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Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.10.013
Alison E. Parker PhD , Tracy M. Scull PhD, Jada Green MPH, Kathryn N. Stump PhD
{"title":"Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News","authors":"Alison E. Parker PhD ,&nbsp;Tracy M. Scull PhD,&nbsp;Jada Green MPH,&nbsp;Kathryn N. Stump PhD","doi":"10.1016/j.pedhc.2024.10.013","DOIUrl":"10.1016/j.pedhc.2024.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric clinical trials are important for advancing treatments for youth; however, recruitment remains a challenge. This study examines the effectiveness of DigiKnowIt News, a website designed to educate adolescents about clinical trials.</div></div><div><h3>Method</h3><div>Parent-adolescent pairs were randomly assigned to intervention (N = 83) or wait-list control (N = 96) groups. Pairs completed online pretest and posttest questionnaires related to knowledge and attitudes about research.</div></div><div><h3>Results</h3><div>Adolescents and parents in the intervention group, compared to the wait-list control, significantly increased in their familiarity with and positive attitudes toward clinical trials. Adolescents improved in their confidence for participating in clinical trials. Promising findings emerged with marginal increases in positive beliefs about clinical trials and likelihood of allowing an adolescent to participate. Participants reported high levels of satisfaction with DigiKnowIt News<em>.</em></div></div><div><h3>Discussion</h3><div>Providing adolescents and parents with information in fun, interactive, and engaging ways can inform their decision-making about clinical trials.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 335-345"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Redefining Social Norms With Firearm Safety in Children: A Framework to Influence Change 重新定义儿童枪支安全的社会规范：影响变革的框架。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.10.009
Elizabeth G. Choma DNP, MSN, CPNP-PC
{"title":"Redefining Social Norms With Firearm Safety in Children: A Framework to Influence Change","authors":"Elizabeth G. Choma DNP, MSN, CPNP-PC","doi":"10.1016/j.pedhc.2024.10.009","DOIUrl":"10.1016/j.pedhc.2024.10.009","url":null,"abstract":"<div><div>Pediatric firearm violence is the number one cause of death in all children and a threat that must be addressed. Applying a harm reduction framework to this growing crisis recognizes that firearms exist and incorporates evidence-based practice actionable strategies for pediatric-focused Advanced Practice Registered Nurses (APRNs) to follow to address this public health crisis. This harm reduction framework encompasses several strategies, including an understanding of the physical and mental health care impact that pediatric firearm violence has on survivors, as well as recognizing the inherent health inequities associated with it. This framework also includes strategies to implement firearm safety education at the community level, discusses key laws and policies that pediatric-focused APRNs can advocate for to effect change, and raises awareness of accessible resources and funding for pediatric-focused APRNs to utilize.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 515-518"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Adolescent Mental Health Treatment: A Study of the Warm Handoff 优化青少年心理健康治疗：温暖交接的研究
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.010
Mia Roberts PhD, CPNP, Rachel Johnson-Koenke PhD, MSW, LCSW, Scott Harpin PhD, MPH, RN, APHN-BC, FNAP, Amy J. Barton PhD, RN, FAAN, ANEF
{"title":"Optimizing Adolescent Mental Health Treatment: A Study of the Warm Handoff","authors":"Mia Roberts PhD, CPNP,&nbsp;Rachel Johnson-Koenke PhD, MSW, LCSW,&nbsp;Scott Harpin PhD, MPH, RN, APHN-BC, FNAP,&nbsp;Amy J. Barton PhD, RN, FAAN, ANEF","doi":"10.1016/j.pedhc.2024.11.010","DOIUrl":"10.1016/j.pedhc.2024.11.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.</div></div><div><h3>Methods</h3><div>A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.</div></div><div><h3>Results</h3><div>A relationship was found between referral type and frequency of attendance (<em>X<sup>2</sup> = 6.06, df =</em> 2, <em>N</em> = 145, <em>p =</em> .049)<em>.</em> Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (<em>OR</em> = 0.340, 95% CI [0.132, 0.880], <em>p</em> = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents’ needs.</div></div><div><h3>Discussion</h3><div>Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 396-407"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis and Management of Pediatric Allergic Rhinoconjunctivitis in the US 美国儿童变应性鼻结膜炎的诊断和治疗
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.07.012
Karen Rance DNP, CPNP, Nancy Banasiak DNP, PNP, APRN , Amanda Filippelli MPH, MSN, APRN, PPCNP-BC, AE-C , Sarah Heinonen DNP, APRN, CPNP-AC/PC
{"title":"Diagnosis and Management of Pediatric Allergic Rhinoconjunctivitis in the US","authors":"Karen Rance DNP, CPNP,&nbsp;Nancy Banasiak DNP, PNP, APRN ,&nbsp;Amanda Filippelli MPH, MSN, APRN, PPCNP-BC, AE-C ,&nbsp;Sarah Heinonen DNP, APRN, CPNP-AC/PC","doi":"10.1016/j.pedhc.2024.07.012","DOIUrl":"10.1016/j.pedhc.2024.07.012","url":null,"abstract":"<div><div>Allergic rhinoconjunctivitis (AR/C) is a common pediatric condition. The physical, emotional, and social burden of AR/C in children highlights the need for accurate diagnosis with optimal treatment. This review provides practical information on the diagnosis and management of pediatric AR/C. Key features of the patient history and physical exam needed to diagnose seasonal and perennial AR/C are covered. Various AR/C treatment options are reviewed such as allergen avoidance, pharmacotherapies, and allergy immunotherapy (both subcutaneous injections and sublingual tablets) as well as their mode of action, side effects, and their role in guideline-recommended therapy. Practical information such as pollen calendars, management algorithms, and treatment product characteristics have also been included in this review.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 489-502"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractory Kawasaki Disease With a Giant Aneurysm Successfully Treated With Infliximab and Enoxaparin: A Case Report 用英夫利昔单抗和依诺肝素成功治疗伴有巨大动脉瘤的难治性川崎病：病例报告。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.09.001
Zhe-Jia Liu, Wan-Fu Hsu MD
{"title":"Refractory Kawasaki Disease With a Giant Aneurysm Successfully Treated With Infliximab and Enoxaparin: A Case Report","authors":"Zhe-Jia Liu,&nbsp;Wan-Fu Hsu MD","doi":"10.1016/j.pedhc.2024.09.001","DOIUrl":"10.1016/j.pedhc.2024.09.001","url":null,"abstract":"<div><div>Kawasaki disease (KD) is the most common vasculitis in children, and can result in the development of coronary artery aneurysms (CAAs) if not properly managed. While intravenous immunoglobulin (IVIG) and aspirin are standard first-line treatments, refractory KD may develop, increasing the risk of coronary complications. Herein, we report the case of a young girl with KD who initially responded to IVIG, but later developed a giant CAA, despite additional treatments. Infliximab stabilized her condition, and one year later, the CAA remained stable without thrombus formation. This case demonstrates that clinical appearance, particularly fever, may not fully reflect the patient's condition, as fever can subside immediately after treatment, but may relapse days later, underscoring the need for vigilant monitoring.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 459-465"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing the 2017 NIAID Peanut Guidelines into a Pediatric Primary Care Provider Setting: A real-world experience 在儿科初级保健提供者环境中实施2017年NIAID花生指南：真实世界的经验。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.12.002
Sydney Borg DNP, APRN, PNP-BC, Ashley Marass DNP, CPNP, SANE, Ejaz Yousef MD
{"title":"Implementing the 2017 NIAID Peanut Guidelines into a Pediatric Primary Care Provider Setting: A real-world experience","authors":"Sydney Borg DNP, APRN, PNP-BC,&nbsp;Ashley Marass DNP, CPNP, SANE,&nbsp;Ejaz Yousef MD","doi":"10.1016/j.pedhc.2024.12.002","DOIUrl":"10.1016/j.pedhc.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Primary care physicians (PCPs) and nurse practitioners play a key role in guiding caregivers on early peanut protein (PP) introduction, yet many lack adequate knowledge.</div></div><div><h3>Aim Statement</h3><div>This quality improvement study aimed to enhance understanding among PCPs and caregivers about evidence-based guidelines for early PP introduction in infants' diets.</div></div><div><h3>Methods</h3><div>Using the Stetler Model, PCP knowledge was evaluated through pre-test, educational video and some posttest material. Caregivers completed the Patient Education Materials Assessment Tool (PEMAT) survey after reviewing an educational handout</div></div><div><h3>Results</h3><div>The <em>N =</em> 22 PCPs pre-education test score had an average of 61.11% and noted <em>N = 21</em> PCPs posteducation test score average to increase to 84.09%. The <em>N =</em> 68 caregivers completed the PEMAT survey, with results indicating enhanced caregiver knowledge. Infant participation in PP introduction was tracked, alongside ingestion frequency.</div></div><div><h3>Conclusions</h3><div>Findings in this study underscore the value of education in fostering proactive counseling and informed practices in clinical settings.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 436-443"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging Educational Procedural Gap Via Analysis of Procedures Performed by Pediatric Nurse Practitioners in Clinical Practice: A Cross Sectional Survey
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.12.003
Kristen M. Brown DNP, CPNP-AC, CHSE-A, FSSH, FAAN, Stephanie Key DNP, CPNP-PC, PMHS, Deborah W. Busch DNP, CPNP-PC, IBCLC, CNE, FAANP, FAAN, Margaret Quinn DNP, CPNP-PC, CNE, Elizabeth Hawkins-Walsh PhD, CPNP-PC, PMHS, FAANP, Shawna S. Mudd DNP, CPNP-AC, PPCNP-BC, CNE
{"title":"Bridging Educational Procedural Gap Via Analysis of Procedures Performed by Pediatric Nurse Practitioners in Clinical Practice: A Cross Sectional Survey","authors":"Kristen M. Brown DNP, CPNP-AC, CHSE-A, FSSH, FAAN,&nbsp;Stephanie Key DNP, CPNP-PC, PMHS,&nbsp;Deborah W. Busch DNP, CPNP-PC, IBCLC, CNE, FAANP, FAAN,&nbsp;Margaret Quinn DNP, CPNP-PC, CNE,&nbsp;Elizabeth Hawkins-Walsh PhD, CPNP-PC, PMHS, FAANP,&nbsp;Shawna S. Mudd DNP, CPNP-AC, PPCNP-BC, CNE","doi":"10.1016/j.pedhc.2024.12.003","DOIUrl":"10.1016/j.pedhc.2024.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The complexity of healthcare is dynamic and requires educators to evaluate how to prepare pediatric nurse practitioners (PNPs). The research team sought to evaluate procedures currently being performed by primary and acute care PNPs in clinical practice and determine how this aligns with the educational preparation recommended for certification.</div></div><div><h3>Method</h3><div>A cross-sectional survey of primary and acute care PNPs were evaluated through an online survey.</div></div><div><h3>Results</h3><div>There were 2,265 surveys completed (Primary Care PNPs [n = 1925, 85%] and the Acute Care PNPs [n = 229, 10%]). Several positive associations were discovered among the procedures being performed by both AC and PC PNPs. This indicates that both AC and PC PNPs commonly performed these three same procedures.</div></div><div><h3>Discussion</h3><div>There were correlations with the recommended procedures for the Pediatric Nursing Certification Board (PNCB) pediatric certification examinations and the National Organization of Nurse Practitioner Faculties entry-level competencies. However, there were noted differences in the recommended procedures.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 417-423"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Tribute Dr. Loretta Ford for her Extraordinary Legacy and Worldwide Impact
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2025.02.001
Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN
{"title":"A Tribute Dr. Loretta Ford for her Extraordinary Legacy and Worldwide Impact","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2025.02.001","DOIUrl":"10.1016/j.pedhc.2025.02.001","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 327-328"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Policy Changes to Ameliorate the Youth Mental Health Crisis 改变卫生政策，缓解青少年心理健康危机。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.12.005
Jennifer Uzzell DNP, APRN, CPNP-PC, PMHS, EBP-C
{"title":"Health Policy Changes to Ameliorate the Youth Mental Health Crisis","authors":"Jennifer Uzzell DNP, APRN, CPNP-PC, PMHS, EBP-C","doi":"10.1016/j.pedhc.2024.12.005","DOIUrl":"10.1016/j.pedhc.2024.12.005","url":null,"abstract":"<div><div>Approximately 20% of American youth suffer from a mental health concern, and 80% have never received any services. In 2018, suicide became the second leading cause of death in children ages 10–14 years. Preventative care is freely provided by most medical insurance plans and recommended by state and professional organizations, but barriers prevent care access and early intervention, resulting in long-term consequences. To promote early identification and intervention, evaluation with validated mental health screening tools should be completed according to clinical guidelines at each wellness visit or visit for a mental health concern. Payers must sufficiently reimburse NPs, PCPs, and healthcare systems for screening tools used during all wellness visits, focused mental health visits, and follow-up care. Health policy change and legislative and NP support are essential to provide vital services for youth mental healthcare.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 474-478"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling the Potential Risk Factors for Children With Obstructive Sleep Apnea 揭示儿童阻塞性睡眠呼吸暂停的潜在危险因素。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.013
Wenyan Pu MD, Zhiyan Jiang PhD
{"title":"Unveiling the Potential Risk Factors for Children With Obstructive Sleep Apnea","authors":"Wenyan Pu MD,&nbsp;Zhiyan Jiang PhD","doi":"10.1016/j.pedhc.2024.11.013","DOIUrl":"10.1016/j.pedhc.2024.11.013","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Page 334"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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