Name
Moment in Time Interventions: Developing and Evaluating Single Session Care in Pediatric Integrated Primary Care
Description

This session highlights feasibility trials of brief, evidence-based behavioral interventions designed for pediatric primary care. We describe the Bedtime Pass Study, an intervention for bedtime resistance and the Adaptive Behavioral Counseling (ABC) Study, which pilots a clinical decision tool to guide parent management strategies for common early childhood concerns. Preliminary findings in terms of feasibility, acceptability, and outcomes will be presented. This session will also address lessons learning in intervention development and implementation within integrated primary care settings, with discussant-led conversation regarding the role of single-session interventions in clinical practice, research, and policy.

Speakers
Mackenzie Norman, PhD
Cody Hostutler, PhD
Andrew Riley, PhD
Cari Pittleman, PhD
Co-Authors
Cassidy McDermott, Cari Pittleman, Nikita Lalwani, Sarah Dacey, Taylor Levine, Mycah Ayala-Brittain, Jessica Binkley, Elizabeth Lucci-Rimer
Content Level
All Audience
Tags
Pediatrics, Primary Care Behavioral Health Model, Research and evaluation
Session Type
Concurrent
Objective 1
Describe the rationale for brief behavioral interventions within pediatric primary care and their relevance for access and equity.
Objective 2
Identify key indicators of feasibility and acceptability for two interventions focused on early childhood sleep and behavioral concerns.
Objective 3
Discuss implications for clinical practice, research methodology, and policy related to single-session interventions in pediatric integrated primary care.
Content Reference 1

1. Hostutler, C. A., Shahidullah, J. D., Rybak, T. M., Stephenson, K. G., Freeman, K. A., LaLonde, L., et al. (2025). Integrated primary care and mental health service utilization: A meta-analysis. Pediatrics, 156(1), e2024065935. https://pubmed.ncbi.nlm.nih.gov/40659355/

Content Reference 2

2. Asarnow, J. R., Rozenman, M., Wiblin, J., & Zeltzer, L. (2015). Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: A meta-analysis. JAMA Pediatrics, 169(10), 929–937. https://doi.org/10.1001/jamapediatrics.2015.1141

Content Reference 3

3. Chakawa, A., Belzer, L. T., Perez-Crawford, T., & Brei, N. (2020). Which model fits? Evaluating models of integrated behavioral health care in addressing unmet behavioral health needs among underserved sociodemographic groups. Evidence-Based Practice in Child and Adolescent Mental Health, 5(3), 251-270.

Content Reference 4

4. Hostutler, C. A., Shahidullah, J. D., Mautone, J. A., Rybak, T. M., Okoroji, C., Bruni, T., et al. (2024). A systematic review and meta-analysis of pediatric integrated primary care for the prevention and treatment of physical and behavioral health conditions. Journal of Pediatric Psychology. Advance online publication. https://pubmed.ncbi.nlm.nih.gov/38867311/

Content Reference 5

5. Riley, A. R., Walker, B. L., Ramanujam, K., Gaultney, W. M., & Cohen, D. J. (2022). A Mixed-Method Investigation of Parent Perspectives on Early Childhood Behavioral Services in Primary Care. The journal of behavioral health services & research, 49(2), 134-148. 6. Riley, A. R., Walker, B. L., Wilson, A. C., Hall, T. A., Stormshak, E. A., & Cohen, D. J. (2019). Parents' consumer preferences for early childhood behavioral intervention in primary care. Journal of Developmental & Behavioral Pediatrics, 40(9), 669-678.