Primary Care-based Program to Enhance Positive Parenting Practices

Study Overview
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Brief Summary
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The objective of this research is to conduct a small randomized pilot study to evaluate the feasibility of Sit Down and Play (SDP), a brief, low-cost program delivered in the primary care setting to enhance parent-child interactions and explore potential impacts on parenting behaviors.

Detailed Description
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Enriching parenting behaviors in early childhood promotes child development and offers a promising strategy to reduce future educational disparities. However, current interventions are limited by cost and have not been widely disseminated. Recognized as a target for research to improve early childhood development and school readiness among at-risk families, the primary care setting offers an ideal opportunity to reach the millions of children living in poverty.However, what remains unknown is how to more efficiently leverage the primary care setting to deliver a sustainable and effective preventive intervention to promote positive parenting behaviors and encourage early childhood development in low-income families. Therefore, the investigators designed Sit Down and Play (SDP) a brief parent-directed program delivered in the primary care setting. Modeled after the widely disseminated literacy program Reach Out and Read and grounded in social cognitive theory, SDP is intended to take place during each pediatric well-child visit occurring in a child's first two years with the goal of promoting positive parenting behaviors.

Official Title
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Sit Down and Play: A Primary Care-Based Program to Promote Positive Parenting Practices

Conditions
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Parenting, Development, Language, Children

Intervention / Treatment
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* Behavioral: Sit Down and Play
* Behavioral: Handout


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent is 18 years or older Child is present for a 2, 4, or 6 month well-child visit Adult present with child at appointment is parent/caregiver of child Exclusion Criteria: Parent is non-English speaking Child is acutely sick

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SDP<br>Families randomized to intervention group will receive Sit Down and Play while they wait in the waiting room to be seen by their primary care provider at current and subsequent well-child visit. | Behavioral: Sit Down and Play<br>* Sit Down and Play (SDP) is designed to be a brief, low-cost intervention that incorporates key theoretical constructs to elicit positive parenting behaviors. It is intended to be delivered by existing clinical staff, nonprofessionals, or volunteers during each of the eight well-child visits between 2-24 months of age while a family waits to be seen by their pediatrician in the examination room.<br>|
| Active Comparator: CDC Handout<br>Families in the control group will receive the Center for Disease Control and Prevention (CDC) Handout at enrollment. | Behavioral: Handout<br>* Handouts developed by Center for Disease Control and Prevention (CDC) to provide information regarding age-specific early childhood milestones<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caregiver's participation in cognitively stimulating activities such as reading and playing using self-report measure StimQ |  | 3-4 months post-enrollment | 
| Parental Self-Efficacy as measured by Parenting Sense of Competence Scale |  | 3-4 months post-enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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parenting, child development, language