Background And Objectives: Typical well-child visits are often unsatisfactory both to providers and patients. Group visits have been shown effective in some settings but have not been recently assessed for well-child care. Here we describe a model for infant well-child visits, WellBabies, along with participating mothers' perspectives and comparisons of quality outcomes.
Methods: We invited mothers receiving prenatal care in our practice to participate in WellBabies after delivery. Thirteen women participated, and 11 were available for individual interviews. We identified and summarized common themes in interview transcripts and compared quality outcomes with babies who had standard individual well-child visits.
Results: Participants expressed largely positive reactions to WellBabies, identifying mutual support, information sharing, parental involvement in care, and time spent in the visit as particularly valuable. One participant expressed concern about lack of individual time with a provider. Quality outcomes were similar to those in the comparison group.
Conclusions: Group well-child visits can effectively address important issues in children's health care and are well-received by participants.
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BMC Prim Care
January 2025
Department of Family Medicine, School of Medicine, Queen's University, Kingston, ON, Canada.
Background: For children under age six, regular preventative primary care is needed for administration of vaccinations, surveillance of development, and early diagnosis and intervention for any potential health conditions or developmental delays. The COVID-19 pandemic created many barriers to providing and accessing primary care. While many studies have explored these barriers, it is important to understand how primary care adapted to ensure these crucial early-years appointments were not missed throughout the pandemic.
View Article and Find Full Text PDFPediatrics
January 2025
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Background And Objectives: Human papillomavirus (HPV) vaccination rates are suboptimal, and missed vaccination opportunities are common. We hypothesized that a bundled intervention improves missed HPV vaccination opportunities.
Methods: We used a pre-post design to assess differences in HPV vaccine missed opportunities (visits when vaccine-eligible adolescents are not vaccinated).
JAMA Netw Open
January 2025
Office of Global and Population Health, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts.
Importance: Caries is the most common chronic childhood disease, with substantial health disparities.
Objective: To test whether parent-targeted oral health text (OHT) messages outperform child wellness text (CWT) messages on pediatric caries increment and oral health behaviors among underserved children attending pediatric well-child visits.
Design, Setting, And Participants: The parallel randomized clinical trial, Interactive Parent-Targeted Text Messaging in Pediatric Clinics to Reduce Caries Among Urban Children (iSmile), included participants who were recruited during pediatric medical clinic visits at 4 sites in Boston, Massachusetts, that serve low-income and racially and ethnically diverse (herein, underserved) populations.
Pediatr Rev
January 2025
Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Florida College of Medicine-Jacksonville, Florida.
Pediatricians follow patients longitudinally and hold a unique position to address multiple issues, medical and psychosocial, that affect organ donation and transplantation. They are wellpositioned to provide anticipatory guidance during well-child visits and during care for children with end-stage organ failure and can either assist these patients with ongoing medical management or refer these patients for organ transplantation assessment. A pediatrician's trusted relationship with families and patients allows for guidance on medical and ethical issues surrounding brain death, organ donation, and transplantation.
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