Abstract:
:Background Learning to identify and address social determinants of health (SDH) is a crucial component of pediatric residency training. A virtual tour of an impoverished neighborhood previously demonstrated efficacy in increasing residents' self-assessed knowledge and competence, but its impact on performance has not yet been reported. Online simulated cases are emerging as feasible assessment tools to measure trainees' skills across various healthcare settings. We developed online simulated cases to evaluate residents' retention of the virtual tour's key SDH-related learning objectives 1 month after completing this curriculum. Methods Three online simulated cases with interpolated open-ended questions were created to assess residents' ability to identify SDH, recommend appropriate resources, and display empathy. Scoring rubrics to objectively evaluate responses were developed and borderline scores were decided by a team of educators. Results 19 residents participated. Mean scores for all cases exceeded pre-established borderline scores (statistically significant in two of the three cases). More than 90% of residents identified relevant SDH in the primary care and emergency department cases. Ninety-five percent of residents recommended appropriate resources in all cases, and 89% displayed empathy. Discussion Residents' performance in online simulated cases demonstrated retention and application of the virtual tour's learning objectives, including recognizing SDH, offering appropriate resources, and displaying empathy, which supports the long-term effectiveness of the virtual tour curriculum to train pediatricians about SDH. Online simulated cases provided a standardized and cost-effective way to measure residents' skills related to curricular uptake, suggesting that this assessment approach may be adapted to evaluate other educational interventions.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Lazow MA,DeBlasio D,Ollberding NJ,Real FJ,Klein MDdoi
10.1007/s10995-019-02790-9subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1159-1166issue
9eissn
1092-7875issn
1573-6628pii
10.1007/s10995-019-02790-9journal_volume
23pub_type
杂志文章abstract:OBJECTIVES:Maternal-infant bedsharing is a common but controversial practice. Little has been published about who bedshares in the United States. This information would be useful to inform public policy, to guide clinical practice and to help focus research. The objective was to explore the prevalence and determinants ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0166-z
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the knowledge, attitudes, behaviors and training needs of child care providers on infant feeding practices, specifically breastfeeding. METHODS:Needs assessment surveys for child care directors and infant room teachers were developed, tested and mailed to the 277 Color...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0221-4
更新日期:2008-01-01 00:00:00
abstract::This paper discusses characteristics that are associated with enhanced maternal and child health (MCH) epidemiology functioning in state health agencies. The concept of the "MCH Epidemiology Effort" is introduced as "the epidemiologic work carried out by multiple units and agencies aimed at informing program planning ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0680-x
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:While the validity of self-reported smoking habits is generally judged as satisfactory, objective markers of secondhand smoke (SHS) exposure may be more useful in validating the causal links between prenatal SHS and health effects. The cohort study in Krakow provided an opportunity for comparative assessment...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0350-4
更新日期:2009-05-01 00:00:00
abstract::Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educat...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1308-8
更新日期:2014-05-01 00:00:00
abstract::Information on patterns and correlates of residential mobility can be important in studies of environmental factors and birth outcomes. The objective of this study was to describe residential mobility patterns and possible sociodemographic correlates of residential mobility among pregnant women. We obtained informatio...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0492-z
更新日期:2010-07-01 00:00:00
abstract::Objectives Childhood obesity prevention and treatment depends, in part, on parents acting as agents of change for their children. Our objective was to measure the associations between parenting self-efficacy, parent depressive symptoms, and preschool child behaviors that support healthy growth. Methods We performed a ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2214-7
更新日期:2017-05-01 00:00:00
abstract::The gestational weight gain (GWG) guidelines of the Institute of Medicine (IOM) aim to optimize birth outcomes and reduce pregnancy complications. The GWG guidelines are set based on the prepregnancy weight status and optimal weight gain at different trimesters of pregnancy. Dietary references intakes (DRIs) of the IO...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1383-x
更新日期:2014-08-01 00:00:00
abstract::To better understand if reported delayed/forgone care and dissatisfaction with care for children with special health care needs (CSHCN) are associated with the parent's perception of health care providers' cultural competency. National survey. Fifty United States and the District of Columbia yielding 750 families per ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0598-3
更新日期:2011-05-01 00:00:00
abstract::The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers' experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health cente...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0951-9
更新日期:2013-01-01 00:00:00
abstract::Introduction Hispanics/Latinos are disproportionately affected by obesity in the U.S. Multiple factors place Hispanic/Latino children at risk for overweight, warranting guidance of a socio-ecologic approach to examine causes of obesity. The purpose of this study was to increase understanding of the factors that influe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02696-y
更新日期:2019-06-01 00:00:00
abstract::The objective of this study was to investigate the possible modifying effect of medical home on the association between low birthweight and children's health outcomes. The analytic sample included children 5 years and under from the 2007 National Survey of Children's Health whose mothers were the primary respondents a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1003-1
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:Depression is a common morbidity of the perinatal period (during pregnancy and up to one year postpartum). There is evidence for an association between diet and physical activity, and depression in the non-pregnant population but this association has been relatively less explored during the perinatal perio...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02933-3
更新日期:2020-12-01 00:00:00
abstract::Introduction Immigrants from Western industrialized countries are rarely found in immigrant studies. Our primary objective was to calculate the rate of cesarean delivery, 5-min Apgar score <7, and preterm birth among Chinese and Western women. Our secondary objective was to examine whether there are significant differ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2347-3
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION:Many women seek lactation consultant support in the postpartum period. Lactation consultant support in community or clinical settings is often assumed to extend breastfeeding duration, improve breastfeeding experiences, and be well-received. Few studies have assessed women's perceptions of the support they...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03056-5
更新日期:2020-11-26 00:00:00
abstract::The objective of this study is to determine prevention strategies for potentially serious injury events among children younger than 3 years of age based upon circumstances surrounding injury events. Surveillance was conducted on all injuries to District of Columbia (DC) residents less than 3 years old that resulted in...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-011-0857-y
更新日期:2011-12-01 00:00:00
abstract::We describe the validity and reliability of midwife-administered postpartum questionnaires in home and clinic settings. Women identified prospectively before or following hospital delivery (n = 476), September 2004-January 2005, were re-contacted at 6 months postpartum for home interview and medical examination. Relia...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0859-9
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:Characteristics of Northern Plains American Indian maternal grandmothers who had grandchildren with fetal alcohol syndrome (FAS) or incomplete FAS are described to more effectively prevent fetal FAS and alcohol use during pregnancy. METHODS:Study 1 had 27 maternal grandmothers who had grandchildren with F...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0308-y
更新日期:2008-11-01 00:00:00
abstract::In the feminist paradigm, intimate partner violence (IPV) among heterosexual couples is gender asymmetric and largely a tactic of male control. However, research on the relationship between men's controlling behavior and physical violence against women is limited. This study examines whether having a controlling partn...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1137-1
更新日期:2013-09-01 00:00:00
abstract::Objectives We examined biologic and social determinants of school readiness in an urban population and whether childcare altered these associations. Methods A retrospective cohort study was conducted using school readiness data linked to birth certificates of first-time kindergarten students (n = 39,463) in a large, u...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2666-z
更新日期:2019-03-01 00:00:00
abstract::The current COVID-19 pandemic in Kashmir along with lockdown measures-ordered to prevent the spread of the disease-has added further trauma to the fragile mental health system in Kashmir. There may be unquantifiable repercussions of the current epidemic on the emotional status of women during the perinatal period. The...
journal_title:Maternal and child health journal
pub_type: 信件
doi:10.1007/s10995-020-03004-3
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:Few studies of children's access to care account for the independent effects of parental immigration characteristics. To address this gap in knowledge, we examine the association between parental nativity and where children usually obtain health care. DATA SOURCE:The 2002 National Survey of America's Families ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0278-0
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:This paper presents a new approach for understanding factors related to physician adoption of clinical guidelines, using children's vaccine recommendations as a case study. METHODS:The model traces sequential steps, from awareness to agreement to adoption and, finally, adherence to the guideline. Movement th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022359407306
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:The purpose of the current study was to describe anxious pregnant women's concerns about using pharmacotherapy to treat anxiety symptoms, and the relationship of such concerns to women's willingness to use pharmacotherapy during pregnancy. METHODS:Between April 2011 and May 2012, 148 women who were pregnant...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02873-7
更新日期:2020-04-01 00:00:00
abstract::The objective of this study was to estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American so...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1048-1
更新日期:2013-05-01 00:00:00
abstract::The objectives of this study were to ascertain the prevalence and potential sources of lead exposure among pregnant women residing in a socially-disadvantaged immigrant community in Albuquerque, New Mexico. Pregnant women (n = 140) receiving prenatal care through a community clinic participated in a structured intervi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0963-5
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:Depression profoundly impairs psychosocial functioning. Depression can have disruptive effects on a person's family, with significant impact on the psychosocial development of the children. Recent research suggests that a mother's depressive symptoms may increase parenting stress and that parenting stress may...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/b:maci.0000037646.01017.b9
更新日期:2004-09-01 00:00:00
abstract::West Virginia has one of the highest prenatal smoking prevalence rates in the nation. While overall national prenatal smoking rates have been declining, the prevalence rates in West Virginia continue to climb. Smoking in pregnancy has been associated with deleterious health outcomes in infants, including decreased bir...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0582-y
更新日期:2011-02-01 00:00:00
abstract::Objectives To examine the relationships between prepregnancy diabetes mellitus (DM), gestational diabetes mellitus (GDM), and prepregnancy body mass index, with several adverse birth outcomes: preterm delivery (PTB), low birthweight (LBW), and macrosomia, comparing American Indians and Alaska Natives (AI/AN) with othe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2080-3
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To explore women's attitudes and practices related to douching. METHODS:We conducted focus groups between July and December 1999 with 34 black and 27 white women enrolled in a managed care plan in Memphis, Tennessee. Participants were at least 18 years of age and had douched at some time in their lives. Fiv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1011391700314
更新日期:2001-09-01 00:00:00