Evidence map›Paper›PMID 42004190›Full record

ArticleJournal of pediatrics. Clinical practice2026

A National Fetal Alcohol Spectrum Disorders Learning Collaborative for Pediatric Care Teams.

Daniel P Alford, Jacqueline S German, Nicole Kitten, Kendra Gludt, Sara Messelt, Ilana Hardesty, Jacey A Greece, Candice Bangham, Amy Harlowe, Michael R Winter and 2 more

Abstract read
In one paragraph

Article in Journal of pediatrics. Clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Daniel P AlfordBoston Medical Center, Boston, MA.
Jacqueline S GermanBoston Medical Center, Boston, MA.
Nicole KittenBoston Medical Center, Boston, MA.
Kendra GludtProof Alliance, St Paul, MN.
Sara MesseltProof Alliance, St Paul, MN.
Ilana HardestyBoston University Chobanian & Avedisian School of Medicine, Boston, MA.
Jacey A GreeceBoston University School of Public Health, Boston, MA.
Candice BanghamBoston University School of Public Health, Boston, MA.
Amy HarloweBoston Medical Center, Boston, MA.
Michael R WinterBoston University School of Public Health, Boston, MA.
Martha S FermínDivision of Women's Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD.
Vincent C SmithBoston Medical Center, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To assess the impact of the SBIRT And FASD Education, Support and Treatment (SAFEST) Choice Learning Collaborative on US pediatric health care teams' knowledge, confidence, and clinical practices related to the identification and management of children with possible or diagnosed fetal alcohol spectrum disorders (FASD). Study design: The SAFEST Choice program included 2 year-long 10-session virtual learning collaboratives based on the Project ECHO (Extension for Community Healthcare Outcomes) model, which included participant case presentations highlighting clinical challenges. Using a pre-/posttest evaluation design, program outcomes included changes in participant FASD-related knowledge, confidence, and practice. Participant case clinical challenges were documented and analyzed for common themes. Results: The program enrolled 105 participants from 23 clinics in 8 states. Clinics attended a median of 9 of 10 ECHO sessions, whereas individual participants attended a median of 5 of 10. Participants were mostly physicians, nurse practitioners, and nurses. Upon program completion, participants reported increased FASD-related knowledge and significant increases in confidence and self-reported practices in screening for prenatal alcohol exposure and counseling families about, and managing patients with, prenatal alcohol exposure and FASD. Participant case clinical challenge themes included when to consider an FASD diagnosis, managing the care of patients with FASD, and addressing FASD-related stigma and bias. Conclusions: The SAFEST Choice program successfully trained pediatric health care teams in 2 year-long FASD learning collaboratives with high levels of participation. Participants had increased self-reported knowledge, confidence, and practice change related to FASD identification and care. This program offers a promising educational model to improve the care of individuals with possible or diagnosed FASD.

Indexed as

developmental disabilitieseducationfetal alcohol spectrum disordersprenatal alcohol exposure

Identifiers

PMID42004190
PMCPMC13087798

What OpenQuestion holds

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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.