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Child Abuse Negl. 2013 Dec;37(12):1192-201. doi: 10.1016/j.chiabu.2013.06.003. Epub 2013 Jul 13.

A brief intervention affects parents' attitudes toward using less physical punishment.

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Meharry College of Medicine, USA.
Vanderbilt University, USA.
Vanderbilt University, School of Medicine, USA.
Center for Evaluation and Program Improvement, Peabody Administration Building, 3rd Floor, 1212 21st Avenue South, Nashville, TN 37203-2402, USA.
School of Nursing, School of Medicine (Biostatistics), Vanderbilt University, 461 21st Avenue, Nashville, TN 37240, USA.
8232 DOT, Department of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville TN 37232, USA.


Consecutive English and Spanish speaking caregivers of 6-24 month old children were randomly assigned to either a control or intervention group. Parents in the intervention group were instructed to view at least 4 options to discipline a child in an interactive multimedia program. The control group participants received routine primary care with their resident physician. After the clinic visit, all parents were invited to participate in a research study; the participation rate was 98% (258/263). The key measure was the Attitudes Toward Spanking (ATS) scale. The ATS is correlated with parents' actual use of physical punishment. Parents with higher scores are more likely to use physical punishment to discipline their children. Parents in the intervention group had an ATS score that was significantly lower than the ATS score of parents in the control group (median=24.0, vs. median=30; p=0.043). Parents in the control group were 2 times more likely to report that they would spank a child who was misbehaving compared with parents in the intervention group (16.9% vs. 7.0%, p=0.015). In the short-term, a brief intervention, integrated into the primary care visit, can affect parents' attitudes toward using less physical punishment. It may be feasible to teach parents to not use physical punishment using a population-based approach. The findings have implications for how to improve primary care services and the prevention of violence.



Aggression; Child abuse; Counseling; Education; Parenting; Violence

[Indexed for MEDLINE]

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