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The aim is to determine if a brief intervention can affect parents' attitudes about physical punishment and other parenting behaviors.
A public health problem that needs to be solved is how to educate more parents about healthy discipline options. The investigators aim to mitigate adverse childhood experiences (ACEs) by integrating evidence-based parent training into pediatric primary care. Some of the most modifiable ACEs are associated with parenting behaviors that can lead to child abuse. The investigators define unhealthy parenting behaviors such as spanking, threatening, yelling, and humiliation. For adults in the original ACEs study, it was exposure to these behaviors that led to the categorization of child abuse/neglect and that were associated with heart disease, obesity, depression, smoking, drug use, violence, and many other problems. This study may help change policy and practice related to mitigating ACEs in primary care. To accomplish this goal, randomized controlled trials are needed to test brief screening tools and evidence-based resources. A population-based approach is needed to reach all parents (i.e. primary prevention). In the study, parents in the intervention group will receive 3 minutes of education about healthy discipline strategies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Discipline education | Experimental | Education about discipline using the Play Nicely program (www.playnicely.org). |
|
| Cavity prevention | Placebo Comparator | Education about cavity prevention using a 2 page handout. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Discipline education | Behavioral | Discipline education using the Play Nicely program. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Attitudes toward spanking | A 10 item scale that assesses parents' attitudes about corporal punishment. The minimum value is 10 and the maximum value is 70. Higher scores indicate a higher likelihood of using spanking. | 3-6 months post-enrollment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38334063 | Derived | Scholer SJ, Martin HK, Adams L, Dietrich MS. A Brief Intervention in Primary Care to Improve Parents' Discipline Practices and Reach Other Caregivers. Clin Pediatr (Phila). 2024 Nov;63(11):1502-1509. doi: 10.1177/00099228241227756. Epub 2024 Feb 9. |
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Randomized controlled trial
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No masking.
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| Cavity Prevention | Behavioral | Cavity prevention using a 2 page handout. |
|