Evidence map›Paper›PMID 35768034›Full record

ArticleAcademic pediatrics2023

Time Spent at Well-Child Care Visits for English- and Spanish-Speaking Parents.

Kendra Liljenquist, Rachel Hurst, Laura Sotelo Guerra, Peter G Szilagyi, Kevin Fiscella, Lorena Porras-Javier, Tumaini R Coker

Abstract read
In one paragraph

Article in Academic pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

7 authors.

Kendra LiljenquistDepartment of Pediatrics, University of Washington School of Medicine (K Liljenquist and TR Coker), Seattle, Wash; Seattle Children's Research Institute (K Liljenquist, R Hurst, LS Guerra, and TR Coker), Seattle, Wash. Electronic address: kliljen@uw.edu.
Rachel HurstSeattle Children's Research Institute (K Liljenquist, R Hurst, LS Guerra, and TR Coker), Seattle, Wash.
Laura Sotelo GuerraSeattle Children's Research Institute (K Liljenquist, R Hurst, LS Guerra, and TR Coker), Seattle, Wash.
Peter G SzilagyiDepartment of Pediatrics, David Geffen School of Medicine at UCLA (PG Szilagy and L Porras-Javier), Los Angeles, Calif.
Kevin FiscellaDepartment of Family Medicine, University of Rochester School of Medicine and Dentistry (K Fiscella), Rochester, NY.
Lorena Porras-JavierDepartment of Pediatrics, David Geffen School of Medicine at UCLA (PG Szilagy and L Porras-Javier), Los Angeles, Calif.
Tumaini R CokerDepartment of Pediatrics, University of Washington School of Medicine (K Liljenquist and TR Coker), Seattle, Wash; Seattle Children's Research Institute (K Liljenquist, R Hurst, LS Guerra, and TR Coker), Seattle, Wash.

Funding

CATALyST: Consortium for Applied Training to Advance the Learning health system with Scholars/TraineesK12HS026369 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI LOZANO, PAULA, RALSTON, JAMES D. · 2018 to 2022
$3.5M
Well-Child Care Clinical Practice Redesign: A Parent Coach-Led Model of Care for Young ChildrenR01HD088586 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI COKER, TUMAINI RUCKER · 2016 to 2021
$3.1M
AHRQ HHS K12 HS026369NICHD NIH HHS R01 HD088586
6 · The paper itself

Abstract

objectiveTo measure duration of well-child care (WCC) visits at 2 federally qualified health centers (FQHCs), across 10 clinic sites, and determine if differences exist in visit duration for English- and Spanish-speaking parents.

methodsUpon arrival to their child's 2- to 24-month well visit, a research team member followed families throughout their visit noting start and end times for a series of 5 WCC visit tasks. The average time to complete each visit task for the entire sample was then calculated. Mann-Whitney U tests were run to determine if task completion time differed significantly between English- and Spanish-speaking parents.

resultsThe total sample included 199 parents of infants and children between 2 and 24 months old. Over one third of the sample spoke Spanish as their primary language (37%). The average visit time was 77 minutes (standard deviation [SD] = 48). Median time spent with the clinician was 14 minutes (SD = 5). Clinician visit time was significantly different U = 2608, P < .001, r = 0.38 between English- (median = 15 minutes) and Spanish (median = 11 minutes)-speaking parents. No other significant differences were identified. DISCUSSION: Our findings align with previous studies showing the average time spent with a clinician during a WCC visit was 15 minutes. Further, the average time with a clinician was less for Spanish-speaking parents. With limited visit length to address child and family concerns, re-designing the structure and duration of WCC visits is critical to best meet the needs of families living in poverty, and may ensure that Spanish-speaking parents receive appropriate guidance and support without time limitations.

Indexed as

Child CareLanguageChildChild, PreschoolFamilyHumansInfantParentsPovertydisparitiesequitytime motion studywell-child care

Identifiers

PMID35768034
PMCPMC10676270

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.