Evidence map›Paper›PMID 39642016›Full record

Trial reportMedical care2025

Investigating the Impact of Caregiver Adverse Childhood Experiences Screening and Pediatrician-Led Discussions on Posttraumatic Stress Disorder Symptoms in a Majority-Hispanic Pediatric Primary Care Clinic Setting.

Chiara M Bettale, Melyrene Pomales, Angie Boy, Tim Moran, Maneesha Agarwal, Abigail Powers

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Chiara M BettaleEmory University School of Medicine, Atlanta, GA.
Melyrene PomalesDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA.
Angie BoyChildren's Healthcare of Atlanta, Atlanta, GA.
Tim MoranDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA.
Maneesha AgarwalChildren's Healthcare of Atlanta, Atlanta, GA.
Abigail PowersDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-3197-7415

Funding

NCIPC CDC HHS R49 CE003072
6 · The paper itself

Abstract

backgroundEvidence suggests that screening and provider-led discussions of parental adverse childhood experiences (ACEs) may help identify at-risk families and be linked to positive health outcomes in caregivers and their children. However, the direct effect of ACEs screening and discussions on posttraumatic stress disorder (PTSD) has yet to be studied.

objectivesTo determine if screening or provider-led discussions of parental ACEs are associated with inadvertent worsening of PTSD symptoms 1 week after screening. RESEARCH

designData was obtained as part of a cluster randomized controlled trial to examine the effects of ACEs screening and provider-led discussions on child health care utilization outcomes. Baseline surveys were completed before scheduled infant well child checks (WCCs). Providers were randomized into the standard of care or intervention (discussion) conditions. Intervention providers were trained in delivering brief trauma-informed discussions about the impact of ACEs on parenting during WCCs. SUBJECTS: Caregivers in a pediatric primary care clinic serving predominantly Hispanic and low socioeconomically resourced families (N=179, 93% female, 87% Hispanic). MEASURES: The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), Brief Resilience Scale (BRS), and ACEs screening were completed at baseline. PC-PTSD-5 was repeated 1-week after screening.

resultsMixed-effects ordinal logistic regression analysis of PTSD scores from baseline to 1-week postscreening with the full sample showed no significant effect of time [odds ratio (OR)=1.21, P=0.68], group (OR=1.68, P=0.33), or their interaction (OR=0.48, P=0.21).

conclusionsScreening or brief discussion of ACEs with providers trained in trauma-informed care were not associated with worsening PTSD symptoms.

Indexed as

Adverse Childhood ExperiencesCaregiversHispanic or LatinoPrimary Health CareStress Disorders, Post-TraumaticAdultChildChild, PreschoolFemaleHumansInfantMaleMass ScreeningPediatricians

Identifiers

PMID39642016
PMCPMC11617077

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Registered trials

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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.