Pub Date : 2022-06-01DOI: 10.1080/02739615.2022.2076682
M. A. Faith, D. Boone, A. Healy, Esther Davila
ABSTRACT This study examined relations between parent coping and parent-, patient-, and sibling- reported sibling relationship quality (SRQ) during pediatric cancer. A sample of 156 parents, 103 patients, and 104 siblings completed questionnaires. Results demonstrated parents’ adaptive coping was positively associated with parent-reported sibling warmth and negatively associated with sibling dominance. Parents’ dismissive ES beliefs were inversely related to sibling warmth and positively related to conflict. Analyses indicated when parents’ emotion coaching beliefs were high, parents’ adaptive coping was positively related to parent-reported sibling warmth. Findings begin to elucidate family processes that may affect SRQ in families of pediatric oncology patients.
{"title":"Parent coping, emotion socialization beliefs, and sibling relationship quality in pediatric cancer","authors":"M. A. Faith, D. Boone, A. Healy, Esther Davila","doi":"10.1080/02739615.2022.2076682","DOIUrl":"https://doi.org/10.1080/02739615.2022.2076682","url":null,"abstract":"ABSTRACT This study examined relations between parent coping and parent-, patient-, and sibling- reported sibling relationship quality (SRQ) during pediatric cancer. A sample of 156 parents, 103 patients, and 104 siblings completed questionnaires. Results demonstrated parents’ adaptive coping was positively associated with parent-reported sibling warmth and negatively associated with sibling dominance. Parents’ dismissive ES beliefs were inversely related to sibling warmth and positively related to conflict. Analyses indicated when parents’ emotion coaching beliefs were high, parents’ adaptive coping was positively related to parent-reported sibling warmth. Findings begin to elucidate family processes that may affect SRQ in families of pediatric oncology patients.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"221 - 243"},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47591929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.1080/02739615.2022.2079511
M. Lukas, Gracie Avery, Sherwood Burns-Nader, Emily Goldstein, Anna Schmitz
ABSTRACT The purpose of this study was to describe Certified Child Life Specialists’ (CCLSs) perspectives on their role and the benefits of their role during pediatric sexual assault forensic examinations (PSAFEs). Using a structured interview, discussed roles included preparing the patient for and supporting the patient during the examination and supporting the multidisciplinary team. Perceived benefits of child life services included increasing patient coping and completion of the examination, decreasing re-traumatization, and minimizing parent stress. The findings highlight how CCLSs feel they support the emotional safety of PSAFE patients and families. Thus, healthcare programs providing PSAFEs should consider staffing a CCLS.
{"title":"Exploring child life specialists’ perspective on the role and benefits of child life in pediatric sexual assault forensic examinations","authors":"M. Lukas, Gracie Avery, Sherwood Burns-Nader, Emily Goldstein, Anna Schmitz","doi":"10.1080/02739615.2022.2079511","DOIUrl":"https://doi.org/10.1080/02739615.2022.2079511","url":null,"abstract":"ABSTRACT The purpose of this study was to describe Certified Child Life Specialists’ (CCLSs) perspectives on their role and the benefits of their role during pediatric sexual assault forensic examinations (PSAFEs). Using a structured interview, discussed roles included preparing the patient for and supporting the patient during the examination and supporting the multidisciplinary team. Perceived benefits of child life services included increasing patient coping and completion of the examination, decreasing re-traumatization, and minimizing parent stress. The findings highlight how CCLSs feel they support the emotional safety of PSAFE patients and families. Thus, healthcare programs providing PSAFEs should consider staffing a CCLS.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"278 - 295"},"PeriodicalIF":0.9,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42788092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-29DOI: 10.1080/02739615.2022.2079510
L. B. Bennett Murphy, M. O’Gorman, S. Fitzgerald, K. Peterson, J. Robson
ABSTRACT EoE symptoms and treatments place affected children at risk for reduced quality of life. Yet relatively little is known about the factors that affect health related quality of life (HRQoL) in youth with EoE. This study examined symptom burden and HRQoL in 267 children and adolescents with EoE. Pain catastrophizing was significantly related to both EoE symptom reports and HRQoL (p < .001). Further, children with significantly elevated psychological symptom reports experienced more symptom burden and worse HRQoL (p < .001). Effective health care for children with EoE includes addressing quality of life, psychological symptoms, and maladaptive pain cognitions when present, in addition to managing inflammation.
{"title":"Quality of life in children and adolescents with eosinophilic esophagitis","authors":"L. B. Bennett Murphy, M. O’Gorman, S. Fitzgerald, K. Peterson, J. Robson","doi":"10.1080/02739615.2022.2079510","DOIUrl":"https://doi.org/10.1080/02739615.2022.2079510","url":null,"abstract":"ABSTRACT EoE symptoms and treatments place affected children at risk for reduced quality of life. Yet relatively little is known about the factors that affect health related quality of life (HRQoL) in youth with EoE. This study examined symptom burden and HRQoL in 267 children and adolescents with EoE. Pain catastrophizing was significantly related to both EoE symptom reports and HRQoL (p < .001). Further, children with significantly elevated psychological symptom reports experienced more symptom burden and worse HRQoL (p < .001). Effective health care for children with EoE includes addressing quality of life, psychological symptoms, and maladaptive pain cognitions when present, in addition to managing inflammation.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"264 - 277"},"PeriodicalIF":0.9,"publicationDate":"2022-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43859522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-05DOI: 10.1080/02739615.2022.2072311
Sanem Nemmezi Karaca, Ayla Uzun Çiçek, Cansu Mercan Isik, Mehmet Kanak, G. Demirel
ABSTRACT This study has aimed to evaluate the relationship between preschool attention deficit/hyperactivity disorder (ADHD) and emotional abuse. Fifty-six children with ADHD aged 5 and 6 years and their mothers, and sixty-five children without a diagnosis of ADHD and their mothers have been included in this study. ADHD symptomatology and emotional abuse potential of mothers have been assessed by the Conners’ Parent Rating Scale-Revised-Short Form (CPRS-RS) and the Scale for Emotional Abuse Potential of Parents with Children Aged 3 to 6 (SEAPP-C3-6) respectively. Mothers of children with ADHD had significantly higher causal sub-dimension scores of SEAPP-C3-6 than that of the mothers of the controls. The higher emotional abuse potential scores of mothers have been significantly associated with higher Conners scores, male gender, disruptive behavior disorders comorbidity, low income and parental education level and parental psychopathology. This study has revealed that preschool ADHD is an important risk factor for emotional abuse. Clinicians shall be aware of the emotional abuse potential among children with ADHD.
{"title":"Evidence of the relationship between attention deficit/hyperactivity disorder (ADHD) and emotional abuse in a sample of preschool children","authors":"Sanem Nemmezi Karaca, Ayla Uzun Çiçek, Cansu Mercan Isik, Mehmet Kanak, G. Demirel","doi":"10.1080/02739615.2022.2072311","DOIUrl":"https://doi.org/10.1080/02739615.2022.2072311","url":null,"abstract":"ABSTRACT This study has aimed to evaluate the relationship between preschool attention deficit/hyperactivity disorder (ADHD) and emotional abuse. Fifty-six children with ADHD aged 5 and 6 years and their mothers, and sixty-five children without a diagnosis of ADHD and their mothers have been included in this study. ADHD symptomatology and emotional abuse potential of mothers have been assessed by the Conners’ Parent Rating Scale-Revised-Short Form (CPRS-RS) and the Scale for Emotional Abuse Potential of Parents with Children Aged 3 to 6 (SEAPP-C3-6) respectively. Mothers of children with ADHD had significantly higher causal sub-dimension scores of SEAPP-C3-6 than that of the mothers of the controls. The higher emotional abuse potential scores of mothers have been significantly associated with higher Conners scores, male gender, disruptive behavior disorders comorbidity, low income and parental education level and parental psychopathology. This study has revealed that preschool ADHD is an important risk factor for emotional abuse. Clinicians shall be aware of the emotional abuse potential among children with ADHD.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"336 - 353"},"PeriodicalIF":0.9,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45901897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-27DOI: 10.1080/02739615.2022.2068552
Sun Wenkai, W. Xiaohong, Xu Huiwen, Lu Huishi, Sun Liao, Huang Fei
ABSTRACT The present study aimed to investigate the relationship between social media addiction and learning burnout and the mediating role of interpersonal alienation in the relationship between social media addiction and learning burnout among Chinese middle school students. The study investigates 2095 junior high school students in Zhuhai, China through a web-based questionnaire survey. The study results showed that (1) adolescent social media addiction significantly and positively influenced learning burnout and interpersonal alienation, and (2) adolescent interpersonal alienation mediated the relationship between social media addiction and learning burnout.
{"title":"The role of interpersonal alienation in the relationship between social media addiction and learning burnout among Chinese secondary school students","authors":"Sun Wenkai, W. Xiaohong, Xu Huiwen, Lu Huishi, Sun Liao, Huang Fei","doi":"10.1080/02739615.2022.2068552","DOIUrl":"https://doi.org/10.1080/02739615.2022.2068552","url":null,"abstract":"ABSTRACT The present study aimed to investigate the relationship between social media addiction and learning burnout and the mediating role of interpersonal alienation in the relationship between social media addiction and learning burnout among Chinese middle school students. The study investigates 2095 junior high school students in Zhuhai, China through a web-based questionnaire survey. The study results showed that (1) adolescent social media addiction significantly and positively influenced learning burnout and interpersonal alienation, and (2) adolescent interpersonal alienation mediated the relationship between social media addiction and learning burnout.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"196 - 219"},"PeriodicalIF":0.9,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44638152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1080/02739615.2022.2061492
E. Bacil, T. S. Piola, A. Pacífico, Edina María De Camargo, M. P. Silva, W. Campos
ABSTRACT This study aimed to verify the moderation of sociodemographic factors in the association of weight status with physical activity of 2347 students, both male and female, aged between 11 and 15 years. This study is a cross-sectional correlational descriptive epidemiological survey. We collected body mass measurements, height, gender, age, work, housing, type of residence, parent’s education, economic class, and physical activity level. Poisson regression with 95% confidence intervals was used for the association analyses. 33.2% of the students were overweight, and 52.3% were considered active, the highest proportion being boys (64.1%). Overweight girls who do not work (PR = 1,29; CI95% = 1,09–1,53), normal-weight girls who work (PR = 1,83; CI95% = 1,31–2,57), and overweight girls who have a father with ≥ 8 years of education (PR = 1,47; CI95% = 1,14–1,91) were more likely to be active. However, normal-weight girls aged 13 to 15 years were less likely to be active (PR = 0,59; CI95% = 0,48–0,73). We conclude that age, work, and father’s education variables influenced the relationship between weight status and adolescents’ level of physical activity. Future research needs to understand the relationship between weight status and physical activity and the moderating role of sociodemographic factors to identify the characteristics of Brazilian adolescents and what leads them to be inactive.
{"title":"Association of the weight status with physical activity: moderation of sociodemographic factors","authors":"E. Bacil, T. S. Piola, A. Pacífico, Edina María De Camargo, M. P. Silva, W. Campos","doi":"10.1080/02739615.2022.2061492","DOIUrl":"https://doi.org/10.1080/02739615.2022.2061492","url":null,"abstract":"ABSTRACT This study aimed to verify the moderation of sociodemographic factors in the association of weight status with physical activity of 2347 students, both male and female, aged between 11 and 15 years. This study is a cross-sectional correlational descriptive epidemiological survey. We collected body mass measurements, height, gender, age, work, housing, type of residence, parent’s education, economic class, and physical activity level. Poisson regression with 95% confidence intervals was used for the association analyses. 33.2% of the students were overweight, and 52.3% were considered active, the highest proportion being boys (64.1%). Overweight girls who do not work (PR = 1,29; CI95% = 1,09–1,53), normal-weight girls who work (PR = 1,83; CI95% = 1,31–2,57), and overweight girls who have a father with ≥ 8 years of education (PR = 1,47; CI95% = 1,14–1,91) were more likely to be active. However, normal-weight girls aged 13 to 15 years were less likely to be active (PR = 0,59; CI95% = 0,48–0,73). We conclude that age, work, and father’s education variables influenced the relationship between weight status and adolescents’ level of physical activity. Future research needs to understand the relationship between weight status and physical activity and the moderating role of sociodemographic factors to identify the characteristics of Brazilian adolescents and what leads them to be inactive.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"173 - 183"},"PeriodicalIF":0.9,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46514846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1080/02739615.2022.2051512
Abigail S. Robbertz, Caitlin E Shneider, L. Cohen
ABSTRACT This study examined how nursing students’ training status and their anxiety impacts their assessment of children’s pain. The sample included 100 psychology undergraduate students, 87 beginning nursing students, and 35 advanced nursing students. Participants watched a video of a child receive a finger stick and then rated their own state anxiety and the child’s pain via visual analog scales. Advanced nursing training was related to lower anxiety, which in turn, was related to lower pain ratings. These findings augment our understanding of how nursing training influences personal anxiety during pediatric needle procedures, which may impact pediatric pain ratings.
{"title":"The role of nursing student training status and anxiety in pediatric pain assessment","authors":"Abigail S. Robbertz, Caitlin E Shneider, L. Cohen","doi":"10.1080/02739615.2022.2051512","DOIUrl":"https://doi.org/10.1080/02739615.2022.2051512","url":null,"abstract":"ABSTRACT This study examined how nursing students’ training status and their anxiety impacts their assessment of children’s pain. The sample included 100 psychology undergraduate students, 87 beginning nursing students, and 35 advanced nursing students. Participants watched a video of a child receive a finger stick and then rated their own state anxiety and the child’s pain via visual analog scales. Advanced nursing training was related to lower anxiety, which in turn, was related to lower pain ratings. These findings augment our understanding of how nursing training influences personal anxiety during pediatric needle procedures, which may impact pediatric pain ratings.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"138 - 150"},"PeriodicalIF":0.9,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48838743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-17DOI: 10.1080/02739615.2022.2063127
Tara Funk, Leon Quach, Aditi Mahajan, Sarang Modi, Emily Supenia, Natalie Schellpfeffer, Michael Ambrose, T. Gaslin, B. Garst, Andrew N. Hashikawa
ABSTRACT Summer campers often require access to medications. However, little is known about the types of medications administered in camps. We used a data set from a camp-specific electronic records system that contained all campers’ medications. We developed a coding book and classified medications based on drug type, mechanism, and indication. Data were available on 163,853 medications from 75,072 campers. Health care providers need to be aware of the vast quantity and wide spectrum of medications dispensed in summer camps and should find opportunities to advocate for the adoption of best-practice safety guidelines to ensure the safety and well-being of campers.
{"title":"Keeping children healthy at summer camp: A study of medications administered in the camp setting","authors":"Tara Funk, Leon Quach, Aditi Mahajan, Sarang Modi, Emily Supenia, Natalie Schellpfeffer, Michael Ambrose, T. Gaslin, B. Garst, Andrew N. Hashikawa","doi":"10.1080/02739615.2022.2063127","DOIUrl":"https://doi.org/10.1080/02739615.2022.2063127","url":null,"abstract":"ABSTRACT Summer campers often require access to medications. However, little is known about the types of medications administered in camps. We used a data set from a camp-specific electronic records system that contained all campers’ medications. We developed a coding book and classified medications based on drug type, mechanism, and indication. Data were available on 163,853 medications from 75,072 campers. Health care providers need to be aware of the vast quantity and wide spectrum of medications dispensed in summer camps and should find opportunities to advocate for the adoption of best-practice safety guidelines to ensure the safety and well-being of campers.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"184 - 195"},"PeriodicalIF":0.9,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41441242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-14DOI: 10.1080/02739615.2022.2047970
K. Rechenberg, L. Szalacha, A. Bugajski
ABSTRACT Adolescents with Type 1 diabetes experience anxiety symptoms specifically related to the self-management of diabetes. The purpose of this study is to describe the initial psychometric testing of the Anxiety Symptoms in Diabetes Scale in Adolescents (ASDS-A), a 14-item instrument designed to measure diabetes-specific anxiety. Following an in-depth qualitative study, items were identified and reviewed by experts, and remaining items were tested in 146 adolescents. A PCA indicated a single dimension (Eigenvalue, 6.106) with a Cronbach’s α of .896, leaving a 14-item measure. There is strong evidence that the ASDS-A is a developing reliable and valid measure of diabetes-specific anxiety.
{"title":"A self-report measure of diabetes-specific anxiety symptoms for adolescents","authors":"K. Rechenberg, L. Szalacha, A. Bugajski","doi":"10.1080/02739615.2022.2047970","DOIUrl":"https://doi.org/10.1080/02739615.2022.2047970","url":null,"abstract":"ABSTRACT Adolescents with Type 1 diabetes experience anxiety symptoms specifically related to the self-management of diabetes. The purpose of this study is to describe the initial psychometric testing of the Anxiety Symptoms in Diabetes Scale in Adolescents (ASDS-A), a 14-item instrument designed to measure diabetes-specific anxiety. Following an in-depth qualitative study, items were identified and reviewed by experts, and remaining items were tested in 146 adolescents. A PCA indicated a single dimension (Eigenvalue, 6.106) with a Cronbach’s α of .896, leaving a 14-item measure. There is strong evidence that the ASDS-A is a developing reliable and valid measure of diabetes-specific anxiety.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"123 - 137"},"PeriodicalIF":0.9,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45922647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-16DOI: 10.1080/02739615.2022.2039146
Brian S. Gannon, A. Gregg, Hui Wang, Mallory Enzor Marshall, Lea G. Yerby, Caroline A. Jenkins, J. Parton
ABSTRACT Children in foster care are at risk from fragmented care, delayed access, medical complexity, and increased mental health needs. We studied health care expenditures for children in foster care managed by a Patient-Centered Medical Home foster care specialty clinic (Fresh Start). We used Alabama Medicaid claims data from 2016 to 2018 to compare the costs incurred by 75 pediatric patients managed by Fresh Start with 75 matched children in foster care. Compared to their matched controls, the average total expenditures of Fresh Start children were lower by $536 (p = .02, 95% CI [−1008, −63]), primary care expenditures were lower by $171 (p = .09, 95% CI [−371, 28]), and pharmacy expenditures were lower by $63 (p = .02, IQR = 598). Reduced expenditures identified among children managed by the Fresh Start PCMH may represent more access to care coordination, behavioral health services, and trauma-informed care, with more pronounced effects on primary care and pharmacy costs.
{"title":"A medical home for children in foster care reduces expenditures","authors":"Brian S. Gannon, A. Gregg, Hui Wang, Mallory Enzor Marshall, Lea G. Yerby, Caroline A. Jenkins, J. Parton","doi":"10.1080/02739615.2022.2039146","DOIUrl":"https://doi.org/10.1080/02739615.2022.2039146","url":null,"abstract":"ABSTRACT Children in foster care are at risk from fragmented care, delayed access, medical complexity, and increased mental health needs. We studied health care expenditures for children in foster care managed by a Patient-Centered Medical Home foster care specialty clinic (Fresh Start). We used Alabama Medicaid claims data from 2016 to 2018 to compare the costs incurred by 75 pediatric patients managed by Fresh Start with 75 matched children in foster care. Compared to their matched controls, the average total expenditures of Fresh Start children were lower by $536 (p = .02, 95% CI [−1008, −63]), primary care expenditures were lower by $171 (p = .09, 95% CI [−371, 28]), and pharmacy expenditures were lower by $63 (p = .02, IQR = 598). Reduced expenditures identified among children managed by the Fresh Start PCMH may represent more access to care coordination, behavioral health services, and trauma-informed care, with more pronounced effects on primary care and pharmacy costs.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"285 - 299"},"PeriodicalIF":0.9,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41698787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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