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The Vermont Family Based Approach in Primary Care Pediatrics: Effects on Children’s and Parents’ Emotional and Behavioral Problems and Parents’ Health-Related Quality of Life

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Abstract

This randomized controlled trial tested the Vermont Family Based Approach (VFBA) in primary care pediatrics. The VFBA is a model of healthcare delivery that shifts the focus from the individual to the family, emphasizes emotional and behavioral health, and uses evidence-based health promotion/prevention along with the treatment of emotional and behavioral problems. Participants were 81 families of 3–15-year-olds. For children, the VFBA was associated with greater reductions than the Control condition on the Child Behavior Checklist Emotionally Reactive, Withdrawn, Sleep Problems, Aggressive Behavior and Total Problems scales. For parents, the VFBA was associated with greater reductions than the Control condition on the Adult Self-Report Anxious/Depressed, Rule-Breaking Behavior, Internalizing Problems and Total Problems scales. The VFBA was also associated with greater improvement than the Control condition in the parents’ health-related quality of life, as indicated by all scales of the Medical Outcomes Study Health Survey.

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Funding

Funding was provided by the University of Vermont Medical Center.

Author information

Authors and Affiliations

  1. Department of Psychiatry, University of Vermont, Burlington, VT, USA

    Masha Y. Ivanova, Allison Hall, William E. Copeland, Phoenix Crockett, Nalini Lane, Ellen McGinnis, Pamela Swift, Rebekah Tinker & James J. Hudziak

  2. Department of Pediatrics, University of Vermont, Burlington, VT, USA

    Stanley Weinberger & Judith S. Shaw

  3. Department of Psychology, University of Alaska Anchorage, Anchorage, AK, USA

    Sara L. Buckingham

  4. Psychology Program, Bard College, Annandale-on-Hudson, NY, USA

    Justin Dainer-Best

  5. University of Vermont Medical Center, Burlington, VT, USA

    Casey D’Alberto, Lisa Goodrich, Maureen Leahey & Jasmine Marsh

  6. Department of Psychological Sciences, University of Vermont, Burlington, VT, USA

    Lauren Dewey

  7. University of Alaska Fairbanks, Fairbanks, AK, USA

    DeShan Foret

  8. Department of Psychological and Brain Sciences, University of Massachusetts at Amherst, Amherst, MA, USA

    Maria Galano

  9. Department of Psychology, Marquette University, Milwaukee, WI, USA

    Lindsay Holly

  10. Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Mathew Lerner

  11. Department of Psychology, Coastal Carolina University, Conway, SC, USA

    Melissa Paiva-Salisbury

Authors
  1. Masha Y. Ivanova
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  2. Allison Hall
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  3. Stanley Weinberger
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  4. Sara L. Buckingham
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  5. William E. Copeland
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  6. Phoenix Crockett
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  7. Justin Dainer-Best
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  8. Casey D’Alberto
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  9. Lauren Dewey
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  10. DeShan Foret
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  11. Maria Galano
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  12. Lisa Goodrich
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  13. Lindsay Holly
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  14. Nalini Lane
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  15. Maureen Leahey
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  16. Mathew Lerner
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  17. Jasmine Marsh
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  18. Ellen McGinnis
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  19. Melissa Paiva-Salisbury
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  20. Judith S. Shaw
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  21. Pamela Swift
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  22. Rebekah Tinker
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  23. James J. Hudziak
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Corresponding author

Correspondence to Masha Y. Ivanova.

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Ivanova, M.Y., Hall, A., Weinberger, S. et al. The Vermont Family Based Approach in Primary Care Pediatrics: Effects on Children’s and Parents’ Emotional and Behavioral Problems and Parents’ Health-Related Quality of Life. Child Psychiatry Hum Dev 54, 1297–1308 (2023). https://doi.org/10.1007/s10578-022-01329-4

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  • DOI: https://doi.org/10.1007/s10578-022-01329-4

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