Acad Pediatr 2017 Sep 19. Epub 2017 Sep 19.

Department of Emergency Medicine, University of Michigan Medical School, 6121 Taubman Health Sciences Library, 1135 Catherine Street Ann Arbor, MI 48109-5726. Electronic address:

Acad Pediatr 2017 Sep 16. Epub 2017 Sep 16.

University of Minnesota School of Medicine & Masonic Children's Hospital, Department of Pediatrics, 6th Floor East Building, M6532450 Riverside Avenue, Minneapolis, MN 55454 USA. Electronic address:

Background: Case-based morning reports are a staple of residency education. Little is known about the role of game-based learning in facilitating case-based discussions.

Objectives: Compare an educational game that can be used for creating impromptu case-based sessions to traditional morning report. Read More

Acad Pediatr 2017 Sep 16. Epub 2017 Sep 16.

University of Colorado at Denver - Anschutz Medical Campus, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, USA; Children's Hospital Colorado, Department of Pediatrics, Aurora, CO, USA.

Objective: To examine the association between chronic school absenteeism and adverse childhood experiences (ACEs) among school-aged children.

Methods: We conducted a secondary analysis of data from the 2011-2012 National Survey of Children's Health including children 6-17 years old. The primary outcome variable was chronic school absenteeism (> 15 days absent in past year). Read More

Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.

Children's Hospital Association, 600 13rd Street, NW, Suite 500 Washington, DC 20005, USA.

Objective: To assess adults' perceptions regarding the health and well-being of children today relative to their own health and well-being as youth and the potential for intergenerational differences in those perceptions.

Methods: A cross-sectional, internet-based survey of a nationally representative household sample. The study was conducted using GfK Custom Research's web-enabled KnowledgePanel®, a probability-based panel representative of the U. Read More

Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.

Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.

Ambulatory Care Services, Denver Health, Denver, CO; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO; Institute for Health Research, Kaiser Permanente Colorado, Denver, CO. Electronic address:

Objective: Little is known about Latino parents' perceptions of weight-related language in English or Spanish, particularly for counseling obese youth. We sought to identify English and Spanish weight counseling terms perceived as desirable for providers to use, motivating, and inoffensive by Latino parents across demographic groups.

Methods: Latino parents of children treated at urban safety-net clinics completed surveys in English or Spanish. Read More

Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039.

Objective: To describe the prevalence of reasons why children and adolescents stop and restart attention-deficit/hyperactivity disorder (ADHD) medicine and whether functional impairment is present after stopping medicine.

Methods: We used the prospective longitudinal cohort from the Multimodal Treatment of Study of Children with ADHD. At the 12 year follow-up when participants were a mean of 21. Read More

Acad Pediatr 2017 Sep 14. Epub 2017 Sep 14.

Nationwide Children's Hospital, Professor, Department of Pediatrics and Nephrology.

Acad Pediatr 2017 Sep 14. Epub 2017 Sep 14.

Pediatric Environmental Health Center, Division of General Pediatrics, Boston Children's Hospital, Boston, MA; Region 1 New England Pediatric Environmental Health Specialty Unit, Boston, MA; Harvard Medical School, Boston, MA. Electronic address:

Acad Pediatr 2017 Sep 14. Epub 2017 Sep 14.

Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address:

Objective: Group care has been shown to be effective for delivery of infant well child care. Centering Parenting™ (CP) is a model of group dyad care for mothers and infants. CP may improve quality and efficiency of preventive care, particularly for low income families. Read More

Acad Pediatr 2017 Sep 13. Epub 2017 Sep 13.

Dept. of Pediatrics & Neonatology, Fortis La Femme Hospital, Bangalore, Karnataka, India. Electronic address:

Acad Pediatr 2017 Sep 9. Epub 2017 Sep 9.

Division of General Pediatrics, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York.

Objective: Clinician prompts increase the likelihood of guideline-recommended corrective actions (preventive medication prescription, dose change, and/or adherence promotion) for symptomatic children with poorly controlled or persistent asthma in the primary care setting, but it is unclear if all children benefit equally. The objectives of this study were to identify whether asthma severity, visit type, and current preventive medication use were predictive of corrective actions during visits for children with symptomatic asthma, and determine whether these factors modified the impact of a prompting intervention.

Methods: We conducted pre-specified subgroup analyses of a cluster randomized controlled trial of physician prompting that promoted guideline-based asthma management for urban children with symptomatic asthma. Read More

Acad Pediatr 2017 Sep 5. Epub 2017 Sep 5.

Center for Human Growth and Development, University of Michigan; Department of Nutritional Sciences, University of Michigan School of Public Health; Department of Pediatrics, University of Michigan Medical School.

Background: Picky eating is common in children. Few studies have examined predictors of picky eating, and the association of picky eating with weight status and dietary quality is inconsistent in prior literature. We aimed to identify predictors of picky eating and to test the association of picky eating with child body mass index z-score (BMIz), dietary quality, and micronutrient intake. Read More

Acad Pediatr 2017 Sep 1. Epub 2017 Sep 1.

Seattle Children's Research Institute; University of Washington.

Objective: Investigated which adolescent health-risk behaviors are of concern to parents generally, according to adolescent age, gender, and in the context of perceived risk. Compared adolescent and parent reports of the presence of health-risk behaviors and factors predicting agreement.

Methods: 300 adolescents aged 13-18 (M=14. Read More

Acad Pediatr 2017 Sep 1. Epub 2017 Sep 1.

Department of Pediatrics, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA. Electronic address:

Acad Pediatr 2017 Sep 1. Epub 2017 Sep 1.

Harvard Medical School, 25 Shattuck St, Boston, MA 02115S USA.

Objective: To examine the prevalence of positive screening scores, construct validity, and opportunities for follow up in a large sample of adolescents who chose to fill out the Pediatric Symptom Checklist - Youth Form (PSC-Y) through the Mental Health America (MHA) website.

Methods: MHA sent researchers a de-identified dataset of all PSC-Y's submitted to MHA from May 15, 2015 to May 14, 2016. The analytic dataset contained 29,886 PSC-Y forms from youth aged 11-17 who sought out the website and chose to fill out the PSC-Y anonymously and independently online. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S9-S11

The Health Commons Group, Woodland, Wash. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S86-S93

Sumner Redstone Global Center for Prevention and Wellness, Milken Institute School of Public Health, George Washington University, Washington, DC.

Objective: We propose a transformative approach to foster collaboration across child health, public health, and community-based agencies to address the root causes of toxic stress and childhood adversity and to build community resilience.

Methods: Physicians, members of social service agencies, and experts in toxic stress and adverse childhood experiences (ACEs) were interviewed to inform development of the Building Community Resilience (BCR) model. Through a series of key informant interviews and focus groups, we sought to understand the role of BCR for child health systems and their partners to reduce toxic stress and build community resilience to improve child health outcomes. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S79-S85

Center for the Study of Social Policy, Washington, DC.

This article introduces a framework called "HOPE: Health Outcomes From Positive Experiences." The HOPE framework focuses on the need to actively promote positive childhood experiences that contribute to healthy development and well-being, as well as prevent or mitigate the effect of adverse childhood experiences and other negative environmental influences. Key positive childhood experiences fall within 4 broad categories: being in nurturing, supportive relationships; living, developing, playing, and learning in safe, stable, protective, and equitable environments; having opportunities for constructive social engagement and connectedness; and learning social and emotional competencies. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S70-S78

Child and Adolescent Health Measurement Initiative, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.

Objective: Adverse childhood experiences (ACEs) can affect health and development across the life course. Despite a general understanding that adversity is associated with lower income, we know less about how ACEs manifest at different income levels and how these income-related patterns affect children's health and development.

Methods: Data from the 2011 to 2012 National Survey of Children's Health were used to examine the prevalence of 9 ACEs in US children, across 4 levels of household income, and in relationship to 5 parent-reported measures of child health. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S7-S8

Partnerships and Collaboration, Washington State Department of Early Learning, Olympia, Wash.

Acad Pediatr 2017 Sep - Oct;17(7S):S51-S69

University of California, San Francisco, School of Medicine, Department of Family and Community Medicine, Center on Social Disparities in Health.

Background: Advances in human development sciences point to tremendous possibilities to promote healthy child development and well-being across life by proactively supporting safe, stable and nurturing family relationships (SSNRs), teaching resilience, and intervening early to promote healing the trauma and stress associated with disruptions in SSNRs. Assessing potential disruptions in SSNRs, such as adverse childhood experiences (ACEs), can contribute to assessing risk for trauma and chronic and toxic stress by asking about ACEs can help with efforts to prevent and attenuate negative impacts on child development and both child and family well-being. Many methods to assess ACEs exist but have not been compared. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S4-S6

Robert Wood Johnson Foundation, Princeton, NJ.

Acad Pediatr 2017 Sep - Oct;17(7S):S36-S50

Academy Health, Washington, DC.

Objective: A convergence of theoretical and empirical evidence across many scientific disciplines reveals unprecedented possibilities to advance much needed improvements in child and family well-being by addressing adverse childhood experiences (ACEs), promoting resilience, and fostering nurturance and the social and emotional roots of healthy child development and lifelong health. In this article we synthesize recommendations from a structured, multiyear field-building and research, policy, and practice agenda setting process to address these issues in children's health services.

Methods: Between Spring of 2013 and Winter of 2017, the field-building and agenda-setting process directly engaged more than 500 individuals and comprised 79 distinct agenda-setting and field-building activities and processes, including: 4 in-person meetings; 4 online crowdsourcing rounds across 10 stakeholder groups; literature and environmental scans, publications documenting ACEs, resilience, and protective factors among US children, and commissioning of this special issue of Academic Pediatrics; 8 in-person listening forums and 31 educational sessions with stakeholders; and a range of action research efforts with emerging community efforts. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S32-S33

Center for the Human Rights of Children, Loyola University, Chicago, Ill. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S30-S31

Family Health Branch, Arkansas Department of Health, Little Rock, Ark. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S28-S29

Office of the Deputy Assistant Secretary for Early Childhood, Administration for Children and Families, US Department of Health and Human Services, Washington, DC; and the Children, Families, and Communities program, the David and Lucile Packard Foundation, Los Altos, Calif. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S26-S27

ACEs Connection Network, Woodland, Calif. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S24-S25

Westat, Rockville, Md.

Acad Pediatr 2017 Sep - Oct;17(7S):S22-S23

ACE Interface, LLC, Peachtree City, GA.

Acad Pediatr 2017 Sep - Oct;17(7S):S20-S21

Family Voices Inc, Albuquerque, NM.

Acad Pediatr 2017 Sep - Oct;17(7S):S18-S19

Department of Psychiatry, Cambridge Health Alliance, Cambridge, Mass. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S16-S17

SUNY Downstate College of Nursing, Brooklyn, NY.

Acad Pediatr 2017 Sep - Oct;17(7S):S150-S157

Social Development Research Group, School of Social Work, University of Washington, Seattle, Wash.

This article presents a framework for evolving a society that nurtures the health and well-being of its population. We review evidence that adverse social conditions, including poverty, conflict, discrimination, and other forms of social rejection, contribute immensely to our most ubiquitous psychological, behavioral, and health problems. We then enumerate the ways that effective family and school prevention programs could ameliorate much of the social adversity leading to these problems. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S144-S149

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Mental Health America, Temple Terrace, Fla. Electronic address:

The experience of adversity and toxic stress in childhood is associated with the development of chronic health and behavioral health problems. These problems contribute substantially to health care expenditures and the overall burden of disease. Although a strong scientific literature documents the effectiveness of primary prevention in reducing childhood adversity, promoting well-being and lessening the incidence of negative outcomes, funding for these interventions is highly fragmented across multiple government agencies as well as private and philanthropic sectors. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S14-S15

Center for Youth Wellness, San Francisco, Calif.

Acad Pediatr 2017 Sep - Oct;17(7S):S136-S143

AcademyHealth, Washington, DC.

Adverse childhood experiences (ACEs) occur when children are exposed to trauma and/or toxic stress and may have a lifelong effect. Studies have shown that ACEs are linked with poor adult health outcomes and could eventually raise already high health care costs. National policy interest in ACEs has recently increased, as many key players are engaged in community-, state-, and hospital-based efforts to reduce factors that contribute to childhood trauma and/or toxic stress in children. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S130-S135

Section of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa.

The Philadelphia ACE Task Force is a community based collaborative of health care providers, researchers, community-based organizations, funders, and public sector representatives. The mission of the task force is to provide a venue to address childhood adversity and its consequences in the Philadelphia metropolitan region. In this article we describe the origins and metamorphosis of the Philadelphia ACE Task Force, which initially was narrowly focused on screening for adverse childhood experiences (ACEs) in health care settings but expanded its focus to better represent a true community-based approach to sharing experiences with addressing childhood adversity in multiple sectors of the city and region. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S123-S129

Child and Family Policy Center, Des Moines, Iowa, and the Center for the Study of Social Policy, Washington, DC. Electronic address:

Adverse childhood experiences research has focused attention on the importance of family safety, stability, and nurturing in ensuring healthy development. This safety, stability, and nurturing can be compromised by family poverty, discrimination and marginalization, and geographic location. Drawing upon census data, this report shows that place, race, and poverty are intertwined concepts with particular implications for young children. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S12-S13

Department of Pediatrics, Center for Child Health and Policy, Case Western Reserve, Cleveland, OH. Electronic address:

Acad Pediatr 2017 Sep - Oct;17(7S):S115-S122

Division of General Pediatrics, Boston University School of Medicine, Boston, Mass. Electronic address:

Objective: The patient-centered medical home (PCMH) seeks to improve population health. However, PCMH models often focus on improving treatment of chronic diseases rather than on addressing psychosocial adversity. We sought to gather key stakeholder input about how PCMHs might feasibly and sustainably address psychosocial adversity within their patient populations. Read More

Acad Pediatr 2017 Sep - Oct;17(7S):S1-S3

Johns Hopkins Bloomberg School of Public Health, Child and Adolescent Health Measurement Initiative, Department of Population, Family and Reproductive Health, Baltimore, Md.

Acad Pediatr 2017 Aug 23. Epub 2017 Aug 23.

Pediatric Residency Program, Children's National Medical Center, 111 Michigan Avenue NW, Suite WW 3.5-600, Washington DC 20010.

Purpose: No standardized curricula exist for training residents in the special needs of children with medical complexity (CMC). We assessed resident satisfaction, knowledge and behavior after implementing a novel online curriculum composed of multimedia modules on care of CMC utilizing virtual simulation.

Methods: We conducted a randomized controlled trial of residents across North America. Read More

Acad Pediatr 2017 Aug 23. Epub 2017 Aug 23.

Department of Pediatrics, Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop 113, Los Angeles, CA 90027, USA; Keck School of Medicine, University of Southern California, Los Angeles, CA.

Objective: Transfer of care sign-outs (TOCS) for admissions from a Pediatric Emergency Department (PED) have unique challenges. Standardized and reliable assessment tools for TOCS remain elusive. We describe the development, reliability, and validity of a TOCS assessment tool. Read More

Acad Pediatr 2017 Aug 22. Epub 2017 Aug 22.

Paediatric Outcomes Research Team, Sick Kids Hospital, Toronto, Canada; The Applied Health Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada; Department of Paediatrics, Sick Kids Hospital, Toronto, Canada; Child Health Evaluative Studies, Sick Kids Research Institute, Toronto, Canada.

Background And Objectives: Outdoor free play is important for preschoolers' physical activity, health and development. Certain temperamental characteristics are associated with obesity, nutrition, and sedentary behaviors in preschoolers, but the relationship between temperament and outdoor play has not been examined. This study examined whether there is an association between temperament and outdoor play in young children. Read More

Acad Pediatr 2017 Aug 21. Epub 2017 Aug 21.

Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.

Objective: To measure how weight status and weight perception relate to mental distress and social protective factors in adolescents.

Methods: Adolescents in 8(th), 9(th), and 11(th) grade participating in the 2013 Minnesota Student Survey (N=122,180) were classified based on weight perception (overweight or not overweight) and weight status (not overweight, overweight, obese). Bivariate tests were used to assess the relationship of weight status and weight perception with internal mental distress, and generalized linear models were used to measure the association between weight status and weight perception with psychosocial protective factors including parent, school, and friend connectedness, social competency, and positive identity. Read More

Acad Pediatr 2017 Aug 4. Epub 2017 Aug 4.

Texas Children's Hospital, Houston, TX; Baylor College of Medicine, Houston, TX.

Objective: Non-medical exemptions continue to rise due to increasing proportions of vaccine-hesitant parents. The proportion of expectant parents who are vaccine-hesitant is currently unknown. We assessed the prevalence of vaccine hesitancy among expectant parents receiving care at an obstetrics clinic in Houston, Texas. Read More

Acad Pediatr 2017 Aug 4. Epub 2017 Aug 4.

American Academy of Pediatrics, Elk Grove Village, IL.

Objective: Determine pediatric resident training and preparation for 14 ACGME-required procedures.

Methods: National, random sample of 1000 graduating pediatric residents in 2015. For each of the ACGME-required procedures, residents were asked if they received training, successfully completed the procedure at least once, were comfortable performing the procedure unsupervised, and desired more training. Read More