Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Jun 2011
Randomized Controlled Trial Comparative StudyA randomized controlled trial of parental asthma coaching to improve outcomes among urban minority children.
To investigate whether asthma coaching decreases emergency department (ED) visits and hospitalizations and increases outpatient asthma monitoring visits. ⋯ This parental asthma coaching intervention increased outpatient asthma monitoring visits (although infrequent) but did not decrease ED visits.
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Arch Pediatr Adolesc Med · Jun 2011
Comparative StudyAdolescents' understanding of research concepts: a focus group study.
To identify ways to improve adolescents' understanding of informed assent by exploring adolescent comprehension of concepts common to all clinical trials as well as those specific to a human immunodeficiency virus vaccine trial. ⋯ Many clinical trial concepts were difficult for teens to understand. Attention needs to be directed toward developing effective ways to explain these concepts to adolescents participating in future human immunodeficiency virus vaccine and other clinical trials.
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Arch Pediatr Adolesc Med · May 2011
Associations between quality of primary care and health care use among children with special health care needs.
To determine whether parent-reported quality of primary care was associated with subsequent health care use for children with special health care needs. ⋯ Parent-reported, low-quality family centeredness was associated with higher rates of subsequent nonurgent emergency department visits and hospitalizations among children with special health care needs. These findings highlight family-centered care as a critical area for primary care intervention to reduce potentially preventable health care use.
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Arch Pediatr Adolesc Med · May 2011
Editorial Comment Comparative StudyThe hazards of drawing conclusions from before-and-after studies of system-level interventions: knowing may not be enough.