Evidence map›Paper›PMID 42850356›Full record

ArticlePediatric research2026

Adolescents' and parents' perspectives on addressing adverse childhood experiences in school-based health centers.

Rebecca K Tsevat, Rosina Franco, Roberta Villanueva, Kate Diaz Roldan, Gery W Ryan, Shannon M Thyne, Bahareh Gordon, Ron Tanimura, Shirley A Russ, Rebecca N Dudovitz

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Rebecca K TsevatDepartment of Medicine, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA. rtsevat@mednet.ucla.edu.
Rosina FrancoStudent Medical Services Branch, Los Angeles Unified School District, Los Angeles, CA, USA.
Roberta VillanuevaStudent Medical Services Branch, Los Angeles Unified School District, Los Angeles, CA, USA.
Kate Diaz RoldanDepartment of Medicine, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Gery W RyanDepartment of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Shannon M ThyneDepartment of Pediatrics, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Bahareh GordonDepartment of Pediatrics, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Ron TanimuraStudent Medical Services Branch, Los Angeles Unified School District, Los Angeles, CA, USA.
Shirley A RussDepartment of Pediatrics, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Rebecca N DudovitzDepartment of Pediatrics, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchool-based health centers (SBHCs) serve many children impacted by adverse childhood experiences (ACEs), but little is known about addressing ACEs in these settings. This study explored the barriers and facilitators to addressing ACEs in SBHCs from the perspectives of adolescents and parents/caregivers in the community.

methodsWe conducted semi-structured interviews with adolescents (ages 16-22) and parents/caregivers of school-aged youth (ages 3-17) recruited from patient and family advisory groups, primary care clinic waiting rooms, and snowball sampling. We used a thematic analysis approach and continued until reaching saturation.

resultsTwenty interviews were conducted (10 adolescents, 10 parents/caregivers). Four themes emerged, emphasizing the importance of relational context: (1) Participants expect trust between the patient and the provider addressing ACEs, (2) The school's social environment influences comfort with addressing ACEs, (3) Relationships and contexts outside school impact perceptions of addressing ACEs, and (4) Addressing ACEs in SBHCs can promote the health of the school community.

conclusionSBHCs can play a vital role in educating about the management and impacts of ACEs. Addressing ACEs in SBHCs requires attention to the relational ecosystem. Policies and practices may consider addressing patient-provider relationships, the school environment, and broader social ecological contexts. IMPACT: School-based health centers (SBHCs) are understudied settings that may hold promise for addressing adverse childhood experiences (ACEs). This study is the first to explore barriers and facilitators to addressing ACEs in SBHCs from the perspectives of adolescents and parents/caregivers in the community. Relational context, including the patient-provider relationship, the school's social environment, and broader community influences, informed participants' attitudes toward addressing ACEs in SBHCs. SBHCs have several advantages that may promote the health and well-being of youth with ACEs. These findings may inform the development of family-centered strategies to support youth with ACEs in SBHCs.

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PMID42850356

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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.