Background In the U.S., children as early as two years old are being diagnosed with depression and other mental health problems. Children with chronic diseases also struggle with mental health problems. Evidence-based parent interventions can support these families by improving parenting practices. Pediatric primary care practices are ideal settings to provide parent interventions, as they can have broader reach, decrease stigma and improve health and mental health outcomes. There is currently no clear guidance as to how to integrate these interventions.Methods With the scientific premise that primary care settings can be a powerful place to reach families, this study examined barriers and facilitators of implementing an evidence-based parenting intervention within a primary care practice-based network.Results Semi-structured interviews were conducted with 16 community pediatricians in a Midwestern Practice-Based Research Network. The interview guide was developed based on the Consolidated Framework for Implementation Research (CFIR), with a particular emphasis on intervention characteristics and the organization’s inner setting. A codebook was developed using CFIR. Interview transcripts were coded by two independent raters (kappa = 0.93). Data were analyzed using directed content analysis.Conclusions Themes at the outer and inner setting were identified as determinants. Using theory and stakeholder input will help adapt the intervention as well as its strategies to implement parent interventions in primary care settings.
