Promoting Positive Parenting for High-Risk Families in Primary Care Settings Sarah Kate Bearman (PI) and Abby Bailin (Co-I) Department of Educational Psychology Michael Mackert (Co-I) Moody School of Communication

Parent Positive Behavior Supports Background Parent Positive Behavior Supports Positive parenting practices mitigate a host of negative outcomes for children and families Only a small proportion of families receive effective help to develop positive parenting practices Child conduct problems are common, costly, and lead to numerous negative outcomes Delivering elements of behavioral parent training within routine well-child visits in primary care settings has the potential to reach high-risk families

Provider Training in Behavioral Parent Training Research Goals Provider Training in Behavioral Parent Training Partner with primary care clinics serving diverse, low-income Austin families Develop brief, e-health intervention with community stakeholder guidance and rapid feedback Clinic beta-test protocol during well-child visits Randomized effectiveness trial for caregivers of children aged 4 – 8 during routine well-child visits While research has shown that delivering BPT in primary care is beneficial, providers in these settings already have numerous health-related tasks to complete within the context of a well-child visit. In order to reduce implementer burden within the primary care setting and increase reach of the intervention, we will be developing and testing an e-health intervention targeting positive parenting practices made available to families during routine well-child visits. Seton Topfer, Kozmetsky, and McCarthy Community Health Centers in Austin have agreed to participate in this study. These community health centers provide comprehensive health services to medically underserved families. Over the last fiscal year, these clinics served 874 children aged 4-8 for well-child visits, of which 79.4% were Latino children. - We have established a partnership with 3 Seton community health centers who are invested in increasing their own service capacity. In order to maximally enhance the service capacity, we will also be training the behavioral health providers in the clinics in behavioral parent training.

Outcomes Reports of child maltreatment Mental health referrals Health outcomes Parenting practices Parenting stress Child disruptive behavior May 2017: Obtain IRB approval Summer 2017: Conduct interviews/feedback with 10 caregivers in order to develop ecologically valid and acceptable e-health platform Fall 2017: Beta-test protocol with 30 caregivers, train providers January 2018: Launch effectiveness trial (expected N = 423)