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Promoting Early Childhood Development in the Pediatric Medical Home

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Abstract

The pediatric profession has been challenged to rethink the schedule, content, and structure of well-child care. There is a growing recognition of the need to include a focus on promoting healthy social and emotional development in the context of the parent–child relationship to minimize exposure to toxic stress and reduce the later burden of adult disease. Multiple opportunities exist for expanding the range of services delivered in the pediatric medical home and for strengthening community connections to advance the goal of supporting families to promote early childhood development. A range of opportunities for transforming the pediatric role in promoting early childhood development are discussed.

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References

  • American Academy of Pediatrics. (2016). Bright futures recommendations for preventive pediatric health care.

    Google Scholar 

  • American Academy of Pediatrics Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics, Bright Futures Steering Committee and Medical Home Initiatives for Children with Special Needs Project Advisory Committee. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.

    Article  Google Scholar 

  • American Academy of Pediatrics Council on Community Pediatrics and Committee on Nutrition. (2015) Promoting food security for all children. Pediatrics. 136(5), e1431–1438.

    Google Scholar 

  • American Academy of Pediatrics Council on Early Childhood. (2014). Literacy promotion: An essential component of primary care pediatric practice. Pediatrics, 134, 404–409.

    Article  Google Scholar 

  • Anderson, M. (2015). Technology device ownership: 2015. Pew research center, Oct, 2015. Available at: http://www.pewinternet.org/2015/10/29/technology-device-ownership-2015

  • Avellar, S., Paulsell, D., Sama-Miller, E., Del Grosso, P., Akers, L., Kleinman, R. (2015) Home visiting evidence of effectiveness review: Executive summary. Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Washington, DC.

    Google Scholar 

  • Bauer, N. S., & Webster-Stratton, C. (2006). Prevention of behavioral disorders in primary care. Current Opinions in Pediatrics, 18, 654–660.

    Article  Google Scholar 

  • Bodenmann, G., Cina, A., Ledermann, T., & Sanders, M. R. (2008). The efficacy of the triple P-positive parenting program in improving parenting and child behavior: A comparison with two other treatment conditions. Behavior Research and Therapy, 46, 411–427.

    Article  Google Scholar 

  • Brooks-Gunn, J., Love, J. M., Raikes, H. H., & Chazan-Cohen, R. (2013). What makes a difference: Early Head Start evaluation findings in a developmental context: Conclusions and implications. Monographs of the Society for Research in Child Development, 78(1), 130–143.

    Google Scholar 

  • Coker, T. R., Chung, P. J., Cowgill, B. O., Chen, L., & Rodriguez, M. A. (2009). Low income parents’ views on the redesign of well child care. Pediatrics, 124(1), 194–204.

    Article  Google Scholar 

  • Coker, T. R., Thomas, T., &Chung, P. J. (2013). Does well child care have a future in pediatrics? Pediatrics 131(Supplement 2), S149–159.

    Google Scholar 

  • Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. (2009). The future of pediatrics: Mental health competencies for pediatric primary care. Pediatrics, 124(1), 410–421.

    Google Scholar 

  • Dubowitz, H. (2014). The safe environment for every kid (SEEK) model: Helping promote children’s health, development, and safety. Child Abuse and Neglect, 38, 1725–1733.

    Article  Google Scholar 

  • Dumont, K., Mitchell-Herzfeld, S., Greene, R., Eunju, L., Lowenfels, A., Rodriguez, M., et al. (2008). Healthy families New York (HFNY) randomized trial: Effects on early child abuse and neglect. Child Abuse and Neglect, 32, 295–315.

    Article  Google Scholar 

  • Dworkin, P. H. (1989). British and American recommendations for developmental monitoring: The role of surveillance. Pediatrics, 84, 1000–1010.

    Google Scholar 

  • Earls, M. F. (2010). The committee on psychosocial aspects of child and family health. Clinical report-incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics, 126(5), 1032–1039.

    Google Scholar 

  • Evans, W., Nielsen, P. E., Szekely, D. R., Bihm, J. W., Murray, E. A., Snider, J., et al. (2015). Dose-response effects of the text4baby mobile health program: randomized controlled trial. JMIR Mhealth Uhealth. 3(1), e12. doi:10.2196/mhealth.3909

    Google Scholar 

  • Funderburk, B. W., & Eyberg, SM (2011). Parent-Child Interaction Therapy. In J. C. Norcross & D. K. Freedheim, (Eds.), History of psychotherapy: Continuity and change (2nd ed., pp. 415–420). Washington, DC: American Psychological Association.

    Google Scholar 

  • Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: A cluster RCT. Pediatrics, 135(2), e296–304.

    Article  Google Scholar 

  • Glascoe, F. P., Oberklaid, F., Dworkin, P. H., & Trimm, F. (1998). Brief approaches to educating patients and parents in primary care. Pediatrics, 101(6), e10–18.

    Google Scholar 

  • Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

    Google Scholar 

  • Haggerty, R. J., Roghman, R. K., & Pless, I. B. (1975). Child health and the community. New York, NY: John Wiley and Sons.

    Google Scholar 

  • Health Leads. (2015). Health leads: An overview. Accessed at www.healthleadsusa.org on 28 Dec 2015.

  • Kelly, J. F., Dillon, C. O., Larsen J. M., & Thordarson, N. O. (2013). Promoting first relationships in pediatric primary care. Seattle, Washington: University of Washington.

    Google Scholar 

  • Kirp, D. L. (2011). Five big ideas for transforming children’s lives and America’s future. New York, NY: PublicAffairs.

    Google Scholar 

  • Klass, P., Dreyer, B. P., & Mendelsohn, A. L. (2009). Reach out and read: Literacy promotion in pediatric primary care. Advances in Pediatrics, 56, 11–27.

    Article  Google Scholar 

  • Mendelsohn, A. L., Dreyer, B. P., Brockmeyer, C. A., Berkule-Silberman, S. B., Huberman, H. S., & Tomopoulos, S. (2011a). Randomized controlled trial of primary care pediatric parenting programs: Effect on reduced media exposure in infants, mediated through enhanced parent-child interaction. Archives of Pediatric and Adolescent Medicine, 165(1), 42–48.

    Google Scholar 

  • Mendelsohn, A. L., Dreyer, B. P., Flynn, V., Tomopoulos, S., Rovira, I., & Nixon, A. F. (2005). Use of videotaped interactions during pediatric well-child care to promote child development: A randomized, controlled trial. Journal of Developmental and Behavioral Pediatrics, 26, 34–41.

    Google Scholar 

  • Mendelsohn, A. L., Huberman, H. S., Berkule, S. B., Brockmeyer, C. A., Morrow, L. M., & Brockmeyer, C. A. (2011b). Primary care strategies for promoting parent-child interactions and school readiness in at-risk families: The Bellevue Project for Early Language. Literacy, and Education SuccessArchives of Pediatric and Adolescent Medicine, 165(1), 33–41.

    Google Scholar 

  • Mendelsohn, A. L., Valdez, P. T., Flynn, V., Foley, G. M., Berkule, S. B., & Dreyer, B. P. (2007). Use of videotaped interactions during pediatric well-child care: Impact at 33 months on parenting and on child development. Journal of Developmental and Behavioral Pediatrics, 28, 206–212.

    Article  Google Scholar 

  • Minkovitz, C. S., Strobino, D., Hughart, N., Scharfstein, D., Hou, W., Miller, T., et al. (2003). Developmental specialists in pediatric practices: Perspectives of clinicians and staff. Ambulatory Pediatrics, 3(6), 295–303.

    Article  Google Scholar 

  • National Research Council & Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. In J. P. Shonkoff & D. A. Phillips, (Eds), Board on children, youth, and families; commission on behavioral and social sciences and education. Washington, DC: National Academy Press.

    Google Scholar 

  • National Survey of Children’s Health. NSCH. (2011/2012). Data query from the child and adolescent health measurement initiative. Data Resource Center for Child and Adolescent Health website. Retrieved Dec 22, 2015 from www.childhealthdata.org

  • Noritz, G. H., & Murphy, N. A. (2013). Motor delays: Early identification and evaluation. Pediatrics. 131(6): e2016–2027 (Neuromotor Screening Expert Panel).

    Google Scholar 

  • Olds, D. L. (2008). Preventing child maltreatment and crime with prenatal and infancy support of parents: The nurse-family partnership. Journal of Scandinavian Studies in Criminology and Crime Prevention., 9(S1), 2–24.

    Article  Google Scholar 

  • Oxford, M. L., Fleming, C. B., Nelson, E. M., Kelly, J. F., & Spieker, S. J. (2013). Randomized trial of promoting first relationships: Effects on maltreated toddlers’ separation distress and sleep regulation after reunification. Children and Youth Service Review, 35(12).

    Google Scholar 

  • Paradis, H. A., Sandler, M., Todd Manly, J., & Valentine, L. (2013). Building healthy children: Evidence based home visitation integrated with pediatric medical homes. Pediatrics., 132(S2), S174–S179.

    Article  Google Scholar 

  • Pew Research Center (2015a, April). The Smartphone difference. Accessed on 28 Dec 2015 at: http://www.pewinternet.org/2015/04/01/us-smartphone-use-in-2015/

  • Pew Research Center. (2015b, April). State of the news media 2015: Podcasting fact sheet. Accessed on 28 Dec 2015 at http://www.journalism.org/2015/04/29/podcasting-fact-sheet/

  • Piotrowski, C. C., Talavera, G. A., & Mayer, J. A. (2009). Healthy steps: A systematic review of a preventive practice-based model of pediatric care. Journal of Developmental and Behavioral Pediatrics, 30, 91–103.

    Article  Google Scholar 

  • Plauché Johnson, C., & Meyers, S. M. (2007) Identification and evaluation of children with autism spectrum disorder. Pediatrics, 120(5), 1183–1215 (The Council on Children with Disabilities).

    Google Scholar 

  • Radecki, L., Olson, L. M., Frintner, M. P., Tanner, L. J., & Stein, M. T. (2009). What do families want from well child care? Including parents in the rethinking discussion. Pediatrics, 124(3), 858–865.

    Article  Google Scholar 

  • Remick, A. P., & Kendrick, J. S. (2013). Breaking new ground: The Text4baby program. American Journal of Health Promotion, 27(3), Supplement, S4–6.

    Google Scholar 

  • Richmond, J. B. (1967). Child development: A basic science for pediatrics. Pediatrics, 39(5), 649–658.

    Google Scholar 

  • Sanders, L. M., Shaw, J. S., Guez, G., Baur, C., & Rudd, R. (2009b). Health literacy and child health promotion: implications for research, clinical care, and public policy. Pediatrics, 124, S306–S314.

    Article  Google Scholar 

  • Sanders, M. R. (1999). Triple P-positive parenting program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2(2), 71–90.

    Article  Google Scholar 

  • Sanders, M. R., Baker, S., & Turner, K. M. T. (2012). A randomized controlled trial evaluating the efficacy of triple P online with parents of children with early onset conduct problems. Behaviour Research and Therapy, 50, 675–684.

    Article  Google Scholar 

  • Sanders, M. R., & Mazzucchelli, T. G. (2013). The promotion of self-regulation through parenting interventions. Clinical Child and Family Psychology Review, 16, 1–17.

    Article  Google Scholar 

  • Sanders, M. R., Prior, J., & Ralph, A. (2009a). An evaluation of a brief universal seminar series on positive parenting: A feasibility study. Journal of Children’s Services, 4(1), 4–20.

    Article  Google Scholar 

  • Schor, E. L. (2004). Rethinking well child care. Pediatrics, 114(1), 210–216.

    Article  Google Scholar 

  • Shealy, K. M., & Threatt, T. B. (2015). Utilization of the newest vital sign (NVS) in practice in the United States. Health Communication. doi:10.1080/10410236.2014.990079

    Google Scholar 

  • Shelov, S., & Remer Altmann, T. (Eds.). (2009). Caring for your baby and young child: Birth to age 5 (5th ed.). Elk Grove Village: American Academy of Pediatrics.

    Google Scholar 

  • Shonkoff, J. P., & Garner, A. S. (2012). The committee on psychosocial aspects of child and family health, the committee on early childhood, adoption, and dependent care, & section on developmental and behavioral pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–246.

    Google Scholar 

  • Shonkoff, J. P. & Green, M. (1998) Commentary on child development: A basic science for pediatrics, Pediatrics, 39(5): 649–658 (J. B. Richmond, (1967). Pediatrics, 102(S1), 243–245).

    Google Scholar 

  • Sia, C., Tonniges, T. F., Osterhus, E., & Taba, S. (2004). History of the medical home concept. Pediatrics, 113(5), 1473–1478.

    Google Scholar 

  • Spieker, S. J., Oxford, M. L., Fleming, C. B. (2014). Permanency outcomes for toddlers in child welfare two years after a randomized trial of a parenting intervention. Children and Youth Service Review 44, 201–206.

    Google Scholar 

  • Spieker, S. J., Oxford, M. L., Kelly, J. F., Nelson, E. M., & Fleming, C. B. (2012). Promoting first relationships: Randomized trial of a relationship-based intervention for toddlers in child welfare. Child Maltreat., 17(4), 271–286.

    Article  Google Scholar 

  • Stancin, T., & Perrin, E. C. (2014). Psychologists and pediatricians: Opportunities for collaboration in primary care. American Psychologist., 69(4), 332–343.

    Article  Google Scholar 

  • Starmer, A. J., Duby, J. C., Slaw, K. M., Edwards, A., & Leslie, L. K. (2010). Members of the vision of pediatrics 2020 task force. Pediatrics in the year 2020 and beyond: Preparing for plausible futures. Pediatrics, 126(5), 971–981.

    Google Scholar 

  • Tanner, L. J., Stein, M. T., Olson, L. M., Frintner, M. P., & Radecki, L. (2009). Reflections on well child care practice: A national study of pediatric clinicians. Pediatrics, 124(3), 849–857.

    Article  Google Scholar 

  • Tschudy, M. M., Toomey, S. L., & Cheng, T. L. (2013). Merging systems: Integrating home visitation and the family-centered medical home. Pediatrics., 132(S2), S74–S81.

    Article  Google Scholar 

  • Turner, K. M. T., & Sanders, M. R. (2006). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37, 131–142.

    Article  Google Scholar 

  • Van Velthoven, M. H. M. M. T., Majeed, A., & Car, J. (2012). Text4baby—national scale up of an mHealth program. Who benefits? Journal of the Royal Society of Medicine, 105, 452–453.

    Google Scholar 

  • Vasan, A., & Solomon, B. S. (2015). Use of colocated multidisciplinary services to address family psychosocial needs at an urban pediatric primary care clinic. Clinical Pediatrics, 54(1), 25–32.

    Article  Google Scholar 

  • Voigt, R. G., & Accardo, P. J. (2015). Formal speech-language screening not shown to help children. Pediatrics., 136(2), e494–495.

    Article  Google Scholar 

  • Webster-Stratton, C., Reid, M. J., & Stoolmiller, M. (2008). Preventing conduct problems and improving school readiness: Evaluation of the incredible years teacher and child training programs in high-risk schools. Journal of Child Psychology and Psychiatry, 49(5), 471–488. doi:10.1111/j.1469-7610.2007.01861.x

    Google Scholar 

  • Weitzman, C., & Wegner, L. (2015). The section on developmental and behavioral pediatrics, committee on psychosocial aspects of child and family health, council on early childhood, and society for developmental and behavioral pediatrics. Promoting optimal development: Screening for behavioral and emotional problems. Pediatrics, 135(2), 384–395.

    Google Scholar 

  • Zigler, E., Pfannenstiel, J. C., & Seitz, V. (2008). The parents as teachers program and school success: A replication and extension. Journal of Primary Prevention, 29, 103–120.

    Article  Google Scholar 

  • Zuckerman, B., Kaplan-Sanoff, M., Parker, S., & Taaffe Young, K. (1997). The healthy steps for young children program. Zero to Three, 17(6), 20–25.

    Google Scholar 

  • Zuckerman, B., Parker, S., Kaplan-Sanoff, M., Augustyn, M., & Barth, M. C. (2004). Healthy steps: A case study of innovation in pediatric practice. Pediatrics, 114, 820–826.

    Article  Google Scholar 

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Duby, J.C. (2016). Promoting Early Childhood Development in the Pediatric Medical Home. In: Shapiro, C., Harper Browne, C. (eds) Innovative Approaches to Supporting Families of Young Children. Springer, Cham. https://doi.org/10.1007/978-3-319-39059-8_6

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