Suggestions to Parents About Common Behavior Problems in a Pediatric Primary Care Office: Five Years of Follow-Up

1985 ◽  
Vol 10 (1) ◽  
pp. 15-30 ◽  
Author(s):  
Korrel W. Kanoy ◽  
Carolyn S. Schroeder
Keyword(s):  
Primary Care ◽  
Behavior Problems ◽  
Pediatric Primary Care ◽  
Primary Care Office

scholarly journals Effects of Collaborative Care for Comorbid Attention Deficit Hyperactivity Disorder Among Children With Behavior Problems in Pediatric Primary Care

2020 ◽  
Vol 59 (8) ◽  
pp. 787-800
Author(s):  
David J. Kolko ◽  
Jonathan A. Hart ◽  
John Campo ◽  
Dara Sakolsky ◽  
Jeffrey Rounds ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Attention Deficit Hyperactivity Disorder ◽  
Behavior Problems ◽  
Attention Deficit ◽  
Collaborative Care ◽  
Pediatric Primary Care ◽  
Hyperactivity Disorder

This study evaluates the impact of a 6-month care management intervention for 206 children diagnosed with comorbid attention deficit hyperactivity disorder (ADHD) from a sample of 321 five- to 12-year-old children recruited for treatment of behavior problems in 8 pediatric primary care offices. Practices were cluster-randomized to Doctor Office Collaboration Care (DOCC) or Enhanced Usual Care (EUC). Chart reviews documented higher rates of service delivery, prescription of medication for ADHD, and titration in DOCC (vs EUC). Based on complex conditional models, DOCC showed greater acute improvement in individualized ADHD treatment goals and follow-up improvements in quality of life and ADHD and oppositional defiant disorder goals. Medication use had a significant effect on acute and follow-up ADHD symptom reduction and quality of life. Medication continuity was associated with some long-term gains. A collaborative care intervention for behavior problems that incorporated treatment guidelines for ADHD in primary care was more effective than psychoeducation and facilitated referral to community treatment.

scholarly journals Clinical audit in the pediatric primary care office and overweight prevention in toddlers

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Raffaele Limauro ◽  
Patrizia Gallo ◽  
Luigi Cioffi ◽  
Angelo Antignani ◽  
Valentina Cioffi ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Audit ◽  
Pediatric Primary Care ◽  
Overweight Prevention ◽  
Primary Care Office

Adoption and reach of behavioral health services for behavior problems in pediatric primary care.

2018 ◽  
Vol 36 (4) ◽  
pp. 507-512
Author(s):  
Jodi Polaha ◽  
Karen E. Schetzina ◽  
Katie Baker ◽  
Diana Morelen
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Behavior Problems ◽  
Behavioral Health ◽  
Pediatric Primary Care ◽  
Behavioral Health Services

scholarly journals Injury Prevention Education in the Waiting Room of an Underserved Pediatric Primary Care Clinic

2018 ◽  
Vol 58 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Nikita Habermehl ◽  
Elizabeth Diekroger ◽  
Rina Lazebnik ◽  
Grace Kim
Keyword(s):  
Primary Care ◽  
Injury Prevention ◽  
Primary Care Clinic ◽  
The United States ◽  
Childhood Mortality ◽  
Pediatric Primary Care ◽  
Waiting Room ◽  
Care Clinic ◽  
Prevention Education

Unintentional injuries are the leading cause of childhood mortality in the United States. Study aims included educating families about injury prevention and improving satisfaction with the waiting room experience. Two hundred caregivers with young children in the waiting room of an underserved pediatric primary care clinic participated in brief individual education sessions and received a toolkit containing small safety items and content highlighting age-appropriate safety topics. Participants completed 2 follow-up surveys, and most caregivers (94%) reported learning new information about injury prevention and thought that the intervention resulted in a better waiting room experience (91%). Of those who completed the 2-week follow-up survey (84%), 93.5% made changes at home and 42.7% bought new safety equipment. Injury prevention education can be effectively provided in the waiting room of a pediatric primary care clinic by improving reported caregiver safety knowledge and behaviors as well as satisfaction with the waiting room experience.

Emotional and Behavior Problems in an Urban Pediatric Primary Care Setting

2014 ◽  
Vol 46 (2) ◽  
pp. 289-299 ◽  
Author(s):  
Shannon E. Hourigan ◽  
Michael A. Southam-Gerow ◽  
Alexis M. Quinoy
Keyword(s):  
Primary Care ◽  
Behavior Problems ◽  
Care Setting ◽  
Primary Care Setting ◽  
Pediatric Primary Care ◽  
And Behavior

scholarly journals Genomic decision support needs in pediatric primary care

2017 ◽  
Vol 24 (4) ◽  
pp. 851-856 ◽  
Author(s):  
Jeffrey W Pennington ◽  
Dean J Karavite ◽  
Edward M Krause ◽  
Jeffrey Miller ◽  
Barbara A Bernhardt ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Primary Care Providers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Further Development

Abstract Clinical genome and exome sequencing can diagnose pediatric patients with complex conditions that often require follow-up care with multiple specialties. The American Academy of Pediatrics emphasizes the role of the medical home and the primary care pediatrician in coordinating care for patients who need multidisciplinary support. In addition, the electronic health record (EHR) with embedded clinical decision support is recognized as an important component in providing care in this setting. We interviewed 6 clinicians to assess their experience caring for patients with complex and rare genetic findings and hear their opinions about how the EHR currently supports this role. Using these results, we designed a candidate EHR clinical decision support application mock-up and conducted formative exploratory user testing with 26 pediatric primary care providers to capture opinions on its utility in practice with respect to a specific clinical scenario. Our results indicate agreement that the functionality represented by the mock-up would effectively assist with care and warrants further development.

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