Brief Approaches to Developmental-Behavioral Promotion inPrimary Care: Updates on Methods and Technology.

Glascoe FP, Trimm F. Brief Approaches to Developmental-Behavioral Promotion inPrimary Care: Updates on Methods and Technology. Pediatrics. 2014 Apr 28. [Epubahead of print] PubMed PMID: 24777220.

Well-child visits are a critical opportunity to promote learning and development,
encourage positive parenting practices, help children acquire behavioral
self-control, enhance the development and well-being of children and their
families, identify problems not amenable to brief in-office counseling, and refer
for services when needed. This article outlines the communication skills,
instructional methods, and resource options that enable clinicians to best assist
families. Also covered is how to monitor progress and outcomes. A total of 239
articles and 52 Web sites on parent/patient education were reviewed for this
study. Providers require a veritable armamentarium of instructional methods.
Skills in nonverbal and verbal communication are needed to elicit the
parent/patient agenda, winnow topics to a manageable subset, and create the
"teachable moment." Verbal suggestions, with or without standardized spoken
instructions, are useful for conveying simple messages. However, for complex
issues, such as discipline, it is necessary to use a combination of verbal
advice, written information, and "teach-back," aided by role-playing/modeling or 
multimedia approaches. Selecting the approaches most likely to be effective
depends on the topic and family characteristics (eg, parental literacy and
language skills, family psychosocial risk and resilience factors, children's
developmental-behavioral status). When providers collaborate well (with parents, 
patients, and other service providers) and select appropriate educational
methods, families are better able to act on advice, leading to improvements in
children's well-being, health, and developmental-behavioral outcomes. Provided
are descriptions of methods, links to parenting resources such as cell phone
applications, Web sites (in multiple languages), interactive technology, and
parent training courses.

PMID: 24777220  [PubMed - as supplied by publisher]