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Acad Pediatr. 2018 Aug;18(6):642-649. doi: 10.1016/j.acap.2018.06.001. Epub 2018 Jun 9.

Feasibility and Acceptability in a Community-Partnered Implementation of CenteringParenting for Group Well-Child Care.

Author information

1
Columbia University College of Physicians and Surgeons, New York, NY.
2
South Bay Family Health Care, Torrance, Calif.
3
Mattel Children's Hospital UCLA, David Geffen School of Medicine at UCLA.
4
Cedars Sinai Medical Center.
5
Mattel Children's Hospital UCLA, David Geffen School of Medicine at UCLA; UCLA Fielding School of Public Health, Los Angeles, Calif.
6
University of Washington School of Medicine, Seattle Children's Research Institute, Seattle, Wash. Electronic address: Tumaini.Coker@seattlechildrens.org.

Abstract

BACKGROUND:

In a community-academic partnership, we implemented a group-based model for well-child care (WCC) (CenteringParenting) and conducted a pilot test for feasibility and acceptability among families at a federally qualified health center (FQHC).

METHODS:

The FQHC implemented CenteringParenting for all WCC visits in the first year of life, starting at the 2-week visit. Over a 14-month time period, parents from each new CenteringParenting group were enrolled into the study. Baseline data were collected at enrollment (infant age < 31 days) and again at a 6-month follow-up survey. Main outcomes were feasibility and acceptability of CenteringParenting; we also collected exploratory measures (parent experiences of care, utilization, self-efficacy, and social support).

RESULTS:

Of the 40 parent-infant dyads enrolled in the pilot, 28 CenteringParenting participants completed the 6-month follow-up assessment. The majority of infants were Latino, black, or "other" race/ethnicity; over 90% were Medicaid insured. Of the 28 CenteringParenting participants who completed the 6-month follow-up, 25 completed all visits between ages 2 weeks and 6 months in the CenteringParenting group. Of the CenteringParenting participants, 97% to 100% reported having adequate time with their provider and sufficient patient education and having their needs met at visits; most reported feeling comfortable at the group visit, and all reported wanting to continue CenteringParenting for their WCC. CenteringParenting participants' mean scores on exploratory measures demonstrated positive experiences of care, overall satisfaction of care, confidence in parenting, and parental social support.

CONCLUSIONS:

A community-academic partnership implemented CenteringParenting; the intervention was acceptable and feasible for a minority, low-income population. We highlight key challenges of implementation.

KEYWORDS:

group visits; preventive care; well-child care

PMID:
29890229
DOI:
10.1016/j.acap.2018.06.001

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