Journal of Developmental and Behavioral Pediatrics最新文献

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Health Equity Guidance for Authors at the Journal of Developmental & Behavioral Pediatrics. 《发展与行为儿科学杂志作者健康公平指南》。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2025-01-01 DOI: 10.1097/DBP.0000000000001355
Nia Heard-Garris, Lee M Pachter
{"title":"Health Equity Guidance for Authors at the Journal of Developmental & Behavioral Pediatrics.","authors":"Nia Heard-Garris, Lee M Pachter","doi":"10.1097/DBP.0000000000001355","DOIUrl":"10.1097/DBP.0000000000001355","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":"46 1","pages":"e1-e3"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Journal Article Reviews. 期刊文章评论。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2025-01-01 DOI: 10.1097/DBP.0000000000001354
Oana deVinck-Baroody, Michele Ledesma, Jan Harold D Sia, Carol C Weitzman
{"title":"Journal Article Reviews.","authors":"Oana deVinck-Baroody, Michele Ledesma, Jan Harold D Sia, Carol C Weitzman","doi":"10.1097/DBP.0000000000001354","DOIUrl":"10.1097/DBP.0000000000001354","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":"46 1","pages":"e90-e93"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Reviewer Acknowledgment. 评论家承认。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2025-01-01 DOI: 10.1097/DBP.0000000000001349
{"title":"Reviewer Acknowledgment.","authors":"","doi":"10.1097/DBP.0000000000001349","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001349","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":"46 1","pages":"e95-e96"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Prenatal Cannabis Use and Offspring Attention Deficit Hyperactivity Disorder and Disruptive Behavior Disorders: A Retrospective Cohort Study. 产前吸食大麻与后代注意缺陷多动障碍和破坏性行为障碍:一项回顾性队列研究。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1097/DBP.0000000000001323
Kelly C Young-Wolff, Kevin Kong, Stacey E Alexeeff, Lisa A Croen, Nina Oberman, Harshal Kirane, Deborah Ansley, Meghan Davignon, Sara R Adams, Lyndsay A Avalos
{"title":"Prenatal Cannabis Use and Offspring Attention Deficit Hyperactivity Disorder and Disruptive Behavior Disorders: A Retrospective Cohort Study.","authors":"Kelly C Young-Wolff, Kevin Kong, Stacey E Alexeeff, Lisa A Croen, Nina Oberman, Harshal Kirane, Deborah Ansley, Meghan Davignon, Sara R Adams, Lyndsay A Avalos","doi":"10.1097/DBP.0000000000001323","DOIUrl":"10.1097/DBP.0000000000001323","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether maternal cannabis use during early pregnancy is associated with offspring attention deficit hyperactivity disorder (ADHD) and disruptive behavior disorders (DBD).</p><p><strong>Methods: </strong>We conducted a population-based retrospective birth cohort study of children (N = 141,570) born between 2011 and 2018 to pregnant individuals (N = 117,130) in Kaiser Permanente Northern California universally screened for any prenatal cannabis use at the entrance to prenatal care (at ∼8-10 wk gestation). Prenatal cannabis use was defined as (1) self-reported use and/or a positive toxicology test, (2) self-reported use, (3) a positive toxicology test, and (4) self-reported use frequency. Cox proportional hazards regression models adjusting for maternal characteristics (sociodemographics, other substance use and substance use disorders, prenatal care initiation, comorbidities) examined associations between prenatal cannabis use and offspring ADHD and DBD diagnosed by age 11 years.</p><p><strong>Results: </strong>The sample of pregnant individuals was 27.2% Asian/Pacific Islander, 5.7% Black, 24.5% Hispanic, and 38.8% non-Hispanic White, with a mean (SD) age of 30.9 (5.2) years; 4.6% screened positive for any cannabis use (0.4% daily, 0.5% weekly, 1.1% monthly or less, 2.7% unknown frequency); 3.92% had a positive toxicology test and 1.8% self-reported use; 7.7% of offspring had ADHD and 6.8% had DBD. Maternal prenatal cannabis use was not associated with ADHD (adjusted hazard ratio [aHR]: 0.84, 95% CI, 0.70-1.01), and there was an inverse association with DBD (aHR: 0.83, 95% CI, 0.71-0.97), which remained when cannabis was defined by toxicology testing but not by self-report. Frequency of use was not associated with outcomes.</p><p><strong>Conclusion: </strong>Maternal prenatal cannabis use was not associated with an increased risk of offspring ADHD or DBD.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e25-e32"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of Young Children Associated with Diagnostic Utility of the Autism Diagnostic Observation Schedule: A DBPNet Study. 与自闭症诊断观察表诊断效用相关的幼儿特征:一项DBPNet研究。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-11-26 DOI: 10.1097/DBP.0000000000001332
Jill J Fussell, Ruth E K Stein, Sandra Friedman, Robin Hansen, Nancy Roizen, Georgios Sideridis, Douglas Vanderbilt, William Barbaresi
{"title":"Characteristics of Young Children Associated with Diagnostic Utility of the Autism Diagnostic Observation Schedule: A DBPNet Study.","authors":"Jill J Fussell, Ruth E K Stein, Sandra Friedman, Robin Hansen, Nancy Roizen, Georgios Sideridis, Douglas Vanderbilt, William Barbaresi","doi":"10.1097/DBP.0000000000001332","DOIUrl":"10.1097/DBP.0000000000001332","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to identify characteristics of children for whom a developmental-behavioral pediatrician's (DBP) diagnostic impressions of autism spectrum disorder (ASD) or non-ASD were changed by Autism Diagnostic Observation Schedule (ADOS) results.</p><p><strong>Method: </strong>A prospective study of children 1½ to <6 years consecutively referred to 8 sites for possible ASD. Cognitive/developmental, language, and adaptive testing varied, as each site followed its usual clinical approach. DBPs documented diagnosis as ASD or non-ASD and their degree of diagnostic certainty (1-10) pre- and post-ADOS. Cases where DBP diagnostic impression did not change after ADOS administration (\"Stable Group,\" n = 314) were compared with those for whom it did change (\"Changed Group,\" n = 35), followed by matched random sample comparisons.</p><p><strong>Results: </strong>There were no significant differences in child characteristics (age, gender, race, ethnicity, insurance, caregiver education) between the Stable and Changed groups. DBPs' diagnostic certainty was significantly lower, both pre- and post-ADOS, in the Changed versus Stable group. Change was associated with milder symptoms of ASD and less impaired language. In an age- and gender-matched comparison, significant differences remained for diagnostic certainty and severity of social communication impairments. Cognitive scores were significantly higher in the Changed Group. Because of significantly higher caregiver education and a trend toward more privately insured children among the Changed Group, samples (n = 35 each) were then matched on those characteristics, revealing the same differences for diagnostic certainty, severity of ASD symptoms, and language skills.</p><p><strong>Conclusion: </strong>Young children with milder ASD symptoms and less impaired language may benefit most from the administration of the ADOS.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e10-e16"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Associations Among Problematic Internet Usage in Adolescents, Parental Internet Factors, and Parent-Adolescent Communication. 青少年有问题地使用互联网、父母使用互联网的因素以及父母与青少年沟通之间的关联。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-11-08 DOI: 10.1097/DBP.0000000000001328
Libby Matile Milkovich, Kimberly A Randell, Ashley K Sherman, Megan A Moreno
{"title":"Associations Among Problematic Internet Usage in Adolescents, Parental Internet Factors, and Parent-Adolescent Communication.","authors":"Libby Matile Milkovich, Kimberly A Randell, Ashley K Sherman, Megan A Moreno","doi":"10.1097/DBP.0000000000001328","DOIUrl":"10.1097/DBP.0000000000001328","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with problematic internet use (PIU) have excessive, impulsive, or risky internet use that negatively affects social, physical, and functional outcomes. The role of parents in the prevention of adolescent PIU remains unclear. The purpose of this study was to evaluate possible association between adolescent PIU, parent PIU, and internet-related parenting factors.</p><p><strong>Methods: </strong>Adolescents aged 12 to 18 years and a parent were recruited through national Qualtrics panels for an online cross-sectional survey. Adolescents and parents completed the Problematic and Risky Internet Use Screening Scale-3 (PRIUSS-3) and Internet-Specific Parenting Practices (ISPP) scales for (1) internet content (ISPP-content) and (2) time on the internet (ISPP-time). Adolescents completed ISPP for quality of parent communication regarding internet use (ISPP-Quality). Bivariate analyses examined relationships between adolescent PIU, parent PIU, and ISPP.</p><p><strong>Results: </strong>In total, 4558 adolescents and 4568 parents completed surveys. Adolescent PIU prevalence was 69.9%. Parent PIU prevalence was 61.4%. Among parents with PIU, 87% had an adolescent with PIU compared with only 42% of parents without PIU (OR = 9.54, 95% CI: 8.24-11.05). More lenient content parenting practices and stricter time parenting practices were associated with increased likelihood of adolescent PIU. The quality of parent communication around the internet was lower for adolescents with PIU.</p><p><strong>Conclusion: </strong>Study findings suggest that coaching around positive parent-child relationships and healthy family internet use habits that include shared digital experiences may more effectively address PIU than enforcing child screen time limits.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Nonpharmaceutical Interventions and Neurodevelopmental Outcomes in School-Age Preterm Children and Adolescents: A Systematic Review. 学龄早产儿和青少年的非药物干预和神经发育结果:一项系统综述。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1097/DBP.0000000000001316
Russia Ha-Vinh Leuchter, Vanessa Siffredi
{"title":"Nonpharmaceutical Interventions and Neurodevelopmental Outcomes in School-Age Preterm Children and Adolescents: A Systematic Review.","authors":"Russia Ha-Vinh Leuchter, Vanessa Siffredi","doi":"10.1097/DBP.0000000000001316","DOIUrl":"10.1097/DBP.0000000000001316","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review nonpharmaceutical interventions aiming to enhance neurodevelopment in preterm children and adolescents (aged 4-18 years).</p><p><strong>Method: </strong>A systematic review of the literature was conducted for all studies published up to May 1, 2022, across Medline, Web of Science, and PsycINFO databases. Studies were evaluated for inclusion by 2 independent reviewers using predetermined inclusion criteria. The Risk of Bias In Non-randomized Studies of Interventions and the Cochrane risk-of-bias tool for randomized trials (RoB 2) tools were used to assess bias in the selected studies.</p><p><strong>Results: </strong>Of the 1778 articles identified, 23 were included. Quality assessment revealed moderate bias in 52.2%, low bias in 21.7%, and serious bias in 26.1%. The selected studies comprised 60.9% randomized controlled trials and 21.7% pre- versus postdesigns. Interventions included Cogmed Working Memory Training® (43.5%), BrainGame Brian (13%), physiotherapy (13%), and others (30.4%). Qualitative analysis showed the limited impact of interventions on neurodevelopmental outcomes in preterm children aged 4-18 years.</p><p><strong>Conclusion: </strong>Despite recent efforts to use more rigorous methodologies, current research on school-age interventions for preterm neurodevelopment exhibits methodological limitations. There is a pressing need for well-designed, large-scale clinical trials to evaluate the efficacy of nonpharmaceutical interventions in this vulnerable population.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":"45 6","pages":"e585-e595"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of Infant Sleep Characteristics with Childhood Cognitive Outcomes. 婴儿睡眠特征与儿童认知结果的关系。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/DBP.0000000000001311
Morgan A Finkel, Ngoc Duong, Amanda Hernandez, Jeff Goldsmith, Sheryl L Rifas-Shiman, Dani Dumitriu, Emily Oken, Ari Shechter, Jennifer A Woo Baidal
{"title":"Associations of Infant Sleep Characteristics with Childhood Cognitive Outcomes.","authors":"Morgan A Finkel, Ngoc Duong, Amanda Hernandez, Jeff Goldsmith, Sheryl L Rifas-Shiman, Dani Dumitriu, Emily Oken, Ari Shechter, Jennifer A Woo Baidal","doi":"10.1097/DBP.0000000000001311","DOIUrl":"10.1097/DBP.0000000000001311","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to quantify associations of infant 24-hour sleep duration and nighttime sleep consolidation with later child cognition.</p><p><strong>Methods: </strong>This study included children from Project Viva, a prospective cohort in Massachusetts with (1) sleep measures in infancy (median age 6.4 months) and (2) child cognition in early childhood (median age 3.2 years) or mid-childhood (median age 7.7 years). Main exposures were parental reports of infant 24-hour sleep duration and nighttime sleep consolidation (% of total daily sleep occurring at nighttime). Cognitive outcomes were (1) early childhood vocabulary and visual-motor abilities and (2) mid-childhood verbal and nonverbal intelligence quotient (IQ), memory, and visual-motor abilities. We examined associations of infant sleep with childhood cognition using linear regression models adjusted for child sex, age, and race or ethnicity; maternal age, education, and parity; and household income.</p><p><strong>Results: </strong>Early and mid-childhood analyses included 1102 and 969 children, respectively. Most mothers reported infant race or ethnicity as White (69%) and were college graduates (71%). The mean infant 24-hour sleep duration was 12.2 ± 2.0 hours, and the mean nighttime sleep consolidation was 76.8% ± 8.8%. Infant 24-hour sleep duration was not associated with any early or mid-childhood outcomes. Higher infant nighttime sleep consolidation was associated with higher mid-childhood verbal intelligence (β: 0.12 points per % nighttime sleep; 95% CI, 0.01-0.22), but not with any early childhood cognitive measures.</p><p><strong>Conclusion: </strong>In this cohort, higher infant nighttime sleep consolidation was associated with higher verbal IQ in mid-childhood. Future studies should investigate causal relationships of infant sleep consolidation with child cognition among diverse populations.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e560-e568"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenging Case: Family Navigation for Autism Spectrum Disorder. 挑战性案例:自闭症谱系障碍家庭导航。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-10-23 DOI: 10.1097/DBP.0000000000001322
Ingrid Y Lin, Aubyn C Stahmer, Emily Feinberg, Heidi M Feldman, Melisa Deras, Marilyn Augustyn
{"title":"Challenging Case: Family Navigation for Autism Spectrum Disorder.","authors":"Ingrid Y Lin, Aubyn C Stahmer, Emily Feinberg, Heidi M Feldman, Melisa Deras, Marilyn Augustyn","doi":"10.1097/DBP.0000000000001322","DOIUrl":"10.1097/DBP.0000000000001322","url":null,"abstract":"<p><strong>Case: </strong>Leo is a 28-month-old boy from a monolingual Spanish-speaking family who was referred to a developmental-behavioral pediatrics (DBP) clinic for concerns regarding autism. His parents migrated to the United States 8 years ago and currently live and work on a farm. He was born in a US hospital after an uncomplicated pregnancy and has been generally healthy. His parents first became concerned about his development when he was 16 months old. He stopped saying mama/dada in Spanish and started lining up random objects. He had frequent temper tantrums and was difficult to console during unexpected changes in his routine. He screened positive on the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) at his 18-month well-child visit, and his pediatrician referred him to the local early intervention program. Calls from the early intervention program to his parents were unanswered. At his 24-month well-child visit, he again screened positive on the M-CHAT-R/F, and his pediatrician placed a referral for a DBP consultation. During the DBP visit at 28 months of age, developmental testing indicated his receptive and expressive language skills to be in the extremely low range, with significant scatter in his cognitive and adaptive skills. Behavioral observations were consistent with parental history and showed differences in social communication and interaction, the presence of repetitive behaviors, and extreme distress with transitions. He was diagnosed with autism spectrum disorder. Recommendations, including referral to early intervention, applied behavior analysis therapy, speech and language therapy, audiology evaluation, and genetic testing, were discussed with his parents through an interpreter. An autism packet, written in Spanish, with detailed information about autism and community resources was given to the family. By the time of a follow-up DBP visit 6 months later, Leo had not started on any early intervention or therapeutic services. Where do you go from here?</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e596-e598"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Intensive Outpatient Programs for Pediatric Feeding Disorder: A Qualitative Study of Current Challenges and Future Directions. 小儿喂养障碍强化门诊项目:对当前挑战和未来方向的定性研究。
IF 1.8 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/DBP.0000000000001310
Navya Baranwal, Abby Hodges, Courtney E Breiner, Emily Malugen, Hayley H Estrem, William G Sharp, Nikhila Raol
{"title":"Intensive Outpatient Programs for Pediatric Feeding Disorder: A Qualitative Study of Current Challenges and Future Directions.","authors":"Navya Baranwal, Abby Hodges, Courtney E Breiner, Emily Malugen, Hayley H Estrem, William G Sharp, Nikhila Raol","doi":"10.1097/DBP.0000000000001310","DOIUrl":"10.1097/DBP.0000000000001310","url":null,"abstract":"<p><strong>Background: </strong>Although intensive multidisciplinary interventions (IMIs) provide benefits for patients with pediatric feeding disorders (PFD), access to these programs is limited and challenges faced by the programs remain unclear.</p><p><strong>Objective: </strong>To better understand the barriers faced by existing day programs that provide IMI, disparities in patient care, and areas for improvement to better inform policy and improve access to treatment for PFD.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with a leader of outpatient programs providing IMI in the United States. Data regarding leader's perspectives on disparities in patient care, barriers faced by the intensive multidisciplinary feeding day programs, and future goals and directions for their programming were collected. Afterward, a qualitative content analysis was conducted to consolidate and categorize information related to patient care, access, and barriers faced by day programs and patients with PFD.</p><p><strong>Results: </strong>Barriers and challenges were identified at the patient, program, and systems levels. Patient-level barriers included familial resources or socioeconomic status, geographic distance from the program site, and difficulty with the time commitment, whereas program-level barriers included limited site personnel and capacity and long wait times. System-level barriers primarily center on insurance, with inconsistent coverage of services and limited payer knowledge about PFD and IMI.</p><p><strong>Conclusion: </strong>IMIs are effective in managing PFD; however, a variety of patient-level, program-level, and systems-level factors serve as barriers for patient access to care and program success. Further research, improved reimbursement, and consensus statements on effective treatments can help improve access to and coverage for care, allowing for the development and sustainability of more programs.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e569-e577"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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