Evidence map›Paper›PMID 37794767›Full record

ArticleJournal of pediatric psychology2023

Behavioral Health Screening and Follow-Up Services in Pediatric Trauma Centers Across the United States.

Leigh E Ridings, Hannah C Espeleta, Nicole Litvitskiy, Kristen Higgins, Olivia Bravoco, Tatiana M Davidson, Christian J Streck, Nancy Kassam-Adams, Kenneth J Ruggiero

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.8field-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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. 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

9 authors at 2 institutions in 1 country.

Leigh E RidingsCollege of Nursing, Medical University of South Carolina, USA.
Hannah C EspeletaCollege of Nursing, Medical University of South Carolina, USA.
Nicole LitvitskiyCollege of Nursing, Medical University of South Carolina, USA.
Kristen HigginsCollege of Nursing, Medical University of South Carolina, USA.
Olivia BravocoCollege of Nursing, Medical University of South Carolina, USA.
Tatiana M DavidsonCollege of Nursing, Medical University of South Carolina, USA.
Christian J StreckDepartment of Surgery, College of Medicine, Medical University of South Carolina, USA.
Nancy Kassam-AdamsCenter for Injury Research & Prevention, Children's Hospital of Philadelphia, USA.
Kenneth J RuggieroCollege of Nursing, Medical University of South Carolina, USA.
Medical University of South Carolina · USChildren's Hospital of Philadelphia · US

Funding

Evaluation of Trauma Center-Based, Technology-Enhanced Stepped Care Intervention for Adolescent Traumatic Injury SurvivorsR01HD102336 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DAVIDSON, TATIANA MARGARITA · 2021 to 2024
$2.4M
A Scalable mHealth Resource to Facilitate Behavioral and Emotional Recovery after Pediatric Traumatic Injury - SuplementK23HD098325 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RIDINGS, LEIGH E. · 2020 to 2024
$794k
NICHD NIH HHS K23 HD098325NICHD NIH HHS L30 HD099795NICHD NIH HHS R01 HD102336
6 · The paper itself

Abstract

objectiveOver 120,000 U.S. children are hospitalized for traumatic injury annually, a major risk factor for behavioral health problems such as acute/posttraumatic stress disorder (PTSD) and depression. Pediatric trauma centers (PTCs) are well positioned to address the recent mandate by the American College of Surgeons Committee on Trauma to screen and refer for behavioral health symptoms. However, most PTCs do not provide screening or intervention, or use varying approaches. The objective of this mixed-methods study was to assess PTCs' availability of behavioral health resources and identify barriers and facilitators to service implementation following pediatric traumatic injury (PTI).

methodsSurvey data were collected from 83 Level I (75%) and Level II (25%) PTC program managers and coordinators across 36 states. Semistructured, qualitative interviews with participants (N = 24) assessed the feasibility of implementing behavioral health education, screening, and treatment for PTI patients and caregivers.

resultsRoughly half of centers provide behavioral health screening, predominantly administered by nurses for acute stress/PTSD. Themes from qualitative interviews suggest that (1) service provision varies by behavioral health condition, resource, delivery method, and provider; (2) centers are enthusiastic about service implementation including screening, inpatient brief interventions, and follow-up assessment; but (3) require training and lack staff, time, and funding to implement services.

conclusionsSustainable, scalable, evidence-based service models are needed to assess behavioral health symptoms after PTI. Leadership investment is needed for successful implementation. Technology-enhanced, stepped-care approaches seem feasible and acceptable to PTCs to ensure the availability of personalized care while addressing barriers to sustainability.

Indexed as

Problem BehaviorStress Disorders, Post-TraumaticChildFollow-Up StudiesHumansTrauma CentersUnited Statesaccidents and injuriesdissemination and implementation scienceposttraumatic stress and traumapsychosocial interventionqualitative methods

Identifiers

PMID37794767
PMCPMC10653355
OpenAlexW4387357317

What OpenQuestion holds

Textmetadata
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.