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.
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Scholer et al.
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Sege et al.
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Dinkevich and Ozuah
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Regalado and Halfon
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Bethell et al.
Pediatrics 2001;107:1084-1094.
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Anticipatory Guidance: What Information Do Parents Receive? What Information Do They Want?
Schuster et al.
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National Survey of Pediatricians' Violence Prevention Counseling
Borowsky and Ireland
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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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