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Primary Care Interventions for Early Childhood Development: A Systematic Review

2017; American Academy of Pediatrics; Volume: 140; Issue: 6 Linguagem: Inglês

10.1542/peds.2017-1661

1098-4275

Elizabeth Peacock‐Chambers, Kathryn S. Ivy, Megan Bair‐Merritt,

Infant Health and Development

Review Article| December 01 2017 Primary Care Interventions for Early Childhood Development: A Systematic Review Elizabeth Peacock-Chambers, MD; Elizabeth Peacock-Chambers, MD aInstitute for Healthcare Delivery and Population Science, Baystate Health, Springfield, Massachusetts;bDepartment of Pediatrics, University of Massachusetts Medical School–Baystate, Springfield, Massachusetts; Address correspondence to Elizabeth Peacock-Chambers, MD, MSc, Department of Pediatrics, Baystate Medical Center, 3601 Main St, Springfield, MA 01199. E-mail: epc@bu.edu Search for other works by this author on: This Site PubMed Google Scholar Kathryn Ivy, BA; Kathryn Ivy, BA cSchool of Medicine, Boston University, Boston, Massachusetts; and Search for other works by this author on: This Site PubMed Google Scholar Megan Bair-Merritt, MD Megan Bair-Merritt, MD dDivision of General Pediatrics, Boston Medical Center, Boston, Massachusetts Search for other works by this author on: This Site PubMed Google Scholar Address correspondence to Elizabeth Peacock-Chambers, MD, MSc, Department of Pediatrics, Baystate Medical Center, 3601 Main St, Springfield, MA 01199. E-mail: epc@bu.edu POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. Pediatrics (2017) 140 (6): e20171661. https://doi.org/10.1542/peds.2017-1661 Article history Accepted: September 11 2017 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Elizabeth Peacock-Chambers, Kathryn Ivy, Megan Bair-Merritt; Primary Care Interventions for Early Childhood Development: A Systematic Review. Pediatrics December 2017; 140 (6): e20171661. 10.1542/peds.2017-1661 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP Grand RoundsAAP NewsAll AAP Sites Search Advanced Search CONTEXT:The pediatric primary care setting offers a platform to promote positive parenting behaviors and the optimal development of young children. Many new interventions have been developed and tested in this setting over the past 2 decades.OBJECTIVE:To summarize the recent published evidence regarding the impact of primary care–based interventions on parenting behaviors and child development outcomes; to provide recommendations for incorporation of effective interventions into pediatric clinics.DATA SOURCES:A literature search of PubMed and PsycINFO was conducted from January 1, 1999, to February 14, 2017.STUDY SELECTION:Publications in which primary care–based interventions and reported outcomes regarding the child's development or parenting behaviors associated with the promotion of optimal child development are described.DATA EXTRACTION:Forty-eight studies in which 24 interventions were described were included. Levels of evidence and specific outcome measures are reported.RESULTS:Included interventions were categorized as general developmental support, general behavioral development, or topic-specific interventions. Two interventions resulted in reductions in developmental delay, 4 improved cognitive development scores, and 6 resulted in improved behavioral intensity or reduction in behavioral problems. Interventions used a variety of theory-based behavior change strategies such as modeling, group discussion, role play, homework assignment, coaching, and video-recorded interactions. Three interventions report the cost of the intervention.LIMITATIONS:Community or home-based interventions were excluded.CONCLUSIONS:Although several interventions resulted in improved child development outcomes for children aged 0 to 3 years, comparison across studies and interventions is limited by use of different outcome measures, time of evaluation, and variability of results. Subjects: Developmental/Behavioral Issues, Growth/Development Milestones Copyright © 2017 by the American Academy of Pediatrics2017 You do not currently have access to this content.