The pediatric primary care setting offers a promising platform for delivering positive parenting interventions as a strategy to prevent childhood adversity and behavioral health issues. This pilot project assessed parents’ acceptability and perspectives of Parent Connext^TM, a positive parenting and prevention program that includes screening for parenting and family psychosocial concerns by pediatricians and individualized parent coaching for parents by co-located Parenting Specialists. Eleven pediatric practices implemented Parent Connext^TM over a three year period, and 1,301 families participated in parent coaching. Parents were invited to complete surveys on parenting and psychosocial factors at sessions 1, 3, and 3 months follow-up and were emailed a satisfaction survey after their last session and invited to participate in a phone interview. A subsample of 280 biological mothers who completed surveys at multiple time points showed improved parenting satisfaction, parenting efficacy, and parent-child interaction and reduced psychosocial concerns over time. The majority (≥97%) of the 387 parents who completed the satisfaction survey reported satisfaction with the accessibility, convenience, and quality of the parent coaching service. Nearly all 27 parents interviewed (96%) reported being highly likely to recommend the service to a friend or parent, and most (84%) felt their needs had been met. Parents described the key program attributes to include normalization of their experiences, non-judgmental support, easy-to-implement tailored strategies, and empowerment in parenting. Overall, parents found Parent Connext^TM to be a worthwhile addition to their pediatric primary care. Alternative payment models are needed to support the sustainability of integrated programs like Parent Connext^TM.

儿科初级保健环境为提供积极的育儿干预措施提供了一个有前途的平台，作为预防儿童逆境和行为健康问题的策略。该试点项目评估了家长对 Parent Connext ^TM的接受度和观点，这是一项积极的育儿和预防计划，包括由儿科医生筛查育儿和家庭心理社会问题，以及由位于同一地点的育儿专家为父母提供个性化的家长辅导。11 个儿科实践实施了 Parent Connext ^TM在三年的时间里，1,301 个家庭参加了家长辅导。家长被邀请在第 1、3 和 3 个月的随访中完成有关育儿和社会心理因素的调查，并在最后一次会议后通过电子邮件发送满意度调查并邀请他们参加电话采访。在多个时间点完成调查的 280 名亲生母亲的子样本显示，随着时间的推移，养​​育满意度、养育效率和亲子互动有所提高，社会心理担忧有所减少。在完成满意度调查的 387 名家长中，大多数 (≥97%) 对家长辅导服务的可及性、便利性和质量表示满意。几乎所有接受采访的 27 位家长 (96%) 都表示极有可能向朋友或家长推荐该服务，大多数（84%）认为他们的需求已经得到满足。家长们描述了关键的计划属性，包括他们的经历正常化、非判断性支持、易于实施的定制策略以及在养育方面的赋权。总体而言，家长们找到了 Parent Connext^TM成为他们儿科初级保健的一个有价值的补充。需要替代支付模式来支持 Parent Connext ^TM等综合项目的可持续性。