TY - JOUR
AU - Y. Chen
AU - C. F. Canfield
AU - E. Roby
AU - A. Weisleder
AU - M. Farinelli
AU - C. B. Cates
AU - A. Mendelsohn
A1 - 
AB - OBJECTIVE: To examine the effects of PlayReadVIP, a pediatric primary care intervention promoting early relational health, on child behaviors. STUDY DESIGN: A factorial randomized controlled trial enrolled mother-child dyads postpartum. PlayReadVIP was delivered in 2 phases: birth to 3 years (PlayReadVIP 0-3) and 3-5 years (PlayReadVIP 3-5). At enrollment, dyads were assigned to PlayReadVIP 0-3 or control. At age 3, dyads were rerandomized to PlayReadVIP 3-5 or control. Analyses included dyads with a second randomization and complete data on the mediators and child outcomes. In PlayReadVIP, dyads attended one-on-one sessions with a parent coach, in which they received child development information, learning materials, and real-time, strengths-based feedback on brief video recordings of parent-child interactions. Cognitive stimulation and harsh discipline were reported by mothers. Child behaviors were assessed using the Behavior Assessment System for Children, Second Edition. RESULTS: A total of 143 dyads, primarily immigrant, Latino/Hispanic, and low-socioeconomic status, comprised the analytic sample. Mothers in PlayReadVIP vs control had higher cognitive stimulation at 54 months, which resulted in reduced problem behaviors (aggression and attention problems) and better social skills in their children in second grade. No significant indirect effects through harsh discipline were found. CONCLUSIONS: PlayReadVIP leads to sustained but small improvements in child behaviors by enhancing maternal cognitive stimulation, emphasizing the potential of early intervention in pediatric primary care for promoting child mental health in disadvantaged populations.
AD - Department of Pediatrics, NYU Grossman School of Medicine, New York, NY. Electronic address: yu.chen2@nyulangone.org.; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY.; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY; Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY; Department of Psychology, Purchase College, State University of New York, Purchase, NY.
AN - 41692227
BT - J Pediatr
C5 - Healthcare Disparities
DA - Jun
DO - 10.1016/j.jpeds.2026.115038
DP - NLM
ET - 20260213
JF - J Pediatr
LA - eng
N2 - OBJECTIVE: To examine the effects of PlayReadVIP, a pediatric primary care intervention promoting early relational health, on child behaviors. STUDY DESIGN: A factorial randomized controlled trial enrolled mother-child dyads postpartum. PlayReadVIP was delivered in 2 phases: birth to 3 years (PlayReadVIP 0-3) and 3-5 years (PlayReadVIP 3-5). At enrollment, dyads were assigned to PlayReadVIP 0-3 or control. At age 3, dyads were rerandomized to PlayReadVIP 3-5 or control. Analyses included dyads with a second randomization and complete data on the mediators and child outcomes. In PlayReadVIP, dyads attended one-on-one sessions with a parent coach, in which they received child development information, learning materials, and real-time, strengths-based feedback on brief video recordings of parent-child interactions. Cognitive stimulation and harsh discipline were reported by mothers. Child behaviors were assessed using the Behavior Assessment System for Children, Second Edition. RESULTS: A total of 143 dyads, primarily immigrant, Latino/Hispanic, and low-socioeconomic status, comprised the analytic sample. Mothers in PlayReadVIP vs control had higher cognitive stimulation at 54 months, which resulted in reduced problem behaviors (aggression and attention problems) and better social skills in their children in second grade. No significant indirect effects through harsh discipline were found. CONCLUSIONS: PlayReadVIP leads to sustained but small improvements in child behaviors by enhancing maternal cognitive stimulation, emphasizing the potential of early intervention in pediatric primary care for promoting child mental health in disadvantaged populations.
PY - 2026
SN - 0022-3476 (Print); 0022-3476
SP - 115038
ST - Parenting Intervention in Pediatric Primary Care Promotes Child Mental Health: Evidence from a Randomized Controlled Trial of PlayReadVIP
T1 - Parenting Intervention in Pediatric Primary Care Promotes Child Mental Health: Evidence from a Randomized Controlled Trial of PlayReadVIP
T2 - J Pediatr
TI - Parenting Intervention in Pediatric Primary Care Promotes Child Mental Health: Evidence from a Randomized Controlled Trial of PlayReadVIP
U1 - Healthcare Disparities
U3 - 10.1016/j.jpeds.2026.115038
VL - 293
VO - 0022-3476 (Print); 0022-3476
Y1 - 2026
ER -