Alan L. Mendelsohn|Harris S. Huberman|Samantha B. Berkule|Carolyn Brockmeyer|Lesley Mandel Morrow|Benard P. Dreyer
Primary Care Strategies for Promoting Parent-Child Interactions and School Readiness in At-Risk Families
Bellevue Hospital Center|New York University|Graduate School USA
h3objectiveh3 determine effects pediatric primary care interventions parentchild interactions families low socioeconomic status h3designh3 randomized controlled trial participants randomized 1 2 interventions video interaction project vip building blocks bb control group h3settingh3 urban public hospital pediatric primary care clinic h3participantsh3 mothernewborn dyads enrolled post partum november 1 2005 october 31 2008 h3interventionsh3 vip group mothers newborns participated 1on1 sessions child development specialist facilitated interactions play shared reading reviewing videos made parent child primary care visit days learning materials parenting pamphlets also provided bb group parenting materials including agespecific newsletters suggesting interactive activities learning materials parentcompleted developmental questionnaires mailed mothers h3main outcome measuresh3 parentchild interactions assessed 6 months stimqinfant 24hour shared reading recall diary h3resultsh3 total 410 families assessed vip group higher increased stimq score mean difference 36 points 95 confidence interval 15 56 points cohen 051 022 081 reading activities compared control group bb group also increased overall stimq score compared control group cohen 031 95 confidence interval 003 060 greatest effects vip group found mothers ninthgrade higher reading level cohen 068 95 confidence interval 033 103 h3conclusionsh3 vip bb groups led increased parentchild interactions pediatric primary care represents significant opportunity enhancing developmental trajectories atrisk children h3trial registrationh3 clinicaltrialsgov identifiernct00212576