Evidence map›Paper›PMID 39413305›Full record

Trial reportJournal of developmental and behavioral pediatrics : JDBP

Evaluation of Virtual Enhanced Child Adult Relationship Enhancement in Primary Care Intervention.

Jenna Kiely, Emily DePaul, Stefany Rojas, SolRubi Cortes, Samantha Schilling, Susan Dougherty, Joanne N Wood

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of developmental and behavioral pediatrics : JDBP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Jenna KielyPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Emily DePaulPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Stefany RojasPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
SolRubi CortesPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Samantha SchillingDepartment of Pediatrics, University of North Carolina, Chapel Hill, NC.
Susan DoughertyPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Joanne N WoodPolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0001-6431-8024

Funding

Child-Adult Relationship Enhancement in Primary Care: Effectiveness Trial of a Primary Care Based Parenting Intervention to Prevent Child MaltreatmentR01HD103902 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SCHILLING, SAMANTHA S, WOOD, JOANNE NICOLE · 2021 to 2025
$3.3M
Annie E. Casey Foundation, Pew Charitable Trusts, >National Institute of Child Health and Human Development 1R01HD103902-01NICHD NIH HHS R01 HD103902
6 · The paper itself

Abstract

objectiveBecause of COVID-19 pandemic social distancing requirements, the in-person Child Adult Relationship Enhancement in Primary Care (PriCARE) positive parenting intervention was adapted for virtual delivery. Objective was to evaluate the efficacy of the virtual PriCARE program to improve parenting capacity, decrease child behavioral problems, and decrease child maltreatment risk.

methodsCaregivers of children 2 to 6 years old recruited from pediatric primary care were randomized to PriCARE (n = 92) or waitlist control (n = 90). Dysfunctional parenting, positive parenting skills, child behaviors, and child maltreatment risk were measured at baseline and 2 to 3 months after intervention using the Parenting Scale (PS), Dyadic Parent-Child Interaction Coding System (DPICS), Eyberg Child Behavior Inventory (ECBI), and Child Abuse Potential Inventory (CAPI). Kruskal-Wallis test compared median change scores from baseline to follow-up by treatment arm.

resultsOf 182 enrolled caregivers, 92% (168) were mothers and 67% (122) completed study measures at baseline and follow-up. The median decrease (improvement) in total PS score was greater in the PriCARE group compared with the control group (-0.3 [IQR 0.69] vs -0.1 [IQR 0.56], p = 0.028) as was the median decrease (improvement) in ECBI problem score (-3 [IQR 9] vs -1 [IQR 7], p = 0.045) and ECBI intensity score (-9 [IQR 21] vs 0 [IQR 25], p = 0.006). Improvements in 4 positive parenting skills measured by DPICS were greater in the PriCARE group compared with the control group (all p< 0.003). Median decrease in CAPI abuse score did not differ significantly by study arm ( p = 0.055).

conclusionThe PriCARE virtual adaptation demonstrated promise in promoting positive parenting and decreasing child behavior problems.

Indexed as

Child AbuseCOVID-19ParentingPrimary Health CareAdultChildChild BehaviorChild, PreschoolFemaleHumansMaleParent-Child RelationsTelemedicine

Identifiers

PMID39413305
PMCPMC11491566

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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.