Evidence map›Paper›PMID 36584939›Full record

ArticleAcademic pediatrics2023

Adolescent Relationship Abuse Prevention in Pediatric Primary Care: Provider, Adolescent, and Parent Perspectives.

Sarah Tiffany-Appleton, Erin Mickievicz, Yanet Ortiz, Olivia Migliori, Kimberly A Randell, Emily F Rothman, Diego Chaves-Gnecco, Daniel Rosen, Elizabeth Miller, Maya I Ragavan

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Sarah Tiffany-AppletonDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa; University of Pittsburgh School of Social Work (S Tiffany-Appleton and D Rosen), Pittsburgh, Pa.
Erin MickieviczDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa.
Yanet OrtizDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa.
Olivia MiglioriDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa.
Kimberly A RandellChildren's Mercy (KA Randell), Kansas City, Mo; University of Missouri-Kansas City School of Medicine (KA Randell); University of Kansas School of Medicine (KA Randell), Kansas City, Kans.
Emily F RothmanCommunity Health Sciences, Boston University School of Public Health (EF Rothman), Boston, Mass; Department of Pediatrics, Boston University School of Medicine (EF Rothman), Boston, Mass.
Diego Chaves-GneccoDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa.
Daniel RosenUniversity of Pittsburgh School of Social Work (S Tiffany-Appleton and D Rosen), Pittsburgh, Pa.
Elizabeth MillerDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine (E Miller), Pittsburgh, Pa.
Maya I RagavanDivision of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine (S Tiffany-Appleton, E Mickievicz, Y Ortiz, O Migliori, D Chaves-Gnecco, and MI Ragavan), Pittsburgh, Pa. Electronic address: ragavanm@chp.edu.

Funding

Promoting Healthy Relationships among At-Risk Adolescents: A Feasibility Trial in the Emergency DepartmentK23HD098299 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI RANDELL, KIMBERLY ANNE · 2020 to 2024
$790k
Developing an Adolescent Relationship Abuse Prevention Intervention for Hispanic Immigrant FamiliesK23HD104925 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAGAVAN, MAYA · 2022 to 2024
$570k
NICHD NIH HHS K23 HD098299NICHD NIH HHS K23 HD104925
6 · The paper itself

Abstract

objectiveAdolescent relationship abuse (ARA) is associated with myriad negative health outcomes. Pediatric primary care presents an opportunity to engage adolescents and parents, who can be protective against ARA, in ARA prevention; however, no family-focused, health care-based ARA interventions exist. The purpose of this study is to explore the perspectives of adolescents, parents, and health care providers (HCPs) on incorporating ARA prevention into primary care, including 1) current discussions around ARA, 2) how to best include ARA prevention education, and 3) how to address implementation barriers.

methodsWe conducted individual, semi-structured interviews with HCPs, adolescents ages 11 to 15, and parents recruited through convenience sampling. Transcripts were individually coded by 4 study team members (with every third transcript co-coded to assess discrepancies) and analyzed via thematic analysis.

resultsParticipants identified a need for pediatric HCPs to involve younger adolescents and parents in universal, inclusive ARA prevention and noted that HCPs require training, techniques, and resources around ARA. Participants acknowledged multilevel barriers to implementing primary care-based ARA prevention. They suggested that ARA education be intentionally integrated into HCP and clinic workflows and recommended strategies to garner adolescent and parent buy-in to facilitate ARA-focused conversations.

conclusionsPediatric primary care is a promising environment to involve parents and adolescents in universal ARA-prevention. Future research should contextualize these results with larger samples across multiple practice settings and integrate relevant partners in the development and evaluation of evidenced-based ARA prevention for pediatric primary care.

Indexed as

ViolenceAdolescentFemaleHealth PersonnelHumansMaleParentsPrimary Health Careadolescent relationship abuseanticipatory guidanceparentspediatric primary caresemi-structured interviews

Identifiers

PMID36584939
PMCPMC10293467

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.