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Academic Pediatrics

Selin Tuysuzoglu Sagalowsky, Angela M Feraco, Tamara E Baer, Heather J Litman, David N Williams, Robert J Vinci
BACKGROUND: Burnout is prevalent among pediatric residents, and reducing burnout is a priority for pediatric residency programs. Understanding residents' personal circumstances, including relationship satisfaction and perceived work-life conflict, may identify novel determinants of burnout. OBJECTIVES: To describe intimate partner relationships among pediatric residents and examine associations among relationship satisfaction, work-life factors, and burnout. METHODS: We identified 203 partnered residents (married or in a self-identified committed, ongoing relationship) from a cross-sectional survey of 258 residents in 11 New England pediatric programs (response rate 54% of 486 surveys distributed), conducted from April through June of 2013...
September 13, 2018: Academic Pediatrics
Jessie Kemmick Pintor, Héctor E Alcalá, Dylan H Roby, David T Grande, Cinthya K Alberto, Ryan M McKenna, Alexander N Ortega
OBJECTIVE: To examine insurance-based disparities in provider-related barriers to care among children in California in the wake of changes to the insurance market resulting from the Affordable Care Act. METHODS: Our sample included 6,514 children (ages 0-11 years) from the 2014-2016 California Health Interview Survey. We examined parent reports in the past year of 1) having trouble finding a general provider for the child, 2) the child not being accepted by a provider as a new patient, 3) the child's health insurance not being accepted by a provider, and 4) any of the above...
September 12, 2018: Academic Pediatrics
Emily E Anderson, Bridget Boyd, Nadia K Qureshi, Jerold M Stirling, Virginia McCarthy, Mark G Kuczewski
OBJECTIVE: We assessed how third-year medical students' written reflections on a home visit experience with families of children with special needs demonstrate evidence of exposure to nine selected competencies for pediatric clerkships designated by the Council on Medical Student Education in Pediatrics (COMSEP). METHODS: We reviewed written reflections from 152 third-year medical students. For each competency (two related to communication were combined), we tabulated the number of reflections in which a given competency was demonstrated...
September 7, 2018: Academic Pediatrics
Elisa Nasol, Olivia Lindly, Alison E Chavez, Katharine E Zuckerman
OBJECTIVE: The 5.1 million US children with ADHD have pronounced needs in education, occupational and speech therapy, and medical and behavioral treatments. Given known associations of ADHD diagnosis with race/ethnicity and parent education, this study aimed to assess how measures of socioeconomic status correlate both with adverse family financial impact of ADHD and with disparities in unmet treatment need for ADHD. METHODS: Secondary analysis of children age 8-17 whose households participated in the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome...
September 7, 2018: Academic Pediatrics
Traci M Kazmerski, Olga V Prushinskaya, Kelsey Hill, Eliza Nelson, Jessica Leonard, Kelly Mogren, Sarah Ab Pitts, Julia Roboff, Ahmet Uluer, S Jean Emans, Elizabeth Miller, Gregory S Sawicki
OBJECTIVE: Adolescent and young adult (AYA) women with pediatric-onset chronic diseases, such as cystic fibrosis (CF), face disease-specific sexual and reproductive health (SRH) concerns. Using concept mapping (CM), this study aimed to identify the SRH topics and outcomes valued by AYA women with CF and parents. METHODS: Women with CF aged 13-30 years and parents of 13-30-year-old daughters with CF participated in an online CM study. Participants individually brainstormed, rated, and sorted SRH topics important for AYA women with CF...
August 31, 2018: Academic Pediatrics
Brian P Jenssen, Alison M Buttenheim, Alexander G Fiks
Pediatric clinical practice often involves improving child health by changing parents' behavior. Strategies from behavioral economics - a field that leverages predictable patterns in human decision-making to overcome barriers to behavior change - can improve health outcomes in adults. Though more research is needed, the application of these approaches to parent behavior change in pediatric settings has the potential to improve the clinical effectiveness of child healthcare. We review the foundational concepts of behavioral economics and identify the unique role of pediatricians in motivating parent behavior change...
August 30, 2018: Academic Pediatrics
Byron A Foster, Kelsey Weinstein
OBJECTIVE: This study examined whether components of resilience at the family or child level were associated with a decreased risk of obesity in children after accounting for community, family and individual-level stressors associated with an increased risk of obesity. METHODS: Data are from the 2016 National Survey of Children's Health, using the subset of children 10-17 years of age with weight data. We examined whether components of family or child-level resilience were associated with weight status...
August 30, 2018: Academic Pediatrics
Sally G Eagleton, Emily E Hohman, Nicole Verdiglione, Leann L Birch, Ian M Paul, Jennifer S Savage
OBJECTIVE: Maternal return to work within 12 weeks of delivery is associated with poor child health and development. However, little is known about the impact of return to work on child obesity risk. We examined whether timing of maternal return to work is associated with rapid infant weight gain from 0-6 months and weight-for-length at 1 year. METHODS: Secondary data analysis of 279 mother-newborn dyads from the INSIGHT Study, a randomized controlled trial evaluating a responsive parenting (RP) intervention...
August 23, 2018: Academic Pediatrics
Tanja Poulain, Mandy Vogel, Juliane Ludwig, Nico Grafe, Antje Körner, Wieland Kiess
OBJECTIVE: The present work investigated reciprocal longitudinal associations between media use/physical activity and adolescents' psychological health. METHODS: Data were collected between 2011 and 2017 in the LIFE Child study in Germany. The sample included 814 10- to 17-year-old adolescents. The participants had provided information on their media use (hours of TV/video, computer/internet, and mobile phone use per day), physical activity (frequency of organized and non-organized physical activity per week), behavioral difficulties (emotional problems, conduct problems, hyperactivity/inattention, peer-relationship problems), and quality of life (physical and psychological wellbeing, satisfaction with parents, peers, and school) at two time points, 12 months apart...
August 22, 2018: Academic Pediatrics
Matthew W Zackoff, Francis J Real, Erika L Abramson, Su-Ting T Li, Melissa Klein, Maryellen E Gusic
Historically, health sciences education has been guided by tradition and teacher preference rather than by application of practices supported by rigorous evidence of effectiveness. Though often underutilized, conceptual frameworks, theories that describe the complexities of educational and social phenomenon, are essential foundations for scholarly work in education. Conceptual frameworks provide a lens through which educators can develop research questions, design research studies and educational interventions, assess outcomes and evaluate the impact of their work...
August 20, 2018: Academic Pediatrics
Joanne N Wood, M Katherine Henry, Rachel P Berger, Daniel M Lindberg, James D Anderst, Lihai Song, Russell Localio, Chris Feudtner
OBJECTIVES: To describe the percentage and characteristics of children <24 months old with non-motor vehicle crash (non-MVC)-related injuries who 1) undergo a skeletal survey and 2) have occult fractures. METHODS: We performed a retrospective chart review of a stratified, systematic random sample of 1769 children <24 months old with non-MVC-related bruises, burns, fractures, abdominal injuries, and head injuries at 4 children's hospitals from 2008-2012. Sampling weights were assigned to each child to allow for representative hospital-level population estimates...
August 16, 2018: Academic Pediatrics
Erin Pete Devon, Rebecca Tenney-Soeiro, Jeanine Ronan, Dorene F Balmer
OBJECTIVE: Boot camps are developed and implemented by a growing number of medical schools to facilitate medical students' transition to internship. However, there is limited conceptual understanding of how that facilitation occurs. METHODS: In this paper the authors describe a 1-week pediatric boot camp they developed and piloted in 2015, then significantly revised and evaluated in 2016-2017 using a conceptual framework of self-efficacy. Consistent with this framework, the revised boot camp focused on enhancing practical skills that would ease medical students' transition to internship...
August 16, 2018: Academic Pediatrics
Jenna E Reno, Sean T O'Leary, Jennifer Pyrzanowski, Steven Lockhart, Jacob Thomas, Amanda F Dempsey
OBJECTIVE: To evaluate the relative use, usefulness, and facilitators and barriers to use, as perceived by providers, of five different components in an HPV vaccine communication intervention-which was found to be effective at improving HPV vaccination rates. METHODS: Four serial surveys of 108 providers (MD, NP, or PA) from intervention clinics involved in the study assessed use and usefulness of the 5 communication intervention components over a 12-month period...
August 11, 2018: Academic Pediatrics
Selin Tuysuzoglu Sagalowsky
No abstract text is available yet for this article.
August 11, 2018: Academic Pediatrics
Lindsay Johnston, Taylor Sawyer, Akira Nishisaki, Travis Whtifill, Anne Ades, Heather French, Kristen Glass, Rita Dadiz, Christie Bruno, Orly Levit, Sandeep Gangadharan, Daniel Scherzer, Ahmed Moussa, Marc Auerbach
BACKGROUND: Neonatal tracheal intubation (NTI) is an important clinical skill. Suboptimal performance is associated with patient harm. Simulation training can improve NTI performance. Improving performance requires an objective assessment of competency. Competency assessment tools need strong evidence of validity. We hypothesized that a NTI competency assessment tool with multi-source validity evidence could be developed, and could be used for formative and summative assessment during simulation-based training...
August 10, 2018: Academic Pediatrics
Elizabeth A Gottschlich, Kandyce Larson, BlakeSisk, Mary Pat Frintner
Objective To examine US pediatricians and US adults on three self-reported health measures (sleep, physical activity, and general health status), and to assess factors related to these measures for each group. Methods Pediatrician data were collected through a 2012 AAP Periodic Survey (response rate=64.0%). US population data originated from the 2012 National Health Interview Survey (response rate=61.2%). Analytic samples included those currently working and ≥30 years old; restricted to post-trainees (pediatricians; n=854) and those with at least a Bachelor's degree (US population; n=5,447)...
August 10, 2018: Academic Pediatrics
Margie Danchin, Alisha Gulenc, Daryl Efron, Emma Sciberras, Christos Symeonides, Harriet Hiscock
OBJECTIVE: Rising anxiety rates and equity of care are ongoing concerns. Through two pediatric practice audits conducted five years apart, we aimed to determine the change in (1) anxiety diagnoses; (2) associated comorbid diagnoses; (3) variance in management by location and (4) child, family and pediatrician predictors of management. METHODS: Members of the Australian Paediatric Research Network (APRN) were invited to participate in patient-level prospective national pediatric practice audits in 2008 and 2013...
August 9, 2018: Academic Pediatrics
Sydney Hansen, Marlene Melzer-Lange, Melodee Nugent, Ke Yan, Angela Rabbitt
No abstract text is available yet for this article.
August 8, 2018: Academic Pediatrics
Catherine McClure, Maureen Cunningham, Sheana Bull, Stephen Berman, Mandy A Allison
In this narrative review, we will present a brief overview of known disparities in children's language development based on socioeconomic status (SES) and efforts in the primary care setting to promote children's language development. Next, we will define mobile-health (m-health) and review the limited, published literature regarding the effectiveness of m-health interventions in promoting children's health, in general, and language development, in particular. Finally, we will discuss the potential role of smart phone applications to increase parental behaviors that promote their children's language development as well as challenges that should be addressed as the field of m-health continues to grow...
August 8, 2018: Academic Pediatrics
H Shonna Yin, Carrie Vuong, Ruth M Parker, Lee M Sanders, Alan L Mendelsohn, Benard P Dreyer, Jessica J Velazquez, Michael S Wolf
The NIH-funded SAFE Rx for Kids study has identified best practices for the labeling/dosing of pediatric liquid medications. Findings support use of pictographic instructions and optimized provision of dosing tools, along with careful selection of the unit of measurement used.
August 7, 2018: Academic Pediatrics
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