ReviewEClinicalMedicine2023
The effect of adverse childhood experience training, screening, and response in primary care: a systematic review.
Review in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- ACEs Educational Interventions for Medical Students and Residents: A Systematic Review.Family medicine · 2026Pooled it
- Association between adverse childhood experiences and asthma: a meta-analysis.BMC public health · 2026Pooled it
- Adolescents' and parents' perspectives on addressing adverse childhood experiences in school-based health centers.Pediatric research · 2026Article
- Correlations between life course trauma on perinatal outcomes of women on community supervision - a retrospective cross sectional study.BMC pregnancy and childbirth · 2026Article
- Impact of adverse childhood experiences, positive childhood experiences and adult protective and risk factors on health in a statewide representative sample.Family medicine and community health · 2026Observational
- Evaluation of an Adverse Childhood Experiences Screening Program for Pregnant Patients in Rural Missouri.Journal of child & adolescent trauma · 2026Article
- Using the Socio-Ecological Model to Explore Parents' Resilience and Perceptions of Adverse Childhood Experiences: A Qualitative Study in the Southeastern United States.Healthcare (Basel, Switzerland) · 2026Article
- Families Implementing Resilient Systems Together (FIRST).Children (Basel, Switzerland) · 2026Article
- Indirect and Conditional Associations Between ADHD and Risky Internet Use in Elementary School Children With Parent-child Conflict and Maternal Childhood Trauma.Research on child and adolescent psychopathology · 2026Article
- Association between adverse childhood experiences and asthma: a protocol for meta-analysis.Systematic reviews · 2026Article
- Development and validation of a measure of early adverse experiences: childhood adversity scale.Frontiers in psychiatry · 2026Article
- Adverse childhood experiences, inflammation, and depression: evidence of sex- and stressor specific effects in a nationally representative longitudinal sample of U.S. adolescents.Psychological medicine · 2025Article
- Maternal childhood adversity accelerates epigenetic aging of children.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Trauma-informed care education for pediatric providers: promoting resiliency and wellbeing.BMC health services research · 2025Article
- A National Trauma-Informed Adverse Childhood Experience Screening and Intervention Evaluation Project.Children (Basel, Switzerland) · 2025Article
- The effects of childhood adversity on twenty-five disease biomarkers and twenty health conditions in adulthood: Differences by sex and stressor type.Brain, behavior, and immunity · 2025Article
- Screening for Adverse Childhood Experiences: A Critical Appraisal.Pediatrics · 2024Review
- Article
- Estimating the Prevalence of Child Abuse and Neglect Among Adolescents in Primary Care Through Diagnoses Codes and Free-Text EHR Clinical Notes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Background: Adverse childhood experiences (ACEs) can have harmful, long-term health effects. Although primary care providers (PCPs) could help mitigate these effects, no studies have reviewed the impacts of ACE training, screening, and response in primary care. Methods: This systematic review searched four electronic databases (PubMed, Web of Science, APA PsycInfo, CINAHL) for peer-reviewed articles on ACE training, screening, and/or response in primary care published between Jan 1, 1998, and May 31, 2023. Searches were limited to primary research articles in the primary care setting that reported provider-related outcomes (knowledge, confidence, screening behavior, clinical care) and/or patient-related outcomes (satisfaction, referral engagement, health outcomes). Summary data were extracted from published reports. Findings: Of 6532 records, 58 met inclusion criteria. Fifty-two reported provider-related outcomes; 21 reported patient-related outcomes. 50 included pediatric populations, 12 included adults. A majority discussed screening interventions (n = 40). Equal numbers (n = 25) discussed training and clinical response interventions. Strength of evidence (SOE) was generally low, especially for adult studies. This was due to reliance on observational evidence, small samples, and self-report measures for heterogeneous outcomes. Exceptions with moderate SOE included the effect of training interventions on provider confidence/self-efficacy and the effect of screening interventions on screening uptake and patient satisfaction. Interpretation: Primary care represents a potentially strategic setting for addressing ACEs, but evidence on patient- and provider-related outcomes remains scarce. Funding: The California Department of Health Care Services and the Office of the California Surgeon General.
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What OpenQuestion holds
Registered trials
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.