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Acad Pediatr 2020 Jul 2. Epub 2020 Jul 2.

Acad Pediatr 2020 Jul 1. Epub 2020 Jul 1.

Division of Pediatric Hospital Medicine, University of Minnesota. Electronic address:

Acad Pediatr 2020 Jun 30. Epub 2020 Jun 30.

Boston Medical Center, 801 Albany Street Boston, MA 02119. Electronic address:

Acad Pediatr 2020 Jun 30. Epub 2020 Jun 30.

Department of Pediatrics University of Colorado School of Medicine, Mail Stop B158, Children's Hospital Colorado, 13123 East 16th Avenue, Aurora, Colorado, USA, 80045. Electronic address:

Objective: Professional development programs (PDPs) within academic professional organizations rely on faculty volunteers, but little is known about the volunteering process and experience. Our aim was to gain insights into the initial decision to volunteer, the experience of volunteering and the decision to re-volunteer or not (i.e. Read More

Acad Pediatr 2020 Jun 30. Epub 2020 Jun 30.

Senior Fellow in Public Policy and Founding Chair Emeritus, Children's Dental Healthe Project, Washington DC, Professor of Dental Medicine and Health Policy & Management at Columbia University Medical Center.

Acad Pediatr 2020 Jun 26. Epub 2020 Jun 26.

Division of General Pediatrics, Children's Hospital of Philadelphia & University of Pennsylvania Perelman School of Medicine, 3401 Civic Center Blvd, Philadelphia, PA 19104. Electronic address:

Background And Objectives: Children and youth in immigrant families (CIF)-children and youth with at least one foreign-born parent-face unique psychosocial stressors. Yet little is known about access to mental/behavioral health (MBH) services for CIF. Among US CIF and non-CIF with MBH problems, we assessed access to MBH treatment. Read More

Acad Pediatr 2020 Jun 26. Epub 2020 Jun 26.

Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Objective: To examine the association between care coordination experiences of family caregivers of children with medical complexity (CMC) and caregivers' health-related quality of life (HR-QOL).

Methods: From July 2018 to July 2019, family caregivers of CMC completed an electronic survey (n=136) at the time of initial contact with a regional complex care medical home. Information on caregiver HR-QOL and receipt of care coordination services were assessed using the CDC HR-QOL-14 measure and Family Experiences of Care Coordination questionnaire, respectively. Read More

Acad Pediatr 2020 Jun 23. Epub 2020 Jun 23.

Department of Pediatrics, University of Michigan Medical School, 1540 E Hospital Dr, Ann Arbor, MI 48109, United States; Center for Human Growth and Development, University of Michigan, 300 N Ingalls St, Ann Arbor, MI 48104, United States; Department of Nutritional Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, United States. Electronic address:

Background: Parental mindfulness may be a novel intervention target for child obesity prevention.

Objective: To examine associations between maternal mindfulness and child body mass index z-score (BMIz).

Methods: In a secondary data analysis of pre-intervention data from a randomized controlled trial, we assessed survey and anthropometric data from English-speaking mother/child dyads enrolled in Head Start in south central Michigan (n=105). Read More

Acad Pediatr 2020 Jun 20. Epub 2020 Jun 20.

Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.

Acad Pediatr 2020 Jun 18. Epub 2020 Jun 18.

Division of General & Community Pediatrics - Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Department of Pediatrics, 3333 Burnet Ave, Cincinnati, OH 45229. Electronic address:

Acad Pediatr 2020 Jun 17. Epub 2020 Jun 17.

Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, The State University of New York (SUNY) at Buffalo, 270 Farber Hall, Buffalo, NY 14214-8001, USA.

Objective: Despite recommendations to consume iron-, calcium-, and vitamin C-rich foods for managing blood lead levels (BLLs), limited evidence exists on how specific foods affect children's BLLs. Using data from 12-36 month-olds (n=992) from the 2009-2014 National Health and Nutrition Examination Survey, we assessed how foods rich in these nutrients associate with BLLs, and with potential inadvertent exposures to cadmium and mercury.

Methods: Food intake was assessed from one 24-hour dietary recall. Read More

Acad Pediatr 2020 Jun 16. Epub 2020 Jun 16.

Department of Pediatrics, The Barbara Bush Children's Hospital at Maine Medical Center, 22 Bramhall Street Portland, ME. Electronic address:

Acad Pediatr 2020 Jun 15. Epub 2020 Jun 15.

Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN.

Objective: Advocates must make decisions about the types of evidence they emphasize when communicating to cultivate support for adverse childhood experience (ACE) prevention policies. This study sought to characterize public perceptions of the persuasiveness of 12 ACE evidence statements and assess differences by ideology in the strength of these evidence messages as rationales for ACE prevention policies.

Methods: A web-based survey of a nationally representative sample of U. Read More

Acad Pediatr 2020 Jun 13. Epub 2020 Jun 13.

Children's Dental Health Project, Washington, DC.

Objectives: To determine how income-based disparities in a yearly dental visit (the Healthy People 2020 Leading Health Indicator for Oral Health) changed since legislation to expand dental coverage and to compare disparity trends in children and adults.

Methods: We analyzed Medical Expenditure Panel Survey (MEPS) 1997-2016 to determine yearly dental visit rates for US children and adults by family income. We determined measures of income disparity, including the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) and examined trends in yearly dental visit, SII, and RII using joinpoint regression. Read More

Acad Pediatr 2020 Jun 12. Epub 2020 Jun 12.

Keck School of Medicine of USC, Children's Hospital Los Angeles, 4650 Sunset Blvd Mailstop 113, Los Angeles, CA 90027 USA. Electronic address:

Background: "Demonstrate insight and understanding into emotion" is a competency amenable to simulation-based assessment. The Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) has validity evidence for patients to assess provider empathy. A version adapted for a 3-party observers does not exist. Read More

Acad Pediatr 2020 Jun 12. Epub 2020 Jun 12.

Department of Pediatrics, Wake Forest School of Medicine; Department of Social Science and Health Policy, Wake Forest University. Electronic address:

Objective: Caregivers of children with medical complexity (CMC) face decisions about tracheostomy. The objectives of this paper are to identify facilitators and barriers to tracheostomy decision-making (TDM) process for CMC.

Methods: Using phenomenology as its methodologic orientation, this qualitative study conducted in North Carolina between 2013 and 2015, consists of semi-structured interviews with 56 caregivers of 41 CMC who received tracheostomies, and 5 focus groups of 33 healthcare providers (HCP) at a tertiary care children's hospital involved in TDM for CMC. Read More

Acad Pediatr 2020 Jun 12. Epub 2020 Jun 12.

Division of General Pediatrics, Department of Pediatrics; Stanford University School of Medicine, Stanford, CA 94305.

Objective: Shared decision-making (SDM) may improve outcomes for children with medical complexity (CMC). CMC have lower rates of SDM than other children, but little is known about how to improve SDM for CMC. The objective of this study is to describe parent perspectives of SDM for CMC and identify opportunities to improve elements of SDM specific to this vulnerable population. Read More

Acad Pediatr 2020 Jun 11. Epub 2020 Jun 11.

Division of General Pediatrics, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115.

Acad Pediatr 2020 Jun 11. Epub 2020 Jun 11.

Department of Pediatrics, Yale University, New Haven, Connecticut.

Acad Pediatr 2020 Jun 5. Epub 2020 Jun 5.

Department of Pediatrics, University of California Davis, Sacramento California. Electronic address:

The coronavirus disease 2019 (COVID-19) pandemic challenged program leaders to respond rapidly to changes in healthcare delivery, protect trainee safety, and transform educational activities. The pandemic demanded that program directors prioritize and address myriad threats to trainees' well-being. In this paper, we adapt Maslow's needs framework to systematically address trainee well-being during the COVID-19 pandemic and identify potential interventions to meet trainee needs at the program, institution, and extra-institutional levels. Read More

Acad Pediatr 2020 Jun 5. Epub 2020 Jun 5.

Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana.

Objective: To assess U.S. pediatricians' preparedness, motivation, and barriers related to educating parents about corporal punishment (CP) and effective child discipline. Read More

Acad Pediatr 2020 Jun 5. Epub 2020 Jun 5.

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Acad Pediatr 2020 Jun 6. Epub 2020 Jun 6.

Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center (M Klein), Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine (M Klein), Cincinnati, Ohio.

Acad Pediatr 2020 Jun 4. Epub 2020 Jun 4.

Val G. Hemming Simulation Center, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd.; Bethesda, Maryland 20814.

Acad Pediatr 2020 Jun 2. Epub 2020 Jun 2.

University of Minnesota, Minneapolis, Minn.

Acad Pediatr 2020 Jun 2. Epub 2020 Jun 2.

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wis.

Acad Pediatr 2020 Jun 2. Epub 2020 Jun 2.

Acad Pediatr 2020 Jun 2. Epub 2020 Jun 2.

Acad Pediatr 2020 Jun 2. Epub 2020 Jun 2.

Department of Pediatrics, The Ohio State University College of Medicine (L Beer and EM Bonachea), Columbus, Ohio.

Acad Pediatr 2020 May 31. Epub 2020 May 31.

Pediatric Hospital Medicine, Department of Pediatrics, Stanford School of Medicine, 300 Pasteur Drive, MC 5776 Stanford, CA 94305.

Objective: Goals of care discussions are crucial in helping parents navigate complex medical decisions and shown to improve quality of care. Little is known about whether physicians elicit or address parents' goals during a child's hospitalization. The purpose of this study was to understand the current practice of goal setting at the beginning of hospitalization by exploring the perspectives of parents of hospitalized children and their hospital physicians. Read More

Acad Pediatr 2020 May 31. Epub 2020 May 31.

A.J. Drexel Autism Institute, Drexel University, 3020 Market St., Suite 560, Philadelphia, PA 19130, USA.

Objective: Children with Autism Spectrum Disorder (ASD) may benefit from medication to treat a diverse array of behaviors and health conditions common in this population including co-occurring conditions associated with ASD, such as attention-deficit/hyperactivity disorder (ADHD) and anxiety. However, prescribing guidelines are lacking and research providing national estimates of medication use in youth with ASD is scant. We examined a nationally representative sample of children and youth ages 6-17 with a current diagnosis of ASD to estimate the prevalence and correlates of psychotropic medication. Read More

Acad Pediatr 2020 May 31. Epub 2020 May 31.

Department of Pediatrics, University of Washington, Seattle, WA, USA, JMB - 6 - Clinical and Translational Research, 1900 9th Ave, Seattle, WA 98101. Electronic address:

Objective: Moral distress is increasingly identified as a major problem affecting healthcare professionals, but it is poorly characterized among pediatricians. Our objective was to assess the sources of moral distress in residents and pediatric hospitalist attendings and to examine the association of moral distress with reported burnout.

Methods: Cross-sectional survey from January through March 2019 of pediatric residents and hospital medicine attending physicians affiliated with four free-standing children's hospitals. Read More

Acad Pediatr 2020 May 31. Epub 2020 May 31.

Department of Pediatrics and Duke Center for Childhood Obesity Research, Duke University School of Medicine; 2213 Elba Street, Durham, NC 27705. Electronic address:

Objectives: We examined associations between household food insecurity status and parental feeding behavior, weight perception, and child weight status in a diverse sample of young children.

Methods: Cross-sectional analysis of 2-year old children in Greenlight, a cluster randomized trial to prevent childhood obesity. The exposure was food insecurity, defined as a positive response to a validated screen. Read More

Acad Pediatr 2020 May 31. Epub 2020 May 31.

Applied Clinical Research Center, Children's Hospital of Philadelphia (M Maltenfort and CB Forrest), Philadelphia, Pa.

Objective: Evidence suggests that spatial accessibility to primary care is a contributing factor to appropriate health care utilization, with limited primary care access resulting in avoidable hospitalizations and emergency department visits which are burdensome on individuals and our health care system. Limited research, however, has examined the effects on children.

Methods: We evaluated associations of spatial accessibility to primary care on health care utilization among a sample of 16,709 children aged 0 to 3 years in Philadelphia who were primarily non-White and publicly insured. Read More

Acad Pediatr 2020 May 31. Epub 2020 May 31.

Children's Hospital of Philadelphia, Primary Care Network, Philadelphia, Pa.

Acad Pediatr 2020 May 31. Epub 2020 May 31.

The University of Chicago.

Objectives: Trauma-informed care (TIC) and violence intervention programs (VIPs) facilitate psychosocial healing and reduce injury recidivism for children and families affected by community violence. To integrate a VIP into a two Level 1 Pediatric Trauma Centers, an educational initiative was developed and co-taught by pediatricians and former patients. The primary aim was to increase provider-driven patient referrals to the VIP. Read More

Acad Pediatr 2020 May 29. Epub 2020 May 29.

The Children's Hospital of Philadelphia (EF Flynn, E Kuhn, M Shaik, E Tarr, N Scattolini, and A Ballantine), Philadelphia, Pa; University of Pennsylvania Perelman School of Medicine (A Ballantine), Philadelphia, Pa; Division of General Pediatrics, The Children's Hospital of Philadelphia (A Ballantine), Philadelphia, Pa.

Acad Pediatr 2020 May 29. Epub 2020 May 29.

Department of Pediatric Hospital Medicine, Cincinnati Children's Hospital Medical Center (M Pfarr), Cincinnati, Ohio.

Acad Pediatr 2020 May 27. Epub 2020 May 27.

Department of Emergency Medicine, Johns Hopkins University School of Medicine (MJ Levy), Baltimore, Md; Howard County Department of Fire and Rescue Services (MJ Levy), Columbia, Md.

Objective: To determine high-school students' ability to learn hemorrhage control skills and knowledge via 3 educational modalities.

Background: Trauma is the leading cause of death for young Americans, and there are calls to teach children about hemorrhage control. However, little is known about adolescents' ability to perform hemorrhage control, and the ideal way(s) to teach them. Read More

Acad Pediatr 2020 May 22. Epub 2020 May 22.

Departments of Pediatrics and the Center for Healthcare Policy and Research, University of California Davis, Sacramento, California.

Acad Pediatr 2020 May 21. Epub 2020 May 21.

Department of Family and Community Medicine, 4860 Y St, Suite 1600. Sacramento, CA 95817 USA. Electronic address:

Background: School health systems are increasingly investing in telemedicine platforms to address acute and chronic illnesses. Asthma, the most common chronic illness in childhood, is of particular interest given its high burden on school absenteeism.

Objectives: Conduct a systematic review evaluating impact of school-based telemedicine programs on improving asthma-related outcomes. Read More

Acad Pediatr 2020 May 20. Epub 2020 May 20.

Division of Adolescent and Young Adult Medicine, University of Pittsburgh School of Medicine, 120 Lytton Avenue, Pittsburgh, PA 15213 USA.

Objectives: To develop a community-informed definition of child and youth thriving and identify community priorities for child/youth thriving.

Methods: Through concept mapping, a mixed-methods community-based participatory research method, this study examined community and health professionals' conceptualizations of child and youth thriving. We conducted brainstorming, sorting and rating, and interpretation sessions in three geographically distinct neighborhoods with concentrated disadvantage; simultaneously, researchers and health professionals participated in online sessions. Read More

Acad Pediatr 2020 May 21. Epub 2020 May 21.

Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health (JS Litt and H Tiemeier), Boston, Mass.

Background: Extremely low birth weight (ELBW; <1000 g) infants are at risk for both asthma and problems like inattention, hyperactivity, anxiety, and depression. Asthma predicts behavioral and emotional problems in term-born children. The nature of these associations is poorly understood. Read More

Acad Pediatr 2020 May 20. Epub 2020 May 20.

Penn State College of Medicine, Department of Pediatrics, 500 University Drive, Hershey, PA 17033, United States of America; Penn State College of Medicine, 700 HMC Crescent Road, Hershey, PA 17033 USA, United States of America. Electronic address:

Objective: Our study assessed the impact of adding medical scribes to an academic pediatric primary practice by measuring the relationship between work relative value units (wRVUs) and use of the medical scribe.

Methods: This is a retrospective comparative study on the effect of medical scribes on average wRVUs per patient encounter. wRVUs were abstracted from procedure codes in the billing system. Read More

Acad Pediatr 2020 May 8. Epub 2020 May 8.

Geisel School of Medicine at Dartmouth (AR Weinstein, SH Chapman, and AV Holmes), Hanover, NH; Children's Hospital at Dartmouth-Hitchcock (AR Weinstein, SH Chapman, AF LaMonica, and AV Holmes), Lebanon, NH. Electronic address:

Acad Pediatr 2020 07 8;20(5):628-635. Epub 2020 May 8.

Pediatrics, MassGeneral Hospital for Children, Harvard Medical School (JM Perrin), Boston, Mass.

Background: The American Academy of Pediatrics 2015 policy statement on telehealth proposed that telehealth could increase access to high-quality pediatric care and that pediatricians should work to reduce barriers to telehealth for their patients. However, little is known about pediatricians' experiences with and attitudes toward telehealth.

Methods: Data from a nationally representative survey of American Academy of Pediatrics postresidency US member pediatricians in 2016, restricted to respondents providing direct patient care (n = 744; response rate = 48. Read More

Acad Pediatr 2020 May 11. Epub 2020 May 11.

Department of Education, Boston Children's Hospital (A Leichtner and LR Newman), Boston, Mass.

Background: There are limited training opportunities for pediatricians in caring for children with medical complexity (CMC) in the home and community. Prior studies have described a lack of comfort caring for CMC among pediatric residents.

Objective: 1) To evaluate the impact of participation in a virtual home visit curriculum on pediatric residents' confidence, knowledge, and application of knowledge in complex care; 2) to explore changes in perspectives relating to the care of CMC after participation in the curriculum. Read More

Acad Pediatr 2020 May 11. Epub 2020 May 11.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati (PM Wilson and CJ Schubert), Cincinnati, Ohio.

Objective: Describe the demographics of pediatric and internal medicine/pediatric residents participating in global health (GH) experiences and examine relationships between GH involvement and self-perceived burnout, resilience, mindfulness, empathy, and spirituality.

Methods: The Pediatric Resident Burnout and Resilience Study Consortium developed a national longitudinal study through collaboration with the Association of Pediatric Program Directors' Longitudinal Educational Assessment Research Network. Electronic surveys were administered to pediatric trainees annually (2016-2018). Read More

Acad Pediatr 2020 May 12. Epub 2020 May 12.

Department of Psychiatry, University of Illinois at Chicago College of Medicine.

Objective: Research has repeatedly demonstrated that parent foreign nativity has a protective effect on child asthma outcomes among Mexican Americans, but the mechanisms underlying this relationship are not well understood. The current study explored parent depression as a mediator and social support as a moderator of the parent nativity-child asthma control pathway.

Methods: Data come from the baseline sample of a trial (NCT02481986) testing community interventions for 223 children aged 5 to 16 with uncontrolled asthma. Read More

Acad Pediatr 2020 May 7. Epub 2020 May 7.

Center for Bioethics and Social Sciences in Medicine, University of Michigan (S Kukora and BJ Zikmund-Fisher), Ann Arbor, Mich; University of Michigan School of Public Health (BJ Zikmund-Fisher), Ann Arbor, Mich.