Parents’ adherence to pediatric health and safety guidelines: Importance of patient-provider relationships

Lindsay N. Fuzzell, A. Scott LaJoie, Kyle T. Smith, Sydney E. Philpott, Katherine M. Jones, Mary C. Politi

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Objective: To examine 1) parent-provider communication about pediatric health/safety guidelines, 2) trust in child's provider, 3) comfort discussing guidelines, 4) agreement with guideline advice, 5) self-efficacy following guidelines, and their impact on guideline adherence. Method: 256 parents of children ages 0–6 completed an online survey about sunscreen use, newborn Vitamin K injections, influenza vaccination, routine vaccination, car seats, infant safe sleep, furniture anchoring, large trampoline use, and firearm safety. Multivariable models regressed: 1) communication about each guideline on parents’ corresponding guideline adherence; 2) trust, comfort discussing guidelines, agreement with guideline advice, self-efficacy, on parents’ total guideline adherence. Results: Communication about furniture anchoring (OR = 2.26), sunscreen (OR = 5.28), Vitamin K injections (OR = 3.20), influenza vaccination (OR = 13.71), routine vaccination (OR = 6.43), car seats (OR = 6.15), and infant safe sleep (OR = 3.40) related to corresponding guideline adherence (ps < 0.05). Firearm safety communication was not related to adherence (OR = 1.11, n.s.). Trampoline communication related to lower likelihood of trampoline guideline adherence (OR = 0.24, p = 0.001). Agreement with guideline advice (β = 0.35), trust (β = 0.34), self-efficacy (β = 0.45), comfort discussing guidelines (β = 0.35) positively related to total guideline adherence (ps < 0.001). Conclusion: Findings underscore the importance of provider communication about health/safety guidelines. Practice implications: Providers should respectfully engage and build relationships with parents to support health/safety guideline adherence.

Original languageEnglish
Pages (from-to)1570-1576
Number of pages7
JournalPatient Education and Counseling
Issue number9
StatePublished - Sep 2018


  • Guideline adherence
  • Health behaviors
  • Health communication


Dive into the research topics of 'Parents’ adherence to pediatric health and safety guidelines: Importance of patient-provider relationships'. Together they form a unique fingerprint.

Cite this