Introduction
For CenteringParenting—a patient-centered, group family approach to child health—this
study aimed to determine how the CenteringParenting model affects clinical outcomes
compared with the traditional well-child care model and how the CenteringParenting
model affect parent satisfaction as compared with the traditional well-child care
model. This study was conducted at the Children's Health Center in West Reading, PA—a
single-site pediatric practice that serves primarily an inner city with a population
currently at 95,112.
Method
Quantitative data collection was obtained from a retrospective chart review for both
groups of patients to obtain outcome data. Phone interviews were completed, and participants
were asked to respond to a series of questions using a 5-point Likert scale and several
open-ended questions. All statistical analyses for this research were performed using
SPSS (version 25.0; IBM Corp., Armonk, NY). Two groups were coded as the centering
group and control group. Significance testing was performed using chi-square analysis
for categorical data and t test for continuous data.
Results
CenteringParenting children are more likely to be UTD with their scheduled visits
and vaccines than those receiving the traditional model of well-child care. Maternal
depression screenings were more likely to be completed and documented and open discussions
about maternal depression. Parents involved with group visits found it to be great
care, liked being with other parents, learned a lot, and would recommend it to other
parents.
Discussion
Limitations of the study include being a new site offering the CHI program for group
well-child visits. As the program has continued to progress over the years, it has
continued to grow and is now offered in both English and Spanish. Another limitation
was not having trained breastfeeding professionals such as lactation counselors, consultants,
or breastfeeding resource nurses. Future research is needed to study the implementation
of breastfeeding in minority populations. In addition, a more in-depth study about
triage calls and if parents feel more comfortable calling if they have a better connection
to their provider and health care team. This issue was not addressed or questioned
in this research and would be very beneficial to understand in the future how it relates
to CPGs.
KEY WORDS
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References
American Academy of Pediatrics. (2018). Bright Futsures tool and resource kit (second edn.). Retrieved from:https://Publications.aap.org/Toolkits/Pages/Bright-Futures-Toolkit?Autologincheck=Redirected?NfToken=00000000-0000-0000-0000-000000000000.
- CenteringParenting: An innovative dyad model for group mother–infant care.Journal of Midwifery and Women's Health. 2013; 58: 683-689
- Making health care accessible through group visits.Journal of Alternative and Complementary Medicine. 2019; 25: 671-672
- A randomized controlled trial of group well-childcare: Improved attendance and vaccination timeliness.Clinical Pediatrics. 2020; 59: 686-691
- Pediatric practice redesign with group well child care visits: A multi-site study.Maternal and Child Health Journal. 2021; 25: 1265-1273
- An evaluation of centering parenting: A group well-childcare model in an urban federally qualified community health center.Journal of Alternative and Complementary Medicine. 2019; 25: 727-732
- (2015). National, state, and selected local area vaccination coverage among children aged 19–35 months — United States.MMWR. Morbidity and Mortality Weekly Report. 2014; 64: 889-896
- Timeliness of Immunizations in CenteringParenting.Academic Pediatrics. 2021; 21: 948-954
- Feasibility and acceptability in a community-partnered implementation of centering parenting for group well-childcare.Academic Pediatrics. 2018; 18: 642-649
- 222. The impact of Centeringparenting on the psychosocial emotional well-being of adolescent mothers, a quality improvement study.Journal of Adolescent Health. 2019; 64: S113-S114
- Census quickfacts table.Medium. 2020;
- Effectiveness of centering pregnancy on breastfeeding initiation among African Americans: A systematic review and meta-analysis.Journal of Perinatal and Neonatal Nursing. 2018; 32: 116-126
- Piloting group well child visits in pediatric resident continuity clinic.Clinical Pediatrics. 2012; 51: 134-139
Article info
Publication history
Published online: November 12, 2022
Publication stage
In Press Corrected ProofFootnotes
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2022 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
