TY - JOUR
T1 - Reported Physician Skills in the Management of Children's Mental Health Problems Following an Educational Intervention
AU - Laraque, Danielle
AU - Adams, Richard
AU - Steinbaum, Deborah
AU - Zuckerbrot, Rachel
AU - Schonfeld, David
AU - Jensen, Peter S.
AU - Demaria, Thomas
AU - Barrett, Minna
AU - Dela-Cruz, Maan
AU - Boscarino, Joseph A.
N1 - Funding Information:
This project was supported by a September 11 recovery grant from the American Red Cross Liberty Disaster Relief Fund (grant 20044263, principal investigator, Danielle Laraque, MD). We thank Deborah York, Clifford Mevs, Claude Chemtob, Jeffrey Newcorn, Annette Hernandez, Lori Rockmore, Gerald McCleery, Families of September 11, and Tuesday's Children for their efforts in support of the project. The project owes a special debt to MaryEllen Salamone, who served as parent faculty to the intervention and shared her personal story of the 9/11 events.
Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2009/5
Y1 - 2009/5
N2 - Objective: The tristate Reaching Children Initiative (RCI) was designed to engage primary care physicians (PCPs) and increase reported knowledge and skills in the diagnosis and management of the most common mental health (MH) problems among children and adolescents. Methods: PCPs responded to a baseline survey and agreed to participate in an educational intervention or serve in a comparison group. The program, delivered by an interdisciplinary faculty, engaged the audience in role play, motivational techniques, and didactics. To assess the overall effectiveness of the intervention, baseline, and 6-month follow-up, surveys asked PCPs to rate their knowledge, diagnostic skills regarding socioemotional problems, knowledge of treatment strategies for these problems, awareness of MH resources, and attitudes towards diagnosing and treating MH problems. Results: Of the 215 baseline respondents, 137 chose to participate in the educational intervention and 78 served as a comparison group; of these, 64% and 59%, respectively, completed the 6-month survey. The overall sample was predominantly female (70.2%), white (64.7%), and had been in practice for over 10 years (57.5%). Repeated measures analysis, confirmed by propensity analyses, revealed significantly improved reported mean scores for diagnostic skills and knowledge of clinical strategies for the intervention relative to the comparison group. The intervention did not significantly impact awareness of resources or attitudes. Conclusions: Following the RCI, PCPs did report significant changes in self-efficacy specific to diagnostic skills and knowledge of clinical treatment strategies for targeted MH content. This educational approach merits further study.
AB - Objective: The tristate Reaching Children Initiative (RCI) was designed to engage primary care physicians (PCPs) and increase reported knowledge and skills in the diagnosis and management of the most common mental health (MH) problems among children and adolescents. Methods: PCPs responded to a baseline survey and agreed to participate in an educational intervention or serve in a comparison group. The program, delivered by an interdisciplinary faculty, engaged the audience in role play, motivational techniques, and didactics. To assess the overall effectiveness of the intervention, baseline, and 6-month follow-up, surveys asked PCPs to rate their knowledge, diagnostic skills regarding socioemotional problems, knowledge of treatment strategies for these problems, awareness of MH resources, and attitudes towards diagnosing and treating MH problems. Results: Of the 215 baseline respondents, 137 chose to participate in the educational intervention and 78 served as a comparison group; of these, 64% and 59%, respectively, completed the 6-month survey. The overall sample was predominantly female (70.2%), white (64.7%), and had been in practice for over 10 years (57.5%). Repeated measures analysis, confirmed by propensity analyses, revealed significantly improved reported mean scores for diagnostic skills and knowledge of clinical strategies for the intervention relative to the comparison group. The intervention did not significantly impact awareness of resources or attitudes. Conclusions: Following the RCI, PCPs did report significant changes in self-efficacy specific to diagnostic skills and knowledge of clinical treatment strategies for targeted MH content. This educational approach merits further study.
KW - anxiety
KW - child
KW - depression
KW - mental health
KW - post-traumatic stress
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U2 - 10.1016/j.acap.2009.01.009
DO - 10.1016/j.acap.2009.01.009
M3 - Article
C2 - 19450776
AN - SCOPUS:65649114031
SN - 1876-2859
VL - 9
SP - 164
EP - 171
JO - Academic Pediatrics
JF - Academic Pediatrics
IS - 3
ER -