Play Nicely: The Healthy Discipline Program

Play Nicely: The Healthy Discipline Program is a brief, population-based intervention designed to build parents' skill sets, strengthen parents' relationships with their children, and improve children's health. Rates of many health problems could be reduced if all caregivers learned how to respond to the following question appropriately: "Assume you see one young child hit another. What are you going to do?"

From a public health standpoint, we believe that all parents should be asked this question. First, the question addresses childhood aggression, one of the strongest risk factors for violence later in life. Second, it opens the door for discussions about healthy discipline strategies that can be used for other challenging behaviors.

Play Nicely, available as a multimedia program and a handbook, presents 20 options to respond to an aggressive child. Learners view options that are of the most interest to them. Introduce the program in one minute and see results in less than 10 minutes.

  • Multiple studies confirm that Play Nicely is effective. After viewing five to 10 minutes of the program, parents change how they plan to discipline, and change their attitudes about physical punishment.
  • The program works for parents from different cultural backgrounds.
  • After viewing the program, healthcare providers have increased confidence in counseling parents about discipline, are more likely to recommend appropriate discipline strategies to parents, and have less positive attitudes toward spanking.

To identify parents with the greatest need for support, health care providers and other professionals can use the Quick Parenting Assessment.

The Play Nicely multimedia program is available to view online for free in English, Spanish, and Arabic:

Play Nicely (New Beta Version)

The new beta version has updated material describing how the discipline strategies used for managing aggression can be modified to address other challenging behaviors, such as anxieties, not listening, habits, lying, tantrums, and ADHD. After viewing, please consider sending us feedback by emailing Dr. Seth Scholer (seth.scholer@vumc.org).

  • Assume you see one young child hit another. What are you going to do?

    Play Nicely: The Healthy Discipline Handbook offers 20 ways to answer this question. Even if you only have a few minutes, go to the “20 options” tab and review the discipline strategies that most interest you. You will quickly learn ideas you can use with children under your care at home or in school.

    Developed at Vanderbilt University, the program teaches discipline strategies to use with children ages one to ten. The handbook is a culmination of knowledge gathered from testing the Play Nicely program for over 20 years. The program efficiently and effectively builds skills for parents, teachers, and healthcare professionals.

    Play Nicely: The Healthy Discipline Handbook is the printed version of the program. Based on the Play Nicely multimedia program, the handbook, written at the eighth-grade level, is made of durable, high-quality paper with tabs.

    Handbook Intervention Study - Manuscript

    Who can use the handbook? 

    • Parents and others who care for children aged one to 10 years.
    • Healthcare professionals. The handbook can be introduced to parents in one minute, affects parenting at home, and reaches caregivers (e.g., fathers) who might not attend the clinic visit. 
    • Early care and school professionals. In preschools, primary schools, and other early education settings, this handbook is an excellent resource for teachers and parents. In high school, the handbook can provide health education to students before they become parents.
    • Counselors. Use this handbook as a resource for parents in your practice.
    • Researchers. The handbook is an ideal, low-cost intervention for population-based studies.

    Purchase the handbook in English, Spanish, or Arabic.

    A Brazilian Portuguese version of Play Nicely is currently under development. For now, a PDF of the Brazilian Portuguese Play Nicely Handbook 1st Edition is available for non-commercial (e.g., research) purposes. Download the Brazilian Portuguese version here.

    For inquiries about creating Play Nicely versions in other languages, please contact seth.scholer@vumc.org.

  • Why was the Play Nicely Program developed?

    Inappropriate discipline and early childhood aggression are two of the strongest predictors of violence later in life. Exposure to inappropriate discipline also increases a child's risk for many other physical and mental health problems.

    Rather than correcting future problems, it would be best for all parents to know healthy ways to discipline when children are young. Our goal with Play Nicely is to provide the most efficient and effective way to educate parents about healthy discipline strategies.

    What is included with Play Nicely?

    The Play Nicely program consists of a 50-minute interactive multimedia program and Play Nicely: The Healthy Discipline Handbook.

    Who can use Play Nicely?

    Play Nicely is an option for anyone cares for young children. The program has widespread applicability for parents, child care workers, teachers, health care professionals, counselors, researchers, lecturers and others.

    The Play Nicely CD-ROM includes three separate tracks for:

    • Parents
    • Childcare workers and teachers
    • Health care professionals and counselors

    Play Nicely's format also makes it useful to:

    • Lecturers
    • Researchers
    • Credentialing organizations
    • Others who care for young children
    • Parents: The Play Nicely program is a great option for parents of children aged 1 to 7. Parents reported that they felt more comfortable managing aggression after a Play Nicely presentation.

    Childcare workers and teachers

    Childcare workers, preschool teachers and elementary teachers will benefit from aggression management skills. Play Nicely can help adults help children's readiness for school; it is difficult to teach children who are hitting each other. Play Nicely increases comfort level and knowledge of managing hurtful behavior in young children.

    At home

    Print the handout and give it to parents, teachers and child care providers. The handout includes English and Spanish versions.

    At school or child care

    If you would like parents, teachers, or childcare providers to view the program in your school or care center, contact the Office of Technology Transfer at Vanderbilt (otted@vanderbilt.edu) to purchase a site license.

    Health care professionals: Play Nicely has been shown to significantly increase professionals' comfort level and knowledge in managing childhood aggression. 

    In your clinic

    We have found that many parents will not view the program at home. Our experience shows that parents will view the program in a clinic as part of the routine well child visit or in the Family Resource Center.

    If you would like parents to view the program in your clinic examination room, waiting room, education room, or clinic resource center, contact the Office of Technology Transfer at Vanderbilt to purchase a site license.

    Lecturers

    The Play Nicely program navigation makes it useful for those who lecture on parenting, early child education, child behavior and health.

    Researchers

    Consider Play Nicely as part of intervention programs designed to improve child behavior or decrease violence.

    Credentialing organizations

    Consider Play Nicely for educational credit for child care workers and preschool teachers. To aid credentialing organizations, questions have been developed to assess knowledge.

    Others

    Relatives, babysitters, Sunday school teachers, school bus drivers and others who care for young children may benefit from aggression management skills.

    Who developed Play Nicely? 

    The program was developed at Vanderbilt University. Its content is based on material from many sources, including the American Academy of Pediatrics, the National Association for the Education of Young Children, and the American Psychological Association.

    What are the important features of Play Nicely?

    • It works because It is based on evidence.
    • It uses a public health approach.
    • It is brief. In some cases the program produces results in only five to 10 minutes.
    • The online multimedia version is free.
    • Implementation is simple.

    What's on the Play Nicely CD?

    Program content for the 40-minute Play Nicely CD comes partly from three organizations: the American Psychological Association, the American Academy of Pediatrics and the National Association for the Education of Young Children. We obtained input from dozens of experts in the areas of pediatrics, child psychology and early child education. Due to their "front-line" experience, the author has given particularly strong weight to input from experienced teachers.

    To teach the basics of managing hurtful behavior, Play Nicely consists of narration video clips.

    CD content summary

    • Separate introductions and narration for different learners
    • Definition of hurtful behavior/aggression
    • Importance of managing hurtful behavior in the early years
    • Six major teaching points with video clips to enhance learning 
    1. Teach children not to be victims.
    2. Learn 16 alternative responses to hurtful behavior. Build a large cognitive database to help choose appropriate options.
    3. Decrease exposure to violence.
    4. Show love.
    5. Be consistent when communicating with the child's care givers.
    6. Recognize warning signs and know when to seek professional help.

  • Overview

    Instructions for viewing Play Nicely at home

    Anyone can view the online program or order the handbook at home.

    Consider the following script to introduce the program: "Assume that you see one young child hit another. What are you going to do? We would like all parents to learn healthy ways to respond to this situation. Here is a resource that works really well to teach some of the better options. There is a free online program and a handbook."

    Instructions for viewing Play Nicely in pediatric clinic or early education settings

    Go to the free online program and click on "20 options" in the upper right corner. Show parents the screen with the 20 options.

    Consider the following script to introduce the program:

    "We would like all parents to learn healthy ways to discipline young children. Assume you see one young child hit another. What are you going to do? There is no one right answer, but some are better than others. Click on options that you want to learn more about. Each option takes one two minutes to view. View as many as you like."

    Instructions for introducing Play Nicely Healthy Discipline Handbook in the pediatric clinic or early education settings

    In the handbook, turn to the page with the "20 options" tab. Show parents the list of 20 discipline options.

    Consider the following script to introduce the handbook:

    "We would like all parents to learn healthy ways to discipline young children. Assume you see one young child hit another. What are you going to do? Consider these 20 options. Choose one, and then turn to the tabbed page to learn if your choice is great, good, or not recommended."