Short-term effectiveness of anticipatory guidance to reduce early childhood risks for subsequent violence
R. D. Sege, C. Perry, L. Stigol, L. Cohen, J. Griffith, M. Cohn and H. Spivak
Tufts University School of Medicine, Boston, Mass., USA.
OBJECTIVE: To determine whether newly developed anticipatory guidance
materials designed to teach the use of time-outs and the importance of
reductions in childhood television viewing would be recalled by parents and
if their use would result in changes in self-reported parental behavior.
SUBJECTS AND SETTING: A total of 559 parents of children aged 14 months to
6 years recruited at the time of routine child health maintenance visits at
2 managed care pediatric departments in eastern Massachusetts. METHODS:
In-person parent interviews were conducted in the waiting room prior to
office visits, with follow-up telephone calls 2 to 3 weeks after the visit.
Two groups of families were enrolled: a control group who received usual
anticipatory guidance and an intervention group who received written
materials. Intervention group providers were trained to include study
topics during the office visit and to introduce the written materials.
RESULTS: Provider training and the provision of written materials increased
the parents' specific recall of anticipatory guidance of at least 2 to 3
weeks following the office visit. This effect was specific to the areas of
intervention and did not carry over to other commonly used topics of
anticipatory guidance. Among parents who had never used a time-out prior to
the office visit, there was a significant increase in the use of time-outs.
Parents who received anticipatory guidance regarding the link between
exposure to television violence and subsequent violence in children were
somewhat more likely to report reductions in weekend television viewing
than were parents in the control group, although this change was not
statistically significant. CONCLUSIONS: Certain parenting behaviors have
been associated with subsequent violence. Brief, inexpensive anticipatory
guidance in relevant areas, provided in the context of routine health
supervision visits, appears to result in favorable short-term changes in
parenting practices.
Is Office-Based Counseling About Media Use, Timeouts, and Firearm Storage Effective? Results From a Cluster-Randomized, Controlled Trial
Barkin et al.
Pediatrics 2008;122:e15-e25.
ABSTRACT
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Voluntary or Required Viewing of a Violence Prevention Program in Pediatric Primary Care
Scholer et al.
CLIN PEDIATR 2008;47:461-468.
ABSTRACT
A Multimedia Program Helps Parents Manage Childhood Aggression
Scholer et al.
CLIN PEDIATR 2006;45:835-840.
ABSTRACT
A Delphi Approach to Reach Consensus on Primary Care Guidelines Regarding Youth Violence Prevention
De Vos et al.
Pediatrics 2006;118:e1109-e1115.
ABSTRACT
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Anticipatory Guidance and Violence Prevention: Results From Family and Pediatrician Focus Groups
Sege et al.
Pediatrics 2006;117:455-463.
ABSTRACT
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Medical Homes for At-Risk Children: Parental Reports of Clinician-Parent Relationships, Anticipatory Guidance, and Behavior Changes
Nelson et al.
Pediatrics 2005;115:48-56.
ABSTRACT
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Well-Child Care: Effectiveness of Current Recommendations
Dinkevich and Ozuah
CLIN PEDIATR 2002;41:211-217.
ABSTRACT
Primary Care Services Promoting Optimal Child Development From Birth to Age 3 Years: Review of the Literature
Regalado and Halfon
Arch Pediatr Adolesc Med 2001;155:1311-1322.
ABSTRACT
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Assessing Health System Provision of Well-Child Care: The Promoting Healthy Development Survey
Bethell et al.
Pediatrics 2001;107:1084-1094.
ABSTRACT
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Anticipatory Guidance: What Information Do Parents Receive? What Information Do They Want?
Schuster et al.
Arch Pediatr Adolesc Med 2000;154:1191-1198.
ABSTRACT
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National Survey of Pediatricians' Violence Prevention Counseling
Borowsky and Ireland
Arch Pediatr Adolesc Med 1999;153:1170-1176.
ABSTRACT
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Anticipatory Guidance May Reduce Risk for Future Violence
JWatch Psychiatry 1997;1997:19-19.
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ANTICIPATORY GUIDANCE MAY REDUCE RISK FOR FUTURE VIOLENCE
JWatch General 1997;1997:6-6.
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