child Discipline Survey change 0.822, 95% CI 0.48, 1.83). No differences
were found for child behavior or parenting sense of confidence.
Conclusions
Training residents in Primary Care Triple P can have a positive impact on consultation
skills and parent disciplinary practices. This finding adds strength to the call for
increased residency training in behavioral pediatrics.
Keywords
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Article info
Publication history
Accepted:
March 17,
2014
Received:
November 7,
2013
Footnotes
The authors declare that they have no conflict of interest.
Identification
Copyright
© 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
