Evidence map›Paper›PMID 32437880›Full record

ArticleAcademic pediatrics

Visiting Jack: Mixed Methods Evaluation of a Virtual Home Visit Curriculum With a Child With Medical Complexity.

Kathleen Huth, Laura Amar-Dolan, Jennifer M Perez, Donna Luff, Amy P Cohen, Laurie Glader, Alan Leichtner, Lori R Newman

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

4 citing papers in PubMed, 16 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Kathleen HuthDepartment of Pediatrics, Boston Children's Hospital (K Huth and L Glader), Boston, Mass. Electronic address: kathleen.huth@childrens.harvard.edu.
Laura Amar-DolanDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital (L Amar-Dolan and JM Perez), Boston, Mass.
Jennifer M PerezDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital (L Amar-Dolan and JM Perez), Boston, Mass.
Donna LuffDepartment of Anesthesiology, Critical Care and Pain Medicine, Institute for Professionalism and Ethical Practice, Boston Children's Hospital (D Luff), Boston, Mass.
Amy P CohenDepartment of Health Policy and Management, Harvard Chan School of Public Health (AP Cohen), Boston, Mass.
Laurie GladerDepartment of Pediatrics, Boston Children's Hospital (K Huth and L Glader), Boston, Mass.
Alan LeichtnerDepartment of Education, Boston Children's Hospital (A Leichtner and LR Newman), Boston, Mass.
Lori R NewmanDepartment of Education, Boston Children's Hospital (A Leichtner and LR Newman), Boston, Mass.
Boston Children's Hospital · US

Funding

Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
AHRQ HHS T32 HS000063
6 · The paper itself

Abstract

backgroundThere are limited training opportunities for pediatricians in caring for children with medical complexity (CMC) in the home and community. Prior studies have described a lack of comfort caring for CMC among pediatric residents.

objective1) To evaluate the impact of participation in a virtual home visit curriculum on pediatric residents' confidence, knowledge, and application of knowledge in complex care; 2) to explore changes in perspectives relating to the care of CMC after participation in the curriculum.

methodsThis was a prospective pre-post intervention study in 2019 with first-year pediatric residents, using quantitative and qualitative methods. The intervention, co-created with a family partner, was an online video-based curriculum followed by an in-person seminar. Pre- and postassessments were compared using paired t tests. Follow-up interviews and focus groups were performed 5 to 8 weeks after training. Transcripts were analyzed using inductive thematic analysis.

resultsTwenty-four residents (100%) participated. Residents reported increased confidence in all aspects of complex care presented in the curriculum, with significant increase in knowledge and application of knowledge (all P < .001). Twelve residents (50%) participated in a follow-up interview or focus group. Four themes were identified: 1) recognizing prior attitudes toward complexity, 2) new mental framework for complex care at home, 3) drivers of behavior change, and 4) commitment to change practice.

conclusionsParticipation in this curriculum was associated with increased confidence, knowledge, and application of knowledge in complex care outside of the hospital. Qualitative findings align with transformative learning theory, lending insight into effective approaches to complex care training.

Indexed as

House CallsInternship and ResidencyChildCurriculumEducation, Medical, GraduateHumansProspective Studieschildren with medical complexitycomplex carecurriculum developmentpediatricspostgraduate medical educationresidency education

Identifiers

PMID32437880
PMCPMC7983129
OpenAlexW3023885980

What OpenQuestion holds

Textmetadata
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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.