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

Conn, Anne Marie; Szilagyi, Moira; Jee, Sandra H.; Manly, Jody Todd; Briggs, Rahil D.; Szilâgyi, Peter G.

doi:10.1037/fsh0000311

Cited by 77 publications

(69 citation statements)

References 44 publications

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“…Although many clinicians voiced concerns that patients would find ACE screenings to be too invasive, the studies included in this review suggest that the majority of patients find the ACE screening to be acceptable. 7,12,16,19,21,22 In fact, most patients felt the discussion of ACEs enhanced their relationship with their health care clinician. Clinicians also gained understanding of their patients' background and reported increased empathy.…”

Section: Discussionmentioning

confidence: 99%

“…Studies by Glowa et al, 19 Kalmakis et al, 16 and Goldstein et al 20 reported that patients in primary care settings find ACE screenings an acceptable component of their general health care visit. Conn et al 7 addressed clinicians' concerns that ACE screenings may be perceived by parents as too invasive. However, study results revealed that parents were supportive of ACE screenings as a means of being identified for additional services and altering the course of intergenerational adversity patterns; parents also viewed the pediatric clinician as a guide for helping families address ACE exposure.…”

Section: Acceptability Of Ace Screeningmentioning

confidence: 99%

“…However, study results revealed that parents were supportive of ACE screenings as a means of being identified for additional services and altering the course of intergenerational adversity patterns; parents also viewed the pediatric clinician as a guide for helping families address ACE exposure. 7 Adult patients with or without trauma history also felt that it was acceptable to be assessed for past trauma and expected their clinician would be able to help them. 20 Adult patients in a study by Flanagan et al 21 voiced acceptability, with over half of the respondents reporting that screening increased trust in their clinician, and 75% felt it helped their clinician know them better.…”

Section: Acceptability Of Ace Screeningmentioning

confidence: 99%

“…16,25 Helping individuals and families identify and prevent ACEs is part of a clinician's role as a change agent and supportive family resource. 7 This review suggests that clinicians' discomfort and reluctance to screen for ACEs is reduced when they receive trauma-sensitive education. 16,21,26 This review also provides evidence that implementing screening is possible in a variety of health care settings including pediatric care, prenatal care, adult primary care, home visits, and schools.…”

Section: Implications For Practicementioning

confidence: 99%

“…Children who have experienced high ACEs are more likely to have chronic health conditions and mental health problems including immune dysfunction, poor sleep, depression, anger, and aggression. 2,7 Children exposed to chronic stress can experience not only psychological impairment but also epigenetic impacts on their developing bodies. 8 Infants born to mothers with 4 or more ACEs had a 5-fold increased risk of poor physical and emotional health by the age of 18 months.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Screening for Adverse Childhood Experiences: Literature Review and Practice Implications

Rariden¹,

SmithBattle²,

Yoo³

et al. 2021

The Journal for Nurse Practitioners

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Adverse childhood experiences (ACEs) are linked with negatively impacting child and adult health outcomes. Clinicians are integral in identifying childhood adversities and offering supportive measures to minimize negative effects. This systematic literature review included 13 ACE studies that examined the acceptability, feasibility, and implementation of ACE screenings from the perspectives of clinicians and patients. The findings of this review can assist clinicians in considering the appropriateness of ACE screenings for their patients and the ethical and practical issues that must be addressed for effective screening implementation.

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Section: Discussionmentioning

confidence: 99%

Section: Acceptability Of Ace Screeningmentioning

confidence: 99%

Section: Acceptability Of Ace Screeningmentioning

confidence: 99%

Section: Implications For Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Screening for Adverse Childhood Experiences: Literature Review and Practice Implications

Rariden¹,

SmithBattle²,

Yoo³

et al. 2021

The Journal for Nurse Practitioners

View full text Add to dashboard Cite

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Coordination challenges and promising practices for pediatric healthcare‐community partnerships: A multi‐site study

Spain

Korfmacher

McCrae

2023

Journal Community Psychology

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There have been delays integrating universal screening and referral for social needs in pediatric practice. The study investigated two frameworks for clinic‐based screen‐and‐refer practice in eight clinics. The frameworks depict different organizational strategies to bolster family access to community resources. We conducted semi‐structured interviews with healthcare and community partners at two timepoints (n = 65) to investigate start‐up and ongoing implementation experiences, including continuing challenges. Results highlighted common within‐clinic and clinic‐community coordination challenges across diverse settings as well as promising practices supported by the two frameworks. In addition, we identified ongoing implementation challenges that face efforts to integrate these approaches and to translate screening results into activities that help children and families. Assessing the existing service referral coordination infrastructure of each clinic and community in early implementation is critical to screen‐and‐refer practice as this influences the continuum of supports available to meet family needs.

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Preferences for disclosing adverse childhood experiences for children and adults with cystic fibrosis

Williams

Jain

Laguna

et al. 2021

Pediatric Pulmonology

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Introduction The 2017–2018 National Survey of Children's Health estimates that 30 million (42%) US children have experienced at least one adverse childhood experience (ACE), including abuse, neglect, and household dysfunction. ACEs negatively impact long‐term health, and there has been no study of ACEs in cystic fibrosis (CF). We assessed willingness to disclose ACEs experienced by children with CF by surveying their parents and adults with CF. Methods We anonymously surveyed parents of children with CF and adults with CF at the Northwestern University/Lurie Children's CF Center to determine their willingness to disclose ACEs. Results The survey was completed by 46/157 (29%) parents and 36/105 (34%) adults with CF. Few parents (22%) and adults (17%) were willing to discuss most or all specific ACEs, more were willing to disclose the number of ACEs experienced in a category (57% parents, 47% adults), and the majority were willing to participate in anonymous research about ACEs (76% parents, 67% adults). Most parents (63%) and adults (50%) would prefer to have ACEs screened separately from their CF appointment, and most parents (63%) and adults (56%) wanted to learn more about ACEs from a member of their care team. Conclusions Participants preferred to disclose the number of categorical ACEs rather than specific ACEs and most were open to participating in anonymous ACEs research. More research is needed before implementing screening. Educating patients, parents, and providers about ACEs and appropriate interventions when ACES are identified is needed for both research and clinical applications of ACEs screening.

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

Cited by 77 publications

References 44 publications

Screening for Adverse Childhood Experiences: Literature Review and Practice Implications

Screening for Adverse Childhood Experiences: Literature Review and Practice Implications

Coordination challenges and promising practices for pediatric healthcare‐community partnerships: A multi‐site study

Preferences for disclosing adverse childhood experiences for children and adults with cystic fibrosis

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