Evidence map›Paper›PMID 37838585›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Veteran Caretaker Perspectives of the Need for Childcare Assistance During Health Care Appointments.

Megan Shepherd-Banigan, Shay Cannedy, Adriana Rodriguez, Madison Burns, Sandra Woolson, Alison Hamilton, Ismael Quiroz, Hanh Matthews, Diane Garber-Cardwell, Kaileigh G Byrd and 2 more

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 3 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

12 authors at 4 institutions in 1 country.

Megan Shepherd-BaniganCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina; Department of Population Health Sciences, Duke University Medical Center, Durham, North Carolina; Duke-Margolis Center for Health Policy, Durham, North Carolina. Electronic address: megan.shepherd-banigan@va.gov.
Shay CannedyCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California.
Adriana RodriguezCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California.
Madison BurnsCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina.
Sandra WoolsonCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina.
Alison HamiltonCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, California.
Ismael QuirozVA Childcare Assistance Program, Office of Women's Health, VA Central Office, Department of Veterans Affairs, Washington, District of Columbia.
Hanh MatthewsVA Childcare Assistance Program, Office of Women's Health, VA Central Office, Department of Veterans Affairs, Washington, District of Columbia.
Diane Garber-CardwellVA Childcare Assistance Program, Office of Women's Health, VA Central Office, Department of Veterans Affairs, Washington, District of Columbia.
Kaileigh G ByrdCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina.
Adrian BrownCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina.
Karen M GoldsteinCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina; Division of General Internal Medicine, Duke University Medical Center, Durham, North Carolina.
Durham VA Health Care System · USCenter for the Study of Healthcare Provider Behavior · USDuke University · USNeurobehavioral Systems · US

Funding

Optimizing Function and IndependenceI50HX003200 · VA · DURHAM VA MEDICAL CENTER · PI ALLEN, KELLI D., HASTINGS, SUSAN NICOLE · 2021 to 2021
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Increasing mental health services use through enabling resources & family supportIK2HX002591 · VA · DURHAM VA MEDICAL CENTER · PI SHEPHERD-BANIGAN, MEGAN ELIZABETH · 2019 to 2024
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HSRD VA CIN 13-410HSRD VA I50 HX003200HSRD VA IK2 HX002591HSRD VA QUE 16-170
6 · The paper itself

Abstract

purposeIn 2020, Congress passed legislation to establish the national Veterans Child Care Assistance Program (VCAP) targeting eligible veterans receiving care through the Veterans Health Administration (VA). This needs assessment describes the childcare needs of veteran caretakers of young children and explores the implications of inadequate childcare on health care engagement.

methodsSurvey data were collected from 2,000 VA users with dependent children; data were analyzed using standard descriptive statistics. Qualitative data were collected from 19 veterans through focus groups and analyzed using rapid thematic analysis.

findingsMore than 75% of veterans surveyed indicated that they required childcare assistance during health care appointments and 73% reported barriers to finding childcare. Prominent barriers included the high cost of childcare and not having a trusted source of childcare. Nearly 58% of survey respondents reported missed or canceled VA health care appointments due to childcare challenges. Furthermore, 35% of surveyed veterans reported that their children had accompanied them to an appointment in the past year. Among these veterans, 59% brought their children into the exam room. Focus group participants discussed how having children present during their health care appointments hampered communication with health care providers.

conclusionsVeterans report that lack of childcare keeps them from attending and remaining focused on the provider during their health care visits, which could compromise quality of care. As one of the only health systems in the United States that will offer childcare assistance, VCAP presents an opportunity to improve health care access and quality by reducing missed appointments and suboptimal care.

Indexed as

VeteransChildChild CareChild, PreschoolHealth Services AccessibilityHumansNeeds AssessmentUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID37838585
PMCPMC11145655
OpenAlexW4387581707

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.