Evidence map›Paper›PMID 39101560›Full record

ArticleJournal of pediatric psychology2025

Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care.

Colleen Stiles-Shields, Erika L Gustafson, Paulina S Lim, Gabriella Bobadilla, Dillon Thorpe, Faith C Summersett Williams, Geri R Donenberg, Wrenetha A Julion, Niranjan S Karnik

Abstract read
In one paragraph

Article in Journal of pediatric psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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.

Colleen Stiles-ShieldsInstitute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.ORCID 0000-0002-6759-8380
Erika L GustafsonInstitute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.
Paulina S LimUCI Center on Stress and Health, University of California, Irvine School of Medicine, Irvine, CA, United States.ORCID 0000-0002-1626-6757
Gabriella BobadillaInstitute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.
Dillon ThorpeInstitute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.
Faith C Summersett WilliamsDepartment of Pediatrics (Adolescent and Young Adult Medicine), Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Geri R DonenbergCenter for Dissemination and Implementation Science, Department of Medicine, University of Illinois at Chicago, Chicago, IL, United States.
Wrenetha A JulionDepartment of Women, Children and Family Nursing, Rush University College of Nursing, Chicago, IL, United States.
Niranjan S KarnikInstitute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.

Funding

Supporting Mental Health in Underserved Youth: Engagement with Digital Mental Health Technologies in Pediatric Primary CareK08MH125069 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI STILES-SHIELDS, COLLEEN · 2021 to 2024
$628k
NIH HHS K08 MH125069NIMH NIH HHS K08 MH125069
6 · The paper itself

Abstract

objectivePediatric primary care (PPC) is a common treatment site for pediatric mental health, but it is currently unable to meet the needs of all teen patients, particularly those with minoritized identities and/or marginalized experiences. Digital mental health (DMH) low-intensity treatments (LITs) can increase mental health screening and care capacity in PPC, but how this is done successfully without burdening providers, patients, or families is unclear. This paper presents a pre-implementation study aimed at understanding the implementation context (PPCs in Chicago, IL) for a specific DMH LIT.

methodUsing a mixed-methods design, quantitative data from an online survey of providers assessed current DMH practices in PPC, and qualitative interviews with Pediatricians and Pediatric Psychologists examined implementation determinants for a specific DMH LIT. Quantitative data were analyzed using descriptive statistics, and interviews were analyzed using rapid qualitative assessment.

resultsSurvey reports (n = 105) and interviews (n = 6) indicated low current use of DMH. Providers in PPC clinics voiced multiple reasons for low usage and low perceived feasibility, including: Consolidated Framework for Implementation Research (CFIR) Inner Setting Domain (PPC clinic workflow, responsibility and ethical considerations, patient privacy and confidentiality), CFIR Outer Setting Domain (hospital and healthcare system factors), CFIR Innovation Domain (DMH design), and a cross-cutting theme of safety.

conclusionsProvider-reported low feasibility for integrating DMH in PPC is a call to action to partner with interdisciplinary colleagues and identify how such settings can ethically and seamlessly deliver digital evidence-based and accessible screening and care prior to implementation.

Indexed as

Child Health ServicesDelivery of Health Care, IntegratedDigital HealthHealth Plan ImplementationMental Health TeletherapyPrimary Health CareAdultAttitude of Health PersonnelChicagoChildFemaleHealth Care SurveysHumansInterviews as TopicMalePediatriciansdeterminantsdigital mental healthmental healthcarepediatric primary careteens

Identifiers

PMID39101560
PMCPMC11753843

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.