Mitigating ACEs in Pediatric Primary Care: Cohort #2 With 6-24 Month Old Children

Not Applicable

Completed

• Conditions: Parenting; Child Abuse; Violence
• Interventions: Behavioral: Cavity Prevention; Behavioral: Discipline education

• Registration Number: NCT04160013
• Lead Sponsor: Vanderbilt University Medical Center

Brief Summary

The aim is to determine if a brief intervention can affect parents' attitudes about physical punishment and other parenting behaviors.

Detailed Description

A public health problem that needs to be solved is how to educate more parents about healthy discipline options. The investigators aim to mitigate adverse childhood experiences (ACEs) by integrating evidence-based parent training into pediatric primary care. Some of the most modifiable ACEs are associated with parenting behaviors that can lead to child abuse. The investigators define unhealthy parenting behaviors such as spanking, threatening, yelling, and humiliation. For adults in the original ACEs study, it was exposure to these behaviors that led to the categorization of child abuse/neglect and that were associated with heart disease, obesity, depression, smoking, drug use, violence, and many other problems. This study may help change policy and practice related to mitigating ACEs in primary care. To accomplish this goal, randomized controlled trials are needed to test brief screening tools and evidence-based resources. A population-based approach is needed to reach all parents (i.e. primary prevention). In the study, parents in the intervention group will receive 3 minutes of education about healthy discipline strategies.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2017-10-16
• Primary Completion: 2018-11-05
• Study Completion: 2019-01-19
• Study First Submitted: 2019-11-07
• Study First Submitted QC: 2019-11-08
• Study First Posted: 2019-11-12
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-17
• Last Update Posted: 2024-12-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 533

Inclusion Criteria

• Parents of 6 month to 2 year old children presenting to the Vanderbilt Pediatric Primary Care Clinic for a well visit or an acute care visit.

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Exclusion Criteria

• Parents who do not speak and read English, Spanish, or Arabic. The interventions are only available in English, Spanish, and Arabic.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Cavity prevention	Cavity Prevention	Education about cavity prevention using a 2 page handout.
Discipline education	Discipline education	Education about discipline using the Play Nicely program (www.playnicely.org).

Primary Outcome Measures

Name	Time	Method
Attitudes toward spanking	3-6 months post-enrollment.	A 10 item scale that assesses parents' attitudes about corporal punishment. The minimum value is 10 and the maximum value is 70. Higher scores indicate a higher likelihood of using spanking.

Trial Locations

Locations (1)

Vanderbilt University Medical Center; 🇺🇸 Nashville, Tennessee, United States