Journal of Pediatric Health Care最新文献_第4页

Approaches to Treating Children With ADHD and Common Comorbidities. 治疗儿童多动症和常见合并症的方法。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-10 DOI: 10.1016/j.pedhc.2024.08.001

Molly A Lalonde, Rachel Briese, Ann Paris, Brittany J Kozy

引用次数: 0

Implementation of a Pilot Study in Adolescent Health Care Transition Program for Chronic Granulomatous Disease: A Single Institution Experience. 慢性肉芽肿性疾病青少年卫生保健过渡项目试点研究的实施：单一机构经验。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-09 DOI: 10.1016/j.pedhc.2024.11.006

Patricia Driscoll, Beatriz E Marciano, Alison Han, Steven M Holland, Maryland Pao, Christa S Zerbe

{"title":"Implementation of a Pilot Study in Adolescent Health Care Transition Program for Chronic Granulomatous Disease: A Single Institution Experience.","authors":"Patricia Driscoll, Beatriz E Marciano, Alison Han, Steven M Holland, Maryland Pao, Christa S Zerbe","doi":"10.1016/j.pedhc.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.006","url":null,"abstract":"Background: The transition to adult health care is challenging for adolescents and young adults (AYA) with Chronic Granulomatous Disease (CGD). This pilot study aimed to facilitate the learning of AYA with CGD about their health care and to aid in the development of life skills to enhance self-care.Methods: AYA and caregivers (for participants <18 years of age) completed an adapted Transition Readiness Assessment. Educational sessions were held both in person and via telehealth and included virtual meetings with subject matter experts or a designated program mentor. Twenty-five participants were invited, 13 entered the pilot and 8 completed the transition readiness assessment.Results: The pilot study was well-received by CGD participants and caregivers. In the future, a larger cohort may provide more data to comment on efficacy and outcome in the AYA population.Conclusion: Expansion of an educational transition program for AYA with primary immunodeficiencies (PIDs) might be useful.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814797","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

Preventing Suicide Through Lethal Means Restriction in Pediatric Care. 在儿科护理中通过限制致命手段预防自杀。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-09 DOI: 10.1016/j.pedhc.2024.09.004

Shawna M Sisler, Sara Hart, Jennifer Hamilton, Naomi A Schapiro

{"title":"Preventing Suicide Through Lethal Means Restriction in Pediatric Care.","authors":"Shawna M Sisler, Sara Hart, Jennifer Hamilton, Naomi A Schapiro","doi":"10.1016/j.pedhc.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.09.004","url":null,"abstract":"Suicidal ideation in the pediatric population has increased by 50% over the last decade. Suicide is the primary contributor to violent deaths and ranks as the second leading cause of mortality within the 10-24-year-old age group. The lethality of the methods selected notably elevates the likelihood of children and adolescents dying by suicide. Awareness of the commonly chosen means of suicide at each developmental stage and understanding their respective lethality are vital in developing prevention strategies. Lethal means safety counseling is a specific evidence-based suicide prevention strategy that pediatric providers can use during patient encounters to help mitigate the risk of self-inflicted injuries and suicide. Providers are well-positioned to integrate discussions of lethal means restriction with patients and their families into their protocols for suicide prevention, screening, and assessment. This article explores the data and practice evidence for lethal means restriction and counseling, focusing on clinical strategies and policy changes to reduce access to lethal means. Emphasis is given to how pediatric providers speak with parents about the importance of restricting access when developing a safety plan.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967397","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

Integrated Mental Health Care in Specialty Clinics for Children with a Diagnosis of Asthma or Diabetes: A Mixed Methods Study. 诊断为哮喘或糖尿病儿童的专科诊所的综合心理保健：一项混合方法研究

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-06 DOI: 10.1016/j.pedhc.2024.10.017

Joan P Totka, Maria Peña, Joshua A Steinberg, Peter M Wolfgram

{"title":"Integrated Mental Health Care in Specialty Clinics for Children with a Diagnosis of Asthma or Diabetes: A Mixed Methods Study.","authors":"Joan P Totka, Maria Peña, Joshua A Steinberg, Peter M Wolfgram","doi":"10.1016/j.pedhc.2024.10.017","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.10.017","url":null,"abstract":"Introduction: Using patient-reported outcome measures (PROM) in a shared-space mental health-integrated specialty clinic, we explored the feasibility, acceptance, and experience of youth with asthma and diabetes, their families, and the healthcare team.Method: Using mixed methods, we examined feasibility, acceptability, and experience of PROM inclusion in caring for youth with asthma (n = 7) and diabetes (n = 11), their families (n = 18), and healthcare providers (n = 13). Completion and receipt of PROM (feasibility), postvisit surveys (acceptance), and structured interviews (experience) between June 2019 and February 2020.Results: Targeted PROM met feasibility goals (80%) and exceeded youth and family acceptance (70%). Time and low confidence using PROM affected healthcare team acceptance (64%). Families' experiences included increased learning, trust, and partnership with the clinic team. Providers appreciated partnerships, resources, and mental health support for families.Discussion: Integrating PROM into clinical services promoted engagement, partnership, and individualized, strength-based care among youth, their parent/guardian (family), and their healthcare team.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803240","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

Factors Influencing Suicidal Ideation in Female Adolescents With Smartphone Overdependence. 影响智能手机过度依赖女性青少年自杀意念的因素。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-05 DOI: 10.1016/j.pedhc.2024.11.004

Hyeongyeong Yoon

引用次数: 0

Misdiagnosed Scrotal Arteriovenous Malformation and the Role of Clinical Assessment: A Case Report. 阴囊动静脉畸形的误诊与临床评估的作用：病例报告。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-11-27 DOI: 10.1016/j.pedhc.2024.11.002

Meryem Hamam, Atilla Adnan Eyuboglu, Mustafa Tonguc Isken

引用次数: 0

Disconnect to Reconnect: Practical Approaches to Managing Social Media's Impact on Pediatric Mental Health. 从断开连接到重新连接：管理社交媒体对儿科心理健康影响的实用方法》。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-11-23 DOI: 10.1016/j.pedhc.2024.10.005

David Thibault

引用次数: 0

Pharmaceutical Supply Chains: A Structural Determinant of Health for Children With ADHD. 药品供应链：多动症儿童健康的结构性决定因素。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-11-23 DOI: 10.1016/j.pedhc.2024.11.001

Victoria F Keeton

引用次数: 0

Estimating the Prevalence of Child Abuse and Neglect Among Adolescents in Primary Care Through Diagnoses Codes and Free-Text EHR Clinical Notes. 通过诊断代码和自由文本电子病历临床笔记估算初级保健中青少年虐待和忽视儿童的普遍程度。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-11-22 DOI: 10.1016/j.pedhc.2024.10.016

Rachel Y Lee, Aviv Y Landau, Paul M Heider, Rochelle F Hanson, Hannah C Espeleta, Kenrick D Cato, Maxim Topaz

{"title":"Estimating the Prevalence of Child Abuse and Neglect Among Adolescents in Primary Care Through Diagnoses Codes and Free-Text EHR Clinical Notes.","authors":"Rachel Y Lee, Aviv Y Landau, Paul M Heider, Rochelle F Hanson, Hannah C Espeleta, Kenrick D Cato, Maxim Topaz","doi":"10.1016/j.pedhc.2024.10.016","DOIUrl":"10.1016/j.pedhc.2024.10.016","url":null,"abstract":"Introduction: Adolescents' child abuse and neglect experiences are often under-documented in primary care, leading to missed opportunities for interventions. This study compares the prevalence of child abuse and neglect cases identified by diagnostic codes versus a natural language processing approach of clinical notes.Method: We retrospectively analyzed data from 8,157 adolescents, using ICD-10 codes and a natural language processing algorithm to identify child abuse and neglect cases and applied topic modeling on clinical notes to extract prevalent topics.Results: The natural language processing approach identified more cases of child abuse and neglect cases (n = 294) compared to ICD-10 codes (n = 111). Additionally, topic modeling of clinical notes showed the multifaceted nature of child abuse and neglect as captured in clinical narratives.Discussion: Integrating natural language processing with ICD codes has the potential to enhance the identification and documentation of child abuse and neglect, which could lead to earlier and more targeted interventions and coordinated care.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711546","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

Examining Interventions for Pediatric Adverse Childhood Experiences in an Integrated Primary Care Setting. 在综合初级医疗机构中研究针对儿童不良童年经历的干预措施。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-11-22 DOI: 10.1016/j.pedhc.2024.10.015

Javier I Rosado, Sean Gabany, Matthew Fortino, Alicia Fernandez-Garcia

{"title":"Examining Interventions for Pediatric Adverse Childhood Experiences in an Integrated Primary Care Setting.","authors":"Javier I Rosado, Sean Gabany, Matthew Fortino, Alicia Fernandez-Garcia","doi":"10.1016/j.pedhc.2024.10.015","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.10.015","url":null,"abstract":"Introduction: Adverse Childhood Experiences (ACEs) increase the risk of chronic diseases in adulthood and contribute to neurobehavioral challenges during childhood and adolescence.Method: This retrospective study reviewed the medical records of 102 pediatric patients to describe interventions for children screening positive for ACEs in a pediatric primary care setting with integrated behavioral health services. It further assessed whether these interventions led to improvements in psychosocial functioning and mood.Results: Immediate responses to positive ACE screenings included psychoeducation, crisis interventions, mental health referrals, and case management. Follow-up interventions involved skills training, cognitive-behavioral therapy, behavior management, motivation-based interventions, and symptom surveillance. Significant decreases in psychosocial problems and adolescent depression were observed.Discussion: Integrated behavioral health interventions in pediatric primary care improved psychosocial functioning and mood in children with positive ACE screenings. These findings offer valuable insights for nurse practitioners implementing effective ACE screening and intervention programs in primary care.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711553","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