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Parental perspectives of screening for adverse childhood experiences in pediatric primary care.

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Title: Parental perspectives of screening for adverse childhood experiences in pediatric primary care.
Authors: Conn, Anne-Marie, Szilagyi, Moira A., Jee, Sandra H., Manly, Jody T., Briggs, Rahil, Szilagyi, Peter G.
Source: Families, Systems & Health: The Journal of Collaborative Family HealthCare. Mar2018, Vol. 36 Issue 1, p62-72. 11p.
Subjects: Adverse childhood experiences, Pediatric clinics, Parent-child relationships, Primary care, Pediatrics, Judgment sampling
Abstract: Introduction: Pediatricians recognize a need to mitigate the negative impact that adverse childhood experiences (ACEs) can have on health and development. However, ACEs screening and interventions in primary care pediatrics may be inhibited by concerns about parental perceptions. We assessed parent perspectives of screening for ACEs in the pediatric primary care setting, to understand their views on the potential impact of their ACEs on their parenting and to identify opportunities for pediatric anticipatory guidance.Method: We used purposive sampling to recruit parents of children <6 years receiving care at an urban, pediatric clinic. Semistructured questions guided 1:1 interviews that were later coded by multiple researchers to verify reliability. A thematic framework approach guided analysis and identified main themes and subthemes.Results: We reached thematic saturation after 15 parent interviews, which consistently revealed 3 interrelated themes. First, parents strongly supported ACEs screening as a bridge to needed services, and they recommended using a trauma-sensitive, person-centered approach in pediatric practices. Second, parents understood the intergenerational impact of ACEs and expressed a desire to break the cycle of adversity. Finally, parents saw their child's pediatrician as a potential change-agent who could provide support to meet their parenting goals.Discussion: Parents want to discuss their ACEs and receive help and guidance from pediatricians. Furthermore, they perceive their child's pediatrician as having an important role to play in meeting their parenting goals. It is important to ensure that pediatricians have the training, skills and familiarity with available resources to meet parental expectations. (PsycINFO Database Record [ABSTRACT FROM AUTHOR]
Copyright of Families, Systems & Health: The Journal of Collaborative Family HealthCare is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Parental perspectives of screening for adverse childhood experiences in pediatric primary care.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Conn%2C+Anne-Marie%22&quot;&gt;Conn, Anne-Marie&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Szilagyi%2C+Moira+A%2E%22&quot;&gt;Szilagyi, Moira A.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jee%2C+Sandra+H%2E%22&quot;&gt;Jee, Sandra H.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Manly%2C+Jody+T%2E%22&quot;&gt;Manly, Jody T.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Briggs%2C+Rahil%22&quot;&gt;Briggs, Rahil&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Szilagyi%2C+Peter+G%2E%22&quot;&gt;Szilagyi, Peter G.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Families%2C+Systems+%26+Health%3A+The+Journal+of+Collaborative+Family+HealthCare%22&quot;&gt;Families, Systems &amp; Health: The Journal of Collaborative Family HealthCare&lt;/searchLink&gt;. Mar2018, Vol. 36 Issue 1, p62-72. 11p.
– Name: Subject
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Adverse+childhood+experiences%22&quot;&gt;Adverse childhood experiences&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pediatric+clinics%22&quot;&gt;Pediatric clinics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parent-child+relationships%22&quot;&gt;Parent-child relationships&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Primary+care%22&quot;&gt;Primary care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pediatrics%22&quot;&gt;Pediatrics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Judgment+sampling%22&quot;&gt;Judgment sampling&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: &lt;bold&gt;Introduction: &lt;/bold&gt;Pediatricians recognize a need to mitigate the negative impact that adverse childhood experiences (ACEs) can have on health and development. However, ACEs screening and interventions in primary care pediatrics may be inhibited by concerns about parental perceptions. We assessed parent perspectives of screening for ACEs in the pediatric primary care setting, to understand their views on the potential impact of their ACEs on their parenting and to identify opportunities for pediatric anticipatory guidance.&lt;bold&gt;Method: &lt;/bold&gt;We used purposive sampling to recruit parents of children &lt;6 years receiving care at an urban, pediatric clinic. Semistructured questions guided 1:1 interviews that were later coded by multiple researchers to verify reliability. A thematic framework approach guided analysis and identified main themes and subthemes.&lt;bold&gt;Results: &lt;/bold&gt;We reached thematic saturation after 15 parent interviews, which consistently revealed 3 interrelated themes. First, parents strongly supported ACEs screening as a bridge to needed services, and they recommended using a trauma-sensitive, person-centered approach in pediatric practices. Second, parents understood the intergenerational impact of ACEs and expressed a desire to break the cycle of adversity. Finally, parents saw their child&#39;s pediatrician as a potential change-agent who could provide support to meet their parenting goals.&lt;bold&gt;Discussion: &lt;/bold&gt;Parents want to discuss their ACEs and receive help and guidance from pediatricians. Furthermore, they perceive their child&#39;s pediatrician as having an important role to play in meeting their parenting goals. It is important to ensure that pediatricians have the training, skills and familiarity with available resources to meet parental expectations. (PsycINFO Database Record [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Families, Systems &amp; Health: The Journal of Collaborative Family HealthCare is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=137158322
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1037/fsh0000311
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 11
        StartPage: 62
    Subjects:
      – SubjectFull: Adverse childhood experiences
        Type: general
      – SubjectFull: Pediatric clinics
        Type: general
      – SubjectFull: Parent-child relationships
        Type: general
      – SubjectFull: Primary care
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Judgment sampling
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      – TitleFull: Parental perspectives of screening for adverse childhood experiences in pediatric primary care.
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            NameFull: Manly, Jody T.
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            NameFull: Briggs, Rahil
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              Text: Mar2018
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              Y: 2018
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