Clinical trial NCT01459510: A Brief Multimedia Program Affects Parents' Attitudes Toward Physical Punishment
Official title: A Brief Multimedia Program Affects Parents' Attitudes Toward Physical Punishment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Violence Prevention
Keywords: Violence prevention
Parenting
Discipline
Lead sponsor: Vanderbilt University Medical Center
Sponsor class: OTHER
First posted: 2011-10-25
Enrollment: 260
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

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

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

Primary outcomes:
measure: Attitudes toward spanking
timeFrame: Immediately post clinic visit
Secondary outcomes:
Other outcomes:
Locations:
city: Nashville
country: United States
facility: Vanderbilt Medical Center, Primary clinic
state: Tennessee
Study officials:
affiliation: Vanderbilt University
name: Seth J Scholer, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Scholer SJ, Hamilton EC, Johnson MC, Scott TA. A brief intervention may affect parents' attitudes toward using less physical punishment. Fam Community Health. 2010 Apr-Jun;33(2):106-16. doi: 10.1097/FCH.0b013e3181d592ef.
citation: Scholer SJ, Hudnut-Beumler J, Dietrich MS. A brief primary care intervention helps parents develop plans to discipline. Pediatrics. 2010 Feb;125(2):e242-9. doi: 10.1542/peds.2009-0874. Epub 2010 Jan 18.
citation: Chavis A, Hudnut-Beumler J, Webb MW, Neely JA, Bickman L, Dietrich MS, Scholer SJ. A brief intervention affects parents' attitudes toward using less physical punishment. Child Abuse Negl. 2013 Dec;37(12):1192-201. doi: 10.1016/j.chiabu.2013.06.003. Epub 2013 Jul 13.