Child-Adult Relationship Enhancement in Primary Care: A Randomized Trial of a Skill-Based Parent Training with Parent Mentor Adaptation.
Samantha Schilling, Victor Ritter, Joanne N Wood and 2 others
PMID 31809392WHAT IT FOUND
A brief parenting program in primary care improved child behavior and parenting skills.
Adding a peer mentor reduced parents' stigma about seeking help but did not increase attendance or improve child outcomes compared to the standard program.
Key findings
01The parenting program improved child behavior and parenting skills compared to waitlist control.
02Adding a peer mentor reduced stigma about seeking parenting help but did not significantly improve attendance.
03The peer mentor adaptation did not result in better child behavior or parenting outcomes than the standard program.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study relied solely on parent-report measures for child behavior and parenting, which may be influenced by the parents' knowledge of their treatment assignment since they were not blinded. The trial was conducted in a single pediatric clinic, and most families approached did not enroll, limiting generalizability. Only one peer mentor was used in the mentored arm, so individual characteristics of that mentor may have influenced the results. The study was potentially underpowered to detect small differences in attendance between the mentored and standard arms.
Declared interests
The authors declared no conflict of interest. The study was supported by the NIH.
The easy way to misread this
Do not assume the peer mentor component is essential for the program's success. The mentor reduced stigma but did not improve child behavior, parenting skills, or attendance compared to the standard program without a mentor.