Effectiveness of Targeted Anticipatory Guidance during Well-child Visits: A Pilot Trial

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Figure 1.
A Parents’ Evaluation of Developmental Status (PEDS) response form.

Table 1.

Do’s and Don’ts for Infant Care: 0 to 5 Months

Show affection, cuddle, talk, and sing to your baby
Respond to your baby’s cry
Hold your baby when feeding him/her
Support baby’s head and neck
Supervise sibling and pet interaction
Use car seat (initially rear-facing) in back seat of car
Have baby sleep on back or side
Use a safe crib, with slats <2-3/8 inches apart, no soft bedding (pillows, quilts, etc)
Have functioning smoke detectors in bedrooms
Protect baby from sun with hats, clothes, stroller top, etc.
Keep hot water temperature at <120°F
Breastfeed, if possible
Encourage partner to help care for baby
Wash hands often

Don’t

Other discussion topics

Please check (√) here _ if you have read the above.
If you would like to talk to your doctor about any of the issues listed above, please circle the topic(s).

Table 2.

Group Differences in Parents’ Responses to Well-Child Visits*

Parents’ Responses	Experimental Group (n = 67)	Control Group (n = 70)	P Value
Perceptions regarding amount learned about taking care of child through visit	3.89 (0.94)	4.20 (0.96)	.031
Satisfaction with education during visit	4.17 (0.94)	4.51 (0.78)	.021
Perceptions about physician’s understanding of his/her concerns	4.52 (0.78)	4.64 (0.66)	.336
Plans to do something different as a result of education received (n, %, χ² analysis)	14 (22.2%)	11 (15.9%)	.358

* Unless otherwise indicated, responses are given as mean (SD), based on 1 to 5 Likert scale (where 1 is the least desirable and 5 is the most desirable response), and differences were determined by Mann-Whitney-Wilcoxon rank-sum tests.

Table 3.

Group Differences in Physicians’ Responses to Well-Child Visits*

Physicians’ Responses	Experimental Group n = 83	Control Group n = 105	P Value
Satisfaction with parent education during visit:	3.71 (1.02)	3.61 (0.98)	.515
Perceptions about parent’s level of interest in educational component of visit	3.65 (0.96)	3.55 (1.10)	.544
Ease/difficulty of visit, compared to average visit (1 = much more difficult, 3 = about the same, 5 = much easier)	3.69 (0.93)	3.19 (0.75)	.000
Would liked to have changed educational component of visit (n, %, χ² analysis)	15 (53.6%)	18 (62.1%)	.516

* Unless otherwise indicated, responses are given as mean (SD), based on 1 to 5 Likert scale (where 1 is the least desirable and 5 is the most desirable response), and differences were determined by Student’s t tests.