Practice-based intervention has sustained benefits for children an...( The Healthy Steps for Young Children...),Health

The Healthy Steps for Young Children Program, which added behavior and development services to pediatric practices, continued to benefit families more than two years after the intervention ended, according to a study by researchers from the Johns Hopkins Bloomberg School of Public Health. The sustained benefits from participation in Healthy Steps included greater satisfaction among parents with their childs health care, greater odds that parents will report a childs serious behavioral issue to the pediatrician and greater odds of children reading books. Parents also were less likely to use severe discipline such as spanking with an object or slapping in the face. The findings are published in the September 2007 edition of Pediatrics.

Incorporating developmental specialists into pediatric practices seems to be an effective strategy to meet families needs regarding their childrens behavior and development, said Cynthia Minkovitz, MD, MPP, lead author of the study and associate professor with the Schools Department of Population, Family and Reproductive Health. Minkovitz noted that this universal practice-based intervention had favorable, sustained effects on experiences seeking health care and other parenting behaviors that are critical to childrens development.

Healthy Steps for Young Children was initially designed by Boston University and The Commonwealth Fund to meet the early development and behavior needs of young children by enhancing the relationships between parents and children, families and the pediatric practice, and among physicians and staff. The program placed trained developmental specialists in pediatric practices to provide enhanced behavior and development services during the first three years of a childs life. Healthy Steps services included enhanced well-child care, home visits from developmental specialists, a telephone help line, developmental assessments, educational materials, support groups to aid parents with developme
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