Promotion of Positive Parenting and Prevention of Socioemotional Disparities.

摘要: OBJECTIVE: The goal of this study was to determine what effects pediatric primary care interventions, focused on promotion positive parenting through reading aloud and play, have the socioemotional development toddlers from low-income, primarily immigrant households. METHODS: This randomized controlled trial included random assignment 1 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) a control group. Mother–newborn dyads were enrolled postpartum in an urban public hospital. In VIP, met with interventionist days well-child visits; facilitated interactions play shared provision learning materials review videotaped parent–child interactions. BB, parents mailed pamphlets materials. article analyzes outcomes 14 36 months for children VIP BB versus control. RESULTS: A total 463 (69%) contributed data. Children scored higher than imitation/play attention, lower separation distress, hyperactivity, externalizing problems, effect sizes ∼0.25 SD sample as whole ∼0.50 families additional psychosocial risks . made greater gains compared CONCLUSIONS: These findings support efficacy preventive intervention targeting parent – child interactions, enhancing low-income toddlers. Given low cost potential scalability expansion pediatric-based programs such prevention problems before school entry.