Positive Parental Enabling Factors and Child Healthcare Utilization

摘要 多个父母的特征可以作为儿童保健利用的促成因素。尽管已知 父母心理健康和父母压力与儿童保健利用效率低下(更高)之间的联系 急诊科[ED]的使用和较少的预防性护理使用)，很少有研究检查其他相关的 积极的父母支持因素，可能与更有效地利用儿童保健有关。 父母的情绪和社会支持以及育儿自我效能感等因素可能有助于缓冲父母受到 压力源与养育婴儿有关，并促进父母更好的情绪健康。联谊会 这些积极的父母促进儿童医疗保健利用的因素没有得到很好的理解或记录 在一般的儿童群体中。为父R01(HD088586)、群集RCT收集的基准数据 《邂逅》以家长为中心的重新设计，从新生儿到幼儿(家长)的干预，将允许我 为我们了解父母的特征如何与孩子相关做出了重要的发现 医疗保健利用率。我们将能够评估急救、紧急护理和预防性护理的使用情况 来自初级保健诊所和当地急诊室的图表审查的客观数据，以及家长报告的数据，经过验证 父母教养自我效能感和父母情感支持的测量。 在这项拟议的多样性补充资料中，我将使用为家长研究收集的基线数据来检查 登记参与者的医疗保健利用情况(儿童护理、紧急护理和急救)及其与 父母情感支持与父母教养自我效能感的关系我假设更高水平的父母情绪 支持和养育自我效能感将与ED和紧急护理利用率的降低相关，并且 更好地利用儿童保育服务。

ABSTRACT Multiple parental characteristics can serve as enabling factors for child healthcare utilization. Despite known links between parental mental health and parental stress with ineffective child healthcare utilization (greater emergency department [ED] use and less preventive care use), few studies have examined other related positive parental enabling factors that may be associated with more effective child healthcare utilization. Factors such as parent emotional and social support and parenting self-efficacy may help buffer parents from the stressors related to parenting an infant, and promote better parent emotional health. The association of these positive parental enabling factors with child healthcare utilization are not well understood or documented in a general population of children. The baseline data collected for the parent R01 (HD088586), a cluster RCT of the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT) intervention, will allow me to contribute important findings to our knowledge of how parent characteristics are associated with child healthcare utilization. We will be able to assess utilization of ED, urgent care, and preventive care using objective data from chart review at the primary care clinics and local EDs, as well as parent reported, validated measures of parenting self-efficacy and parental emotional support. In this proposed diversity supplement, I will use data collected at baseline for the parent study to examine healthcare utilization (well-child care, urgent care, and ED) among enrolled participants and its association with parental emotional support and parenting self-efficacy. I hypothesize that higher levels of parent emotional support and parenting self-efficacy will be associated with decreased ED and urgent care utilization, and greater well-child care utilization.