Achieving RoutIne Screening for Emotional health (ARISE) in pediatric subspecialty clinics.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-10-23 DOI:10.1093/jpepsy/jsae081

Misk Al Zahidy, Victor Montori, Michael R Gionfriddo, Hannah Mulholland, Britt Particelli, Janelle Olson, Allegra Campagna, Maria B Mateo Chavez, Victor M Montori, Sarah R McCarthy

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引用次数: 0

Abstract

Objective: This study aims to describe the experience of implementing a psychosocial distress screening system for children with serious or chronic medical conditions.

Methods: Achieving RoutIne Screening for Emotional health (ARISE) was developed to systematically evaluate psychosocial distress in children with serious medical or chronic medical illnesses, by integrating patient-reported outcome measures (PROM) into care delivery. ARISE was developed using a user-centered approach with extensive input from patients, families, and healthcare professionals to overcome barriers to routine PROM collection and integration into care as usual. It comprises a system to capture PROMs and then relay results to clinicians for changing care. We sought to implement ARISE at four subspecialty pediatric clinics caring for patients with cystic fibrosis, sickle cell disease, hemophilia, and neurological malignancy.

Results: Problems with acceptability, appropriateness, and feasibility represented barriers to implementation which were overcome by modifying the intervention using stakeholder input during the planning phase, leading to broad program acceptance. ARISE was implemented in three of the four clinics, in which 79.8% of eligible children and their family completed PROMs.

Conclusion: The ARISE program demonstrated the feasibility and effectiveness of integrating psychosocial screenings into subspecialty pediatric clinics, thereby enhancing the identification and management of psychosocial issues in children with serious and chronic medical illnesses.

查看原文本刊更多论文

在儿科亚专科诊所实现情绪健康常规筛查 (ARISE)。

研究目的本研究旨在描述为重症或慢性病患儿实施心理社会困扰筛查系统的经验：Achieving RoutIne Screening for Emotional Health（ARISE）的开发目的是通过将患者报告的结果测量（PROM）与医疗服务相结合，系统地评估重症或慢性病患儿的心理社会问题。ARISE 采用以用户为中心的方法进行开发，并广泛听取了患者、家属和医护人员的意见，以克服常规 PROM 收集和整合到常规护理中的障碍。它包括一个采集 PROMs 的系统，然后将结果转达给临床医生，以改变护理方式。我们试图在四家儿科亚专科诊所实施 ARISE，这些诊所分别为囊性纤维化、镰状细胞病、血友病和神经系统恶性肿瘤患者提供护理服务：结果：可接受性、适宜性和可行性方面的问题成为实施的障碍，但在计划阶段利用利益相关者的意见对干预措施进行了修改，从而克服了这些障碍，使项目得到广泛接受。ARISE在四家诊所中的三家实施，其中79.8%符合条件的儿童及其家人完成了PROMs：ARISE项目证明了将社会心理筛查纳入儿科亚专科门诊的可行性和有效性，从而加强了对重症和慢性病患儿社会心理问题的识别和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.