Integrating Early Childhood Screening in Pediatrics: A Longitudinal Qualitative Study of Barriers and Facilitators
Pediatric settings are increasingly called upon to implement early childhood developmental and behavioral health screening as an early identification and health promotion strategy. Understanding the dynamic barriers and facilitators of implementation at various stages will help implementers plan for...
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| Veröffentlicht in: | Clinical practice in pediatric psychology 2017-12, Vol.5 (4), p.426-440 |
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| container_title | Clinical practice in pediatric psychology |
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| creator | Silver, Rebecca B Newland, Rebecca P Hartz, Karyn Jandasek, Barbara Godoy, Leandra Lingras, Katherine A Low, Christine M Dickstein, Susan Campagna, Kristine Berger, Blythe Seifer, Ronald |
| description | Pediatric settings are increasingly called upon to implement early childhood developmental and behavioral health screening as an early identification and health promotion strategy. Understanding the dynamic barriers and facilitators of implementation at various stages will help implementers plan for and address these factors in support of high quality implementation. Our research supported this goal by analyzing longitudinal, qualitative data. There were 128 semistructured interviews conducted with pediatric clinic and implementation providers across four years. Interviews were transcribed, coded, and synthesized using rigorous qualitative methods. Results were produced using an iterative process to summarize, analyze, and consolidate themes about screening implementation over time. Barriers and facilitators of implementation included characteristics of screening implementation as well as contextual characteristics of the pediatric primary care setting. Some implementation themes were stable over time whereas others demonstrated shifts. Results are discussed in terms of lessons learned for successfully integrating this critical preventive practice within pediatric clinics. |
| doi_str_mv | 10.1037/cpp0000214 |
| format | Article |
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Understanding the dynamic barriers and facilitators of implementation at various stages will help implementers plan for and address these factors in support of high quality implementation. Our research supported this goal by analyzing longitudinal, qualitative data. There were 128 semistructured interviews conducted with pediatric clinic and implementation providers across four years. Interviews were transcribed, coded, and synthesized using rigorous qualitative methods. Results were produced using an iterative process to summarize, analyze, and consolidate themes about screening implementation over time. Barriers and facilitators of implementation included characteristics of screening implementation as well as contextual characteristics of the pediatric primary care setting. Some implementation themes were stable over time whereas others demonstrated shifts. 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Results are discussed in terms of lessons learned for successfully integrating this critical preventive practice within pediatric clinics.</description><subject>Early Childhood Development</subject><subject>Health Screening</subject><subject>Human</subject><subject>Pediatrics</subject><subject>Primary Health Care</subject><subject>Treatment Barriers</subject><issn>2169-4826</issn><issn>2169-4834</issn><isbn>9781433891458</isbn><isbn>143389145X</isbn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNptkE1r3DAQhkXSQkO6l_4CQQ6BwLYeWV_uLV2SNrDQlrRnMZWljYJrOyM5sP8-dja0PXQuA_M-8zAMY--geg9VbT74cazmEiCP2IkA3aylreUxWzXGgqxr24BU9tWfTOg3bJXz_bJklQDbnDC66UvYEZbU7_gVUrfnm7vUtXfD0PJbTyH0S5J6_i20CQslnz_yS74d-l0qU5t67Pj3CbtUZsdj4LfzcM-HyD8hUQqUOfYtv0afnpGB8lv2OmKXw-qln7Kf11c_Nl_W26-fbzaX2zUKCWVto1UKtPI6WPTKS1lD1MZEbNsIMlgwQkEUtfECjGqstRHgV9ReBeOjqU_Z2cE70vAwhVzc_TDRfG920Bitm0qZhbo4UJ6GnClEN1L6jbR3ULnlze7vm2f4_ABn3IV_dP8jX7Q4ohvz3iOV5LuQ_UQU-rKwTjnppND1E1BpiX8</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Silver, Rebecca B</creator><creator>Newland, Rebecca P</creator><creator>Hartz, Karyn</creator><creator>Jandasek, Barbara</creator><creator>Godoy, Leandra</creator><creator>Lingras, Katherine A</creator><creator>Low, Christine M</creator><creator>Dickstein, Susan</creator><creator>Campagna, Kristine</creator><creator>Berger, Blythe</creator><creator>Seifer, Ronald</creator><general>Educational Publishing Foundation</general><general>SAGE Publications</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope></search><sort><creationdate>201712</creationdate><title>Integrating Early Childhood Screening in Pediatrics: A Longitudinal Qualitative Study of Barriers and Facilitators</title><author>Silver, Rebecca B ; Newland, Rebecca P ; Hartz, Karyn ; Jandasek, Barbara ; Godoy, Leandra ; Lingras, Katherine A ; Low, Christine M ; Dickstein, Susan ; Campagna, Kristine ; Berger, Blythe ; Seifer, Ronald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a241t-8f855165c6e8ac5c4431f677faddf14e817251f237c21759888f11bf6c5e7cf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Early Childhood Development</topic><topic>Health Screening</topic><topic>Human</topic><topic>Pediatrics</topic><topic>Primary Health Care</topic><topic>Treatment Barriers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silver, Rebecca B</creatorcontrib><creatorcontrib>Newland, Rebecca P</creatorcontrib><creatorcontrib>Hartz, Karyn</creatorcontrib><creatorcontrib>Jandasek, Barbara</creatorcontrib><creatorcontrib>Godoy, Leandra</creatorcontrib><creatorcontrib>Lingras, Katherine A</creatorcontrib><creatorcontrib>Low, Christine M</creatorcontrib><creatorcontrib>Dickstein, Susan</creatorcontrib><creatorcontrib>Campagna, Kristine</creatorcontrib><creatorcontrib>Berger, Blythe</creatorcontrib><creatorcontrib>Seifer, Ronald</creatorcontrib><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><jtitle>Clinical practice in pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silver, Rebecca B</au><au>Newland, Rebecca P</au><au>Hartz, Karyn</au><au>Jandasek, Barbara</au><au>Godoy, Leandra</au><au>Lingras, Katherine A</au><au>Low, Christine M</au><au>Dickstein, Susan</au><au>Campagna, Kristine</au><au>Berger, Blythe</au><au>Seifer, Ronald</au><au>Schurman, Jennifer Verrill</au><au>Alderfer, Melissa A</au><au>Pendley, Jennifer Shroff</au><au>Alderfer, Melissa A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integrating Early Childhood Screening in Pediatrics: A Longitudinal Qualitative Study of Barriers and Facilitators</atitle><jtitle>Clinical practice in pediatric psychology</jtitle><date>2017-12</date><risdate>2017</risdate><volume>5</volume><issue>4</issue><spage>426</spage><epage>440</epage><pages>426-440</pages><issn>2169-4826</issn><eissn>2169-4834</eissn><isbn>9781433891458</isbn><isbn>143389145X</isbn><abstract>Pediatric settings are increasingly called upon to implement early childhood developmental and behavioral health screening as an early identification and health promotion strategy. 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| ispartof | Clinical practice in pediatric psychology, 2017-12, Vol.5 (4), p.426-440 |
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| subjects | Early Childhood Development Health Screening Human Pediatrics Primary Health Care Treatment Barriers |
| title | Integrating Early Childhood Screening in Pediatrics: A Longitudinal Qualitative Study of Barriers and Facilitators |
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