ArticleFamilies, systems & health : the journal of collaborative family healthcare2024
Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children.
Article in Families, systems & health : the journal of collaborative family healthcare, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 2 citations in OpenAlex.
- Using clinical notes to identify children with speech-language delay and understand differences in diagnostic timing.JAMIA open · 2026Article
- Navigating structural demands and relational care: a qualitative study of public health nurses' experiences and handling of online screening tools.BMC nursing · 2026Article
- Neurodevelopmental Trajectories at 3 Years: Insights From the NASCITA Italian Birth Cohort.International journal of pediatrics · 2026Article
- Speaking of survival: oncologists' approaches to risk behavior conversations with cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
- How EASI can it be? Closing the research-to-practice gap via population-based validation of the MAPS-EASI 2.0 early childhood irritability screener for translation to clinical use.Translational issues in psychological science · 2024Article
- A vision for implementing equitable early mental health and resilience support in pediatric primary care: A transdiagnostic, developmental approach.Families, systems & health : the journal of collaborative family healthcare · 2024Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
introductionScreening to promote social-emotional well-being in toddlers has positive effects on long-term health and functioning. Communication about social-emotional well-being can be challenging for primary care clinicians for various reasons including lack of time, training and expertise, resource constraints, and cognitive burden. Therefore, we explored clinicians' perspectives on identifying and communicating with caregivers about social-emotional risk in toddlers.
methodIn 2021, semistructured interviews were conducted with pediatric clinicians (N = 20) practicing in Federally Qualified Health Centers in a single metropolitan area. Most participants identified as female (n = 15; 75%), white non-Hispanic/Latino (n = 14; 70%), and were Doctors of Medicine or Osteopathic Medicine (n = 14; 70%). Thematic analysis was conducted on audio-recorded interview transcripts.
resultsClinicians used various approaches to identify social-emotional concerns which were sometimes difficult to distinguish from other developmental concerns. The clinician-caregiver relationship guided identification and communication practices and cut-across themes. Themes include: starting with caregivers' concerns, communicating concerns with data and sensitivity, navigating labels, culture, and stigma, and limiting communication based on family capacity and interest. DISCUSSION: Prioritizing the clinician-caregiver relationship is consistent with best practice and family-centered care. Yet, the dearth of standardized decision support may undermine clinician confidence and impede timely conversations about social-emotional concerns. An evidence-based approach with developmentally based culturally informed quantitative tools and standardized decision supports could help ensure equitable management and decision making about young children's social and emotional well-being and development. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Registered trials
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