Adolescent Patient Perspectives on Addressing Childhood Adversity in the Primary Care Setting

Chokshi, Binny; Skjoldager, Kara

doi:10.1177/0009922820928056

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…This study did not, however, use the ACE questionnaire (Felitti et al, 1998), but instead used an interview protocol that asked people to talk about their childhood, and then followed this up with a compassionate response and discussion. Another study also emphasises the importance of clinicians being non‐judgemental, building trust, and providing choice during ACE enquiry (Chokshi & Skjoldager, 2020), which again is consistent with current findings.…”

Section: Discussionsupporting

confidence: 89%

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Sødal,

Huddy,

McKenzie

2023

Psychol Psychother

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IntroductionThe objectives for this study were to explore Black people's experiences of being asked about ACEs by mental health or counselling professionals, both broadly, and also as part of routine enquiry with a commonly used ACE questionnaire. An additional aim was to understand their perspectives on how services should be asking about ACEs.MethodsThis study used a qualitative methodology, with a critical realist reflexive thematic analysis approach. Ten people who identified as Black and had been asked about ACEs by a mental health professional or counsellor, were interviewed about their experiences and perspectives using semi‐structured interviews.ResultsFour overarching themes, some with subthemes, were established: Trust and safety as individual and systemic (subthemes: Distrust in the system; Distrust in the clinician; Racism in health care; Keeping safe); It is the person, not the questions (subthemes: Being heard and understood; Similarity and difference); Engaged client, ‘hard‐to‐reach’ clinician? and People are not tick‐boxes.ConclusionsThe results highlight that people find it important and useful to be asked about ACEs, if it is done in an appropriate manner. Establishing trust and a therapeutic relationship is key to fostering this. Participants stated that the ACE questionnaire might miss important context, and they relayed a preference for being asked about ACEs using more inclusive definitions of ACEs.

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Section: Discussionsupporting

confidence: 89%

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Sødal,

Huddy,

McKenzie

2023

Psychol Psychother

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“…Chokshi and Skjoldager 58 were the only team to explore adolescents’ (n=16) perspectives on ACE screening. Results showed that adolescents believed that a primary care setting was suitable for discussing ACE, indicating that such information would increase a service provider’s understanding of their patients and help them through discussions regarding adversities.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies42 50 were identified that examined caregivers’ acceptability of ACE screening and 581 study had looked at adolescents’ acceptability of ACE screening. All 3 studies were conducted in the USA.…”

Section: Resultsmentioning

confidence: 99%

“…As discussed in the previous section, several studies have gathered information on the perceived benefits and risks of screening for ACE 26–31 42 47 49 50 55 58 59. No studies have, however, examined what risks and benefits were experienced by children and young people who have undergone ACE screening (eg, how did screening impact uptake of services and any consequences).…”

Section: Resultsmentioning

confidence: 99%

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Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review

et al. 2022

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ObjectiveTo examine and synthesise the literature on adverse childhood experience (ACE) screening in clinical and healthcare settings servicing children (0–11) and young people (12–25).DesignA systematic review of literature was undertaken.Data sourcePsycInfo, Web of Science, Embase, PubMed and CINAHL were searched through June 2021. Additional searches were also undertaken.Eligibility criteriaEnglish language studies were included if they reported results of an ACE tool being used in a clinical or healthcare setting, participants were aged between 0 and 25 years and the ACE tool was completed by children/young people or by parents/caregivers/clinicians on behalf of the child/young person. Studies assessing clinicians’ views on ACE screening in children/young people attending health settings were also included.Data extraction and synthesisTwo independent reviewers extracted data and assessed for risk of bias using the Mixed Methods Appraisal Tool. Results were synthesised qualitatively.ResultsInitial searches identified 5231 articles, of which 36 were included in the final review. Findings showed that the most commonly used tool for assessing ACE was the ACE questionnaire; administering ACE tools was found to be feasible and acceptable; there were limited studies looking at the utility, feasibility and acceptability of assessing for ACE in First Nations people; and while four studies provided information on actions taken following ACE screening, no follow-up data were collected to determine whether participants accessed services and/or the impact of accessing services.ConclusionAs the evidence stands, widespread ACE screening is not recommended for routine clinical use. More research is needed on how and what specific ACE to screen for and the impact of screening on well-being.PROSPERO registration numberUniversity of York Centre for Reviews and Dissemination (CRD42021260420).

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“…En algunas ocasiones se aplicaba la prueba tanto a los a cuidadores como a los niños (Kia-Keating et al, 2019;Selvaraj et al, 2019;DiGangi & Negriff, 2020). Un estudio realizó el tamizaje en embarazadas (Flanagan et al, 2018), y otro en adolescentes (Chokshi & Skjoldager, 2020). En la mayoría de los estudios, los participantes contestaron la prueba en la sala de espera antes de ingresar a la consulta.…”

Section: Forma De La Aplicación Del Tamizajeunclassified

Implementación de intervenciones que aborden las Experiencias Adversas en la Infancia en Atención Primaria: Una revisión exploratoria

Rodriguez Infante

2024

ARS med

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Introducción: La vivencia de experiencias adversas en la infancia (EAI) se asocia a mayor riesgo de presentar conductas de riesgo y enfermedades crónicas a largo plazo. A nivel mundial, se han comenzado a pesquisar y abordar en las atenciones de salud. Sin embargo, en Chile aún no existe una sugerencia a nivel nacional para incorporarlo. El fin de este artículo es proveer de información y recomendaciones a la práctica clínica. Métodos: Se realizó una revisión exploratoria en PubMed, LILACS y PsycInfo usando el marco metodológico del Joanna Briggs Institute para identificar la literatura disponible sobre implementación de intervenciones en detección y abordaje de EAI dentro de un sistema de salud, con foco en atención infantil ambulatoria. Resultados: Se encontraron 34 estudios atingentes al tema, los que muestran que implementar mecanismos de detección y abordaje de EAI es factible y aceptable, tanto para el personal de salud como para los usuarios, pero debe ser realizado dentro de un modelo de cuidado que incorpore a las familias y comunidad, además de trabajar con los equipos en capacitación, gestión del cambio, implementación y evaluación. Conclusiones: La Atención Primaria de Salud (APS) resulta ser un lugar privilegiado para su implementación dada la cercanía y relación de confianza que se establece con las familias. Este estudio muestra que es posible implementar un modelo de detección y abordaje de EAI en APS, lo que resulta crucial dentro de su rol preventivo-promocional si se quiere generar un impacto en la salud de niños, niñas y adolescentes ahora y en el futuro.

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Adolescent Patient Perspectives on Addressing Childhood Adversity in the Primary Care Setting

Cited by 6 publications

References 11 publications

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review

Implementación de intervenciones que aborden las Experiencias Adversas en la Infancia en Atención Primaria: Una revisión exploratoria

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