National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Behavioral Health (2)
- Caregiving (2)
- (-) Children/Adolescents (8)
- Community-Acquired Infections (1)
- (-) Family Health and History (8)
- Healthcare Utilization (1)
- Hospitalization (1)
- Infectious Diseases (1)
- Intensive Care Unit (ICU) (1)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (1)
- Obesity (2)
- Obesity: Weight Management (2)
- Patient-Centered Healthcare (1)
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- Social Determinants of Health (1)
- Stress (1)
- Substance Abuse (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedShah AN, Auger KA, Sucharew HJ
Effect of parental adverse childhood experiences and resilience on a child's healthcare reutilization.
Adverse childhood experiences (ACEs) are associated with poor health outcomes in adults. Resilience may mitigate this effect. There is limited evidence regarding how parents' ACEs and resilience may be associated with their children's health outcomes. The objective of this study was to determine the association of parental ACEs and resilience with their child's risk of unanticipated healthcare reutilization.
AHRQ-funded; HS024735; HS026393.
Citation: Shah AN, Auger KA, Sucharew HJ .
Effect of parental adverse childhood experiences and resilience on a child's healthcare reutilization.
J Hosp Med 2020 Nov;15(11):645-51. doi: 10.12788/jhm.3396..
Keywords: Children/Adolescents, Family Health and History, Healthcare Utilization
Logan GE, Sahrmann JM, Gu H
Parental mental health care after their child's pediatric intensive care hospitalization.
Pediatric intensive care unit (PICU) hospitalization is traumatic for parents, and PTSD, depression, and anxiety have all been found in parents of PICU survivors. This retrospective observational cohort study examined parents of PICU survivors using insurance claims data from 2006 to 2013. Rates of mental health diagnoses, outpatient mental health visits, and prescriptions for antidepressants and anxiolytics were looked at 6 months before and 6 months after their child’s PICU admission. Of the 95,070 parents identified, 9.5% received a new mental health diagnosis in the 6 months after PICU hospitalization with mothers twice as likely to receive a new mental health diagnosis or take new medication than fathers. Parental diagnosis of acute stress disorder or PTSD increased by 87% from the pre-PICU to the post-PICU period.
AHRQ-funded; HS019455.
Citation: Logan GE, Sahrmann JM, Gu H .
Parental mental health care after their child's pediatric intensive care hospitalization.
Pediatr Crit Care Med 2020 Nov;21(11):941-48. doi: 10.1097/pcc.0000000000002559..
Keywords: Children/Adolescents, Intensive Care Unit (ICU), Hospitalization, Caregiving, Behavioral Health, Family Health and History
Atkins M, Castro I, Sharifi M
Unmet social needs and adherence to pediatric weight management interventions: Massachusetts, 2017-2019.
This study examined the effects of housing insecurity and unmet social needs on adherence to pediatric weight management intervention (PWMI) programs. The authors used data from children enrolled in a 2017-2019 comparative effectiveness trial for 2 high-intensive PWMIs in Massachusetts. Families with housing security had higher contact hours with the program than families without. Children with 3 to 4 unmet social needs (parental stress, parental depression, food insecurity, and housing insecurity) also attended less hours of the program than those without.
AHRQ-funded; HS024332.
Citation: Atkins M, Castro I, Sharifi M .
Unmet social needs and adherence to pediatric weight management interventions: Massachusetts, 2017-2019.
Am J Public Health 2020 Jul;110(S2):S251-s57. doi: 10.2105/ajph.2020.305772..
Keywords: Children/Adolescents, Obesity: Weight Management, Obesity, Patient Adherence/Compliance, Social Determinants of Health, Family Health and History
Simione M, Sharifi M, Gerber MW
Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool.
The purpose of this study was to evaluate the psychometric properties of a modified version of the Family Centered-Care Assessment (mFCCA) tool and to assess the family-centeredness of two clinical-community childhood obesity interventions. Using the mFCCA which demonstrated good psychometric properties for the assessment of family-centered care among parents of children with obesity, the investigators found that individualized health coaching is a family-centered approach to pediatric weight management.
AHRQ-funded; HS024332; HS022986.
Citation: Simione M, Sharifi M, Gerber MW .
Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool.
Health Qual Life Outcomes 2020 Jun 11;18(1):179. doi: 10.1186/s12955-020-01431-y..
Keywords: Children/Adolescents, Obesity: Weight Management, Obesity, Patient-Centered Healthcare, Family Health and History
Poppert Cordts KM, Wilson AC, Riley AR
More than mental health: parent physical health and early childhood behavior problems.
The impacts of parental physical or mental health problems on early childhood behavior is discussed. This study uses data from 375 parents with a child between 18 months and 5 years. The authors found that higher levels of parent self-reported physical and mental health concerns indirectly influence child behavior symptoms. Impaired parent physical health was associated with poorer parental self-efficacy and disruptive child behavior. Mental health concerns were associated with a more negative parenting style and lower self-efficacy which was related to more child behavior symptoms.
AHRQ-funded; HS022981.
Citation: Poppert Cordts KM, Wilson AC, Riley AR .
More than mental health: parent physical health and early childhood behavior problems.
J Dev Behav Pediatr 2020 May;41(4):265-71. doi: 10.1097/dbp.0000000000000755..
Keywords: Children/Adolescents, Behavioral Health, Family Health and History, Caregiving
Lindly OJ, Crossman MK, Shui AM
Healthcare access and adverse family impact among U.S. children ages 0-5 years by prematurity status.
This study examined healthcare access and adverse family impact among U.S. children aged 0-5 years by prematurity status. A sample of 19,842 U.S. children from the 2016 and 2017 National Survey of Children’s Health was used to identify 242 very low birthweight (VBLW) and 2205 low birthweight and/or preterm (LBW/PTB) children. Adverse family impacts measured were ≥ $1000 in annual out-of-pocket medical costs, having a parent cut back or stop work, parental aggravation, and maternal or paternal health not excellent. Only VBLW children had a significantly higher risk of a parent cut back or stop work, but all premature birth children fared worse than other children in terms of the other adverse family impacts.
AHRQ-funded; HS000063.
Citation: Lindly OJ, Crossman MK, Shui AM .
Healthcare access and adverse family impact among U.S. children ages 0-5 years by prematurity status.
BMC Pediatr 2020 Apr 17;20(1):168. doi: 10.1186/s12887-020-02058-0..
Keywords: Children/Adolescents, Access to Care, Family Health and History
Mork RL, Hogan PG, Muenks CE
Longitudinal, strain-specific Staphylococcus aureus introduction and transmission events in households of children with community-associated meticillin-resistant S aureus skin and soft tissue infection: a prospective cohort study.
This prospective cohort study examined methods of transmission for methicillin-resistant Staphylococcus aureus (MRSA) in households with otherwise healthy children who have a MRSA infection. From 2012-2015 households in St. Louis with children who had a community-acquired MRSA skin and soft-tissue infection were longitudinally tracked. Children with other health issues were excluded. A baseline visit was conducted at the index patient’s primary home, followed by four quarterly visits over 12 months. With each visit, an interview and serial cultures were collected. Molecular typing was done of those samples to determine the distinct S aureus strain. MRSA recipients were most likely to live in a rental situation, and were more likely to share a bedroom with a strain-colonised individual. The most likely transmission source was shared bath towels. Pets were often recipients, but rarely the sole transmission source. Frequent handwashing decreased the likelihood of novel strains being introduced into the house and emphasizes the importance of hand hygiene.
AHRQ-funded; HS021736; HS024269
Citation: Mork RL, Hogan PG, Muenks CE .
Longitudinal, strain-specific Staphylococcus aureus introduction and transmission events in households of children with community-associated meticillin-resistant S aureus skin and soft tissue infection: a prospective cohort study.
Lancet Infect Dis 2020 Feb;20(2):188-98. doi: 10.1016/s1473-3099(19)30570-5..
Keywords: Methicillin-Resistant Staphylococcus aureus (MRSA), Infectious Diseases, Community-Acquired Infections, Prevention, Children/Adolescents, Family Health and History
Voisin DR, Kim DH, Bassett SM
Pathways linking family stress to youth delinquency and substance use: exploring the mediating roles of self-efficacy and future orientation.
African American adolescents in poorer neighborhoods experience significant sanctions related to drug use and delinquency. In this study, the investigators examined whether high self-esteem and positive future orientation mediated parental stress and youth substance use and delinquency. The investigators concluded that major findings indicated that self-esteem mediated the relationship between family stress and both drug use and delinquency.
AHRQ-funded; HS000078.
Citation: Voisin DR, Kim DH, Bassett SM .
Pathways linking family stress to youth delinquency and substance use: exploring the mediating roles of self-efficacy and future orientation.
J Health Psychol 2020 Feb;25(2):139-51. doi: 10.1177/1359105318763992..
Keywords: Children/Adolescents, Family Health and History, Stress, Substance Abuse