Kate E. Wallis, Annie Kennelly, Sarah N. Wozniak, Sansanee Craig, Carina M. Flaherty, Jaclyn Cacia, Audrey Christiansen, Lucero Cordero, Priscilla Ortiz, Katherine S. Kellom, Kristen J Stefanski
{"title":"Disparities in Telehealth Uptake for Developmental-Behavioral Pediatric Assessments by Preferred Family Language: A Developmental Behavioral Pediatrics Research Network Study","authors":"Kate E. Wallis, Annie Kennelly, Sarah N. Wozniak, Sansanee Craig, Carina M. Flaherty, Jaclyn Cacia, Audrey Christiansen, Lucero Cordero, Priscilla Ortiz, Katherine S. Kellom, Kristen J Stefanski","doi":"10.1097/dbp.0000000000001290","DOIUrl":"https://doi.org/10.1097/dbp.0000000000001290","url":null,"abstract":"\u0000 \u0000 \u0000 Owing to the coronavirus disease 2019 (COVID-19) pandemic, many developmental-behavioral pediatric (DBP) practices adopted telehealth for care delivery. However, telehealth access and use for families with a preferred language other than English (PLOE) is an equity concern. Therefore, our study objective is to compare rates of telehealth utilization and visit completion by preferred family language among patients seen for DBP assessments during the COVID-19 pandemic.\u0000 \u0000 \u0000 \u0000 We completed a descriptive chart review using electronic health record data at 4 academic DBP practices to examine visits for patients up to 5 years seen for new-patient appointments between April 2020 and April 2021. We compared rates of in-person and telehealth visits by preferred family language and visit outcome (completed or missed).\u0000 \u0000 \u0000 \u0000 A total of 3241 visits were scheduled between April 2020 and April 2021; 48.2% were for in-person and 51.8% for telehealth. Families reported the following languages: 90.5% English, 6.2% Spanish, and 3.3% other language. Missed visits accounted for 7.6% of scheduled visits. The relative percentage of in-person versus telehealth visits varied significantly by site (p < 0.001) and preferred family language (p < 0.001). English-speaking patients had 2.10 times the odds of being scheduled for telehealth compared with patients with PLOE, adjusting for site. Statistically significant differences were not found for visit outcome (completed or missed) by visit type (in-person or telehealth) (p = 0.79), including after accounting for PLOE status (p = 0.83).\u0000 \u0000 \u0000 \u0000 At the height of the pandemic, most English-speaking families were scheduled for new DBP evaluations by telehealth, but fewer families with PLOE were. Attention to language to ensure telehealth access equity is critical.\u0000","PeriodicalId":351181,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141828648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oana deVinck-Baroody, Michele Ledesma, J. H. Sia, Carol C. Weitzman
{"title":"Journal Article Reviews","authors":"Oana deVinck-Baroody, Michele Ledesma, J. H. Sia, Carol C. Weitzman","doi":"10.1097/dbp.0000000000001254","DOIUrl":"https://doi.org/10.1097/dbp.0000000000001254","url":null,"abstract":"","PeriodicalId":351181,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"7 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140517362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewer Acknowledgment","authors":"","doi":"10.1097/dbp.0000000000001253","DOIUrl":"https://doi.org/10.1097/dbp.0000000000001253","url":null,"abstract":"","PeriodicalId":351181,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generative AI for Children's Digital Health: Clinician Advice","authors":"N. Kucirkova, Barry Zuckerman","doi":"10.1097/dbp.0000000000001234","DOIUrl":"https://doi.org/10.1097/dbp.0000000000001234","url":null,"abstract":"","PeriodicalId":351181,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"34 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie Camerota, Jessica Bagley, Elisabeth C McGowan, Brian S. Carter, Jennifer F Check, L. Dansereau, Sheri Dellagrotta, J. Helderman, J. Hofheimer, C. Loncar, Charles R. Neal, T. M. O'Shea, S. Pastyrnak, Lynne M. Smith, T. Everson, Barry M Lester
{"title":"Agreement Between Two Behavioral Rating Scales in Preschoolers Born Very Preterm","authors":"Marie Camerota, Jessica Bagley, Elisabeth C McGowan, Brian S. Carter, Jennifer F Check, L. Dansereau, Sheri Dellagrotta, J. Helderman, J. Hofheimer, C. Loncar, Charles R. Neal, T. M. O'Shea, S. Pastyrnak, Lynne M. Smith, T. Everson, Barry M Lester","doi":"10.1097/dbp.0000000000001238","DOIUrl":"https://doi.org/10.1097/dbp.0000000000001238","url":null,"abstract":"\u0000 \u0000 \u0000 Broadband parent rating scales are commonly used to assess behavioral problems in children. Multiple rating scales are available, yet agreement between them is not well-understood. The objective of this study was to evaluate agreement between the Behavior Assessment System for Children, Third Edition (BASC-3), and Child Behavior Checklist 1.5 to 5 years (CBCL) in a sample of children born very preterm.\u0000 \u0000 \u0000 \u0000 We assessed 73 children born < 30 weeks' gestational age whose caregivers completed the BASC-3 and CBCL at age 4. We examined correlations, within-person differences, and agreement in clinical categorization for all corresponding subscales and composites.\u0000 \u0000 \u0000 \u0000 Comparable subscales on the BASC-3 and CBCL were significantly correlated, albeit to differing magnitudes. Subscales indexing hyperactivity and attention problems were the most comparable across the 2 measures, evidenced by strong correlations and few to no differences in mean T-scores. Composite scores indexing internalizing, externalizing, and total problems were also strongly correlated, and there were no differences in the mean T-scores for externalizing or total problems across measures. Agreement in clinical classifications were weak to moderate, though again, the highest agreement was found for hyperactivity, attention, externalizing, and total problems.\u0000 \u0000 \u0000 \u0000 Agreement between BASC-3 and CBCL subscales was weak to moderate, with the exception of subscales related to attention and hyperactivity, as well as composite scores indicating overall behavior problems. Researchers and clinicians should consider these discrepancies when interpreting the results of behavior rating scales with preschool children because conclusions could differ based on the assessment that is used.\u0000","PeriodicalId":351181,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"29 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}