Educating Parents About Corporal Punishment and Effective Discipline: Pediatricians' Preparedness, Motivation, and Barriers.
Educating Parents About Corporal Punishment and Effective Discipline: Pediatricians' Preparedness, Motivation, and Barriers.
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DOI：
10.1016/j.acap.2020.05.028
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发表时间：
2021-01
影响因子：
3.1
通讯作者：
Taylor CA
中科院分区：
文献类型：
--
作者：
Fleckman JM;Scholer SJ;Branco N;Taylor CA
评估美国儿科医生在教育父母体罚和有效的儿童纪律方面的准备、动机和障碍。从美国全国性数据库中随机抽取了1,500名儿科医生，并于2016年通过邮件发送了一份自填式问卷。通过重复调查邮件和使用现金奖励，最大限度地提高了答复率（53%; n = 787）。大多数受访者是白色（69%），女性（59%）和美国儿科学会成员（85%）。大多数儿科医生觉得自己已经做好准备，可以向父母提供有关儿童管教的建议，尤其是CP，但他们认为自己的同事比自己准备得稍差一些。虽然大多数（72%）受访者认为父母“非常/非常”可能重视他们关于孩子纪律的建议，但只有36%的人认为父母“非常/非常”可能遵循他们的建议。大多数受访者积极参与旨在改变CP规范的活动。儿科医生发现改善儿童行为的最常见策略是遵守规则（71%）。向父母提供儿童纪律建议的障碍包括缺乏时间（90%），缺乏保险报销（48%）以及缺乏培训和教育资源（47%）。儿科医生是父母关于如何安全地管教孩子的专业建议的主要来源。鉴于此，沿着CP在美国的大力批准和使用及其对儿童的危害，目前的研究结果表明，儿科医生迫切需要接受额外的培训，了解如何向父母提供有关儿童纪律的建议，沿着消除提供此类建议的障碍。
To assess U.S. pediatricians’ preparedness, motivation, and barriers related to educating parents about corporal punishment (CP) and effective child discipline. A random sample of 1,500 pediatricians was drawn from a nationwide database in the U.S. A self-administered questionnaire was sent via mail in 2016. The response rate (53%; n = 787) was maximized via repeated survey mailings and use of cash incentives. The majority of respondents were White (69%), female (59%) and were members of the American Academy of Pediatrics (85%). Most pediatricians felt somewhat prepared to advise parents about child discipline, particularly CP, and perceived their colleagues to be slightly less prepared than themselves. Although most (72%) respondents believed it was “extremely/very” likely that parents valued their advice about child discipline, only 36% believed parents were “extremely/very” likely to follow their advice. Most respondents were highly motivated to participate in activities designed to change norms regarding CP. The most common strategy pediatricians identified for improving child behavior was being consistent with rules (71%). Perceived barriers to providing child discipline advice to parents included lack of time (90%), lack of insurance reimbursement (48%) and lack of training and educational resources (47%). Pediatricians are a key source of professional advice for parents about how to discipline children safely. Given this, along with strong approval and use of CP in the U.S. and its harm for children, the current findings suggest a strong need for pediatricians to receive additional training on how to advise parents about child discipline along with removal of barriers to providing such advice.
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