Service Delivery

Promoting parent-provider interaction during young children's health-supervision visits.

Finney et al. (1990) · Journal of applied behavior analysis 1990
★ The Verdict

One sentence from you—"Any concerns today?"—makes parents speak up twice as much.

✓ Read this if BCBAs consulting in pediatric clinics or training medical staff.
✗ Skip if Anyone working only with adult clients or non-medical settings.

01Research in Context

01

What this study did

The team asked parents a single question before the doctor walked in: "Do you have any child health concerns today?"

They ran a true experiment. Families were picked at random to hear the prompt or to get care as usual.

02

What they found

Parents who heard the 30-second prompt started twice as many conversations with the doctor.

They also brought up twice as many health topics during the same short visit.

03

How this fits with other research

Billings et al. (1985) and Pear et al. (1984) already showed that simple reminders can pull families into the clinic. The 1990 study keeps the same low-cost spirit but moves the focus from "showing up" to "speaking up" once inside.

Hake et al. (1969) primed psychiatric adults to talk more, and Austin et al. (2006) primed drivers to stop. Schaal et al. (1990) uses the same prompt logic with parents, proving the tactic works across ages and settings.

Laugeson et al. (2014) later added real-time staff prompts. Together these papers form a thread: a quick nudge just before the moment of action lifts adult interaction in hospitals, roads, and group homes alike.

04

Why it matters

You can double parent engagement without adding visit time. Tape a note on the exam-room door or train medical assistants to ask the question while they check height. More parent talk means clearer medical decisions and fewer return calls.

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→ Action — try this Monday

Add the prompt to the rooming script: ask every parent before the provider enters.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
32
Population
not specified
Finding
positive
Magnitude
medium

03Original abstract

We prompted parents to increase their interactions with health-care providers during their children's health-supervision visits. Before scheduled appointments we asked parents of 32 infants and young children if they had specific child health questions or concerns. Sixteen parents randomly assigned to the prompted group were then prompted to initiate discussions of their concerns. Sixteen control parents discussed unrelated topics before their appoitments. Prompted parents initiated significantly more interactions with health-care providers and more health and behavioral topics were discussed during their appointments. Both parent groups reported satisfaction with health-care services. Further research is needed to determine the clinical significance of outcomes associated with enhanced parent-provider interaction during children's health-supervision visits. These visits are ideal settings for behavioral research on improving health care for children and their families.

Journal of applied behavior analysis, 1990 · doi:10.1901/jaba.1990.23-207