Abstract：
OBJECTIVE:A cluster randomized trial was performed to evaluate an educational intervention to improve parental attitudes and vaccine uptake in vaccine-hesitant parents. METHODS:Two primary care sites were randomized to provide families with either usual care or an intervention (video and written information) for vaccine-hesitant parents. Eligible parents included those presenting for their child's 2-week well-child visit with performance on the Parent Attitudes about Childhood Vaccines (PACV) survey suggesting vaccine hesitancy (score ≥25). Enrollees completed PACV surveys at the 2-month well-child visit and vaccination status at 12 weeks of age was assessed. The primary outcome was the difference in PACV scores obtained at enrollment and 2 months between the 2 groups. The proportion of on-time vaccination was also compared at 12 weeks. RESULTS:A total of 454 parents were approached, and 369 (81.3%) participated; 132 had PACV scores of ≥25 and were enrolled, 67 in the control group (mean PACV score 37) and 55 in the intervention group (mean PACV score 40). Two-month PACV surveys were completed by 108 (∼90%) of enrollees. Parents in the intervention group had a significant decrease in PACV score at 2 months compared to control (median difference 6.7, P = .049); this remained significant after adjustment for baseline PACV score, race/ethnicity, and income (P = .044). There was no difference in the on-time receipt of vaccines between groups at 12 weeks. CONCLUSIONS:A brief educational intervention for vaccine-hesitant parents was associated with a modest but significant increase in measured parental attitudes toward vaccines.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Williams SE,Rothman RL,Offit PA,Schaffner W,Sullivan M,Edwards KMdoi
10.1016/j.acap.2013.03.011subject
Has Abstractpub_date
2013-09-01 00:00:00pages
475-80issue
5eissn
1876-2859issn
1876-2867pii
S1876-2859(13)00066-1journal_volume
13pub_type
杂志文章,随机对照试验abstract：:Electronic medical records (EMRs) are increasingly common in pediatric patient care. EMR data represent a relatively novel and rich resource for clinical research. The fact, however, that pediatric EMR data are collected for the purposes of clinical documentation and billing rather than research creates obstacles to t...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2011.02.007
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:Incorporating culturally sensitive care into well-child visits may help address pediatric preventive care disparities faced by racial and ethnic minorities, families with limited English proficiency, and immigrants. We explored parents' perspectives about the extent to which their children's pediatric care is...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.12.007
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Given the high prevalence of asthma and obesity in minority children, there is a need to identify targets for intervention to decrease the impact of these conditions on children's functioning in this high-risk group. OBJECTIVE:To examine in urban children with persistent asthma, 1) differences in asthma ind...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.07.001
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:Accurate parental weight perception of one's child is an important step in addressing healthy behaviors, but its associations with socioeconomic status (SES) and household food insecurity (HFI) are unclear. We aimed to assess the association of parental weight perception with HFI. METHODS:This was a secondar...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.04.009
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To explore the potential benefits and challenges of involving adolescents in the education of medical students and residents from the perspectives of adolescents who are hospitalized with chronic health conditions. METHODS:We conducted qualitative interviews with adolescents at a Canadian pediatric hospital....
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
abstract：OBJECTIVE:To evaluate a pediatric otoscopy curriculum with the use of outcome measures that included assessment of skills with real patients. METHODS:Thirty-three residents in an intervention group from 2 institutions received the curriculum. In the previous year, 21 residents in a nonintervention group did not receiv...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2018.02.009
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to categorize reasons behind missed opportunities for human papillomavirus (HPV) vaccine initiation in an under-resourced population and to identify associated patient and clinic characteristics. METHODS:Manual chart review was performed for patients aged 11 to 18 years who visited...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.12.003
更新日期：2020-12-21 00:00:00
abstract：OBJECTIVE:To describe influences on shared decision making between primary care pediatricians and parents of young children with autism spectrum disorder (ASD). METHODS:We conducted a qualitative study using key informant interviews with 20 pediatricians of varying experience from 10 primary care practices and 20 Engl...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.04.007
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:There has been a rapid increase in the number of pediatric hospitalist programs in the United States. As most pediatric hospitalist services are believed to be subsidized by hospitals, gaining a better understanding of the rationale for these subsidies is critical to the future success and existence of these ...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2009.01.003
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:Untreated vision problems are associated with poor school performance. Whether providing glasses alone improves performance, however, remains unknown. We sought to test whether receiving glasses was associated with improved school performance for low-income minority students in Los Angeles. METHODS:From 2017...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.01.001
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To evaluate whether primary care provider (PCP) access to an online decision support tool is associated with a change in evidence-based primary care medical management of pediatric migraine. METHODS:In this prospective observational study, PCPs serving a target community were educated on the availability and...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.11.017
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Children and adolescents necessitating hospitalization for physical health conditions are at high risk for mental health conditions; however, the prevalence of mental health conditions and symptoms among hospitalized children and adolescents is uncertain. The objective of this study was to determine the prop...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.08.009
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:To develop, validate, and test the feasibility of implementation of 4 new quality measures assessing emergency department (ED) and inpatient care for suicidal youth. METHODS:Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregiver...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.09.017
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:Peer victimization is a common antecedent of poor social and emotional adjustment. Its relationship with objectively measured academic performance is unclear. In this study we aimed to quantify the cross-sectional associations between peer victimization and academic performance in a large population sample of...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.06.012
更新日期：2017-01-01 00:00:00
abstract：:Primary care pediatricians and psychology practitioners who comanage mental health problems can develop interdisciplinary communication and collaborative skills from joint standardized patient encounters and debriefings, combined with brief didactics. Learners showed increased confidence in shared management of behavi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.06.014
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To determine pediatric resident training and preparation for 14 Accreditation Council for Graduate Medical Education (ACGME)-required procedures. METHODS:We included a national, random sample of 1000 graduating pediatric residents in 2015. For each of the ACGME-required procedures, residents were asked if th...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.001
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to sc...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.06.002
更新日期：2016-03-01 00:00:00
abstract：:The effect of child poverty and related early life experiences on adult health outcomes and patterns of aging has become a central focus of child health research and advocacy. In this article a critical review of this proliferating literature and its relevance to child health programs and policy are presented. This li...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2016.01.014
更新日期：2016-04-01 00:00:00
abstract：:Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the ...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2018.01.015
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:To measure the difference in prescribing error rates between 2 clinics, 1 with a system in place to reduce errors and 1 with no such system; to determine variables that affect the likelihood of prescription errors. METHODS:This was a retrospective study at 2 university-based general pediatric clinics utilizi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.03.018
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVES:The cognitive expertise of Pediatric Hospitalists (PH) lies not in standard knowledge but in making decisions under conditions of uncertainty. To maintain expertise, PH should engage in deliberate practice via self-assessments that promote higher-level cognitive processes necessary to address problems with m...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.10.003
更新日期：2020-10-14 00:00:00
abstract：BACKGROUND:Picky eating is common in children. Few studies have examined predictors of picky eating, and the association of picky eating with weight status and dietary quality is inconsistent in the literature. We aimed to identify predictors of picky eating and to test the association of picky eating with child body m...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.014
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:To assess primary care providers' current reminder/recall practices, preferences for collaboration with health departments in reminder/recall efforts, attitudes toward practice-based and population-based reminder/recall, and experiences with a population-based reminder/recall intervention. METHODS:Providers ...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.09.003
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Little information is available to gauge residents' perceived receipt of comprehensive training and preparedness to manage children with obesity in practice. METHODS:A national, random sample of 1000 graduating pediatric residents were surveyed in 2013 on childhood overweight/obesity and preparedness to pre...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.01.016
更新日期：2016-05-01 00:00:00
abstract：:Neonatal intensive care unit networks that encompass regions, states, and even entire countries offer the perfect platform for implementing continuous quality improvement initiatives to advance the health care provided to vulnerable neonates. Through cycles of identification and implementation of best available eviden...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2013.04.014
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The role of a hospitalist differs in a community hospital (CH) compared to a university/children's hospital. Residents are required to practice in a variety of relevant clinical settings, but little is known about current trends regarding pediatric resident training in different hospital settin...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.10.006
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Prior health services research (HSR) agendas for children have been published, but major ones are now over 15 years old and do not reflect augmented understanding of the drivers and determinants of children's health; recent changes in the organization, financing, and delivery of health care; a growing emphas...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2017.04.015
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:In October 2016, the American Board of Medical Specialties approved the petition for pediatric hospital medicine (PHM) to become the newest pediatric subspecialty. Knowledge about residents entering the PHM workforce is needed to inform certification and fellowship accreditation. This study describes the char...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.05.001
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:We aimed to examine abusive head trauma (AHT) incidence before, during and after the recession of 2007-2009 in 3 US regions and assess the association of economic measures with AHT incidence. METHODS:Data for children <5 years old diagnosed with AHT between January 1, 2004, and December 31, 2012, in 3 region...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.05.008
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:The demand for global health electives among medical students and residents has grown substantially, yet perspectives of international hosts are not well documented. This study aimed to assess how host country supervising clinical preceptors perceive learners on short-term global health electives of up to 6 w...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.11.002
更新日期：2016-05-01 00:00:00
