Evidence map›Paper›PMID 34194889›Full record

ArticleClinical practice in pediatric psychology2020

Promoting Equity and Resilience: Wellness Navigators' Role in Addressing Adverse Childhood Experiences.

Miya L Barnett, Maryam Kia-Keating, Andria Ruth, Mayra Garcia

Open access · greenAbstract read
In one paragraph

Article in Clinical practice in pediatric psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.7field-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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Future Directions in Lay Health Worker Involvement in Children's Mental Health Services in the U.S.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
  13. Article
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

4 authors at 2 institutions in 1 country.

Miya L BarnettUniversity of California, Santa Barbara, Department of Counseling, Clinical, & School Psychology.
Maryam Kia-KeatingUniversity of California, Santa Barbara, Department of Counseling, Clinical, & School Psychology.
Andria RuthSanta Barbara Neighborhood Clinics.
Mayra GarciaSanta Barbara Neighborhood Clinics.
Neighborhood House · USUniversity of California, Santa Barbara · US

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Lay Health Worker Mobilization to Address Disparities in Parent Training ServicesK01MH110608 · NIMH · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI BARNETT, MIYA · 2017 to 2020
$600k
Trauma-Informed Prevention to Address Violence and Related Disparities for Latino YouthR03HD089465 · NICHD · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI ADAMS, JESSICA LYN, KIA-KEATING, MARYAM · 2016 to 2017
$207k
Preventing violence and racial disparities for Latino youthR13HD075495 · NICHD · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI ADAMS, JESSICA LYN, KIA-KEATING, MARYAM · 2013 to 2015
$90k
NICHD NIH HHS R03 HD089465NICHD NIH HHS R13 HD075495NIMH NIH HHS K01 MH110608NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

objectiveAdverse childhood experiences (ACEs) have demonstrable negative effects on long-term physical and mental health. Racial and ethnic minority children disproportionally experience ACEs due to the impacts of structural inequality and discrimination, which could drive health disparities. Pediatric settings offer an opportune context to address ACEs and improve health equity, and to link families to the necessary resources to promote resilience. Wellness navigators (WNs), who can reflect patients' cultural, linguistic, and other shared characteristics, have the potential to improve patient care and integrated behavioral health services to mitigate the public health impact of ACEs. In the current study, bilingual and bicultural WNs helped to deliver an ACEs screening and response to predominately Latinx patients in a pediatric service setting.

methodsQuantitative data on referrals made by WNs and qualitative interviews were analyzed to understand the role of WNs in ACEs screening.

resultsAmong families (infants and caregivers) that screened positive for ACEs, WNs addressed social determinants of health and, based on individual needs assessments, made referrals to community resources in over half of the cases. Insurance, childcare, and housing were the most frequent referral sources. WNs supported caregivers in initiating services with 94% of the referrals that were made. Qualitative interviews with medical providers and caregivers underscored WNs' role in the ACEs screening process. Implications for ACEs screening, trauma-responsive pediatric care, and integrating WNs into an integrated behavioral health team are discussed.

Identifiers

PMID34194889
PMCPMC8240552
OpenAlexW3036826108

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.