Evidence map›Paper›PMID 38355126›Full record

ArticlePediatric emergency care2024

Pediatric Emergency Physicians' Knowledge, Attitudes, and Behaviors Regarding Confidential Adolescent Care.

Colleen K Gutman, Atsuko Koyama, Michelle Pickett, Sara Holmstrom, Fahd A Ahmad, Ariel Hoch, Elizabeth Lehto, Kari Schneider, Kristin S Stukus, Emily Weber and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric emergency care, 2024. 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
1.7field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Adolescent Substance Use Screening in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026
    Review
  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

12 authors at 11 institutions in 1 country.

Colleen K Gutman
Atsuko KoyamaDepartment of Child Health, University of Arizona, College of Medicine, Phoenix, AZ.
Michelle PickettSection of Pediatric Emergency Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Sara Holmstrom
Fahd A AhmadDepartment of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, MO.
Ariel HochDivision of Pediatric Emergency Medicine, Department of Pediatrics, Boston University School of Medicine, Boston, MA.
Elizabeth LehtoDepartment of Pediatric Emergency Medicine, Norton Children's and University of Louisville School of Medicine, Louisville, KY.
Kari SchneiderDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
Kristin S StukusDepartment of Pediatrics, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, OH.
Emily WeberDivision of Pediatrics, Department of Emergency Medicine, SUNY Downstate Medical Center/Kings County Hospital Center, Brooklyn, NY.
Cassandra StichDepartment of Emergency Medicine, College of Medicine, University of Florida, Gainesville, FL.
Lauren S ChernickDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, NY.
University of Florida · USBoston University · USBrown University · USColumbia University Irving Medical Center · USKings County Hospital Center · USMedical College of Wisconsin · USNationwide Children's Hospital · USUniversity of Arizona · USUniversity of Louisville · USUniversity of Minnesota · USWashington University in St. Louis · US

Funding

Together: Transforming and Translating Discovery to Improve HealthKL2TR001429 · NCATS · UNIVERSITY OF FLORIDA · PI GUIRGIS, FAHEEM W, LEEUWENBURGH, CHRISTIAAN · 2015 to 2023
$5.5M
NCATS NIH HHS KL2 TR001429
6 · The paper itself

Abstract

objectivesMore than 19 million adolescents seek care in the emergency department (ED) annually. We aimed to describe the knowledge, attitudes, and behaviors related to confidential adolescent care among pediatric ED physicians.

methodsWe conducted a cross-sectional questionnaire of US physician members of the Pediatric Emergency Medicine Collaborative Research Committee survey listserv. The 24-item questionnaire assessed familiarity with adolescent confidentiality laws, attitudes toward providing confidential care, frequency of discussing behavioral health topics confidentially, and factors influencing the decision to provide confidential care. We dichotomized Likert responses and used χ 2 to compare subgroups.

resultsOf 476 eligible physicians, 151 (32%) participated. Most (91. 4%) had completed pediatric emergency medicine fellowship. More participants reported familiarity with all sexual health-related laws compared with all mental health-related laws (64% vs 49%, P < 0.001). The median age at which participants thought it was important to begin routinely providing confidential care was 12 years; 9% thought confidential interviews should not be routinely conducted until older adolescence or at all. Their decision to provide confidential care was influenced by the following: chief complaint (97%), time (43%), language (24%), presence of family (23%) or friends (14%), and space (22%).

conclusionsRespondents reported moderate familiarity with adolescent confidentiality laws. Although they viewed confidential care as something they were comfortable providing, the likelihood of doing so varied. Barriers to confidential care were influenced by their assessment of adolescents' behavioral health risk, which may contribute to health inequity. Future efforts are needed to develop strategies that augment confidential ED care for adolescents.

Indexed as

ConfidentialityEmergency Service, HospitalHealth Knowledge, Attitudes, PracticeAdolescentAdultAttitude of Health PersonnelChildCross-Sectional StudiesFemaleHumansMaleMiddle AgedPhysiciansSurveys and QuestionnairesUnited States

Identifiers

PMID38355126
PMCPMC12439266
OpenAlexW4392783911

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.