Examining Caretaker Attitudes Towards Primary Prevention of Pediatric Behavioral Health Problems in Integrated Care

J Behav Health Serv Res. 2021 Jan;48(1):120-132. doi: 10.1007/s11414-020-09720-6.

Abstract

Understanding caretaker attitudes towards the prevention of pediatric behavioral disorders is important for the effective delivery of prevention services. Caretakers of children ages 0-18 (N = 385) read a description of pediatric prevention services in an integrated primary care setting. Attitudes towards these services were assessed. The majority of participants (80%) agreed that prevention is important, 87% reported interest in learning their child's risk for a behavioral disorder, 84% were interested in learning the results of a screen for behavioral disorders, and 88% were interested in learning parenting strategies. Participants endorsed similarly positive attitudes towards prevention in integrated care. Perceived risks outweighing perceived benefits, younger caregiver age, and identifying as non-Hispanic White predicted less favorable attitudes towards prevention. Other socio-demographic characteristics (e.g., caretaker education) were associated with disorder-specific beliefs about the importance of prevention, but not general attitudes. Findings suggest generally positive attitudes towards preventing behavioral disorders in an integrated care setting.

Keywords: Behavioral health; Caretakers; Parents; Pediatrics; Prevention; Primary care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Caregivers / psychology*
  • Child
  • Child Behavior Disorders / prevention & control*
  • Child Behavior Disorders / psychology
  • Child, Preschool
  • Delivery of Health Care, Integrated*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Pediatrics
  • Preventive Health Services*
  • Primary Health Care / organization & administration
  • Problem Behavior / psychology*