Evidence map›Paper›PMID 28279638›Full record

ArticleAcademic pediatrics2017

Which Pediatricians Comanage Mental Health Conditions?

Cori Green, Amy Storfer-Isser, Ruth E K Stein, Andrew S Garner, Bonnie D Kerker, Moira Szilagyi, Karen G O'Connor, Kimberly E Hoagwood, Sarah M Horwitz

Abstract read
In one paragraph

Article in Academic pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Cori GreenGeneral Academic Pediatrics, Weill Cornell Medical College/New York Presbyterian Hospital, New York, NY. Electronic address: cmg9004@med.cornell.edu.
Amy Storfer-IsserStatistical Research Consultants, Schaumburg, Ill.
Ruth E K SteinGeneral Pediatrics, Albert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY.
Andrew S GarnerDepartment of Pediatrics, Case Western Reserve University, Cleveland, Ohio.
Bonnie D KerkerNathan Kline Institute for Psychiatric Research, Orangeburg, NY; Department of General Pediatrics, New York University School of Medicine, New York, NY.
Moira SzilagyiDepartment of Pediatrics, University of California at Los Angeles, Los Angeles, Calif.
Karen G O'ConnorAmerican Academy of Pediatrics, Elk Grove Village, Ill.
Kimberly E HoagwoodDepartment of General Pediatrics, New York University School of Medicine, New York, NY.
Sarah M HorwitzDepartment of General Pediatrics, New York University School of Medicine, New York, NY.

Funding

Research Methods CoreP30MH090322 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MCKAY, MARY MCKERNAN · 2011 to 2015
$8.1M
NIMH NIH HHS P30 MH090322
6 · The paper itself

Abstract

objectiveGiven the prevalence of mental health (MH) conditions (MHC) in children, pediatricians should initiate treatment alone or in collaboration with a specialist for children with MHC. However, the majority of pediatricians do not manage or comanage common MHC even with an on-site MH provider. We examined which physician, practice, and training characteristics are associated with pediatricians' comanaging at least half of their patients with MHC.

methodsWe analyzed responses of general pediatricians (n = 305) from the American Academy of Pediatrics 2013 Periodic Survey. Practice characteristics include presence of an on-site MH provider and perceived access to services. Independent variables included sociodemographics, training experiences, and interest in further training. The outcome was comanagement of ≥50% of patients with MHC. Weighted univariate, bivariate, and multivariable analyses were performed.

resultsOf the pediatricians who reported comanaging ≥50% of their patients with MHC, logistic regression analysis showed that pediatricians who completed ≥4 weeks of developmental behavioral pediatrics training had 1.8 increased odds (95% confidence interval 1.06, 3.08, P = .03) of comanagement, those very interested in further education in managing/treating MHC had 2.75 increased odds (95% confidence interval 1.63, 3.08, P < .001), and those with more training in MH treatment with medications had 1.4 increased odds (95% confidence interval 1.12, 1.75, P = .004) of comanaging children with MHC.

conclusionsSpecific educational experiences and interest in further education in managing or treating MHC were significantly associated with comanaging ≥50% of patients, suggesting that enhanced MH training among pediatricians could increase the comanagement of children with MHC.

Indexed as

PediatricsPractice Patterns, Physicians'AdultClinical CompetenceFemaleHumansMaleMental DisordersMiddle AgedPhysician's RoleReferral and Consultationbehavior problemscomanagement mental healthdevelopmental behavioral pediatricspediatric education learning problems

Identifiers

PMID28279638
PMCPMC5495624

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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.