Evidence map›Paper›PMID 31318781›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP

Screening for Both Child Behavior and Social Determinants of Health in Pediatric Primary Care.

Evelyn Berger-Jenkins, Catherine Monk, Katherine DʼOnfro, Majeda Sultana, Lisa Brandt, Jyoti Ankam, Nadiuska Vazquez, Mariellen Lane, Dodi Meyer

Open access · greenAbstract read
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Child and adolescent psychiatry: challenges, solutions, opportunities, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. SCREENING FOR NEUROPSYCHOMOTOR AND SOCIAL-EMOTIONAL DEVELOPMENT IN CHILDREN UNDER 24 MONTHS OF AGE IN THE BRAZILIAN SEMI-ARID REGION.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Evelyn Berger-JenkinsDivision of Child and Adolescent Health, Department of Pediatrics, Columbia University Medical Center, New York, NY.
Catherine MonkDivisions of Behavioral Medicine and Developmental Neuroscience, Department of Psychiatry and Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.
Katherine DʼOnfroHeilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY.
Majeda SultanaDepartment of Clinical Psychology, Columbia University Teacher's College, New York, NY.
Lisa Brandt
Jyoti AnkamDepartment of Biostatistics, Columbia University Mailman School of Public Health, New York, NY.
Nadiuska VazquezDivision of Social Work, New York Presbyterian Hospital, Ambulatory Care Network, New York, NY.
Mariellen LaneDivision of Child and Adolescent Health, Department of Pediatrics, Columbia University Medical Center, New York, NY.
Dodi MeyerDivision of Child and Adolescent Health, Department of Pediatrics, Columbia University Medical Center, New York, NY.
Columbia University · USColumbia University Irving Medical Center · US

Funding

Preventing Postpartum Depression: A Dyadic Approach Adjunctive to Obstetric CareR01HD092062 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MONK, CATHERINE E · 2017 to 2022
$3.5M
NICHD NIH HHS R01 HD092062
6 · The paper itself

Abstract

objectiveTo implement comprehensive screening for child behavior and social determinants of health in an urban pediatric practice and explore rates of referrals and follow-up for positive screens.

methodQuality improvement methodology was used to implement routine screening using an adapted version of the Survey of Well Being of Young Children, a child behavior and social screen, for all children aged 6 months to 10 years. Rates of screen administration and documentation were assessed for 18 months. Medical records of a convenience sample (N = 349) were reviewed to track referrals and follow-up for positive screens. A secondary analysis explored associations between reported parental concern for their child's behavior and both child behavior symptoms and social stressors.

resultsOver 18 months, 2028 screens were administered. Screening rates reached 90% after introducing a tablet for screening. Provider documentation of screens averaged 62%. In the convenience sample, 28% scored positive for a behavioral problem, and 25% reported at least 1 social stressor. Of those with positive child behavior or social stressor screens, approximately 80% followed up with their primary medical doctor, and approximately 50% completed referrals to the clinic social worker. Further analysis indicated that referral and follow-up rates varied depending on whether the family identified child behavior or social issues. Logistic regression revealed that parental concern was independently associated with child behavior symptoms (p = 0.001) and social stressors (p = 0.002).

conclusionImplementing a comprehensive psychosocial screen is feasible in pediatric primary care and may help target referrals to address psychosocial health needs.

Indexed as

Child Health ServicesPrimary Health CareQuality ImprovementSocial Determinants of HealthChildChild Behavior DisordersChild, PreschoolFeasibility StudiesFemaleHumansInfantMale

Identifiers

PMID31318781
PMCPMC6660382
OpenAlexW2963498599

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.