Primary care experiences of providing mental healthcare for children in the USA during the COVID-19 pandemic: a qualitative study.

Background: The increased demand for mental healthcare associated with the COVID-19 pandemic adds to the already high unmet mental health needs among paediatric patients, resulting in a declared 'mental health emergency'. The study objective was to describe paediatric primary care providers (PCPs') experience of meeting their patients' needs for mental healthcare during the pandemic and to identify opportunities to optimise care.

Methods: 19 paediatricians and 2 nurse practitioners completed a 30 min video interview in May 2021.

Improving Follow-Up for Adolescents With Depression in Primary Care.

Background: Few adolescents with depression receive treatment in accordance with national guidelines. This quality improvement project took place in 11 primary care practices with the primary aim of increasing the percentage of teens with depression who received follow-up care within 6 weeks of diagnosis and within 3 months, once stable.

Methods: The primary strategy was external practice facilitation for 12 months.

Collaborating to Advocate in Primary Care for Children During COVID-19.

The St Louis Regional Pediatric Learning Collaborative of pediatric primary care providers and infectious diseases specialists formed in March 2020 to address the needs of children and families during the coronavirus disease 2019 (COVID-19) pandemic. More than 400 pediatric primary care providers participated, using a listserv to discuss care and organize webinars to provide updates on local and national data and plan next steps. To inform local decision-making about care and testing for severe acute respiratory syndrome coronavirus 2, 95 providers from 26 practices partnered with the local practice-based research network to rapidly collect and share data about children with COVID-19-like symptoms.

Opioids in Adolescents' Homes: Prevalence, Caregiver Attitudes, and Risk Reduction Opportunities.

Objective: The most common source of misused opioids is pain relievers prescribed for family and friends. This study was conducted to assess knowledge, attitudes, and behaviors of adolescents' caregivers regarding prescribed opioids in the home.

Methods: The self-administered survey was completed by caregivers in the waiting rooms of 12 pediatric practices in the Midwest.

What Are Parents Willing to Discuss with Their Pediatrician About Firearm Safety? A Parental Survey.

Objective: To determine if parents are receptive to discussing firearm safety with their pediatrician.

Study Design: Parents completed a self-administered paper survey during a pediatric office visit. Responses of those who confirmed and denied household firearms were compared using Fisher exact test.

Parental Use of Electronic Cigarettes.

Objective: To describe parental use of electronic cigarettes (e-cigs) to better understand the safety risks posed to children.

Methods: Between June 24 and November 6, 2014, parents completed a self-administered paper survey during an office visit to 15 pediatric practices in a Midwestern practice-based research network. Attitudes towards and use of e-cigs are reported for those aware of e-cigs before the survey.

Opportunities to reduce children's excessive consumption of calories from beverages.

Objective: To describe children's consumption of sugar-sweetened beverages (SSBs) and 100% fruit juice (FJ), and identify factors that may reduce excessive consumption.

Design: A total of 830 parents of young children completed a 36-item questionnaire at the pediatricians' office.

Results: Children consumed soda (62.

Using parental perceptions of childhood allergic rhinitis to inform primary care management.

Objective: To describe parents' experience with their child's allergic rhinitis (AR) to inform management by the primary care provider (PCP).

Study Design: Two hundred parents with a child 7 to 15 years old with AR symptoms within the past 12 months completed a paper survey.

Results: The child's AR was identified as a significant problem in spring (89.

The comparative effectiveness of prednisolone and dexamethasone for children with croup: a community-based randomized trial.

Background. Although common practice, evidence to support treatment of croup with prednisolone is scant. Methods.

A telephone coaching intervention to improve asthma self-management behaviors.

Long recognizing that asthma, one of the most common chronic childhood diseases, is difficult to manage, the National Asthma Education Prevention Program developed clinical practice guidelines to assist health care providers, particularly those in the primary care setting. Yet, maintenance asthma care still fails to meet national standards. Therefore, in an attempt to improve and support asthma self-management behaviors for parents of children 5 to 12 years of age with persistent asthma, a novel nurse telephone coaching intervention was tested in a randomized, controlled trial.

Parents' experiences with pediatric care at retail clinics.

Importance: Little is known about the use of retail clinics (RCs) for pediatric care.

Objective: To describe the rationale and experiences of families with a pediatrician who also use RCs for pediatric care.

Design And Setting: Cross-sectional study with 19 pediatric practices in a Midwestern practice-based research network.

Pediatric providers' attitudes toward retail clinics.

Objective: To describe pediatric primary care providers' attitudes toward retail clinics and their experiences of retail clinics use by their patients.

Study Design: A 51-item, self-administered survey from 4 pediatric practice-based research networks from the midwestern US, which gauged providers' attitudes toward and perceptions of their patients' interactions with retail clinics, and changes to office practice to better compete.

Results: A total of 226 providers participated (50% response).

What are parents worried about? Health problems and health concerns for children.

Unlabelled: Patient-centered care requires pediatricians to address parents' health concerns, but their willingness to solicit parental concerns may be limited by uncertainty about which topics will be raised. The authors conducted surveys of parents to identify current health-related issues of concern.

Methods: Participants rated 30 items as health problems for children in their community (large, medium, small, or no problem) and volunteered concerns for their own children.

Telephone coaching for parents of children with asthma: impact and lessons learned.

Objective: To determine whether an asthma coaching program can improve parent and child asthma-related quality of life (QOL) and reduce urgent care events.

Design: Randomized controlled trial of usual care vs usual care with coaching. Comparisons were made between groups using mixed models.

Physician and parent response to the FDA advisory about use of over-the-counter cough and cold medications.

Objective: The aim of this study was to assess the likely impact of the US Food and Drug Administration (FDA) advisory not to use over-the-counter (OTC) cough and cold products for children aged <2 years on care provided by pediatricians and parents.

Methods: A mailed survey was completed by 105 community pediatricians (53% response rate), and 1265 parents with children aged <12 years completed a self-administered survey while waiting for an office visit.

Results: All physicians were aware of the advisory; 75% agreed with it.

Socioeconomic, family, and pediatric practice factors that affect level of asthma control.

Background: Multiple issues play a role in the effective control of childhood asthma.

Objective: To identify factors related to the level of asthma control in children receiving asthma care from community pediatricians.

Patients And Methods: Data for 362 children participating in an intervention study to reduce asthma morbidity were collected by a telephone-administered questionnaire.

What constitutes maintenance asthma care? The pediatrician's perspective.

Objective: To describe how pediatricians report they provide maintenance care for children with persistent asthma, and to identify opportunities for improvement.

Methods: An anonymous 34-item survey was completed by community pediatricians in St Louis, Missouri, between June 2005 and October 2005. Physicians reported the percentage of patients for whom they would prescribe inhaled corticosteroids, and selected from checklists the activities and questions they would use during a maintenance care visit.