Academic Pediatrics最新文献

{"title":"EMBRACING DIVERSITY: A BLUEPRINT FOR INCLUSIVE RESIDENT HOLIDAY SCHEDULING","authors":"Melissa Rubin MD , Shyam Desai MD , Micha Thompson MD , Nicole Meyers MD , Suzanne Friedman MD , Marina Catallozzi MD, MSCE","doi":"10.1016/j.acap.2024.102687","DOIUrl":"10.1016/j.acap.2024.102687","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102687"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143286511","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}

{"title":"Innovation in Advanced Advocacy Training Through Clinician Partnerships with Institutional Government Relations","authors":"Amanda M. Stewart MD, MPH , Joshua Greenberg JD , Kate Warren Barnes MSW, MBA , Ariel Winn MD","doi":"10.1016/j.acap.2024.06.010","DOIUrl":"10.1016/j.acap.2024.06.010","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102523"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447497","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}

{"title":"Caregiver and Provider Perceptions of Health Disparities in the Neonatal Intensive Care Unit: A Qualitative Study","authors":"Yasmeen Midgette DO, MS ,&nbsp;Elizabeth Halvorson MD, MS ,&nbsp;Allison Chandler PhD ,&nbsp;Aylin Aguilar BS ,&nbsp;Ashley E. Strahley MPH ,&nbsp;Yorjannys Gomez BS ,&nbsp;Rebekah Lassiter ,&nbsp;Modupeola Akinola MBBS ,&nbsp;Shannon Hanson PhD ,&nbsp;Kimberly Montez MD, MPH","doi":"10.1016/j.acap.2024.07.015","DOIUrl":"10.1016/j.acap.2024.07.015","url":null,"abstract":"<div><h3>Objectives</h3><div>1) To describe the experience of caregivers and their perceptions of disparate care in the neonatal intensive care unit (NICU) and 2) explore interprofessional NICU provider perspectives on potential biases and perceptions of disparate care.</div></div><div><h3>Methods</h3><div>This qualitative study was conducted in 1 southeastern level IV NICU. Semistructured interviews assessed caregiver and provider perspectives on NICU care. Purposive sampling ensured ≥50% of caregivers self-identified as racial and/or ethnic minorities. Interviews were recorded, transcribed verbatim, and audio verified. A coding scheme was developed, raw data were systematically coded, and emerging themes were identified using thematic analyses.</div></div><div><h3>Results</h3><div>Twenty-three caregivers and 14 providers were interviewed, including 5 neonatologists, 6 nurses, and 3 residents. Caregivers were predominantly English-speaking (85%); 96% were mothers with a mean age of 32 years. Neonates were predominantly racial and ethnic minorities (62%). Providers were predominantly White (71%) and female (71%). Five themes emerged 1) ineffective, biased communication between caregivers, providers, and health care team may contribute to disparities; 2) language barriers and lack of interpreter access play a significant role in perceived negative care; 3) lack of caregiver involvement and role in decision-making may negatively influence NICU outcomes, especially for those not able to be present at the bedside; and 4) multiple biases may affect neonatal health disparities.</div></div><div><h3>Conclusions</h3><div>Our study highlights the importance of considering both provider and racial and/or ethnic minority caregiver perceptions disparities in NICU care delivery. It adds to the literature as one of the few qualitative studies comparing perceptions of disparate NICU care among both caregivers and providers.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102548"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789790","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}

{"title":"Differences in the Oral Health of Children With Medical Complexity","authors":"Kristina E. Malik MD ,&nbsp;Sharon Scarbro MS ,&nbsp;Justin Yu MD, MS ,&nbsp;Katherine Chin DDS, MS ,&nbsp;Patricia A. Braun MD, MPH ,&nbsp;James A. Feinstein MD, MPH","doi":"10.1016/j.acap.2024.07.019","DOIUrl":"10.1016/j.acap.2024.07.019","url":null,"abstract":"<div><h3>Objective</h3><div>Children with medical complexity (CMC), a subgroup of children with special health care needs (CSHCN) with the most serious medical conditions and disabilities, are at risk for negative effects from poor oral health. CSHCN have high rates of poor oral health, including cavities. This study aimed to compare oral health status between CMC and CSHCN.</div></div><div><h3>Methods</h3><div>This was a cross-sectional analysis of the 2016–17 National Survey of Child Health data. CMC and CSHCN were identified using validated algorithms. The primary outcome was oral health status; secondary outcomes included dental service use. Bivariate analyses compared the prevalence and service use by medical complexity status. Multivariable logistic regression assessed oral health outcomes by complexity, adjusting for influencing variables.</div></div><div><h3>Results</h3><div>Of 16,178 CSHCN ages 1 to 17 years, 6% were CMC and 94% were non-CMC CSHCN. Compared to CSHCN, CMC had a higher prevalence of fair/poor teeth conditions (19% vs 9%; <em>P</em> &lt; 0.001) and higher odds for fair/poor teeth conditions after adjusting for socioeconomic factors (adjusted odds ratio [aOR]: 1.54; 95% confidence interval [CI]: 1.01–2.34). There was no statistically significant difference between groups when assessing cavities, toothache, or receipt of most preventive dental services.</div></div><div><h3>Conclusions</h3><div>One in 5 CMC are reported by caregivers as having poor oral health, including cavities, despite high rates of receiving preventive dental services. After adjusting for socioeconomic factors, medical complexity remained associated with fair or poor teeth conditions<strong>.</strong> Understanding potentially modifiable targets could further help families of CMC prioritize dental needs and potentially reduce negative effects on overall health.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102552"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890795","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}

{"title":"Piloting Home Produce Delivery to Improve Food Security, Budget, and Diet in Families with Children: A Mixed-Methods Study","authors":"Laura M. Plencner MD ,&nbsp;Janet Nalubega Ross PhD ,&nbsp;Matthew Hall PhD ,&nbsp;Emily A. Hurley PhD ,&nbsp;Jean L. Raphael MD ,&nbsp;Evelyn Donis De Miranda MPA ,&nbsp;Jeffrey D. Colvin MD, JD","doi":"10.1016/j.acap.2024.07.017","DOIUrl":"10.1016/j.acap.2024.07.017","url":null,"abstract":"<div><h3>Background</h3><div>Few children in food insecure (FI) households meet dietary recommendations for fruit and vegetables (“produce”). Barriers include affordability, accessibility, and desirability. Home produce delivery may reduce FI, increase produce consumption, and decrease budget tradeoffs.</div></div><div><h3>Objective</h3><div>Evaluate the acceptability and potential impact of delivering produce through home visiting programs on FI, diet, and budget tradeoffs.</div></div><div><h3>Methods</h3><div>In this prospective pre/post mixed methods study, 51 parents engaged in home visiting programs were enrolled. Participants completed pre- and post-program surveys on FI (18-item Food Security Scale), produce consumption, and budget tradeoffs. Pre- and post-surveys were compared using McNemar’s test and weighted kappas. Interview guides were based on Social Cognitive Theory and a previously published framework. Interviews were conducted in English or Spanish; thematic analysis was completed.</div></div><div><h3>Results</h3><div>Twenty-nine (56.9%) participants completed both surveys. Most were female (96.3%) and Hispanic (79.3%) (Table 1). Food security improved in the post-period, with more participants reporting high food security (pre: 6.9%, post: 31.0%) and fewer reporting very low food security (pre: 20.7%, post: 6.9%, <em>P</em> &lt; 0.01) (Table 2). Budgetary tradeoffs decreased in the post-program period (pre: 71.4%, post: 48.1%, <em>P</em> = 0.03). Fifteen participants were interviewed. Themes included 1) saved money, 2) increased fruit and vegetable consumption, and 3) interest in future participation.</div></div><div><h3>Conclusion</h3><div>This pilot study found that an intervention for delivery of produce through home visiting programs was acceptable to participants and resulted in potential improvements in FI and household budgets. This supports future studies to further explore the impact of this novel intervention.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102550"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890797","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}

{"title":"WHAT DETERS MEDICAL STUDENTS FROM PURSUING A CAREER IN PEDIATRICS?","authors":"Christopher Chow-Parmer MD ,&nbsp;Kim Hoang MD ,&nbsp;Lynne Huffman MD","doi":"10.1016/j.acap.2024.102643","DOIUrl":"10.1016/j.acap.2024.102643","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102643"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143353804","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}

{"title":"Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association?","authors":"Bisola E. Duyile PhD ,&nbsp;Jennifer LoCasale-Crouch PhD ,&nbsp;Tessa B. NeSmith MS, MEd ,&nbsp;Khara L.P. Turnbull PhD ,&nbsp;Eve Colson MD ,&nbsp;Michael J. Corwin MD ,&nbsp;Mayaris Cubides Mateus PhD ,&nbsp;Emma Forbes MPH ,&nbsp;Nicole Geller MPH ,&nbsp;Tim Heeren PhD ,&nbsp;Fern R. Hauck MD ,&nbsp;Brianna Jaworski BS ,&nbsp;Ann Kellams MD ,&nbsp;Stephen Kerr MPH ,&nbsp;Rachel Y. Moon MD","doi":"10.1016/j.acap.2024.03.012","DOIUrl":"10.1016/j.acap.2024.03.012","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the mediating role of observed maternal responsiveness and maternal self-regulation on the association between maternal education and children’s self-regulation.</div></div><div><h3>Methods</h3><div>English-speaking mother-child dyads (n = 189) were recruited from a previous study and were eligible if the child was kindergarten eligible at the start of the 2020 to 2021 or 2021 to 2022 school year. Key measures included: <em>Difficulties in Emotion Regulation Scale</em>—<em>Short Form</em> for maternal emotional self-regulation, <em>Culturally Affirming and Responsive Experiences</em> for maternal responsiveness, and the <em>Head-Toes-Knees-Shoulders</em><span> for child self-regulation. The association between years of maternal education and child self-regulation was examined with linear regression, and the mediation analyses utilized 4 subsequent steps examining their relations. These steps were checked through a series of linear regressions, and beta weights were used to describe associations. Each potential mediator was examined separately.</span></div></div><div><h3>Results</h3><div>Children of mothers with higher education had significantly higher self-regulation, slope of 1.3 (95% confidence interval 0.3, 2.4, <em>P</em> = 0.015, beta = 0.18). Further, mothers with higher education had significantly higher observed responsiveness. The beta-weight of 0.34 (<em>P</em> &lt; 0.001) supported maternal responsiveness as a mediator. Finally, in the test for direct and indirect effects, observed maternal responsiveness explained 29% (95% confidence interval 3.3%, 115%) of the association between maternal education and child self-regulation.</div></div><div><h3>Conclusions</h3><div>This study highlights a key mechanism related to children’s self-regulation skills and the significant role of observed maternal responsiveness in explaining the association between maternal education and child self-regulation.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102484"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140181884","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}

{"title":"CARING FOR YOUR NEWBORN: REPURPOSING A PARENT-FACING VIDEO AS A TOOL TO TRAIN RESIDENTS IN PROMOTING POSITIVE PARENTING DURING THE NEWBORN DISCHARGE TALK","authors":"Brittany Wenger MD ,&nbsp;Blair Hammond MD ,&nbsp;Xian Zhang Ph.D ,&nbsp;Gwen Raphan MD","doi":"10.1016/j.acap.2024.102642","DOIUrl":"10.1016/j.acap.2024.102642","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102642"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143293202","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}

{"title":"GENDER-EQUITY IN NUMBER OF PUBLICATIONS FOR PROMOTION","authors":"Taylor Kaldenberg BS,&nbsp;Marisa Roman MD,&nbsp;Amanda Rogers MD,&nbsp;Erwin Cabacungan MD,&nbsp;Kris Saudek MD","doi":"10.1016/j.acap.2024.102678","DOIUrl":"10.1016/j.acap.2024.102678","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102678"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143287450","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}

{"title":"THE EQUITY PAUSE: USING QUALITATIVE RESEARCH TO EXAMINE ITS MEANING AND APPLICATION IN MEDICAL EDUCATION","authors":"Caroline Paul MD ,&nbsp;Heather Howell MD ,&nbsp;Chanelle Coble-Sadaphal MD ,&nbsp;Renee Heller BS ,&nbsp;Julia Festa MD ,&nbsp;Caitlin Plovnick BA, MS, MFA ,&nbsp;Gary Beck Dallaghan PhD","doi":"10.1016/j.acap.2024.102655","DOIUrl":"10.1016/j.acap.2024.102655","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102655"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306149","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}