Evidence map›Paper›PMID 19861473›Full record

ArticlePediatrics2009

Devising, implementing, and evaluating interventions to eliminate health care disparities in minority children.

Glenn Flores

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Pediatrician qualifications and asthma management behaviors and their association with patient race/ethnicity.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014
    Article
  8. Article
  9. Article
  10. Intervention fidelity: ensuring application to practice for youth and families.Journal for specialists in pediatric nursing : JSPN · 2012
    Article
  11. Article
  12. Article
  13. Racial and ethnic disparities in pediatric mental health.Child and adolescent psychiatric clinics of North America · 2010
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Glenn FloresUniversity of Texas Southwestern Medical Center, Division of General Pediatrics, Department of Pediatrics, 5323 Harry Hines Blvd, Dallas, TX 75390, USA. glenn.flores@utsouthwestern.edu
The University of Texas Southwestern Medical Center · US

Funding

WirelessTechnology Assisted Weight Management in Pre-Diabetic Adolescents...P20MD000198 · NIMHD · HOWARD UNIVERSITY · PI JENKINS, RENEE R. · 2002 to 2016
$17.2M
Starting Early: Closing the Gap on Child Health DisparitiesU13HD055095 · NICHD · HOWARD UNIVERSITY · PI JENKINS, RENEE R. · 2007 to 2007
$50k
NICHD NIH HHS U13 HD055095NIMHD NIH HHS P20 MD000198
6 · The paper itself

Abstract

Despite an accumulating body of literature addressing racial/ethnic disparities in children's health and health care, there have been few published studies of interventions that have been successful in eliminating these disparities. The objectives of this article, therefore, are to (1) describe 3 interventions that have been successful in eliminating racial/ethnic disparities in children's health and health care, (2) highlight tips and pitfalls regarding devising, implementing, and evaluating pediatric disparities interventions, and (3) propose a research agenda for pediatric disparities interventions. Key characteristics of the 3 successful interventions include rigorous study designs; large sample sizes; appropriate comparison groups; community-based interventions that are culturally and linguistically sensitive and involve collaboration with participants; research staff from the same community as the participants; appropriate blinding of outcomes assessors; and statistical adjustment of outcomes for relevant covariates. On the basis of these characteristics, I propose tips, pitfalls, an approach, and a research agenda for devising, implementing, and evaluating successful pediatric disparities interventions. Examination of 3 successful interventions indicates that pediatric health care disparities can be eliminated. Achievement of this goal requires an intervention that is rigorous, evidence-based, and culturally and linguistically appropriate. The intervention must also include community collaboration, minimize attrition, adjust for potential confounders, and incorporate mechanisms for sustainability.

Indexed as

Black or African AmericanHealthcare DisparitiesHealth Plan ImplementationHispanic or LatinoIndians, North AmericanMinority GroupsAdolescentBreast FeedingCase ManagementChildChild, PreschoolCooperative BehaviorCross-Cultural ComparisonEvidence-Based MedicineFemaleHealth Services Accessibility

Identifiers

PMID19861473
PMCPMC2953415
OpenAlexW2116077591

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.