Academic Pediatrics最新文献

Developing a Novel Weight Stigma Curriculum for Pediatric Residents Using Transformative Learning Theory. 运用转化学习理论为儿科住院医师开发新的体重污名课程。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-29 DOI: 10.1016/j.acap.2025.103146

Cambria L Garell, Jordan A Levinson, A Janet Tomiyama

引用次数: 0

COVID-19 and High School Attendance: Modeling Latent Trajectories and the Influence of School Policies and Practices. 2019冠状病毒病与高中出勤率：建模潜在轨迹以及学校政策和实践的影响。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-24 DOI: 10.1016/j.acap.2025.103147

Jacquelin Rankine, Alison Culyba, Robert W S Coulter, Elizabeth Miller, Galen Switzer, Erin Yoshida-Ehrmann, Guadalupe Arellano, Rebecca Dudovitz

{"title":"COVID-19 and High School Attendance: Modeling Latent Trajectories and the Influence of School Policies and Practices.","authors":"Jacquelin Rankine, Alison Culyba, Robert W S Coulter, Elizabeth Miller, Galen Switzer, Erin Yoshida-Ehrmann, Guadalupe Arellano, Rebecca Dudovitz","doi":"10.1016/j.acap.2025.103147","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103147","url":null,"abstract":"Objective: School attendance is important for adolescent and adult health but drastically decreased during the COVID-19 pandemic. We aimed to identify distinct attendance trajectories across a 5-year period spanning the onset of the COVID-19 pandemic and examine the influence of school policies and practices related to school discipline and college readiness programming on these trajectories.Methods: We analyzed administrative data from the 2016-2017 to 2020-2021 school years for 2,805 rising high school students (7th or 8th grade at baseline) at 5 Southern California schools participating in a randomized trial of the AVID college readiness program. We identified attendance trajectories using group-based trajectory modeling then estimated the influence of suspension and AVID participation by including these as time-varying covariates.Results: We identified three attendance trajectory groups: stable high attendance (77.2%); acutely declining attendance (17.7%); chronically declining attendance (5.1%). Suspension was associated with decreasing attendance across all groups (stable high: β= -8.96; p < 0.0001; acutely declining: β= -12.00; p < 0.0001; chronically declining: β= -7.61; p = 0.025). AVID participation was associated with a small decrease in attendance in the stable high attendance group (β= -0.97; p = 0.025) and a larger increase in the acutely declining attendance group (β= 3.60; p = 0.015).Conclusions: These findings increase our understanding of the impacts of the COVID-19 pandemic on adolescents' school attendance. The health and educational impacts of the COVID-19 pandemic are not uniformly severe, and both tailored individual and universal school-level interventions are likely needed to support all youth to thrive.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103147"},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180202","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

Impact of a before-school physical activity program on children's subjective well-being: secondary findings from the Active-Start study. 学前体育活动项目对儿童主观幸福感的影响：Active-Start研究的次要发现。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-24 DOI: 10.1016/j.acap.2025.103151

Antonio García-Hermoso, Ignacio Hormazábal-Aguayo, Jacinto Muñoz-Pardeza, José F López-Gil, Rodrigo Yáñez-Sepúlveda, Jacqueline Páez-Herrera, Yasmin Ezzatvar

{"title":"Impact of a before-school physical activity program on children's subjective well-being: secondary findings from the Active-Start study.","authors":"Antonio García-Hermoso, Ignacio Hormazábal-Aguayo, Jacinto Muñoz-Pardeza, José F López-Gil, Rodrigo Yáñez-Sepúlveda, Jacqueline Páez-Herrera, Yasmin Ezzatvar","doi":"10.1016/j.acap.2025.103151","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103151","url":null,"abstract":"Objective: The aim of the study was to test a before-school physical activity intervention (Active-Start) on subjective well-being in socioeconomically disadvantaged Chilean children.Method: The Active-Start intervention was a randomized controlled trial involving 170 children aged 8 to 10 from three highly vulnerable public schools in Santiago (Chile). The physical activity intervention was delivered daily, before starting the first school-class (8:00-8:30 a.m.) for 8 weeks. Subjective well-being was assessed using validated instruments: the CUBE scale for life satisfaction and a 10-item affect scale for positive and negative emotions. The analyses used were generalized linear mixed models.Results: The intervention significantly increased positive emotions in boys (B=0.56, 95% CI 0.13 to 0.99, p=0.011) and girls (B=0.06, 95% CI 0.02 to 0.48, p=0.044). Boys also showed an improvement in overall subjective well-being (z-score: B=1.05, 95% CI 0.05 to 2.15, p=0.041). Specifically, boys reported higher levels of happiness (B=0.44, 95% CI 0.14 to 1.02, p=0.031), contentment (B=0.69, 95% CI 0.16 to 1.22, p=0.012), and fun (B=0.89, 95% CI 0.31 to 1.47, p=0.003). In contrast, changes in life satisfaction and negative emotions were not significant for either sex.Conclusions: Our findings suggest that engaging in morning physical activity before starting classes increases positive emotions (such as happiness, contentment, and fun) in children from socioeconomically disadvantaged backgrounds, particularly among boys. This improvement in emotional well-being could enhance their mood and readiness for learning.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103151"},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180194","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

Examining Practice Change Among Primary Care Providers Using a Child Psychiatry Access Program. 使用儿童精神病学访问计划检查初级保健提供者的实践变化。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-24 DOI: 10.1016/j.acap.2025.103152

Grace S McIlmoyle, Lily Stavisky, Rebecca Ferro, Rheanna Platt, Shauna P Reinblatt, Mark Riddle, David Pruitt, Kelly Coble, Meghan Crosby Budinger, Amie F Bettencourt

{"title":"Examining Practice Change Among Primary Care Providers Using a Child Psychiatry Access Program.","authors":"Grace S McIlmoyle, Lily Stavisky, Rebecca Ferro, Rheanna Platt, Shauna P Reinblatt, Mark Riddle, David Pruitt, Kelly Coble, Meghan Crosby Budinger, Amie F Bettencourt","doi":"10.1016/j.acap.2025.103152","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103152","url":null,"abstract":"Objective: Child Psychiatry Access Programs (CPAPs) address the mental health treatment access gap by providing training, consultation, and referral support to primary care providers (PCPs). Research has documented provider use of and satisfaction with CPAPs, but less work has examined how usage relates to provider practice change. This qualitative study examines PCPs' perceptions about the use of CPAP services (i.e., consultations, referral support, training) and resulting changes in their practice behaviors.Methods: The population of CPAP users was purposively sampled based on variation in geography and frequency of use: frequent (N=16), moderate (N=10), and infrequent (N=11) users. Semi-structured interviews were conducted with 37 providers. PCPs were asked about their use of CPAP services, and if/how these services influenced patient care and practice change. Interviews were recorded, transcribed, and analyzed using content analysis.Results: Regardless of frequency of CPAP use, all providers indicated medication management and need for patient referrals as primary reasons for calling the CPAP. All providers described practice change behaviors, with increased confidence/comfort in providing mental health care and medication management identified predominantly by frequent users. Providers consistently reported a positive attitude toward CPAP consultations.Conclusions: Providers perceive CPAP services as helpful and related to improvements in their ability to address patient mental health needs. Providers reported making changes to their practice behaviors, regardless of their level of CPAP use. This study provides preliminary support that participation in CPAP services contributes to improved PCP practice in addressing child mental health concerns.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103152"},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180190","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

Time Without Edges: Presence and Passage in the PICU. 没有边界的时间：在重症监护室的存在与通过。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-24 DOI: 10.1016/j.acap.2025.103148

Idan Yoel, Lydia I Healy, Dyla Ginter, Faizeen Zafar, Mariam Naguib, Roxanne Kirsch, Briseida Mema

引用次数: 0

Cyberbullying and Sleep Disturbances in Adolescents: An Updated Evidence Review. 网络欺凌与青少年睡眠障碍：最新证据综述。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-23 DOI: 10.1016/j.acap.2025.103149

Jason M Nagata, Elizabeth J Li, Oliver Huang, Colbey Ricklefs, Kyle T Ganson, Alexander Testa, Aaron Scheffler, Leo Sugrue, Fiona C Baker

引用次数: 0

Addressing Health-Related Social Needs in Hospitalized Children: An Implementation Assessment. 解决住院儿童健康相关的社会需求：一项实施评估。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-22 DOI: 10.1016/j.acap.2025.103150

Hemen Muleta, Samantha Levano, Jessica Haughton, Renee Whiskey-LaLanne, Miya Lemberg, Tara Buckenmyer, Patricia A Hametz, Michael L Rinke, Shivani Agarwal, Kevin P Fiori

{"title":"Addressing Health-Related Social Needs in Hospitalized Children: An Implementation Assessment.","authors":"Hemen Muleta, Samantha Levano, Jessica Haughton, Renee Whiskey-LaLanne, Miya Lemberg, Tara Buckenmyer, Patricia A Hametz, Michael L Rinke, Shivani Agarwal, Kevin P Fiori","doi":"10.1016/j.acap.2025.103150","DOIUrl":"10.1016/j.acap.2025.103150","url":null,"abstract":"Introduction: High rates of unmet health-related social needs (HRSNs) have been reported among hospitalized children. Community health workers (CHWs) embedded within health systems can assist families with unmet HRSNs. This study evaluated an inpatient HRSNs screening, referral, and CHW resource navigation intervention in a hospital in Bronx County, New York.Methods: We conducted a retrospective study of hospitalized families between December 2023 and November 2024. Patients were screened for HRSNs upon admission and referred to CHWs after self-reporting unmet HRSNs and confirming they wanted help. We evaluated the intervention using descriptive statistics and Periodic Reflections (PR) analysis following the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation framework.Results: Of 5,350 admitted patients, 3,291 (61.6%) were screened for HRSNs with 986 (30.0%) screened patients reporting unmet HRSNs. Of the admitted patients, 670 (12.5%) were referred to CHWs and 491 (73.3% of those referred) accepted CHW navigation. Of the CHW navigated patients, 484 (98.6%) were either connected or equipped to connect to social services. Of patients connected to services, 183 (96.8%) self-reported that their HRSNs were improved or resolved. The estimated annual cost of the intervention was $180.63 (IQR $154.58-$180.63) per patient connected with CHWs. PR analysis identified facilitators and barriers to adoption.Conclusion: Most hospitalized families were screened and those with unmet HRSNs were appropriately referred to CHWs. CHWs were successful in helping families connect to social services, leading to improved or resolved HRSNs. Future research should evaluate the impact of CHW support for unmet HRSNs on child health and healthcare utilization.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103150"},"PeriodicalIF":2.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139355","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

Treatment and Referral of Youth with Opioid Addiction in the Pediatric Emergency Department: A Pilot Study. 儿童急诊科阿片类药物成瘾青少年的治疗和转诊：一项试点研究

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-05 DOI: 10.1016/j.acap.2025.103143

Gabriel Devlin, Neri Bernabe, Irene Lim, Alan L Nager

{"title":"Treatment and Referral of Youth with Opioid Addiction in the Pediatric Emergency Department: A Pilot Study.","authors":"Gabriel Devlin, Neri Bernabe, Irene Lim, Alan L Nager","doi":"10.1016/j.acap.2025.103143","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103143","url":null,"abstract":"Background: Fatal opioid overdoses have increased among adolescents. Emergency Departments (EDs) are critical access points for connecting adults with opioid use disorder (OUD) to medication-assisted treatment (MAT). Whether this is feasible in pediatric patients is unknown. As opioid use among adolescents results in morbidity and mortality, developing an opioid treatment program is crucial.Methods: We developed an ED buprenorphine induction and referral program based on expert opinion. All patients completed the Emergency Department Distress Response Screener (ED-DRS) and Screening to Brief Intervention (S2BI) tools. After a 13-month pilot period, we performed a retrospective chart review to assess the program's feasibility based on the degree of execution, fidelity, and resource utilization.Results: We identified 12 ED encounters for opioid withdrawal that received buprenorphine. 75% were aged 15-17 years. 75% of encounters presented with mild withdrawal, while 25% presented with moderate withdrawal. Participants reported high rates of depression (80%), anxiety (90%), and additional substance use (90%). 75% of encounters only required 1 dose of buprenorphine in the ED to treat their withdrawal. There were no medical complications. Although we referred 100% of encounters to an OUD treatment center, only 50% attended their first appointment, and 42% remained engaged after 30 days. A mix of patient, parent, and insurance factors contributed to loss of engagement.Conclusions: Pediatric ED-based buprenorphine induction is feasible for the stabilization of acute opioid withdrawal symptoms in youth without causing complications. Further data is necessary to determine the barriers adolescents face to OUD engagement after discharge.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103143"},"PeriodicalIF":2.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016607","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

Housing Instability and Homelessness in Pediatrics: A Narrative Review of Health Impacts and Multi-level Interventions. 儿科的住房不稳定和无家可归：健康影响和多层次干预的叙述性回顾。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-04 DOI: 10.1016/j.acap.2025.103142

Emma M Hartswick Finch, Aura M Obando, Janna R Gewirtz O'Brien

{"title":"Housing Instability and Homelessness in Pediatrics: A Narrative Review of Health Impacts and Multi-level Interventions.","authors":"Emma M Hartswick Finch, Aura M Obando, Janna R Gewirtz O'Brien","doi":"10.1016/j.acap.2025.103142","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103142","url":null,"abstract":"Safe and stable housing is foundational for child and adolescent health; likewise, housing instability and homelessness are associated with significant pediatric health risk. This narrative review sought to: (1) describe the impact of stable housing, housing instability, and homelessness on child and adolescent health, and (2) explore advocacy interventions for pediatricians to support unstably housed children, youth and families. While the relationship between health and housing is complex, here, we describe three primary mechanisms through which housing impacts pediatric health. Safe, stable and affordable housing supports educational and economic opportunity for children and their families, and is associated with positive health outcomes. Poor quality and unsafe housing negatively affects health through increased exposure to risk factors for illness and injury. Finally, housing instability and homelessness create chronic stress that is detrimental to health, increase exposure to risk factors for poor health, and disrupt supportive connections to community resources. Though screening is a prerequisite for identifying housing needs among patients, it must be coupled with clinical and systems-level advocacy to improve youth and family health. We describe advocacy interventions that pediatricians can incorporate into their practice that target needs at the clinical, institutional, community and policy levels This review highlights the importance of housing as a driver of pediatric health, and the opportunities that pediatricians have to address housing challenges through advocacy. By synthesizing the current evidence on the health impacts of housing, this work hopes to inform further research, clinical practice changes, and policy. WHAT THIS NARRATIVE REVIEW ADDS: This review explores the health implications of housing on children, youth and families and describes impactful advocacy opportunities for pediatricians to support patients with barriers to stable housing.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103142"},"PeriodicalIF":2.8,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008569","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

Developing Validity Evidence for a Novel Pediatric Telemedicine Assessment Tool (PTAT) for Pediatric Residents: A Pilot Study. 为儿科住院医师开发新型儿科远程医疗评估工具（PTAT）的效度证据：一项试点研究。

IF 2.8 3区医学

Academic Pediatrics Pub Date : 2025-09-01 DOI: 10.1016/j.acap.2025.103145

Theresa E Scott, Anjile An, Nicole Paradise Black, Su-Ting T Li, Erika L Abramson

{"title":"Developing Validity Evidence for a Novel Pediatric Telemedicine Assessment Tool (PTAT) for Pediatric Residents: A Pilot Study.","authors":"Theresa E Scott, Anjile An, Nicole Paradise Black, Su-Ting T Li, Erika L Abramson","doi":"10.1016/j.acap.2025.103145","DOIUrl":"https://doi.org/10.1016/j.acap.2025.103145","url":null,"abstract":"Objectives: Telemedicine use among pediatric residents has grown in recent years, accompanied by the development of best practices and curricula that outline essential telemedicine skills. However, there is a notable lack of methods to assess these skills. Our work aims to address this gap by designing and building validity evidence for a novel pediatric telemedicine assessment tool, the Pediatric Telemedicine Assessment Tool (PTAT).Methods: The PTAT was created by the study team. Multiple sources of validity evidence were collected, including content validity, internal structure, response process, and relationship to other variables. The PTAT was studied using standardized patient telemedicine encounters with pediatric residents. Twenty-one residents performed a telemedicine encounter that was scored using the PTAT. Recruited faculty scored the encounters and were surveyed on PTAT usability using a modified Systems Usability Scale (SUS). Descriptive statistics and interrater reliability (intraclass correlation (ICC)) were calculated.Results: The PTAT consists of 16 items scored on a four-point rating scale; it also includes a five-point overall global skills assessment (GSA). Compared to post-graduate year-1 (PGY-1) residents, PGY-2-4 residents had more telemedicine experience (92% vs. 25%, p=0.003) and higher PTAT (1.39 vs 1.21, p=0.02) and GSA scores (1.67 vs. 1.00, p=0.002). The PTAT items had moderate overall interrater reliability (ICC=0.6 (95% CI=0.50-0.68)). The faculty reported \"above average\" usability.Conclusions: The PTAT demonstrated multiple sources of validity evidence including content validity, internal structure, response process, and relationship to other variables. It may be used as a tool to structure formative feedback for resident use of telemedicine in standardized patient encounters.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103145"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994195","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