| Title: |
Parents' Preferences for Primary Care-Based Behavioral Services and the COVID-19 Pandemic: A Mixed Method Study |
| Language: |
English |
| Authors: |
Katherine A. Hails; Brianna C. Wellen; Marisa Simoni; Wendy M. Gaultney; Rachel A. Petts; Cody A. Hostutler; Andrew R. Riley |
| Source: |
Grantee Submission. 2023. |
| Peer Reviewed: |
Y |
| Page Count: |
37 |
| Publication Date: |
2023 |
| Sponsoring Agency: |
National Center for Special Education Research (NCSER) (ED/IES); Agency for Healthcare Research and Quality (AHRQ) (DHHS/PHS); Health Resources and Services Administration (HRSA) (DHHS); National Institutes of Health (NIH) (DHHS) |
| Contract Number: |
R324B180001; K12HS022981; D40HP26865; UL1GM118964; RL5GM118963 |
| Document Type: |
Reports - Research |
| Descriptors: |
Parent Attitudes; Preferences; Primary Health Care; COVID-19; Pandemics; Pediatrics; Young Children; Family Characteristics; Family Relationship; Well Being; Child Behavior; Parenting Styles; Self Efficacy; Mental Health; Behavior Problems; Behavior Modification; Stress Variables; Intervention; Clinics |
| Geographic Terms: |
Kansas; Oregon; Ohio |
| DOI: |
10.1093/jpepsy/jsad034 |
| Abstract: |
Objective: This study examined how family factors impacted parents' attitudes toward integrated behavioral health (IBH) in pediatric primary care during the COVID-19 pandemic. We hypothesized that COVID-19 impact would predict family functioning challenges, and that pre-existing familial contextual factors would predict parents' interest in IBH modalities. Methods: Parents of children ages 1.5-5 years (N = 301) from five primary care clinics completed a survey with measures assessing familial contextual factors (income, race and ethnicity, and parents' childhood adversity), COVID-19 impact on family relationships and wellbeing, family functioning (child behavior, parenting self-efficacy, and parent psychological functioning), and parents' preferences for behavioral support in primary care. A subsample of parents (n = 23) completed qualitative interviews to provide deeper insights into quantitative relationships. Results: Higher COVID-19 impact was significantly associated with worse parent mental health and child behavior problems, as well as lower interest in IBH virtual support options. Overall, lower SES and racial and/or ethnic minority parents both indicated greater interest in IBH modalities compared to higher SES and White parents, respectively. Qualitative interviews identified how pandemic stressors led to increases in parents' desire for behavioral support from pediatricians, with parents sharing perspectives on the nature of support they desired, including proactive communication from providers and variety and flexibility in the behavioral supports offered. Conclusions: Findings have important implications for the provision of behavioral supports for families in primary care, underlying the need to increase parents' access to IBH services by proactively providing evidence-based resources and continuing to offer telehealth support. [This paper was published in "Journal of Pediatric Psychology" v48 n11 p879-892 2023.] |
| Abstractor: |
As Provided |
| IES Funded: |
Yes |
| Entry Date: |
2024 |
| Accession Number: |
ED661695 |
| Database: |
ERIC |