Objective: 

Pediatric primary care is an ideal setting to provide behavioral health services to young children and their families during the COVID-19 pandemic. However, it is unclear how the pandemic altered parents' priorities and preferences to obtain behavioral services in this setting.

Method: 

Between July 2020 and January 2021, 301 parents of young children in 5 pediatric sites across the United States completed survey measures on their preferences for behavioral topics and service delivery methods in primary care. The current sample was compared with a previous sample of parents (n = 396) who completed the same measures in 2018.

Results: 

Child self-calming was the only behavioral topic that was rated as significantly more important in the pandemic cohort in comparison with the prepandemic cohort. The pandemic cohort also reported significantly more interest in using certain media resources (e.g., mobile apps and videos) as a delivery method and less interest in group classes/seminars. After controlling for demographic differences between the samples, there was an increased preference for multimedia resources overall in the pandemic cohort, as well as a decreased preference for usual care.

Conclusion: 

Parents generally endorse similar priorities for behavioral topics in primary care during the pandemic as they did before the pandemic. However, there is a clear preference for more remote and media-based services during the pandemic. Pediatric practices may consider augmenting behavioral health services with multimedia resources during and after the COVID-19 pandemic to meet parents' needs.

中文翻译：

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COVID-19 大流行期间家长对初级保健行为服务的偏好

客观的： 

儿科初级保健是在COVID-19大流行期间向幼儿及其家人提供行为健康服务的理想场所。然而，目前尚不清楚这种流行病如何改变父母在这种情况下获得行为服务的优先事项和偏好。

方法： 

2020 年 7 月至 2021 年 1 月期间，美国 5 个儿科中心的 301 名幼儿家长完成了关于他们对初级保健行为主题和服务提供方法的偏好的调查措施。将当前样本与 2018 年完成相同措施的先前父母样本 (n = 396) 进行比较。

结果： 

与大流行前群体相比，儿童自我平静是大流行群体中唯一被认为更重要的行为主题。流行病群体还报告称，他们对使用某些媒体资源（例如移动应用程序和视频）作为交付方式的兴趣明显更大，而对小组课程/研讨会的兴趣则较低。在控制了样本之间的人口统计差异后，大流行队列中总体上对多媒体资源的偏好有所增加，而对常规护理的偏好则有所下​​降。

结论： 

与大流行之前一样，家长普遍支持大流行期间初级保健中行为主题的类似优先事项。然而，在大流行期间，人们明显倾向于更远程和基于媒体的服务。儿科诊所可以考虑在COVID-19大流行期间和之后通过多媒体资源增强行为健康服务，以满足家长的需求。