PDF(Pubmed)
Abstract：
OBJECTIVE: Pediatric primary care is a promising setting in which to deliver preventive behavioral health services to young children and their families. Integrated behavioral health care models typically emphasize treatment rather than prevention. This pilot study examined the efficacy of an integrated behavioral health preventive (IBH-P) intervention delivered by psychologists and focused on supporting parenting in low-income mothers of infants as part of well-child visits in the first 6 months of life.
METHODS: Using a mixed-methods approach that included a pilot randomized clinical trial and post-intervention qualitative interviews, 137 mothers were randomly assigned to receive IBH-P or usual care. Self-report measures of parenting, child behavior, and stress were obtained at pre- and/or post-intervention. Direct observation of mother-infant interactions was conducted at post-intervention.
RESULTS: No differences between groups were found on maternal attunement, knowledge of child development, nurturing parenting, or infant behavior. A secondary analysis on a subsample with no prior exposure to IBH-P with older siblings found that mothers in IBH-P reported increased self-efficacy relative to controls. In the qualitative interviews, mothers stated that they valued IBH-P, learning about their baby, liked the integration in primary care, and felt respected and comfortable with their provider.
CONCLUSIONS: Findings are discussed in terms of the next steps in refining IBH-P approaches to prevention in primary care.
METHODS: Using a mixed-methods approach that included a pilot randomized clinical trial and post-intervention qualitative interviews, 137 mothers were randomly assigned to receive IBH-P or usual care. Self-report measures of parenting, child behavior, and stress were obtained at pre- and/or post-intervention. Direct observation of mother-infant interactions was conducted at post-intervention.
RESULTS: No differences between groups were found on maternal attunement, knowledge of child development, nurturing parenting, or infant behavior. A secondary analysis on a subsample with no prior exposure to IBH-P with older siblings found that mothers in IBH-P reported increased self-efficacy relative to controls. In the qualitative interviews, mothers stated that they valued IBH-P, learning about their baby, liked the integration in primary care, and felt respected and comfortable with their provider.
CONCLUSIONS: Findings are discussed in terms of the next steps in refining IBH-P approaches to prevention in primary care.
摘要：
目的：儿科初级保健是向幼儿及其家庭提供预防性行为健康服务的一个有前途的环境。综合行为保健模式通常强调治疗而不是预防。这项试点研究检查了心理学家提供的综合行为健康预防（IBH-P）干预措施的有效性，并着重于支持低收入婴儿母亲的育儿，作为生命最初6个月的良好子女访问的一部分。
方法：使用混合方法方法，包括试点随机临床试验和干预后定性访谈，137名母亲被随机分配接受IBH-P或常规护理。自我报告养育子女的措施，儿童行为,在干预前和/或干预后获得压力。干预后直接观察母婴互动。
结果：在产妇调节方面，组间没有发现差异，儿童发展的知识，养育父母，或婴儿行为。对先前未与年长兄弟姐妹接触IBH-P的子样本进行的二次分析发现，IBH-P中的母亲报告的自我效能感相对于对照组增加。在定性采访中，母亲们表示，他们重视IBH-P，了解他们的宝宝，喜欢初级保健的整合，并对他们的提供者感到尊重和舒适。
结论：研究结果将根据在初级保健中改进IBH-P预防方法的后续步骤进行讨论。
方法：使用混合方法方法，包括试点随机临床试验和干预后定性访谈，137名母亲被随机分配接受IBH-P或常规护理。自我报告养育子女的措施，儿童行为,在干预前和/或干预后获得压力。干预后直接观察母婴互动。
结果：在产妇调节方面，组间没有发现差异，儿童发展的知识，养育父母，或婴儿行为。对先前未与年长兄弟姐妹接触IBH-P的子样本进行的二次分析发现，IBH-P中的母亲报告的自我效能感相对于对照组增加。在定性采访中，母亲们表示，他们重视IBH-P，了解他们的宝宝，喜欢初级保健的整合，并对他们的提供者感到尊重和舒适。
结论：研究结果将根据在初级保健中改进IBH-P预防方法的后续步骤进行讨论。
