Evidence map›Paper›PMID 27244800›Full record

SynthesisPediatrics2016

Primary Care-Based Interventions to Promote Positive Parenting Behaviors: A Meta-analysis.

Reshma Shah, Sarah Kennedy, Maureen D Clark, Sarah C Bauer, Alan Schwartz

2 registry-linked trialsAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02871973 nacompletednot on this map

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

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2016 to 2018Enrolled40ConditionsParenting, Development, Language, ChildrenArmsSit Down and Play, Handout
NCT03126292 nacompletednot on this mapstarted 2017, after this paper: background citation

Promoting Early Child Development in Primary Care for Low-Income Families

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2017 to 2022Enrolled60ConditionsParenting, Development, ChildArmsSit Down and Play, Child Safety Handout
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Reshma ShahDepartments of Pediatrics and reshmamd@uic.edu.
Sarah KennedyPritzker School of Medicine, University of Chicago, Chicago, Illinois; and.
Maureen D ClarkThe Library of the Health Sciences-Chicago, The University of Illinois at Chicago, Chicago, Illinois;
Sarah C BauerAnn & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Alan SchwartzDepartments of Pediatrics and Medical Education, College of Medicine, and.

Funding

Center for Clinical and Translational ScienceUL1TR000050 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI AZAR, DIMITRI T, MERMELSTEIN, ROBIN J. · 2012 to 2014
$9.8M
NCATS NIH HHS UL1 TR000050
6 · The paper itself

Abstract

contextUtilization of primary care settings offers a promising approach to enhance parenting practices that are critical for promoting early childhood development. Determining the impact of existing primary care interventions on key parenting behaviors will aid providers and policy makers as they seek strategies to improve early child outcomes.

objectiveTo evaluate the efficacy of primary care-based interventions on parenting practices that promote early child development among children younger than 36 months. DATA SOURCES: PubMed, Excerpta Medica dataBASE, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature databases were searched electronically. STUDY SELECTION: English-language articles that were quasi-randomized or randomized controlled trials, included parents of children <36 months of age, and reported outcomes related to parenting behaviors that promote early child development. DATA EXTRACTION: Two reviewers independently extracted data regarding participants, interventions, and outcomes. Quantitative meta-analyses were conducted with random effects for study and fitted with restricted maximum likelihood methods.

resultsThe review included 13 studies reporting parenting outcomes in 2 categories: participation in cognitively stimulating activities and positive parent-child interactions. We found a statistically significant positive effect of primary care-delivered interventions and parent-child interactions (summary standardized mean difference 0.29, 95% confidence interval [CI] 0.06-0.52, P < .0001) and participation in cognitively stimulating activities (summary standardized mean difference 0.34, 95% CI 0.03-0.54; summary odds ratio 0.13, 95% CI 0.01-0.25, P < .0001). LIMITATIONS: Limitations included heterogeneity in measures used, outcomes, and timing of assessments.

conclusionsPrimary care-based interventions modestly affect positive parenting behaviors important for early childhood development. Randomized controlled trials with comparable outcome measures using standardized assessments are needed to assess further beneficial impacts.

Indexed as

Child DevelopmentChild RearingPrimary Health CareAllied Health PersonnelChild, PreschoolHumansParent-Child RelationsParentingPediatricians

Identifiers

PMID27244800
PMCPMC4845871

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.