Abstract:
OBJECTIVE:Promoting safe firearm storage in pediatric primary care is one way to address youth suicide by firearm. The study objective was to determine the perspectives of primary care physicians (PCPs) and leaders of primary care practices regarding the acceptability and use of screening, counseling, and firearm locks-all components of an adapted evidence-based intervention known as the Firearm Safety Check. METHODS:In 2016, an online survey was conducted in two large US health systems. PCPs (n = 204) and leaders (n = 57) from 83 clinics were invited to participate. Respondents included 71 clinics (86%), 103 PCPs (50%), and 40 leaders (70%). Main outcomes included acceptability (6-point Likert scale, with higher scores indicating better acceptability) and use of the 3 intervention components (4-point Likert scale, with higher scores indicating greater use), as measured by an adapted validated instrument. RESULTS:Analyses were conducted in 2017. PCP acceptability of screening (mean = 4.28; standard deviation [SD] = 1.12) and counseling (mean = 4.56; SD = 0.89) were high, but acceptability for firearm lock provision was more neutral (mean = 3.78; SD = 1.16). Most PCPs endorsed sometimes screening (85%) and counseling (80%). Few PCPs offered firearm locks to caregivers (15%). Leaders reported consistent information. CONCLUSION:The acceptability of screening for firearms and safe storage counseling was high; both components were used commonly but not routinely. The acceptability of providing firearm locks was neutral, and use was rarely endorsed. This study provides important insights about areas of focus for future implementation efforts from policy and research perspectives.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Beidas RS,Jager-Hyman S,Becker-Haimes EM,Wolk CB,Ahmedani BK,Zeber JE,Fein JA,Brown GK,Gregor CA,Lieberman A,Marcus SCdoi
10.1016/j.acap.2018.11.007subject
Has Abstractpub_date
2019-08-01 00:00:00pages
670-676issue
6eissn
1876-2859issn
1876-2867pii
S1876-2859(18)30753-8journal_volume
19pub_type
杂志文章abstract:OBJECTIVE:To compare job search experience and postresidency position of pediatric residents on the basis of childhood location (United States or international) and medical school location (American medical graduates [AMG] or international medical graduate [IMG]). METHODS:Annual national random samples of 1000 graduat...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.06.005
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Use of complementary and alternative medical (CAM) therapies is common among adults with mental health concerns, but little is known about CAM use among adolescents with mental health concerns. METHODS:Data from the 2007 National Health Interview Survey were analyzed for youth from 7 to 17 years old. The st...
journal_title:Academic pediatrics
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doi:10.1016/j.acap.2013.05.001
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence of positive screening scores, construct validity, and opportunities for follow-up in a large sample of adolescents who chose to fill out the Pediatric Symptom Checklist-Youth Form (PSC-Y) through the Mental Health America (MHA) Web site. METHODS:MHA sent researchers a deidentified d...
journal_title:Academic pediatrics
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doi:10.1016/j.acap.2017.08.013
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To identify whether psychosocial stress exposure during early childhood predicts subsequent increased eating in the absence of hunger (EAH), emotional overeating, food responsiveness, and enjoyment of food. METHODS:This was an observational longitudinal study. Among 207 low-income children (54.6% non-Hispani...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.01.007
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To describe the extent to which parent- and teacher-reported child mental health problems vary by different indicators of socioeconomic status. METHODS:Participants were 4-5-year-old children in the Longitudinal Study of Australian Children (LSAC). Parents (N = 4968) and teacher (N = 3245) completed the 3-4-...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.08.007
更新日期:2010-01-01 00:00:00
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doi:10.1016/j.acap.2020.05.001
更新日期:2020-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.10.004
更新日期:2015-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
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更新日期:2018-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.05.007
更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.09.016
更新日期:2009-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.acap.2009.01.003
更新日期:2009-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.acap.2020.06.009
更新日期:2020-06-17 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.011
更新日期:2020-08-20 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.07.007
更新日期:2012-11-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-07 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.02.014
更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.12.001
更新日期:2014-03-01 00:00:00
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journal_title:Academic pediatrics
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更新日期:2016-03-01 00:00:00
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更新日期:2020-09-03 00:00:00
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journal_title:Academic pediatrics
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更新日期:2014-09-01 00:00:00
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更新日期:2016-05-01 00:00:00
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更新日期:2017-03-01 00:00:00
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journal_title:Academic pediatrics
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更新日期:2017-04-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2014-07-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2020-05-31 00:00:00
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更新日期:2013-11-01 00:00:00
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更新日期:2018-01-01 00:00:00
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更新日期:2011-05-01 00:00:00