# Positive Parental Enabling Factors and Child Healthcare Utilization

> **NIH NIH R01** · SEATTLE CHILDREN'S HOSPITAL · 2020 · $86,118

## Abstract

ABSTRACT
Multiple parental characteristics can serve as enabling factors for child healthcare utilization. Despite known
links between parental mental health and parental stress with ineffective child healthcare utilization (greater
emergency department [ED] use and less preventive care use), few studies have examined other related
positive parental enabling factors that may be associated with more effective child healthcare utilization.
Factors such as parent emotional and social support and parenting self-efficacy may help buffer parents from
the stressors related to parenting an infant, and promote better parent emotional health. The association of
these positive parental enabling factors with child healthcare utilization are not well understood or documented
in a general population of children. The baseline data collected for the parent R01 (HD088586), a cluster RCT
of the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT) intervention, will allow me to
contribute important findings to our knowledge of how parent characteristics are associated with child
healthcare utilization. We will be able to assess utilization of ED, urgent care, and preventive care using
objective data from chart review at the primary care clinics and local EDs, as well as parent reported, validated
measures of parenting self-efficacy and parental emotional support.
In this proposed diversity supplement, I will use data collected at baseline for the parent study to examine
healthcare utilization (well-child care, urgent care, and ED) among enrolled participants and its association with
parental emotional support and parenting self-efficacy. I hypothesize that higher levels of parent emotional
support and parenting self-efficacy will be associated with decreased ED and urgent care utilization, and
greater well-child care utilization.

## Key facts

- **NIH application ID:** 10166513
- **Project number:** 3R01HD088586-05S1
- **Recipient organization:** SEATTLE CHILDREN'S HOSPITAL
- **Principal Investigator:** Tumaini Rucker Coker
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $86,118
- **Award type:** 3
- **Project period:** 2016-09-02 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10166513

## Citation

> US National Institutes of Health, RePORTER application 10166513, Positive Parental Enabling Factors and Child Healthcare Utilization (3R01HD088586-05S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10166513. Licensed CC0.

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