Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial

Naomi A. Mimila, Paul J. Chung, Marc N. Elliott, Christina Bethell, Sandra Chacon, Christopher Biely, Sandra Contreras, Toni Chavis, Yovana Bruno, Tanesha Moss, Tumaini R. Coker

Research output: Contribution to journalArticle

Abstract

Background: Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ("parent coach") to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants. Methods: Intervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. Results: A total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99%). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87%), and found it easy to use (94%); a minority completed it at home before the visit (18%). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits. Conclusions: A parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StateAccepted/In press - Nov 3 2016

Fingerprint

Child Care
Text Messaging
Parents
Interviews
Health Educators
House Calls
Urban Population
Poverty
Hospital Emergency Service
Mentoring
Newborn Infant
Education
Surveys and Questionnaires

Keywords

  • Practice redesign
  • Preventive care
  • Randomized controlled trial
  • Well-child care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Well-Child Care Redesign : A Mixed Methods Analysis of Parent Experiences in the PARENT Trial. / Mimila, Naomi A.; Chung, Paul J.; Elliott, Marc N.; Bethell, Christina; Chacon, Sandra; Biely, Christopher; Contreras, Sandra; Chavis, Toni; Bruno, Yovana; Moss, Tanesha; Coker, Tumaini R.

In: Academic Pediatrics, 03.11.2016.

Research output: Contribution to journalArticle

Mimila, NA, Chung, PJ, Elliott, MN, Bethell, C, Chacon, S, Biely, C, Contreras, S, Chavis, T, Bruno, Y, Moss, T & Coker, TR 2016, 'Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial', Academic Pediatrics. https://doi.org/10.1016/j.acap.2017.02.004
Mimila, Naomi A. ; Chung, Paul J. ; Elliott, Marc N. ; Bethell, Christina ; Chacon, Sandra ; Biely, Christopher ; Contreras, Sandra ; Chavis, Toni ; Bruno, Yovana ; Moss, Tanesha ; Coker, Tumaini R. / Well-Child Care Redesign : A Mixed Methods Analysis of Parent Experiences in the PARENT Trial. In: Academic Pediatrics. 2016.
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abstract = "Background: Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ({"}parent coach{"}) to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants. Methods: Intervention parents completed a survey after a 12-month study period; a 26{\%} random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. Results: A total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99{\%}). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87{\%}), and found it easy to use (94{\%}); a minority completed it at home before the visit (18{\%}). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits. Conclusions: A parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population.",
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author = "Mimila, {Naomi A.} and Chung, {Paul J.} and Elliott, {Marc N.} and Christina Bethell and Sandra Chacon and Christopher Biely and Sandra Contreras and Toni Chavis and Yovana Bruno and Tanesha Moss and Coker, {Tumaini R.}",
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T2 - A Mixed Methods Analysis of Parent Experiences in the PARENT Trial

AU - Mimila, Naomi A.

AU - Chung, Paul J.

AU - Elliott, Marc N.

AU - Bethell, Christina

AU - Chacon, Sandra

AU - Biely, Christopher

AU - Contreras, Sandra

AU - Chavis, Toni

AU - Bruno, Yovana

AU - Moss, Tanesha

AU - Coker, Tumaini R.

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N2 - Background: Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ("parent coach") to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants. Methods: Intervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. Results: A total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99%). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87%), and found it easy to use (94%); a minority completed it at home before the visit (18%). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits. Conclusions: A parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population.

AB - Background: Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ("parent coach") to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants. Methods: Intervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. Results: A total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99%). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87%), and found it easy to use (94%); a minority completed it at home before the visit (18%). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits. Conclusions: A parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population.

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KW - Randomized controlled trial

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