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Effect of a Comprehensive School-Based Health Center on Academic Growth in K-8th Grade Students Acad. Pediatr. (IF 3.1) Pub Date : 2024-04-06 Katherine A. Connor MD MSPH, Paul Spin PhD, Brandon M. Smith MD MPH, Beth R. Marshall DrPH, Gabriela V. Calderon MSEd, Laura Prichett PhD, Vanya C. Jones PhD MPH, Ryan Connor MA, Tina L. Cheng MD MPH, Lauren M. Klein BS, Sara B. Johnson PhD MPH
School-based health centers (SBHCs) improve health care access, but associations with educational outcomes are mixed and limited for elementary and middle school students. We investigated whether students enrolled in a comprehensive SBHC demonstrated more growth in standardized math and reading assessments over 4 school years versus nonenrolled students. We also explored changes in absenteeism. Participants
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Managing Career Decisions: Climbing the Ladder or Falling Off a Cliff? Acad. Pediatr. (IF 3.1) Pub Date : 2024-04-03 Stacy B. Ellen DO, Latha Chandran MD MPH MBA, Jennifer Louis-Jacques MD MPH, Michael S. Ryan MD MEHP
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Life-Course Approaches to Socioeconomic Inequities in Educational Outcomes Across Childhood and Adolescence: An Update Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-30 Anita van Zwieten MPH PhD, Armando Teixeira-Pinto AM PhD, Suncica Lah MSc PhD, Natasha Nassar MPH PhD, Jonathan C. Craig MBChB PhD, Germaine Wong MBBS PhD
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Clinical Prediction Models in Children that Use Repeated Measurements with Time-Varying Covariates: A Scoping Review Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-30 Alastair Fung MD MPH, Miranda Loutet MSc, Daniel E. Roth MD PhD, Elliott Wong MEng, Peter J. Gill MD DPhil, Shaun K. Morris MD MPH, Joseph Beyene PhD
Emerging evidence suggests that clinical prediction models that use repeated (time-varying) measurements within each patient may have higher predictive accuracy than models that use patient information from a single measurement. To determine the breadth of the published literature reporting the development of clinical prediction models in children that use time-varying predictors. MEDLINE, EMBASE and
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A Cost Effectiveness Analysis of Population-Level Dental Caries Prevention Strategies in US Children Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-26 Cara B. Janusz PhD, Tran Doan PhD, Acham Gebremariam MS, Angela Rose MS MPH, Martha A. Keels DDS PhD, Rocio B. Quinonez DMD, George Eckert MAS, Emily Yanca, Margherita Fontana DDS PhD, Lisa A. Prosser PhD
To improve oral health disparities and outcomes among US children impacted by dental caries, there is a need to understand the cost-effectiveness of a targeted, risk-based versus universal-based approach for caries prevention. Health and economic outcomes were simulated in a cohort of 50,000 US children aged 1–18 years, comparing current practice (CP) to risk-based-prevention (RBP) and prevention-for-all
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Positive Outliers: A Mixed Methods Study of Resiliency to Childhood Obesity in High-Risk Neighborhoods Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-21 Michelle J. White MD MPH, Naomi N. Duke MD PhD MPH, Janna Howard MPH, Javier Rodriguez AS, Tracy Truong MS, Cynthia L. Green PhD, Ashley Nmoh BA, Mohsen Ghorveh PhD, Eliana M. Perrin MD MPH
Despite the high prevalence of obesity and the clustering of risk by neighborhood, few studies have examined characteristics which promote healthy child weight in neighborhoods with high obesity risk. We aimed to identify protective factors for children living in neighborhoods with high obesity risk. We identified neighborhoods with high obesity risk using geolocated electronic health record data with
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A Quality Improvement Initiative to Improve Health Care Transition Planning at Adolescent Well Visits Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-20 Abigail Arons MD MPAff, Rebecca K. Tsevat MD MS, Emily Hotez PhD, Holly Huang BS, Rohini Nott BS BA, Hayoung Ahn, Needhi Mehta BA MsED, Lynn Nguyen BA, Van Nguyen BA, Ariana G. Rebollar BA, Susan Duan MD, Janet Ma MD
Health care transition (HCT) planning supports adolescents as they move from pediatric to adult health care and is recommended for all youth. HCT planning uptake remains low, with little known about HCT in the adolescent well child check (WCC) setting. We sought to increase rates of HCT planning at WCCs by adapting best practices for HCT from specialty and chronic care. This quality improvement initiative
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Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association? Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-19 Bisola E. Duyile PhD, Jennifer LoCasale-Crouch PhD, Tessa B. NeSmith MS MEd, Khara L.P. Turnbull PhD, Eve Colson MD, Michael J. Corwin MD, Mayaris Cubides Mateus PhD, Emma Forbes MPH, Nicole Geller MPH, Tim Heeren PhD, Fern R. Hauck MD, Brianna Jaworski BS, Ann Kellams MD, Stephen Kerr MPH, Rachel Y. Moon MD
To examine the mediating role of observed maternal responsiveness and maternal self-regulation on the association between maternal education and children’s self-regulation. English-speaking mother-child dyads (n = 189) were recruited from a previous study and were eligible if the child was kindergarten eligible at the start of the 2020 to 2021 or 2021 to 2022 school year. Key measures included: — for
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Budding Doctors and Root Causes Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-16 Natalie M. Baker BS MS, Madeleine C. Kline SB, Hugh Shirley BS, Katherine A. O’Donnell MD
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Pediatric Utilization of Emergency Medical Services from Outpatient Offices and Urgent Care Centers Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-16 Jennifer K. Saper MD MS, Michelle L. Macy MD MS, Christian Martin-Gill MD MPH, Sriram Ramgopal MD
National efforts have highlighted the need for pediatric emergency readiness across all settings where children receive care. Outpatient offices and urgent care centers are frequent starting points for acutely injured and ill children, emphasizing the need to maintain pediatric readiness in these settings. We aimed to characterize emergency medical services (EMS) utilization from outpatient offices
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An Update on Pediatric Environmental Health Specialty Units: Activities and Impacts, 2015–19 Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-15 Alan D. Woolf MD MPH, J. Elizabeth Jackson PhD, Peter Corcoran MPH, Meredith K. Fritz MPH, Stephani S. Kim PhD MPH, Tanya M. Maslak MPH, Manthan Shah PhD MPH, Linda Hansen MD MPH
Pediatric Environmental Health Specialty Units (PEHSUs) address health concerns impacting children and their families related to environmental hazards by providing consultation and education to families, communities, and health care professionals. This analysis evaluated the productivity of the national PEHSU program. PEHSUs reported data on services provided to US communities between October 1, 2014
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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 PhD, Natalie E. Slama MPH, Robert B. Penfold PhD, Joshua R. Nugent PhD, Scott R. Spalding MD, Stacy A. Sterling DrPH MSW, Esti Iturralde PhD
This study examined atypical antipsychotic prescribing by Food and Drug Administration (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
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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 MD MPH, Victor Ritter PhD, Ellen L. McMahon MD, William J. Heerman MD, Russell L. Rothman MD MPP, Eliana M. Perrin MD MPH, H. Shonna Yin MD MS, Lee M. Sanders MD MPH, Alan M. Delamater PhD, Kori B. Flower MD MS MPH
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 MD MPH, William Gardner PhD, Alex R. Kemper MD MPH MS, Laura Chavez PhD, Kathleen Pajer MD MPH, Tea Rosic MD
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 MD, Rosemarie Fernandez MD, Antionette McFarlane PhD, Joanna M.T. Krajewski PhD MPH, K. Casey Lion MD MPH, Paul L. Aronson MD MHS, Carma L. Bylund PhD, Sherita Holmes MD, Carla L. Fisher PhD
Guidelines for the management of febrile infants emphasize patient-centered communication. Although patient-centeredness is central to high-quality health care, 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 United States Children: Results From the 2022 National Survey of Children’s Health Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-04 Reem M. Ghandour DrPH MPA, Ashley H. Hirai PhD, Kristin A. Moore PhD, Katherine Paschall PhD, Doré R. LaForett PhD, Elizabeth Reddington MPH, Michael D. Kogan PhD
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 to 5 years from the 2022 NSCH, an address-based, parent-completed survey on the health and well-being of children in the United States.
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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 PhD MS, Russell S. Kirby PhD MS, Ri’enna Boyd MPH, Pamela Xaverius PhD MBA
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 health care 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 MD MSCR, Daniel L. Brinton PhD, Lizmarie Maldonado MSPH, Annie L. Andrews MD MSCR, Annie N. Simpson PhD, William T. Basco Jr MD MS
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 among 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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Leading From the Middle: Important Skills for Clinician Educators to Bring Out the Best in Their Teams Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-01 Lindsay Johnston MD MEd, Megan Aylor MD, Lynn Thoreson DO MS, Kiley Alpert C-TAGME, On Behalf of the Association of Pediatric Program Directors Faculty and Professional Development Task Force
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Valuable Papers: A Year in (Re)View From the Association of Pediatric Program Directors Acad. Pediatr. (IF 3.1) Pub Date : 2024-03-01 Megan Aylor MD, Patricia Poitevien MD MSc, Michael B. Pitt MD
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A Joyous Multicultural Circumcision Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-27 Bryan Ladell Burke Jr. MD
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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 MD, Ariel Sugarman MD, Audrey Uong MD MSc, Mariam Bhuiyan MD MPH, Y. Dana Neugut MD MS, Kathleen D. Asas MD MPH, Danielle M. Fernandes MD, Molly Broder MD, Patricia A. Hametz MD MPH, Megan E. McCabe MD
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 Health Care Acad. Pediatr. (IF 3.1) Pub Date : 2024-02-05 Thomas R. Elliott MD MSHPM, Kristen R. Choi PhD RN FAAN, Joann G. Elmore MD MPH, Rebecca Dudovitz MD MSHS
Studies suggest increasing mental health care needs among children but limited capacity to meet those needs, potentially leaving some needs unmet. There are no recent national studies examining the 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 MD MSc, Shayna Weinstein MPH, Ammal Bashir MPH, Seohyeong Lee BS, Abubakr A.A. Al-shoaibi PhD, Iris Yuefan Shao PhD MPH, Kyle T. Ganson PhD MSW, Alexander Testa PhD, Jinbo He PhD, Andrea K. Garber PhD RD
To determine the associations between screen time across several contemporary screen modalities (eg, television, video games, text, video chat, social media) and adherence to the Mediterranean-DASH (dietary approaches to stop hypertension) intervention for neurodegenerative delay (MIND) diet in early adolescents. We analyzed data from the Adolescent Brain Cognitive Development study of 9 to 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 DO MS, Susan N. Sherman DPA, Jais E. Valley MD, Allison Parsons PhD, Arin Gentry MA, Mariana Glusman MD, John S. Hutton MD MS, Kristen A. Copeland MD
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. We sought to understand beliefs
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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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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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Adverse Childhood Experiences and Attention Deficit-Hyperactivity Disorder Diagnosis and Severity: An Update Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-24 Elizabeth Crouch PhD, Emma Boswell MPH
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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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 MD MSCP, Emma Lynch MPH, Shannon L.S. Golden MA, Savithri Nageswaran MBBS MPH
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. In Illinois (IL) from 2019 to 2022, HHNs for and parents of children
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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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Writing Letters of Recommendation Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-19
Abstract not available
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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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Spanish-Speaking Parents’ Experiences Accessing Care: Evolving Challenges and Promising Approaches Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-20 Kori B. Flower MD MS MPH, Jennifer C. Gutierrez-Wu MD MPH, Jennifer Pilotos McBride MS, Francisco Sylvester MD, Maria E. Díaz-González de Ferris MD MPH PhD
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 MD MPH, Morgan Ye MPH, Danielle Hessler PhD, Rosemarie de la Rosa PhD, Mindy Benson NP, Rachel Gilgoff MD, Kadiatou Koita MD MSc, Monica Bucci MD, Nadine Burke Harris MD MPH, Dayna Long MD, Neeta Thakur MD MPH
To examine the association between adverse childhood experiences (ACEs) and related events and asthma symptom burden in children. 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) tool, a 17-item
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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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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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Pediatric Resident Well-being: A Group Concept Mapping Study Acad. Pediatr. (IF 3.1) Pub Date : 2024-01-10 Jessica C. Babal MD, Efrat Lelkes MD, Heidi Kloster MD, Eric Zwemer MD, Elizabeth Rodriguez Lien MD, Daniel Sklansky MD, Ryan J. Coller MD MPH, Megan A. Moreno MD MSEd MPH, Roger Schultz BS, Sarah Webber MD
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. We used group concept mapping methodology. We sent a brainstorming survey to pediatric residents and program leaders at 24 US residencies
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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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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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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 MD MPH, Zoe Bouchelle MD, Alder Strange BA BS, Alyssa Ciarlante MA, Lauren VonHoltz MD MPH, Ashlee Murray MD MPH, Danielle Cullen MD MPH MSHP
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). This retrospective observational study used data from the PED in a large, metropolitan, academic children’s hospital. Families were approached by resource navigators and offered
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It’s Easy Being Green Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-28 Ruth A. Etzel MD PhD
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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PII: S1876-2859(23)00469-2 Acad. Pediatr. (IF 3.1) Pub Date : 2023-12-19 Kimberly Móntez MD MPH, Su-Ting T. Li MD MPH, Margarita Ramos MD MS, Robert Treviño MD PhD, Michelle Barnes, On Behalf of the Association of Pediatric Program Directors Faculty and Professional Development Task Force
Abstract not available