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School Readiness: Persistent Challenges and New Opportunities Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-10 Reem M. Ghandour DrPH MPA, Kristin A. Moore PhD, Katherine Paschall PhD, Ashley H. Hirai PhD, Michael D. Kogan PhD
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On- and Off-Label Atypical Antipsychotic Prescription Trends Across a Nine-Year Period Among Adolescents Pre- to Post-Covid-19 Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-06 Brianna Costales, Natalie E. Slama, Robert B. Penfold, Joshua R. Nugent, Scott R. Spalding, Stacy A. Sterling, Esti Iturralde
This study examined atypical antipsychotic prescribing by FDA approved-use (on-label) status for adolescents before and during the Covid-19 pandemic. Retrospective data were collected from electronic health records (EHRs) of adolescents aged 10-17 years in Kaiser Permanente Northern California. New outpatient atypical antipsychotic prescription orders during 2013-2021 were evaluated. Prescriptions
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Language Disparities in Caregiver Satisfaction with Physician Communication At Well Visits From 0-2 Years Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-06 Jennifer C. Gutierrez-Wu, Victor Ritter, Ellen L McMahon, William J. Heerman, Russell L. Rothman, Eliana M. Perrin, H. Shonna Yin, Lee M. Sanders, Alan M. Delamater, Kori B. Flower
This study aimed to describe caregiver satisfaction with physician communication over the first two years of life and examine differences by preferred language and the relationship to physician continuity. Longitudinal data were collected at well visits (2 months to 2 years) from participants in a randomized controlled trial to prevent childhood obesity. Satisfaction with communication was assessed
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Principles for Primary Care Screening in the Context of Population Health Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-06 Kelly J. Kelleher, William Gardner, Alex R. Kemper, Laura Chavez, Kathleen Pajer, Tea Rosic
A key component of primary care pediatrics is health promotion through screening: applying a test or procedure to detect a previously unrecognized disease or disease risk. How do we decide whether to screen? In 1965, Wilson and Jungner published an influential set of screening principles focused on the health problem's importance, the screening tool's performance, and the evidence for treatment efficacy
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“Let us take care of the medicine”: A qualitative analysis of physician communication when caring for febrile infants Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-06 Colleen K. Gutman, Rosemarie Fernandez, Antionette McFarlane, Joanna M.T. Krajewski, K. Casey Lion, Paul L. Aronson, Carma L. Bylund, Sherita Holmes, Carla L. Fisher
Guidelines for the management of febrile infants emphasize patient-centered communication. Although patient-centeredness is central to high-quality healthcare, biases may impact physicians’ patient-centeredness. We aimed to 1) identify physicians’ assumptions that inform their communication with parents of febrile infants and 2) examine physicians’ perceptions of bias. We recruited physicians from
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School Readiness among U.S. Children: Results from the 2022 National Survey of Children’s Health Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-04 Reem M. Ghandour, Ashley H. Hirai, Kristin A. Moore, Katherine Paschall, Doré R. LaForett, Elizabeth Reddington, Michael D. Kogan
Provide the latest national and state estimates, and correlates of the proportion of young children who are Healthy and Ready to Learn (HRTL) using a revised measure from the National Survey of Children’s Health (NSCH). Data were analyzed for 11,121 children ages 3-5 years from the 2022 NSCH, an address-based, parent-completed survey on the health and well-being of children in the US. A total of 27
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Family-Centered Care and Delayed or Missed Pediatric Preventive Care due to the COVID-19 Pandemic Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-02 Maya Tabet, Russell S. Kirby, Ri’enna Boyd, Pamela Xaverius
To examine the association between family-centered care and its components with delayed or missed preventive care due to the COVID-9 pandemic among US children. This is a cross-sectional study using nationally representative data from the 2021 National Survey of Children’s Health (NSCH). Children were eligible if they received healthcare services in the past 12 months (n=42,649; 79.3%). We excluded
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Persistent Opioid Use Following Pediatric Nonfatal Firearm Injury Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-02 Michael Wedoff, Daniel L Brinton, Lizmarie Maldonado, Annie Andrews, Annie Simpson, William T Basco Jr
Firearms are a major cause of pediatric injury. An analysis of opioid use following pediatric firearm injury has not previously been reported. Our objective was to determine the prevalence and factors associated with persistent opioid use amongst pediatric nonfatal firearm injury victims. We performed a retrospective cohort study using 2015-18 claims data from the Merative MarketScan Multi-State Medicaid
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Caregiver Preferences for Primary Care Clinic-Based Food Assistance: A Discrete Choice Experiment Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-23 Aditi Vasan MD MSHP, DanaRose Negro BS, Mishaal Yazdani BS, Lindsay Benitez BS, Senbagam Virudachalam MD MSHP, Chén C. Kenyon MD MSHP, Alexander G. Fiks MD MSCE
The American Academy of Pediatrics recommends that pediatric providers screen families for food insecurity and connect them to appropriate resources. However, it is unclear how clinics can best provide families with resources consistent with their needs and preferences. In this study, we elicited caregiver preferences for clinic-based food assistance. We conducted a cross-sectional discrete choice
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Academic Half Day Improves Resident Perception of Education Without Compromising Patient Safety Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-17 Matthew C Spence, Ariel Sugarman, Audrey Uong, Mariam Bhuiyan, Y. Dana Neugut, Kathleen D. Asas, Danielle M. Fernandes, Molly Broder, Patricia A. Hametz, Megan E. McCabe
Residency programs are required to offer a didactic curriculum and protect resident time for education. Our institution implemented an Academic Half Day (AHD) in the 2021-2022 academic year to address issues related to the standard noon conference series. Determine the impact of AHD implementation on education, patient safety, and workflow. This was a prospective, single-site educational intervention
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Racial and Ethnic Disparities in Receipt of Pediatric Mental Healthcare Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-05 Thomas R. Elliott, Kristen R. Choi, Joann G. Elmore, Rebecca Dudovitz
Studies suggest increasing mental healthcare needs among children but limited capacity to meet those needs, potentially leaving some needs unmet. There are no recent national studies examining receipt of mental health treatment among children. We sought to identify the correlates of treatment receipt in a nationally representative sample of children in the United States. We conducted a cross-sectional
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Associations of contemporary screen time modalities with early adolescent nutrition Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-02 Jason M. Nagata, Shayna Weinstein, Ammal Bashir, Seohyeong Lee, Abubakr A.A. Al-shoaibi, Iris Yuefan Shao, Kyle T. Ganson, Alexander Testa, Jinbo He, Andrea K. Garber
To determine the associations between screen time across several contemporary screen modalities (e.g., television, video games, text, video chat, social media) and adherence to the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neurodegenerative Delay) diet in early adolescents. We analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study of 9-12-year-old
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COVID-19 and Youth Mental Health Disparities: Intersectional Trends in Depression, Anxiety and Suicide Risk-related Diagnoses Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-02 Laura M. Prichett, Robert H. Yolken, Emily G. Severance, Destini Carmichael, Yong Zeng, Yongyi Lu, Andrea S. Young, Tina Kumra
Mental health disparities were prevalent among racially and ethnically minoritized youth prior to the COVID-19 pandemic. As complete datasets from 2022 become available, we can estimate the extent to which the pandemic further magnified existing inequities. To quantify disparities in trajectories of depression, anxiety, and suicide risk-related diagnoses in youth before and after the start of the COVID-19
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Just-in-Time Strategies to Reduce the Effect of Interviewer Bias During Trainee Recruitment Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-26 Emily Ruedinger, Yolanda N Evans, Do-Quyen Pham, Laura Hooper
Bias impacts all aspects of medical trainee applications, from grades to narrative reviews. Interviews provide an avenue to become acquainted with applicants beyond their written application, but even the most egalitarian interviewers are subject to implicit biases, including those who hold marginalized identities themselves. Simply building awareness around implicit bias is inadequate to reduce the
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Beliefs and motivations regarding early shared reading of parents from low-income households: a qualitative study Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-28 Clare C Crosh, Susan N Sherman, Jais E Valley, Allison Parsons, Arin Gentry, Mariana Glusman, John S Hutton, Kristen A Copeland
Background Parent-child “shared” reading is a catalyst for development of language and other emergent literacy skills. The American Academy of Pediatrics recommends that parents initiate shared reading as soon as possible after birth. Persistent disparities exist in reading resources, routines, and subsequent literacy outcomes, disproportionately impacting low-income households. Objective To understand
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Adverse Childhood Experiences and ADHD Diagnosis and Severity: An Update Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Elizabeth Crouch, Emma Boswell
What’s New Children with exposure to childhood trauma are at increased risk of diagnosis and higher severity of ADHD than children without trauma exposure. New research updates our original findings, highlighting the need for further studies on ADHD and positive childhood experiences.
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Virtual Reality to Inform and Facilitate Trainee Assessment Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Matthew W. Zackoff, Melissa Klein, Francis J. Real
Abstract not available
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A Qualitative Study of Maternal Perceptions of Stress and Parenting During Early Childhood Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Mei Elansary, Annelise Brochier, Saul Urbina-Johanson, Mikayla Gordon Wexler, Emily Messmer, Lara J Pierce, Dana Charles McCoy
Objective Exposure to maternal stress in early childhood can increase risk for learning and behavior challenges. We sought to gain in-depth understanding of how mothers perceive stressors to impact child wellbeing and identify mothers’ strategies for navigating stressors with their young children. Methods We recruited English- and Spanish-speaking mothers from a primary care clinic serving predominantly
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Home Health Nursing Agencies’ Services for Children with Medical Complexity: Parent and Nurse Perspectives Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Sarah A. Sobotka, Emma Lynch, Shannon L.S. Golden, Savithri Nageswaran
Objective Many children with medical complexity (CMC) require the services of home health nurses (HHNs). Home health agencies (HHAs) hire, train, and manage nurses. For children to flourish, families, nurses, and HHAs must establish successful working relationships. Our objective was to understand the perspectives of parents and nurses about HHAs. Methods In Illinois (IL) from 2019-22, HHNs for and
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Missed Opportunities in Guideline-based Fatty Liver Screening among 3.5 million children. Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Reema Gulati, Kabir Gulati, Naim Alkhouri, Herman Sahni, Maroun J. Mhanna, David C. Kaelber, Hafiza Mehreen Durrani, Roamaa suri
Objective Determine screening rates and examine socio- demographic characteristics of MAFLD screening in a large population of obese children. Methods We used Explorys (IBM) which contains aggregated population-level electronic health record data from approximately 360 hospitals and 317,000 providers across the United States to determine MAFLD screening rates. In children 10-14 years, obesity was determined
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Disparities in Child Welfare referrals for patients seen in a pediatric emergency department for unintentional ingestions Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-20 Joseph P Shapiro, Elizabeth C Pino, Annie Goodridge, Ayesha Dholakia, Kerrie Nelson, Ariel Hoch, Sadiqa Kendi, Tehnaz P. Boyle, Caroline J. Kistin
Objective To examine the characteristics of patients visiting the pediatric emergency department (PED) for unintentional ingestions and associations between patient race and ethnicity in referrals to Child Protective Services (CPS) for supervisory neglect. Methods We conducted a cross-sectional analysis of children <12 years old who presented to the PED between October 2015 and December 2020 for an
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Spanish-Speaking Parents’ Experiences Accessing Care: Evolving Challenges and Promising Approaches Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-20 Kori B. Flower, Jennifer C. Gutierrez-Wu, Jennifer Pilotos McBride, Francisco Sylvester, Maria E. Díaz-González de Ferris
Abstract not available
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Writing Letters of Recommendation Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-19
Abstract not available
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Adverse Childhood Experiences and Related Events are Associated with Asthma Symptoms in Children Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-19 Adali Martinez, Morgan Ye, Danielle Hessler, Rosemarie de la Rosa, Mindy Benson, Rachel Gilgoff, Kadiatou Koita, Monica Bucci, Nadine Burke Harris, Dayna Long, Neeta Thakur
Objective To examine the association between Adverse Childhood Experiences (ACEs) and related events and asthma symptom burden in children. Methods This is a cross-sectional study of baseline data from 147 participants with asthma from a cohort of children enrolled in the Pediatric ACEs Screening and Resiliency Study. Participants completed the PEdiatric ACEs and Related Life Events Screener (PEARLS)
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Promoting Safe & Supportive Healthcare Spaces for Youth Experiencing Racism Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-18 Sarah J. Atunah-Jay, Sean Phelan, Ashaunta T. Anderson, Supriya Behl, Emily A. McTate, Mary Conboy Gorfine, Gauri Sood, Kashanti K. Taylor, Jack Brockman, Manisha Salinas, Bridget K. Biggs, Mark L. Wieland, Gladys B. Asiedu
Objective This qualitative study applies a community-based participatory research approach to elicit formative data on pediatric patient experiences of racism in the healthcare setting and to explore clinic-based opportunities for supporting pediatric patients experiencing racism. Methods The study is situated within the outpatient practice of a large tertiary academic medical center in a midsize Midwestern
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Early Literacy Developmental Activities and Pre-Kindergarten Learning Skills in the Context of Childhood Adversity Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-11 Clare C Crosh, Ananya Koripella, Chloe Elleman, Benjamin Foley, Dmitry Tumin, Chidiogo Anyigbo
Objective School readiness (SR) encompasses a wide range of skills that affect children’s ability to succeed in school and later in life. Shared reading is an important strategy that assists children in gaining SR skills, whereas adverse childhood experiences (ACEs) negatively affect a child’s SR. This study assessed if early literacy developmental activities (shared reading, singing, or storytelling)
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Eight domains of pediatrician wellness: a stakeholder informed model Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-10 Sarah Webber, Ryan J. Coller, Roger Schultz, Elizabeth E. Rogers, Maren E. Olson, Megan A. Moreno, Jessica C. Babal
Background Physician wellness is important to healthcare systems and quality patient care. There has been limited research clarifying the physician wellness construct. We aimed to develop a stakeholder-informed model of pediatrician wellness. Methods We performed a group concept mapping (GCM) study to create a model of pediatrician wellness. We followed the four main steps of GCM and recruited pediatricians
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Pediatric Resident Well-being: A Group Concept Mapping Study Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-10 Jessica C. Babal, Efrat Lelkes, Heidi Kloster, Eric Zwemer, Elizabeth Rodriguez Lien, Daniel Sklansky, Ryan J. Coller, Megan A. Moreno, Roger Schultz, Sarah Webber
Background Pediatric residency programs invest substantial resources in supporting resident well-being. However, no pediatric resident well-being conceptual model exists to guide interventions. This study aimed to understand how a diverse stakeholder sample conceptualized well-being. Methods We used Group Concept Mapping (GCM) methodology. We sent a brainstorming survey to pediatric residents and program
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We’ve Got A New One—Exploring The Resident-Fellow New Admission Interaction and Opportunities for Enhancing Motivation Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-10 David Mahoney, Sara Pavitt, Rebecca Blankenburg
Objective To characterize the phases of a new admission interaction between collaborating pediatric residents and fellows; to explore trainee perspectives on motivating and demotivating qualities of that interaction; and to identify behaviors that lead to an optimal new admission interaction. Methods The authors used modified grounded theory with experiential learning theory and self-determination
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Promotion criteria for medical educators: Are we climbing a ladder with invisible rungs? Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-09 Amy Creel, Caroline Paul, Robyn Bockrath, Thanakorn Jirasevijinda, Javier Pineda, Rebecca Tenney-Soeiro, Amal Khidir, Joseph Jackson, Chris Peltier, Jennifer Trainor, Meg Keeley, Gary Beck Dallaghan
Objective In 2006 the Association of American Medical Colleges recommended standardization of documentation of the contributions of medical educators and guidelines for their academic promotion. The authors characterized current United States (U.S.) medical school promotion guidelines for medical educators. Methods Authors collected publicly available data from medical school promotion websites from
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New Thoughts on Nourishment Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-06 Laurel Murphy Hoffmann
Abstract not available
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Childhood obesity and early BMI gains associated with COVID-19 in a large rural health system Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-06 Carolyn F McCabe, G. Craig Wood, Jennifer Franceschelli-Hosterman, Lisa Bailey-Davis
Objectives To evaluate BMI change among a population of children with a high proportion residing in rural areas across two pandemic time periods. Methods Electronic health records were evaluated in a rural health system. Inclusion criteria: 2-17 years at initial BMI; >2 BMIs during pre-pandemic (1/1/2018–2/29/2020); >1 BMI in early pandemic (6/1/2020–12/31/2020); and >1 BMI in later pandemic (1/1/2021–12/31/2021)
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Adolescent, Parent, and Provider Perceptions of a Predictive Algorithm to Identify Adolescent Suicide Risk in Primary Care Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-06 Molly Davis, Gillian C. Dysart, Stephanie K. Doupnik, Megan E. Hamm, Karen T.G. Schwartz, Brandie George-Milford, Neal D. Ryan, Nadine M. Melhem, Stephanie D. Stepp, David A. Brent, Jami F. Young
Objective To understand adolescent, parent, and provider perceptions of a machine learning algorithm for detecting adolescent suicide risk prior to its implementation primary care. Methods We conducted semi-structured, qualitative interviews with adolescents (n = 9), parents (n = 12), and providers (n = 10; mixture of behavioral health and primary care providers) across two major health systems. Interviews
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Phone Versus In-Person Navigation of Social Needs and Caregivers’ Desire for Resources in the Pediatric Emergency Department Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-28 Elizabeth Messineo, Zoe Bouchelle, Alder Strange, Alyssa Ciarlante, Lauren VonHoltz, Ashlee Murray, Danielle Cullen
Objective To determine the association between in-person versus telephone-based contact by a resource navigator and caregivers’ expressed desire for community-based resources to meet social needs in a pediatric emergency department (PED). Methods This retrospective observational study used data from the PED in a large, metropolitan, academic children’s hospital. Families were approached by resource
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Evaluation of a clinic-based, electronic social determinants of health screening and intervention in primary care pediatrics. Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-29 Kaitlyn Stark, Mallika Mathur, Christina Fok, Yen-Chi Le, Ethan T. Hunt, Jacee McCoy, Shadhi Mansoori, Nancy Ukoh, Sydney Keatts, Erika Fanous, Rachel Eisenhauer, Sandra McKay
Objective Social Determinants of Health (SDOH) significantly affect individuals' health outcomes, yet universal electronic SDOH screening is not standard in primary care. Our study explores the implementation of an electronic SDOH screening in the Electronic Health Record (EHR) and follow-up intervention among primary care pediatric patients within an academic clinic. Methods Beginning in August of
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Pediatric residents’ procedural competency requirements: a national needs assessment of program directors and chief residents Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-28 Elizabeth L. Nguyen, Kristen Cunanan, Yuhan Liu, Sarah L. Hilgenberg
Background There is increased learner competition for a shrinking pool of procedural training opportunities and indications in pediatrics. This study aimed to describe pediatric residency program directors’ (PDs) and chief residents’ (CRs) perspectives about whether procedural requirements for pediatric residents should be reformed and individualized. Methods This was a survey-based, mixed methods
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Association of the Child Opportunity Index and Inpatient Illness Severity in the United States, 2018-2019 Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-28 Anjali Garg, Anthony A. Sochet, Raquel Hernandez, David C. Stockwell
Objective Children residing in impoverished neighborhoods have reduced access to healthcare resources. Our objective was to identify potential associations between Child Opportunity Index (COI), a composite score of neighborhood characteristics, and inpatient severity of illness and clinical trajectory among United States (US) children. Methods This retrospective cohort study assessed data using the
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It’s Easy Being Green Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-28 Ruth A. Etzel
Abstract not available
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Health Differs by Foster Care Eligibility: A Nine-Year Retrospective Observational Study Among Medicaid-Enrolled Children Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-22 James Kaferly, Rebecca Orsi-Hunt, Patrick Hosokawa, Carter Sevick, Liza M. Creel, Susan Mathieu, R. Mark Gritz
Objective This study sought to determine the prevalence and rates of physical, behavioral and chronic health conditions among Medicaid-enrolled Colorado children by foster care eligibility codes over nine years. Methods This retrospective, population-based study used Colorado’s Medicaid administrative data for all enrolled children, aged <19 years old, from July 2011 - August 2020 to determine the
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Reimagining Leadership: Amplifying Diverse Voices and Welcoming Healthy Conflict Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-20 Peggy Han, Catherine Chang, Lahia Yemane, Joseph A. Jackson, Emma A. Omoruyi, Rachel A. Umoren
Abstract not available
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Nuts and Bolts: Mitigating Bias in Narrative Evaluations Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-19
Abstract not available
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Communication Training for Pediatric Hospitalists and its Impact on Clinical Practice with Families using Languages Other than English (LOE) Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-16 Prabi Rajbhandari, Alexander Glick, Miraides F. Brown, Jonathan VanGeest
Objective Providing equitable healthcare for children of families speaking Language other than English (LOE) relies on linguistic services, including interpretation and translation. Inadequate education on effectively utilizing linguistic services can lead to a knowledge gap and subsequent challenges in leveraging these services. This study aims to evaluate the educational training provided to pediatric
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Childhood Exposure to Firearm Violence in Chicago and Its Impact on Mental Health Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-13 Tyler Lennon, Samaa Kemal, Marie E. Heffernan, Anne Bendelow, Karen Sheehan, Matthew M. Davis, Michelle L. Macy
Objectives To describe how often Chicago children are exposed to firearm violence, the types of exposure, and the parent-reported impact of these exposures on child mental health symptoms. Methods Data were collected in May-July 2022 using the Voices of Child Health in Chicago Parent Panel Survey, administered to parents with children aged 2-17 years from all 77 Chicago neighborhoods. Firearm violence
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Maternal mental health diagnoses and infant Emergency Department use, hospitalizations, and death Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-14 Naomi Abe, Rebecca J. Baer, Laura Jelliffe-Pawlowski, Christina D. Chambers, Gretchen Bandoli
Background The period surrounding childbirth is a uniquely vulnerable time for women and their mental health. We sought to describe the association between maternal mental health diagnoses in the year prior and after birth and infant Emergency Department(ED) utilization, hospitalization, and death. Methods We studied mothers who gave singleton livebirth in California (2011-2017) and their infants using
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Post-Discharge Remote Patient Monitoring for Children Hospitalized with Acute Asthma Exacerbations Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-06 Jessica Walters, Kylee Denker, Sarah Curry, Mary Carol Burkhardt
Abstract not available
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Family Caregivers of Children with Medical Complexity: Changes in Health-Related Quality of Life and Experiences of Care Coordination Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-06 Kelly W. Harris, Kristin N. Ray, Justin Yu
Objective Examine the longitudinal association between family experiences of care coordination (FECC) and health-related quality of life (HR-QOL) for family caregivers of children with medical complexity (CMC). Methods Longitudinal survey of family caregivers of CMC between July 2018 and June 2020. Baseline data collected at initial contact with a regional complex care center; follow-up data 12-16
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The Association between Family Environment and Subsequent Risk of Cyberbullying Victimization in Adolescents Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-30 Iris Yuefan Shao, Abubakr A.A. Al-shoaibi, Alexander Testa, Kyle T. Ganson, Fiona C. Baker, Jason M. Nagata
Background Family environment and parental monitoring have long been recognized as two important factors associated with adolescents’ psychological development. Studies have suggested a potential link between parenting style/parental engagement and the likelihood of bullying victimization among adolescents. Nonetheless, no studies to date have investigated the association between family environment
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Increasing Maternal Anxiety in the Pre- to Postpartum Transition Predicts Infant Feeding Practices and Beliefs Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-30 Juliana G. Fan, Molly Kuehn, Kristin M. Voegtline, Radhika S. Raghunathan, Raquel G. Hernandez, Sara B. Johnson
Background Anxiety symptoms increase for some mothers in the perinatal period. Little is known about how increasing anxiety relates to infant feeding beliefs or weight-for-length. Objective To examine relationships between clinically meaningful increases in maternal anxiety symptoms and perceptions of infant feeding behaviors and weight-for-length. Methods Participants were 237 mothers with singleton
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Effect of Automated and Personalized Outreach Messages on Well Child Visit Catch Up: A Randomized Clinical Trial Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-23 Anne E. Berset, Mary Carol Burkhardt, Yingying Xu, Anne Mescher, William B. Brinkman
Objective To determine the effectiveness of text/telephone outreach messages and personal contact attempts on well child care (WCC) scheduling and completion and measles, mumps, and rubella (MMR) vaccine receipt. Methods We conducted an intent-to-treat, 2x2 factorial randomized clinical trial with 3 replications at three academic pediatric primary care practices from 9/27/20 to 8/6/21. We randomized
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Material Hardship, Protective Factors, Children’s Special Health Care Needs and the Health of Mothers and Fathers Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-21 Anne E. Fuller, Carol Duh-Leong, Nicole M. Brown, Arvin Garg, Suzette O. Oyeku, Rachel S. Gross
Background Parents of children with special health care needs (CSHCN) are at risk of poorer health outcomes. Material hardships also pose significant health risks to parents. Little is known about how protective factors may mitigate these risks, and if effects are similar between mothers and fathers. Methods This was a cross-sectional survey study conducted using the US 2018/2019 National Survey of
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The impact of the COVID-19 pandemic on childhood lead testing and blood lead levels Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-17 Ryan CL Brewster, Amee D Azad, Keith Acosta, Amy Starmer, Eli Sprecher, Corinna Rea, Kathryn P Gray, Shannon Reagan, Joseph Wilson, Frehiwot Bayuh, Noah Buncher, Marissa Hauptman
Objective To evaluate the effect of the COVID-19 pandemic on childhood lead testing and blood lead levels Methods A retrospective analysis of lead tests and results was performed across three urban medical centers during the pre-COVID-19 (March 10, 2019-March 9, 2020) and COVID-19 (March 10, 2020-March 10, 2022) periods. Interrupted time series analysis with quasi-Poisson regression was used to evaluate
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The Initial Medical Assessment of Possible Child Sexual Abuse: History, History, History 11 6 23 Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-14 Howard Dubowitz, Martin Finkel, Susan Feigelman, JD Thomas Lyon
Primary care professionals (PCPs) can play a valuable role in the initial assessment of possible child sexual abuse (CSA), an all too prevalent problem. PCPs, however, are often reluctant to conduct these assessments. The goal of this paper is to help PCPs be more competent and comfortable playing a limited but key role. This is much needed as there may be no need for further assessment and also because
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Evolution of Education-Focused Digital Interventions to Support Human Papillomavirus Vaccination Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-11 Francis J Real, Andrea Mesiman, Liam Fleck, Melissa Klein, Jessica A Kahn, Brittany L Rosen
Abstract not available
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Early Literacy Promotion Using Automated Hovering Among Young Minority Children Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-11 James P. Guevara, Manuel E. Jimenez, Brian P. Jenssen, Michael Luethke, Rebecca Doyle, Alison Buttenheim
Objective To determine feasibility, acceptability and explore outcomes of behavioral economic (BE) strategies to increase parent-child shared reading within a Reach Out and Read Program. Methods We conducted rapid cycle interviews with 10 parents to assess text messages followed by an 8-week randomized controlled trial of 3 BE strategies at 2 urban primary care practices: daily text-messages (texting);
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I Heard Your Voice Acad. Pediatr. (IF 3.1) Pub Date : 2023-11-10 Julie Miley Schlegel
Abstract not available