Improving Child Health and Healthcare Use Outcomes: How Risk and Resilience Intersect in Pediatric Care

Byers, Kaela; Monahan, Emma Kahle; McCrae, Julie S.; Robinson, JoAnn; Finno-Velasquez, Megan

doi:10.1007/s11121-022-01389-x

Cited by 3 publications

(3 citation statements)

References 40 publications

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“…In that study, five counties had engaged in an innovation in early childhood and healthcare to address family access to concrete and social supports (McCrae et al, 2021). The last data collection wave for that study was concluded just as the global COVID-19 pandemic was beginning (Byers et al, 2022). The research team invited three of the original five counties to participate in the current study.…”

Section: Methodsmentioning

confidence: 99%

Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care.

Spain,

Garza,

McCrae

2024

Families, Systems, & Health

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Section: Methodsmentioning

confidence: 99%

Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care.

Spain,

Garza,

McCrae

2024

Families, Systems, & Health

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“…As mentioned above, previous analyses in the MTS study identified four family profiles of risk and resilience [ 12 ]: 1) complex risk, low strengths; 2) household/relational risk, low strengths; 3) neighborhood risk, high strengths; and 4) low risk, high strengths. These family profiles are used as key predictors of outcomes in longitudinal models.…”

Section: Methodsmentioning

confidence: 99%

“…In the current analysis, these profiles are central for understanding how risk and protective factors prior to the pandemic are differentially associated with family experiences during the pandemic. For more details on the Latent Profile Analysis methods and characteristics of each profile, see Byers et al [ 12 ].…”

Section: Study Overviewmentioning

confidence: 99%

Pre-Pandemic Adversity Buffers the Role of Social Loneliness in Caregiver Mental Health During the COVID-19 Pandemic

Monahan

McCrae

Daferede

2022

Int J Public Health

Self Cite

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Objectives: This study investigates how family profiles of risk and resilience established prior to COVID-19 are associated with changes in caregiver depression and stress 1 year after the pandemic onset, and how these associations are moderated by experiences of social loneliness.Methods: A sample of 243 caregivers in four risk and resilience profiles interviewed pre-COVID-19 were interviewed virtually in December 2020–February 2021 (during pandemic). Multi-level models were used to examine changes in mental health.Results: All caregivers reported increases in extreme stress during the pandemic. Caregivers with less relative adversity pre-pandemic showed significantly greater depression and loneliness in the pandemic compared to caregivers with higher pre-pandemic adversity. Social loneliness was a moderator of the association between pre-pandemic adversity and mental health.Conclusion: The study suggests families with more pre-pandemic adversity demonstrate coping that buffers the negative impact of social loneliness on mental health, emphasizing the strengths of these families that are assets to build upon in crisis. Families with more relative advantage pre-pandemic likely need assistance to reduce feelings of stress and depression in the face of increased social loneliness.

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Participation in Pediatric Primary Care Innovation, DULCE, Increases Caregiver Agency and Resilience and Decreases Impact of Stress

Monahan,

McCrae,

Arbour

2023

Prev Sci

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Improving Child Health and Healthcare Use Outcomes: How Risk and Resilience Intersect in Pediatric Care

Cited by 3 publications

References 40 publications

Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care.

Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care.

Pre-Pandemic Adversity Buffers the Role of Social Loneliness in Caregiver Mental Health During the COVID-19 Pandemic

Participation in Pediatric Primary Care Innovation, DULCE, Increases Caregiver Agency and Resilience and Decreases Impact of Stress

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