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The American Academy of Pediatrics recommends that parents receive anticipatory guidance about violence prevention as part of the routine well child visit. Educational resources are needed to help physicians routinely provide these important anticipatory guidance messages. In this study, consecutive parents will be exposed to routine anticipatory guidance messages before the well child visit with the physician. After the clinic visit, parents will be invited to participate in a research study to determine if they plan any changes at home. The key research question of this study is:
Can a brief multimedia program (i.e. Play Nicely program) and/or the AAP Connected Kids brochure, entitled, "Pulling the Plug on TV Violence", help parents develop plans to decreases their children's exposure to violence in the media (e.g. less media time, no TV in the bedroom)?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Placebo Comparator | Parents in control group experienced a routine primary care visit. |
|
| Handout intervention | Experimental | Caregivers assigned to the hand-out group were instructed to read the AAP hand-out "Pulling the Plug On TV Violence." This 2 page hand-out emphasizes the negative effect that television has on children's behavior and makes recommendations about limiting media. The RA did not supervise the reading of the handout. |
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| Multimedia intervention | Experimental | Caregivers assigned to the multimedia group were instructed to watch "Recommendation 3: Decrease Exposure to Violence" from the Play Nicely program, a 5 minute video in English and Spanish that teaches caregivers about the negative impact of violent media and instructs parents about the importance of limiting media. The intervention was presented to the parents on a mobile laptop computer. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AAP Handout entitled, Pulling the Plug on Violence. | Behavioral | This handout is two pages and is part of the Connected Kids Program, American Academy of Pediatrics |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in media viewing habits | At the 2 week follow up phone call, parents were asked: "Since your clinic visit, have you made any changes related to your child's media viewing habits such as TV, movies, or computer games?" | Baseline and 2-4 weeks |
| Changes in exposure to violence. | At the 2 week follow up phone call, parents were asked: "Since your clinic visit, have you made any changes related to decreasing your child's exposure to violence, either violence in the media or violence at home?" | Baseline and 2-4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Seth J Scholer, MD, MPH | Vanderbilt University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Pediatric Primary Care Clinic | Nashville | Tennessee | 27232 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21393318 | Background | Scholer SJ, Hudnut-Beumler J, Dietrich MS. The effect of physician--parent discussions and a brief intervention on caregivers' plan to discipline: is it time for a new approach? Clin Pediatr (Phila). 2011 Aug;50(8):712-9. doi: 10.1177/0009922811400730. Epub 2011 Mar 10. | |
| 20083523 | Background | Scholer SJ, Hudnut-Beumler J, Dietrich MS. A brief primary care intervention helps parents develop plans to discipline. Pediatrics. 2010 Feb;125(2):e242-9. doi: 10.1542/peds.2009-0874. Epub 2010 Jan 18. |
| Label | URL |
|---|---|
| Access Play Nicely Multimedia Program | View source |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| Play Nicely Program | Behavioral | Multimedia program available at www.playnicely.org. |
|
| Control Group | Other | Standard care in primary care clinic. |
|
| AAP Connected Kids Program | View source |
| D008722 | Methods |