The Experts below are selected from a list of 4920 Experts worldwide ranked by ideXlab platform
Howard Spivak - One of the best experts on this subject based on the ideXlab platform.
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Anticipatory Guidance and violence prevention results from family and pediatrician focus groups
Pediatrics, 2006Co-Authors: Robert D Sege, Elizabeth Hatmakerflanigan, Rebecca Levingoodman, Howard SpivakAbstract:OBJECTIVES: Anticipatory Guidance is a cornerstone of modern pediatric practice. Recent American Academy of Pediatrics policies related to violence prevention, notably those that advocate firearms safety and the use of alternatives to corporal punishment, seem to be discrepant with common parenting practices. To develop more effective Anticipatory Guidance, we sought the opinions of parents and pediatricians on how best to communicate these messages. DESIGN: Focus groups were conducted to elicit parent and provider opinions. SUBJECTS: Forty-nine parents participated in a total of 9 90-minute focus groups that were held in 3 cities. Twenty-six pediatricians participated in 3 focus groups that were held at a single national meeting. PROCEDURES: Participants were read summaries of current American Academy of Pediatrics policies and led through a systematic discussion of how these policies might best be communicated. The group discussions were audiotaped, transcribed, and analyzed. Common themes heard in multiple groups are reported. RESULTS: Parents provided specific feedback about corporal punishment and firearms and also raised a number of general issues. Pediatricians reported that Anticipatory Guidance was important to them but cited cultural and reimbursement issues as barriers to practice. They also reported the need for additional training and support to make Anticipatory Guidance more effective. DISCUSSION: Focus groups provide insight into doctor-patient communications and can inform efforts to improve primary prevention in the clinical setting. Anticipatory Guidance that consists of authoritative useful information, offered in a supportive manner that communicates respect for parental decision-making, may be effective in improving parenting practices.
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short term effectiveness of Anticipatory Guidance to reduce early childhood risks for subsequent violence
JAMA Pediatrics, 1997Co-Authors: Robert D Sege, Cary Perry, Luisa Stigol, Lewis M Cohen, John L Griffith, M Cohn, Howard SpivakAbstract:Objective: To determine whether newly developed Anticipatory Guidance materials designed to teach the use of time-outs and the importance of reductions in childhood television viewing would be recalled by parents and if their use would result in changes in self-reported parental behavior. Subjects and Setting: A total of 559 parents of children aged 14 months to 6 years recruited at the time of routine child health maintenance visits at 2 managed care pediatric departments in eastern Massachusetts. Methods: In-person parent interviews were conducted in the waiting room prior to office visits, with follow-up telephone calls 2 to 3 weeks after the visit. Two groups of families were enrolled: a control group who received usual Anticipatory Guidance and an intervention group who received written materials. Intervention group providers were trained to include study topics during the office visit and to introduce the written materials. Results: Provider training and the provision of written materials increased the parents' specific recall of Anticipatory Guidance for at least 2 to 3 weeks following the office visit. This effect was specific to the areas of intervention and did not carry over to other commonly used topics of Anticipatory Guidance. Among parents who had never used a time-out prior to the office visit, there was a significant increase in the use of time-outs. Parents who received Anticipatory Guidance regarding the link between exposure to television violence and subsequent violence in children were somewhat more likely to report reductions in weekend television viewing than were parents in the control group, although this change was not statistically significant. Conclusions: Certain parenting behaviors have been associated with subsequent violence. Brief, inexpensive Anticipatory Guidance in relevant areas, provided in the context of routine health supervision visits, appears to result in favorable short-term changes in parenting practices. Arch Pediatr Adolesc Med. 1997;151:392-397
Robert D Sege - One of the best experts on this subject based on the ideXlab platform.
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Anticipatory Guidance and violence prevention results from family and pediatrician focus groups
Pediatrics, 2006Co-Authors: Robert D Sege, Elizabeth Hatmakerflanigan, Rebecca Levingoodman, Howard SpivakAbstract:OBJECTIVES: Anticipatory Guidance is a cornerstone of modern pediatric practice. Recent American Academy of Pediatrics policies related to violence prevention, notably those that advocate firearms safety and the use of alternatives to corporal punishment, seem to be discrepant with common parenting practices. To develop more effective Anticipatory Guidance, we sought the opinions of parents and pediatricians on how best to communicate these messages. DESIGN: Focus groups were conducted to elicit parent and provider opinions. SUBJECTS: Forty-nine parents participated in a total of 9 90-minute focus groups that were held in 3 cities. Twenty-six pediatricians participated in 3 focus groups that were held at a single national meeting. PROCEDURES: Participants were read summaries of current American Academy of Pediatrics policies and led through a systematic discussion of how these policies might best be communicated. The group discussions were audiotaped, transcribed, and analyzed. Common themes heard in multiple groups are reported. RESULTS: Parents provided specific feedback about corporal punishment and firearms and also raised a number of general issues. Pediatricians reported that Anticipatory Guidance was important to them but cited cultural and reimbursement issues as barriers to practice. They also reported the need for additional training and support to make Anticipatory Guidance more effective. DISCUSSION: Focus groups provide insight into doctor-patient communications and can inform efforts to improve primary prevention in the clinical setting. Anticipatory Guidance that consists of authoritative useful information, offered in a supportive manner that communicates respect for parental decision-making, may be effective in improving parenting practices.
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short term effectiveness of Anticipatory Guidance to reduce early childhood risks for subsequent violence
JAMA Pediatrics, 1997Co-Authors: Robert D Sege, Cary Perry, Luisa Stigol, Lewis M Cohen, John L Griffith, M Cohn, Howard SpivakAbstract:Objective: To determine whether newly developed Anticipatory Guidance materials designed to teach the use of time-outs and the importance of reductions in childhood television viewing would be recalled by parents and if their use would result in changes in self-reported parental behavior. Subjects and Setting: A total of 559 parents of children aged 14 months to 6 years recruited at the time of routine child health maintenance visits at 2 managed care pediatric departments in eastern Massachusetts. Methods: In-person parent interviews were conducted in the waiting room prior to office visits, with follow-up telephone calls 2 to 3 weeks after the visit. Two groups of families were enrolled: a control group who received usual Anticipatory Guidance and an intervention group who received written materials. Intervention group providers were trained to include study topics during the office visit and to introduce the written materials. Results: Provider training and the provision of written materials increased the parents' specific recall of Anticipatory Guidance for at least 2 to 3 weeks following the office visit. This effect was specific to the areas of intervention and did not carry over to other commonly used topics of Anticipatory Guidance. Among parents who had never used a time-out prior to the office visit, there was a significant increase in the use of time-outs. Parents who received Anticipatory Guidance regarding the link between exposure to television violence and subsequent violence in children were somewhat more likely to report reductions in weekend television viewing than were parents in the control group, although this change was not statistically significant. Conclusions: Certain parenting behaviors have been associated with subsequent violence. Brief, inexpensive Anticipatory Guidance in relevant areas, provided in the context of routine health supervision visits, appears to result in favorable short-term changes in parenting practices. Arch Pediatr Adolesc Med. 1997;151:392-397
Angelo Selicorni - One of the best experts on this subject based on the ideXlab platform.
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cornelia de lange syndrome clinical review diagnostic and scoring systems and Anticipatory Guidance
American Journal of Medical Genetics Part A, 2007Co-Authors: Antonie D Kline, Ian D Krantz, Annemarie Sommer, Mark A Kliewer, Laird G Jackson, David Fitzpatrick, Alex V Levin, Angelo SelicorniAbstract:Cornelia de Lange syndrome (CdLS), also known as Brachmann-de Lange syndrome, is a well-described multiple malformation syndrome typically involving proportionate small stature, developmental delay, specific facial features, major malformations (particularly the cardiac, gastrointestinal and musculoskeletal systems), and behavioral abnormalities. There is a broad spectrum of clinical involvement, with increasing recognition of a much milder phenotype than previously recognized. Significant progress has been made in recent years in the clinical and molecular delineation of CdLS, necessitating a revision of the diagnostic criteria, more inclusive of the milder cases. In addition, a scoring system of severity has been found to correlate with specific brain changes. Thus, a clinical overview and recommendations for Anticipatory Guidance are timely in aiding caretakers and professionals to individualize care decisions and maximize developmental potential for individuals with CdLS. These guidelines are derived from consensus based on collective experience of over 500 patients with CdLS, observations of the natural history in children, adolescents, and adults, a review of the literature, and contacts with national support organizations in North America and Europe. © 2007 Wiley-Liss, Inc.
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cornelia de lange syndrome clinical review diagnostic and scoring systems and Anticipatory Guidance
American Journal of Medical Genetics Part A, 2007Co-Authors: Antonie D Kline, Ian D Krantz, Annemarie Sommer, Mark A Kliewer, Laird G Jackson, David Fitzpatrick, Alex V Levin, Angelo SelicorniAbstract:Cornelia de Lange syndrome (CdLS), also known as Brachmann-de Lange syndrome, is a well-described multiple malformation syndrome typically involving proportionate small stature, developmental delay, specific facial features, major malformations (particularly the cardiac, gastrointestinal and musculoskeletal systems), and behavioral abnormalities. There is a broad spectrum of clinical involvement, with increasing recognition of a much milder phenotype than previously recognized. Significant progress has been made in recent years in the clinical and molecular delineation of CdLS, necessitating a revision of the diagnostic criteria, more inclusive of the milder cases. In addition, a scoring system of severity has been found to correlate with specific brain changes. Thus, a clinical overview and recommendations for Anticipatory Guidance are timely in aiding caretakers and professionals to individualize care decisions and maximize developmental potential for individuals with CdLS. These guidelines are derived from consensus based on collective experience of over 500 patients with CdLS, observations of the natural history in children, adolescents, and adults, a review of the literature, and contacts with national support organizations in North America and Europe.
Charles E. Irwin - One of the best experts on this subject based on the ideXlab platform.
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Anticipatory Guidance regarding sex views of virginal female adolescents
Journal of Adolescent Health, 1996Co-Authors: Carol A. Ford, Susan G. Millstein, Stephen L. Eyre, Charles E. IrwinAbstract:Purpose: To explore virginal female adolescents' perceptions of potential discussions with physicians regarding sexuality. Methods: Twenty-seven virginal female adolescents from an urban high school completed a semistructured interview that explored perceptions of: (1) physicians as resources for discussions about sexuality; (2) content of potential sexuality discussions with physicians; and (3) risks and benefits of sexuality discussions with physicians. The relative emphasis of responses across the sample are described by mean proportional scores (MPS). Results: Health care professionals were spontaneously identified by 33% of participants as potential resources for discussions about sexuality issues. Participants' perceptions of the potential content of sexuality discussions with physicians emphasized prevention of pregnancy and sexually transmitted infections (STIs) (MPS = .37), and physician counseling (MPS = .22). These topics included alternatives to sex and sex refusal skills. The perceived benefits of such discussions were gaining information or assistance regarding pregnancy and STI prevention (MPS = .32), talking with an expert (MPS = .19), and having a supportive relationship with a caring adult (MPS = .16). Lack of confidentiality was perceived as the major risk of adolescent-physician sexuality discussions (MPS = .29). Conclusion: Virginal female adolescents perceive a range of topics regarding sexuality as appropriate for discussions with physicians. This should be considered when providing Anticipatory Guidance counseling to virginal patients regarding sex. Concerns about confidentiality need to be addressed.
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Anticipatory Guidance Regarding Sex: Virginal Female Adolescents Views of
1996Co-Authors: Carol A. Ford, Susan G. Millstein, Stephen L. Eyre, Charles E. IrwinAbstract:Purpose: To explore virginal female adolescents' perceptions of potential discussions with physicians regarding sexuality. Methods: Twenty-seven virginal female adolescents from an urban high school completed a semistructured interview that explored perceptions of: (1) physicians as resources for discussions about sexuality; (2) content of potential sexuality discussions with physicians; and (3) risks and benefits of sexuality discussions with physicians. The relative emphasis of responses across the sample are described by mean proportional scores (MPS). Results: Health care professionals were spontaneously identified by 33% of participants as potential resources for discussions about sexuality issues. Participants' perceptions of the potential content of sexuality discussions with physicians emphasized prevention of pregnancy and sexually transmitted infections (STIs) (MPS -- .37), and physician counseling (MPS = .22). These topics included alternatives to sex and sex refusal skills. The perceived benefits of such discussions were gaining information or assistance regarding pregnancy and STI prevention (MPS = .32), talking with an expert (MPS = .19), and having a supportive relationship with a caring adult (MPS = .16). Lack of confidentiality was perceived as the major risk of adolescent-physician sexuality discussions (MPS = .29). Conclusion: Virginal female adolescents perceive a range of topics regarding sexuality as appropriate for discussions with physicians. This should be considered when providing Anticipatory Guidance counseling to vir
Laird G Jackson - One of the best experts on this subject based on the ideXlab platform.
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cornelia de lange syndrome clinical review diagnostic and scoring systems and Anticipatory Guidance
American Journal of Medical Genetics Part A, 2007Co-Authors: Antonie D Kline, Ian D Krantz, Annemarie Sommer, Mark A Kliewer, Laird G Jackson, David Fitzpatrick, Alex V Levin, Angelo SelicorniAbstract:Cornelia de Lange syndrome (CdLS), also known as Brachmann-de Lange syndrome, is a well-described multiple malformation syndrome typically involving proportionate small stature, developmental delay, specific facial features, major malformations (particularly the cardiac, gastrointestinal and musculoskeletal systems), and behavioral abnormalities. There is a broad spectrum of clinical involvement, with increasing recognition of a much milder phenotype than previously recognized. Significant progress has been made in recent years in the clinical and molecular delineation of CdLS, necessitating a revision of the diagnostic criteria, more inclusive of the milder cases. In addition, a scoring system of severity has been found to correlate with specific brain changes. Thus, a clinical overview and recommendations for Anticipatory Guidance are timely in aiding caretakers and professionals to individualize care decisions and maximize developmental potential for individuals with CdLS. These guidelines are derived from consensus based on collective experience of over 500 patients with CdLS, observations of the natural history in children, adolescents, and adults, a review of the literature, and contacts with national support organizations in North America and Europe. © 2007 Wiley-Liss, Inc.
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cornelia de lange syndrome clinical review diagnostic and scoring systems and Anticipatory Guidance
American Journal of Medical Genetics Part A, 2007Co-Authors: Antonie D Kline, Ian D Krantz, Annemarie Sommer, Mark A Kliewer, Laird G Jackson, David Fitzpatrick, Alex V Levin, Angelo SelicorniAbstract:Cornelia de Lange syndrome (CdLS), also known as Brachmann-de Lange syndrome, is a well-described multiple malformation syndrome typically involving proportionate small stature, developmental delay, specific facial features, major malformations (particularly the cardiac, gastrointestinal and musculoskeletal systems), and behavioral abnormalities. There is a broad spectrum of clinical involvement, with increasing recognition of a much milder phenotype than previously recognized. Significant progress has been made in recent years in the clinical and molecular delineation of CdLS, necessitating a revision of the diagnostic criteria, more inclusive of the milder cases. In addition, a scoring system of severity has been found to correlate with specific brain changes. Thus, a clinical overview and recommendations for Anticipatory Guidance are timely in aiding caretakers and professionals to individualize care decisions and maximize developmental potential for individuals with CdLS. These guidelines are derived from consensus based on collective experience of over 500 patients with CdLS, observations of the natural history in children, adolescents, and adults, a review of the literature, and contacts with national support organizations in North America and Europe.
