JMIR Pediatrics and Parenting最新文献

{"title":"An Electronic Health Record-based Intervention to Facilitate Primary Care Referrals to WIC: A Retrospective Cohort Study.","authors":"Kimberly Montez, Melissa C Kay, Alysha J Taxter, Kristina H Lewis","doi":"10.2196/87608","DOIUrl":"https://doi.org/10.2196/87608","url":null,"abstract":"<p><strong>Background: </strong>Despite benefits of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), many eligible children remain unenrolled.</p><p><strong>Objective: </strong>This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within eight clinics during <5-year-well visits.</p><p><strong>Methods: </strong>Structured EHR data from July 2020-October 2023 were extracted to summarize screening, referral acceptance, and WIC enrollment outcomes and patient demographics. Multivariable logistic regression examined patient-level predictors of WIC non-enrollment at first screening, referral acceptance, and enrollment among those accepting a referral, with stratified analyses by clinic type.</p><p><strong>Results: </strong>Among 5,385 children, mean age at initial screening was 10.7 months (SD 14.2), 52% newborn-aged, 37% Hispanic, and 88% Medicaid-insured. Among screened patients (n=3,606), 34% were not enrolled in WIC at first screening (n=1,235). Medicaid coverage, academic clinic setting, and non-Hispanic Black or Hispanic race and ethnicity were associated with lower odds of WIC non-enrollment. Among those not enrolled with a documented response to referral (n=819), 59% accepted (n=488); acceptance was higher among non-Hispanic Black and Hispanic patients, newborn-aged patients, those with Medicaid coverage, and those seen in academic clinics. Among referral acceptors with follow-up (n=438), 61% were enrolled at last screening (n=265), with higher odds among newborn-aged patients and those in academic clinics.</p><p><strong>Conclusions: </strong>An EHR-based automated intervention can facilitate screening and referral to WIC. WIC participation at first screening, referral acceptance, and enrollment after referral varied by sociodemographic characteristics, suggesting opportunities to improve equitable access through health system-based approaches.</p><p><strong>Clinicaltrial: </strong>Not applicable.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843957","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":"Assessing Caregiver Comfort With Linking the Health Care System and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).","authors":"K Alexander Soltany, Kristina H Lewis, Beatriz Ospino-Sanchez, Angelina Pack, Kimberly Montez","doi":"10.2196/89731","DOIUrl":"10.2196/89731","url":null,"abstract":"<p><strong>Unlabelled: </strong>This study assessed families' comfort levels with information-sharing between health care providers and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) using a survey-based approach.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e89731"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental Health in Pediatric Patients With Different Types of Mucopolysaccharidosis: Retrospective Cross-Sectional Study.","authors":"Mengxing Wang, Rong Liu, Tian Xia, Ying Wang","doi":"10.2196/87430","DOIUrl":"https://doi.org/10.2196/87430","url":null,"abstract":"<p><strong>Background: </strong>Patients with mucopolysaccharidosis (MPS) appear to have an increased risk of developing dental disease.</p><p><strong>Objective: </strong>This study aimed to evaluate the status of dental caries and dental anomalies among Chinese patients with different types of MPS.</p><p><strong>Methods: </strong>This retrospective study analyzed a consecutive cohort of 102 pediatric patients with MPS who visited the Department of Stomatology at the Capital Center for Children's Health between August 2010 and August 2025. Eligible patients were defined as those with a confirmed diagnosis of MPS who were aged ≤14 years at the time of their dental visit and had complete dental examination records available. Dental caries and anomalies were assessed through clinical records and radiographic data.</p><p><strong>Results: </strong>Dental caries were observed in 55.9% (57/102) of patients, and no statistically significant difference was observed across the MPS subtypes (P=.72). Deep dentinal caries (d4-6mft) were observed in 40.2% (41/102) of the participants and contributed most to the total decayed, missing, and filled teeth index score. The overall prevalence of dental anomalies was 32.4% (33/102), with a statistically significant difference among MPS subtypes (P=.005). Patients with MPS type IV had a significantly higher risk of dental anomalies compared to those with MPS type II (odds ratio 6.32, 95% CI 1.55-28.28; P=.01), after adjusting for age and gender.</p><p><strong>Conclusions: </strong>The prevalence of dental anomalies differed significantly across MPS subtypes, while that of dental caries did not. These findings emphasize the need for early, targeted preventive care and tailored dental interventions to improve oral health outcomes in this population.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e87430"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual, Augmented, Mixed, and Immersive Technologies for Prenatal and Childbirth Education: Scoping Review.","authors":"Susanna Pardini, Olga Navarro Martínez, Oscar Mayora Ibarra","doi":"10.2196/83621","DOIUrl":"https://doi.org/10.2196/83621","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Virtual, augmented, mixed, and other immersive technologies, collectively referred to as extended reality (XR), are increasingly used to enhance experiential learning in health education. By creating interactive 3-dimensional or 360° environments, these technologies allow expectant parents to engage in realistic prenatal and childbirth scenarios, promoting emotional preparedness, knowledge acquisition, and confidence. Although XR has been widely studied in clinical training, its application in prenatal and childbirth education for parents remains less systematically explored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This scoping review aims to map and synthesize the current evidence on the use of virtual, augmented, mixed, and immersive technologies in prenatal and childbirth education, highlighting their educational benefits, methodological approaches, and implementation challenges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive search was conducted across Scopus, Web of Science, PubMed, CINAHL, IEEE Xplore, APA PsycINFO, and APA PsycArticles from inception to October 16, 2025. Search terms included \"virtual reality,\" \"augmented reality,\" \"mixed reality,\" \"extended reality,\" and \"immersive technology,\" combined with prenatal and childbirth education descriptors. Studies were included if they applied immersive or XR technologies to deliver prenatal or childbirth education for expectant parents. Screening and data extraction were performed independently by 2 reviewers following PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The review was registered on Open Science Framework (OSF).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;From 1861 records, 11 studies from 8 countries were included, spanning randomized controlled, quasi-experimental, feasibility, and qualitative designs. Interventions comprised head-mounted display-based virtual reality, 360° video, and mixed reality simulations. Outcomes covered psychological, physiological, educational, and experiential domains. Most studies reported feasibility and high engagement, with encouraging signals for reduced anxiety and improved birth preparedness and, in some cases, reductions in pain and intrapartum indicators. No serious adverse events were reported; nausea and discomfort were infrequent and transient. Thematic analysis identified 5 recurring themes: enhanced birth preparedness, realism and presence as a key mechanism, usability barriers and the need for guided facilitation, motivational and educational potential, and limited partner inclusion. Methodological quality was heterogeneous, with small samples, nonstandardized measures, and short follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Evidence for XR in prenatal education is promising yet preliminary. Rigorous multicenter studies with standardized outcomes, longer follow-up, and greater partner involvement, alongside attention to equitable access and digit","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e83621"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting Parents of Young Children With Type 1 Diabetes Through Telehealth: Randomized Controlled Trial of the Reducing Emotional Distress for Childhood Hypoglycemia in Parents Intervention.","authors":"Susana R Patton, Nicole Kahhan, Holly O'Donnell, David D Williams, Mark Clements, Kimberly Driscoll","doi":"10.2196/86616","DOIUrl":"https://doi.org/10.2196/86616","url":null,"abstract":"<p><strong>Background: </strong>Parents of young children with type 1 diabetes (T1D) are vulnerable to experiencing fear of hypoglycemia (FH), an emotional condition that includes persistent and intense worry about hypoglycemia and/or use of unhealthful behaviors to avoid hypoglycemia. Despite greater uptake of continuous glucose monitors (CGMs) and automated insulin delivery systems, FH remains prevalent and under-addressed in parents of young children. As such, we developed Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP), a video-based telehealth intervention designed to reduce FH in parents by providing T1D education and teaching parents how to apply evidence-based strategies from cognitive behavioral therapy and behavioral parent training in their child's daily T1D care.</p><p><strong>Objective: </strong>This study aimed to compare the REDCHiP intervention to a novel attention control condition (ATTN) to better isolate treatment effects for REDCHiP based on parents' FH and diabetes distress.</p><p><strong>Methods: </strong>This was a multisite randomized controlled trial. We enrolled 197 families and randomized 183 to either REDCHiP or ATTN. Both REDCHiP and ATTN parents completed 10 video-based telehealth sessions. Our primary outcome was changes in parental FH; secondary outcomes included changes in parental diabetes distress and children's glycated hemoglobin A1c (HbA1c). We used a series of mixed-effects models and logistic regression to evaluate treatment effects.</p><p><strong>Results: </strong>Parents in REDCHiP and ATTN attended >95% of sessions with high treatment fidelity. FH and diabetes distress decreased significantly over time in both REDCHiP and ATTN. Treatment-slope effects slightly favored REDCHiP but were not statistically significant for FH (P=.09) or distress (P=.06). However, parents receiving REDCHiP were significantly less likely to report clinically elevated diabetes distress over time compared to ATTN (P=.02). Child HbA1c showed a small, nonsignificant reduction over time (P=.06). Parents with elevated depressive symptoms consistently reported higher FH and distress across all time points.</p><p><strong>Conclusions: </strong>REDCHiP demonstrated high feasibility, acceptability, and potential clinical relevance in reducing diabetes distress among parents of young children with T1D. While overall treatment effects were modest, use of an attention control condition represents a meaningful advancement in trial rigor for pediatric behavioral interventions. Future adaptations of REDCHiP may enhance its impact, particularly for parents experiencing comorbid depressive symptoms.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e86616"},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13131832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Different Virtual Reality Technologies for Social and Communication Skills in Children With Autism Spectrum Disorder: Systematic Review and Network Meta-Analysis of Current Evidence and Future Directions.","authors":"Lin Wang, Guangjun Xu, Dan Li, Xiuyan Gao, Jin Zhao, Yajun He, Shaolong Liu, Hong Guo, Xiumei Bu","doi":"10.2196/82814","DOIUrl":"https://doi.org/10.2196/82814","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) technology offers a new approach for the intervention of social communication skills in children with autism spectrum disorder (ASD), but the comparative effects of different forms of VR technology remain unclear.</p><p><strong>Objective: </strong>This study aims to conduct a systematic review and network meta-analysis (NMA) based on existing randomized controlled trials (RCTs) to initially explore and compare the effects of different VR technologies on improving the social and communication skills of children with ASD.</p><p><strong>Methods: </strong>We systematically searched relevant RCTs in both Chinese and English databases from January 1990 to February 2025. The quality of the literature was evaluated using the revised Cochrane risk of bias assessment tool (RoB-2), and an NMA was conducted under the frequentist framework using STATA 18.0 software. The quality of evidence was assessed using the Confidence in Network Meta-Analysis framework.</p><p><strong>Unlabelled: </strong>A total of 11 RCTs (718 children) were included, evaluating 8 VR technologies. The evidence network was extremely sparse, with most interventions connected by single studies. Pairwise meta-analysis revealed overwhelming heterogeneity (I²=91.9%, P<.001), indicating profound clinical and methodological diversity. Due to this heterogeneity and the sparse network, the NMA model failed to produce stable or clinically interpretable effect estimates. Formal assessment using the Confidence in Network Meta-Analysis framework rated the confidence in all comparisons as very low.</p><p><strong>Conclusions: </strong>The existing evidence is insufficient to support any comparative efficacy conclusions or rankings among VR technologies for ASD social skills. The key finding is the demonstration that current evidence is too heterogeneous and immature for valid quantitative synthesis. Future research must prioritize methodological standardization before head-to-head trials can be meaningfully conducted.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e82814"},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of digital storytelling and immersive technology interventions in reducing preoperative anxiety among children: a systematic review and meta-analysis.","authors":"Fatimah Alharbi, Ghaida Alsaedi, Taif Alahmadi, Sulafah Alalawi, Redwan Mulla, Renad Almohammadi, Maher Abulfaraj","doi":"10.2196/92880","DOIUrl":"https://doi.org/10.2196/92880","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Preoperative anxiety affects an estimated 50-70% of children undergoing surgery and is associated with poorer perioperative cooperation, increased postoperative distress, and delayed recovery. Digital storytelling and immersive technologies, including virtual reality (VR) and augmented reality (AR), have emerged as child-centered preparation tools to improve the preoperative experience. This systematic review and meta-analysis aimed to synthesize and critically appraise the available evidence on the effects of these interventions in reducing preoperative anxiety among pediatric patients undergoing elective surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Despite increasing research interest, the available evidence remains heterogeneous in intervention type, delivery mode, timing of exposure, surgical populations, and anxiety measurement tools. In addition, the overall certainty of evidence is influenced by variability in study quality and reporting. Therefore, this systematic review and meta-analysis aimed to synthesize and critically appraise the available evidence on the effects of digital storytelling and immersive technology-based interventions (including VR, AR, and app-based storytelling tools) in reducing preoperative anxiety among pediatric patients undergoing elective surgery, compared with standard care or conventional preparation methods.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library for studies published between January 2015 and June 2025. Randomized controlled trials and quasi-experimental studies evaluating digital storytelling (e.g., narrative-based apps/videos) or immersive technologies (e.g., VR/AR) were included. Preoperative anxiety was assessed using validated measures such as the Modified Yale Preoperative Anxiety Scale (mYPAS), State-Trait Anxiety Inventory (STAI), or Visual Analog Scale (VAS). Two reviewers independently screened studies and extracted data. Risk of bias was assessed using the Cochrane Risk of Bias tool version 2 (RoB 2). A random-effects meta-analysis was performed in R using standardized mean differences (SMDs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 379 records were identified, and 13 studies met the inclusion criteria. Most studies reported lower preoperative anxiety in intervention groups compared with standard care or conventional preparation. Five studies provided sufficient comparable data for meta-analysis, showing a significant pooled reduction in anxiety favoring digital interventions (SMD = -0.99; 95% CI: -1.44 to -0.54), with substantial heterogeneity (I² = 78.1%; Q = 19.74, df = 4, p = 0.0006). Overall risk of bias was high in most trials, primarily due to deviations from intended interventions and limitations in blinding.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This review suggests a trend toward reduced preoperative anxiety among pediatric patients receiving digital storytelling and immer","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783916","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":"Clinician Perspectives on Commonly Used Online Sexual and Reproductive Health Resources for Adolescents: Qualitative Analysis.","authors":"Cambray Smith, Sarah Rebbeor, Elizabeth Pleasants, Leah Frerichs, Bianca A Allison","doi":"10.2196/89643","DOIUrl":"https://doi.org/10.2196/89643","url":null,"abstract":"<p><strong>Unlabelled: </strong>In this interview study with 24 adolescent-serving clinicians, participants described current online sexual and reproductive health resources they share with adolescents and highlighted areas of improvement to better meet the developmental needs of this age group.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e89643"},"PeriodicalIF":2.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Innovative Approach to Enhanced Care Management for High-Need Pediatric Medicaid Members: Retrospective Cohort Study.","authors":"Jessie L Juusola, Shefali Kumar, Meghana S Iragavarapu, Luke Mueller, Neil Batlivala, Michael K Ong, Andrey Ostrovsky, Nathan Favini","doi":"10.2196/88204","DOIUrl":"https://doi.org/10.2196/88204","url":null,"abstract":"<p><strong>Background: </strong>The California Advancing and Innovating Medi-Cal (CalAIM) initiative supports Enhanced Care Management (ECM) for high-need pediatric populations but published evidence of the impact of ECM in pediatric populations is lacking.</p><p><strong>Objective: </strong>We evaluated a novel multidisciplinary care model (Pair Team) for delivering ECM services, focusing on implementation and early outcomes for children and adolescents enrolled in California's Medicaid program (Medi-Cal).</p><p><strong>Methods: </strong>We conducted a retrospective, observational cohort study of Medi-Cal-enrolled children and adolescents who enrolled in Pair Team's program between July 2022 and November 2024. Program engagement, health care engagement, and depressive symptoms were assessed using program data, electronic health records, and prescription data.</p><p><strong>Results: </strong>The main cohort included 1294 enrollees with 12 months of follow-up data (mean age 8.9 years, 50.3% (651/1294) female, 81.8% (1058/1294) experiencing homelessness). Members averaged 2.8 interactions per month with care team members over the first 3 months and 57.1% (851/1491) were still enrolled at 12 months. In the year prior to enrollment compared to the year postenrollment, the prevalence of an asthma diagnosis increased from 7.8% to 10.0% (P=.005), outpatient visits increased 7% (rate ratio, RR=1.07, P<.001), emergency department visits decreased 9% (RR=0.91, P=.002), and antibiotic prescriptions increased 41% (RR=1.41, P=.001). For those with depressive symptoms at enrollment, mean PHQ-9 score decreased from 15.4 (SD 4.7) to 10.2 (SD 6.8) after 3 months (P<.001).</p><p><strong>Conclusions: </strong>An innovative ECM program successfully engaged with and retained high-need pediatric Medicaid patients. Program members had higher engagement with other health care in the year following enrollment, and depressive symptoms improved. These results highlight the potential for this model to improve outcomes for the highest-need pediatric Medicaid patients.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e88204"},"PeriodicalIF":2.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Caregiver Comfort with Linking the Healthcare System and WIC.","authors":"K Alexander Soltany, Kristina H Lewis, Beatriz Ospino-Sanchez, Angelina Pack, Kimberly Montez","doi":"10.2196/89731","DOIUrl":"https://doi.org/10.2196/89731","url":null,"abstract":"<p><strong>Unstructured: </strong>Article Summary: This study assessed families' comfort levels with information-sharing between healthcare providers and WIC using a survey-based approach.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783888","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}