Parents' and Clinicians' Perspectives of the Quick Parenting Assessment (QPA)

Study Overview
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Brief Summary
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A quality improvement (QI) study that integrates an adverse childhood experiences (ACEs) instrument, including the Quick Parenting Assessment (QPA), into pediatric primary care visit.

Detailed Description
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Adverse childhood experiences (ACEs) are social determinants of health. ACEs include exposure to unhealthy parenting and family dysfunction. It is known that people who are exposed to adverse childhood experiences (ACEs) are at increased risk of over 40 health problems; some of these include heart disease, lung disease, obesity, smoking, alcoholism, illicit drug use, depression, suicide, and violence. The American Academy of Pediatrics recommends that primary care providers screen for and address ACEs/social determinants of health as part of the routine primary care visit. Efforts are needed to develop and test algorithms that assess for ACEs in pediatric primary care and intervene as indicated. We have tested an ACEs screening instrument that includes the Quick Parenting Assessment with hundreds of parents of 2-10 year old children in the pediatric primary care clinic at Vanderbilt without incident (please see IRB# 161987). The next step is a quality improvement (QI) study that integrates an ACEs screening algorithm into pediatric primary care visit. In this study, we integrate the Quick Parenting Assessment into the pediatric primary care visit at the 15 month, 30 month, 5 year, and 8 year visit. Key measures include parents' and health care providers' perspectives on the new service.

Official Title
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Integration of the Quick Parenting Assessment (QPA) Into Pediatrics: Parents and Clinicians' Perspectives

Conditions
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Social Stress, Parenting

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents of 1-10 year old children presenting to a pediatric clinic for a well child visit. Exclusion Criteria: Parents who do not speak English, Spanish, or Arabic.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent feedback | Parents provide feedback regarding whether the new ACEs screening tool works for them using a questionnaire. The questionnaire included questions about whether the ACEs assessment worked for the parent and whether it was culturally sensitive. | One day. The outcome will be assessed on same day as enrollment. | 
| Health care provider feedback. | Health care providers provide feedback regarding whether the new ACEs screening tool works for them using a questionnaire. The questionnaire will include questions such as time spent reviewing the screening tool and whether the screening tool resulted in recommendations that would have otherwise not been made. | One day. This outcome will be assessed on same day as the parent's enrollment. |