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Review
. 2025 Mar 24:2025:10.31478/202503a.
doi: 10.31478/202503a. eCollection 2025.

The State of Healthy Parenting in Primary Care Interventions in Advancing Health Equity

April Joy Damian  1 , Charles Bruner  2 , Mercedes Samudio  3 , Maria Schweer-Collins  4 , Julie McCrae  5 , Katherine A Hails  6 , Charles Bruner  2 , Margaret Kuklinski  7 , Lawrence S Wissow  8 , Marian F Earls  9 , J D Smith  10 , Cady Berkel  11 , Nikki Shearman  12 , Joyce Javier  13 , Katharine T Hemady  14 , Dani Dumitriu  15 , Tyson Barker  16 , Christina Bethell  17 , Charles Bruner  2 , Michele Polfuss  18 , April Joy Damian  1
Affiliations
Review

The State of Healthy Parenting in Primary Care Interventions in Advancing Health Equity

April Joy Damian et al. NAM Perspect. .
No abstract available

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Conflict of interest statement

Conflict-of-Interest Disclosures: Tyson Barker has no conflicts of interest to disclose. Christina Bethell serves as a Committee Member on the National Academies of Sciences, Engineering, and Medicine’s Committee on Improving Child and Youth Well-Being through Children’s Healthcare System Transformation. Charles Bruner has no conflicts of interest to disclose. Cady Berkel serves on the board of the Society for Prevention Research, and discloses grants from National Heart, Lung, and Blood Institute, and Agriculture and Food Research Initiative, National Institute of Food and Agriculture, United States Department of Agriculture. April Joy Damian serves as the Chair of the National Academies of Sciences, Engineering, and Medicine’s Healthy Parenting in Primary Care Collaborative and is an appointed Member of the Forum for Children’s Well-Being; discloses institutional funding from LEGO. Dani Dumitriu discloses grants from National Institute of Mental Health, Centers for Disease Control and Prevention (CDC), Einhorn Collaborative, and W.K. Kellogg Foundation; honoraria from Icahn School of Medicine at Mount Sinai and Medella, Inc.; meeting/travel-related support from Reach Out and Read and Marce de North America. Katherine A. Hails discloses funding from the Institute of Education Sciences and National Institute of Drug Abuse; consulting fees from Northwest Prevention Science. Katharine T. Hemady discloses institutional contracts with Children’s Bureau, CDC, Philadelphia Department of Human Services, and Vanguard. Joyce Javier discloses funding from the National Institute of Health. Margaret Kuklinski serves on the Advisory Board of research initiatives funded by National Institute of Mental Health and Crowley/Jones, Pew Charitable Trusts; discloses grants from National Institute of Child Health and Human Development, National Institute on Drug Abuse, Administraton for Children & Families’ Children’s Bureau, National Center for Complementary and Integrative Health, CDC; travel support from National Academies Board on Children, Youth and Families. Julie McCrae serves as the Principal Investigator of a research study on one of the interventions described in this paper, funded by the JPB Foundation and Georgia Health Policy Institute. Michele Polfuss has no conflicts of interest to disclose. MercedesSamudio has no conflicts of interest to disclose. Maria Schweer-Collins discloses grants from National Institute of Justice, National Institute on Drug Abuse, and National Institute of Mental Health (NIMH). Nikki Shearman is an employee of Reach Out and Read, Inc. JD Smith has no conflicts of interest to disclose. Lawrence S. Wissow serves on Data and Safety Monitoring Board for two studies funded by the NIMH; discloses grants from NIMH; consulting fees (to university) from Washington Chapter, American Academy of Pediatrics and (to self) Sanford Health.

Figures

FIGURE 1
FIGURE 1. Elements of Equitable Implementation
SOURCE: Metz, A., B. Woo, and A. Loper. Equitable implementation at work. Stanford Social Innovation Review 19(3):A29-A31. https://doi.org/10.48558/R793-6704.
FIGURE 2
FIGURE 2. Stages and Level of Partner Voice and Involvement in the Research Process
SOURCE: Pollock, A., P. Campbell, C. Struthers, A. Synnot, J. Nunn, S. Hill, and R. Morley. 2019. Development of the ACTIVE framework to describe stakeholder involvement in systematic reviews. Journal of Health Services Research & Policy 24(4):245-255. https://doi.org/10.1177/1355819619841647. NOTES: The horizontal axis is material adapted from Pollock and colleagues (2019), who created the ACTIVE framework to describe the stakeholder and partner involvement level in the systematic review process. The vertical axis is not designed to represent the research process fully and may have additional or omitted stages, or may not follow these stages linearly depending on the type of intervention or practice being developed and the setting in which development or adaptation occurs.
FIGURE 3
FIGURE 3. Examples of Evidence-Based Programs and Practices Grouped by Child Health Transformation Elements
SOURCE: Johnson, K., and C. Bruner. 2018. A sourcebook on Medicaid’s role in early childhood: advancing high performing medical homes and improving lifelong health. Des Moines, IA: Child and Family Policy Center. Available at: https://www.inckmarks.org/docs/pdfs_for_Medicaid_and_EPSDT_page/SourcebookMEDICAIDYOUNGCHILDRENALL.pdf (accessed November 15, 2024). NOTES: Many more evidence-based models and programs exist that can contribute to and are consistent with health care transformation for young children.
FIGURE 4
FIGURE 4. Engagement In Action (EnAct！) Framework Purpose, Goals, Approach
SOURCE: Bethell, C., S. Buttross, J. Schiff, D. Bergman, H. Hanna, S. Oppenheim, M. Bailey, R. Patterson, and N. Cattrell. 2023. The Engagement in Action (ENACT！) Framework. Available at: https://www.cahmi.org/our-work-in-action/engagement-in-action/EnAct！Framework (accessed November 11, 2024).
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References

    1. AAP (American Academy of Pediatrics) Medical home. [May 30, 2024]. n.d.a. https://www.aap.org/en/practice-management/medical-home .
    1. AAP. Promising practices. [April 30, 2024]. n.d.b. https://www.aap.org/en/patient-care/opioids/maternal-infant-health-and-o...
    1. AAP, Mental Health America, Trust for America’ s Health, Zero to Three, National Prevention Science Coalition, Center for the Study of Social Policy, and Coalition for Behavioral Health. Policy Options for Improving Child Wellbeing by Promoting Evidence-Based Parenting Interventions in Primary Care. 2021. [November 11, 2024]. https://parentsforum.org/wp-content/uploads/2021/04/HPPC-PolicyOptions-9... .
    1. Ascend at the Aspen Institute, BrunerChildEquity, Center for Health Care Strategies, Center for the Study of Social Policy, Georgetown University Center for Children and Families, Johnson Group Consulting, National Institute for Children’ s Health Quality, and Zero to Three. Opportunities for Medicaid to Transform Pediatric Health Care for Young Children to Promote Health, Development, and Health Equity. 2019. [November 11, 2024]. https://nichq.org/wp-content/uploads/2024/09/Medicaid-and-Early-Childhoo... .
    1. Barbosa G, Alvarez ME. Community Health Workers Advancing Child Health Racial Equity. 2021. [November 11, 2024]. https://childrenspartnership.org/wp-content/uploads/2021/07/TCP-Communit... .

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