TY - JOUR AU - S. J. Mitchell AU - K. Buddala AU - A. Feinberg AU - S. Lavie AU - D. F. Perry AU - C. O. Boogaard AU - N. I. Bodrick A1 - AB - HealthySteps is an evidence-based, prevention program for families of children ages 0 to 3 integrated into pediatric primary care. Our objective was to synthesize feedback on local implementation of an enhanced HealthySteps+ program from various stakeholder viewpoints to improve implementation. Qualitative data were gathered from HealthySteps+ team members (n = 14), current clinic staff (n = 15), and a focus group of parents serving on the program's advisory committee (n = 7). Responses indicate that the core features of the HealthySteps+ program are consultations about typical and atypical child development, facilitated connections to resources, and parent mental health support. Key challenges to implementing the program include retention of skilled staff to sustain trusting relationships with parents and other providers. Based on these findings, the HealthySteps+ implementation team has increased communication with clinic staff at daily huddles, developed orientation materials for new pediatricians, and offered families additional peer support opportunities. AD - Thrive Center for Children, Families, and Communities, Georgetown University, Washington, DC, USA.; Children's National Hospital, Washington, DC, USA. AN - 40914849 BT - Clin Pediatr (Phila) C5 - Healthcare Disparities; Education & Workforce DA - Sep 7 DO - 10.1177/00099228251370564 DP - NLM ET - 20250907 JF - Clin Pediatr (Phila) LA - eng N2 - HealthySteps is an evidence-based, prevention program for families of children ages 0 to 3 integrated into pediatric primary care. Our objective was to synthesize feedback on local implementation of an enhanced HealthySteps+ program from various stakeholder viewpoints to improve implementation. Qualitative data were gathered from HealthySteps+ team members (n = 14), current clinic staff (n = 15), and a focus group of parents serving on the program's advisory committee (n = 7). Responses indicate that the core features of the HealthySteps+ program are consultations about typical and atypical child development, facilitated connections to resources, and parent mental health support. Key challenges to implementing the program include retention of skilled staff to sustain trusting relationships with parents and other providers. Based on these findings, the HealthySteps+ implementation team has increased communication with clinic staff at daily huddles, developed orientation materials for new pediatricians, and offered families additional peer support opportunities. PY - 2025 SN - 0009-9228 SP - 99228251370564 ST - Qualitative Evaluation of HealthySteps Implementation in Urban Pediatric Primary Care Clinics T1 - Qualitative Evaluation of HealthySteps Implementation in Urban Pediatric Primary Care Clinics T2 - Clin Pediatr (Phila) TI - Qualitative Evaluation of HealthySteps Implementation in Urban Pediatric Primary Care Clinics U1 - Healthcare Disparities; Education & Workforce U3 - 10.1177/00099228251370564 VO - 0009-9228 Y1 - 2025 ER -