Implementation of the adverse childhood experiences conversation in primary care
| Autor: | Judy Klevan, Cary Rasmussen, Denyse Olson-Dorff, Afton M. Koball, Luis D. Ramirez, Victoria Bodendorfer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice Mandatory reporting medicine.medical_specialty media_common.quotation_subject Primary care 03 medical and health sciences 0302 clinical medicine Adverse Childhood Experiences Surveys and Questionnaires 030225 pediatrics medicine Humans Mass Screening Conversation 030212 general & internal medicine Child media_common Alternative methods Physician-Patient Relations Primary Health Care business.industry Communication Infant Cross-Sectional Studies Child Preschool Family medicine Guardian Feasibility Studies Female Psychological resilience Family Practice business |
| Zdroj: | Family Practice. 37:355-359 |
| ISSN: | 1460-2229 |
| Popis: | BackgroundResearch has focused on screening for adverse childhood experiences, rather than provision of education as a part of routine anticipatory guidance. An adverse childhood experiences ‘conversation’ is one method that has not been studied empirically but represents a complimentary or alternative approach to screening which could overcome many existing barriers.ObjectivesThis study aims to examine parent/guardian and provider acceptability/feasibility of the adverse childhood experiences conversation during well-child visits in primary care.MethodsProviders engaged in a conversation with parents/guardians of patients during well-child visits in a family medicine residency clinic. Parents/guardians and providers were surveyed following the visit to examine acceptability and feasibility. Quarterly assessments to further examine provider perspectives were completed. Data were collected for 1 year.ResultsIn total, 238 parent/guardian and 231 provider surveys were completed. Most parents/guardians felt positively (76%) about and comfortable (81%) with the information discussed and 97% felt that the conversation should be had with their primary care provider specifically. Most providers (71%) indicated that parents/guardians were receptive to the conversation, that the conversations took 1–2 minutes (60%) and that there were few disclosures of adversity (9%), none of which required mandatory reporting.ConclusionsResults suggest that the adverse childhood experiences conversation is well received by parents/guardians and providers and is feasible to implement into primary care. The conversation could be used as a complimentary or alternative method to screening to further spread knowledge of toxic stress and health, provide resources for families and promote resilience. |
| Databáze: | OpenAIRE |
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