A Brief Multimedia Program Affects Parents' Attitudes Toward Physical Punishment

Study Overview
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Brief Summary
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The American Academy of Pediatrics recommends that parents receive anticipatory guidance about how to discipline their children as part of the well child visit. However, physicians provide counseling only 25-40% of the time. In regard to the type of discipline, the AAP recommends that primary care providers encourage parent to use non-physical forms of discipline and discourage parents from using physical punishment. Educational resources are needed to help physicians routinely provide these important anticipatory guidance messages. In this study, consecutive parents were exposed to routine anticipatory guidance messages before the well child visit with the physician. After the clinic visit, parents were invited to participate in a research study to assess their attitudes about physical punishment and other discipline strategies. The key research question of this study is: Can a brief multimedia program (i.e. Play Nicely program) affect parents' attitudes about the use of physical punishment? The time frame of the study was June through August of 2010. Data was collected immediately after the clinic visit and 2-4 weeks post clinic visit.

Detailed Description
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Note: Because of a poor follow up rate with the 2-4 week phone call, this effort to collect follow up data was unsuccessful.

Official Title
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A Brief Multimedia Program Affects Parents' Attitudes Toward Physical Punishment

Conditions
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Violence Prevention

Intervention / Treatment
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* Behavioral: Play Nicely Program


Participation Criteria
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Eligibility Criteria
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English and Spanish speaking parents of 6-24 month old children presenting for a primary care visit in the Vanderbilt Pediatric Primary Care Clinic.

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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Accepts Healthy Volunteers

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: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: multi media intervention<br>Play Nicely Program | Behavioral: Play Nicely Program<br>* Multi media educational intervention<br>|
| No Intervention: Routine primary care<br>Routine primary care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attitudes toward spanking | After the clinic visit, parents were invited to participate in a 2 minute survey which included the ATS scale, a 10 item scale that is associated with parents' actual use of physical punishment. Data was obtained from the parent immediately after the clinic visit while the parent was in the clinic. We attempted a follow up phone call 2-4 weeks post clinic visit. However, due to a poor follow up rate, this data will not be reported nor will it be compared to the data that was collected immediately post clinic visit. | Immediately post clinic visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Violence prevention, Parenting, Discipline