Referral to Digital Parent Training in Primary Care: Facilitators and Barriers

ABSTRACT:

Objective:

Parent training (PT) programs for parents of preschool-aged children promote effective parenting practices and reduce the risk for the development of child behavior problems. Digital platforms and self-administered formats can expand access to preventive PT and complement traditional behavioral services. Primary care provides an ideal environment to refer patients to prevention-focused PT; however, effective integration of a referral process requires an understanding of implementation facilitators and barriers. The current study is a secondary analysis of facilitators and barriers to the implementation of a referral to ezParent, a self-administered, digital PT program, in four primary care clinics from the perspective of clinic personnel.

Method:

Personnel from participating clinics took part in semi-structured group interviews to share their experiences of referral to ezParent. Researchers extracted themes using the Consolidated Framework for Implementation Research.

Results:

Clinic personnel support preventive PT, but time, workflow, and organizational barriers impede consistent referral implementation.

Conclusions:

The authors discuss recommendations for harnessing facilitators for referring primary care patients to digital PT using the strengths of multidisciplinary clinical teams and organizational structures.

SUBMITTER: Fehrenbacher C 

PROVIDER: S-EPMC9273004 | biostudies-literature |

REPOSITORIES: biostudies-literature