Referral to digital parent training in primary care: Facilitators and barriers

Caitlin Fehrenbacher, Michael E. Schoeny, Monique Reed, Mona Shattell, Susan M. Breitenstein

Research output: Contribution to journalArticlepeer-review


Objective: Parent training (PT) programs for parents of preschool-aged children promote effective parenting practices and reduce the risk for the development of child behavior problems. Digital platforms and self-administered formats can expand access to preventive PT and complement traditional behavioral services. Primary care provides an ideal environment to refer patients to prevention-focused PT; however, effective integration of a referral process requires an understanding of implementation facilitators and barriers. The current study is a secondary analysis of facilitators and barriers to the implementation of a referral to ezParent, a self-administered, digital PT program, in four primary care clinics from the perspective of clinic personnel. Method: Personnel from participating clinics took part in semistructured group interviews to share their experiences of referral to ezParent. Researchers extracted themes using the Consolidated Framework for Implementation Research. Results: Clinic personnel support preventive PT, but time, workflow, and organizational barriers impede consistent referral implementation. Conclusions: The authors discuss recommendations for harnessing facilitators for referring primary care patients to digital PT using the strengths of multidisciplinary clinical teams and organizational structures.

Original languageEnglish (US)
Pages (from-to)268-277
Number of pages10
JournalClinical Practice in Pediatric Psychology
Issue number3
StatePublished - Sep 2020


  • Behavioral health
  • Mobile health
  • Parenting
  • Primary health care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Applied Psychology

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