nach oben

Erschienen in:

04.04.2023 | Review Paper

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

verfasst von: Ashley Gresh, Deborah Wilson, Ada Fenick, Crystal L. Patil, Tumaini Coker, Sharon Schindler Rising, Nancy Glass, Rheanna Platt

Erschienen in: Maternal and Child Health Journal | Ausgabe 6/2023

Einloggen, um Zugang zu erhalten

Abstract

Objective

To use scoping review methods to construct a conceptual framework based on current evidence of group well-child care to guide future practice and research.

Methods

We conducted a scoping review using Arksey and O’Malley’s (2005) six stages. We used constructs from the Consolidated Framework for Implementation Research and the quadruple aim of health care improvement to guide the construction of the conceptual framework.

Results

The resulting conceptual framework is a synthesis of the key concepts of group well-child care, beginning with a call for a system redesign of well-child care to improve outcomes while acknowledging the theoretical antecedents structuring the rationale that supports the model. Inputs of group well-child care include health systems contexts; administration/logistics; clinical setting; group care clinic team; community/patient population; and curriculum development and training. The core components of group well-child care included structure (e.g., group size, facilitators), content (e.g., health assessments, service linkages). and process (e.g., interactive learning and community building). We found clinical outcomes in all four dimensions of the quadruple aim of healthcare.

Conclusion

Our conceptual framework can guide model implementation and identifies several outcomes that can be used to harmonize model evaluation and research. Future research and practice can use the conceptual framework as a tool to standardize model implementation and evaluation and generate evidence to inform future healthcare policy and practice.

Nur mit Berechtigung zugänglich

ACOG. (2018). Optimizing postpartum care. ACOG committee opinion No. 736. Obstetrics & Gynecology, 131, e140-150.CrossRef

Anderson, J. (2006). Rejuvenate your practice with group visits. Contemporary Pediatrics, 23(5), 80–94.

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616CrossRef

Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health and cost. Health Affairs, 27(3), 759–769.CrossRefPubMed

Bialostozky, A., McFadden, S. E., & Barkin, S. (2016). A novel approach to well-child visits for latino children under two years of age. Journal of Health Care for the Poor and Underserved, 27(4), 1647–1655. https://doi.org/10.1353/hpu.2016.0153CrossRefPubMed

Bloomfield, J., & Rising, S. S. (2013). CenteringParenting: an innovative dyad model for group mother-infant care. Journal of Midwifery and Women’s Health, 58(6), 683–689.CrossRefPubMed

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. Annals of Family Medicine, 12(6), 573–576. https://doi.org/10.1370/afm.1713CrossRefPubMedPubMedCentral

Callaghan, T., Moghtaderi, A., Lueck, J. A., Hotez, P., Strych, U., Dor, A., Fowler, E. F., & Motta, M. (2021). Correlates and disparities of intention to vaccinate against COVID-19. Social Science and Medicine. https://doi.org/10.1016/j.socscimed.2020.113638CrossRefPubMed

Castellan, C. M., Casola, A. R., & Weinstein, L. C. (2020). Centering providers to deliver group care: implementing CenteringPregnancy and CenteringParenting at an Urban federally qualified health center. Population Health Management. https://doi.org/10.1089/pop.2020.0034CrossRefPubMed

Centering Healthcare Institute. (2021). CenteringParenting.

Coker, T. R., Chung, P. J., Cowgill, B. O., Chen, L., & Rodriguez, M. A. (2009). Low-income parents’ views on the redesign of well-child care. Pediatrics, 124(1), 194–204. https://doi.org/10.1542/peds.2008-2608CrossRefPubMed

Coker, T. R., Windon, A., Moreno, C., Schuster, M. A., & Chung, P. J. (2013). Well-child care clinical practice redesign for young children: A systematic review of strategies and tools. Pediatrics, 131, S5-25.CrossRefPubMedPubMedCentral

Colquhoun, H. L., Levac, D., O’Brien, K. K., Straus, S., Tricco, A. C., Perrier, L., Kastner, M., & Moher, D. (2014). Scoping reviews: Time for clarity in definition, methods, and reporting. Journal of Clinical Epidemiology, 67(12), 1291–1294. https://doi.org/10.1016/j.jclinepi.2014.03.013CrossRefPubMed

Connor, K. A., Duran, G., Faiz-Nassar, M., Mmari, K., & Minkovitz, C. S. (2017). Feasibility of implementing group well baby/well Woman Dyad care at federally qualified health centers. Academic Pediatrics, 18(5), 510–515.CrossRefPubMed

Curfman, A., McSwain, S. D., Chuo, J., Yeager-McSwain, B., Schinasi, D. A., Marcin, J., Herendeen, N., Chung, S. L., Rheuban, K., & Olson, C. A. (2021). Pediatric telehealth in the COVID-19 pandemic era and beyond. Pediatrics. https://doi.org/10.1542/peds.2020-047795CrossRefPubMed

Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. https://doi.org/10.1186/1748-5908-4-50CrossRefPubMedPubMedCentral

Dearholt, S., & Dang, D. (2012). Johns Hopkins nursing evidence-based practice: model and guidelines. Sigma Theta Tau International.

DeLago, C., Dickens, B., Phipps, E., Paoletti, A., Kazmierczak, M., & Irigoyen, M. (2018). Qualitative evaluation of individual and group well-child care. Academic Pediatrics, 18(5), 516–524.CrossRefPubMed

Desai, S., Chen, F., & Boynton-Jarrett, R. (2019). Clinician satisfaction and self-efficacy with CenteringParenting group well-child care model: a pilot study. Journal of Primary Care and Community Health. https://doi.org/10.1177/2150132719876739CrossRefPubMedPubMedCentral

Dodds, M., Nicholson, L., Muse, B., III., & Osborn, L. (1993). Group health supervision visits more effective than individual visits in delivering health care information. Pediatrics, 91(3), 668–670. https://doi.org/10.1542/peds.91.3.668CrossRefPubMed

Fahey, J. O., & Shenassa, E. (2013). Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. Journal of Midwifery & Women’s Health, 58(6), 613–621. CrossRef

Fenick, A. M., Leventhal, J. M., Gilliam, W., & Rosenthal, M. S. (2020). A randomized controlled trial of group well-child care: Improved attendance and vaccination timeliness. Clinical Pediatrics, 59(7), 686–691. https://doi.org/10.1177/0009922820908582CrossRefPubMed

Fierman, A. H., Beck, A. F., Chung, E. K., Tschudy, M. M., Coker, T. R., Mistry, K. B., Siegel, B., Chamberlain, L. J., Conroy, K., Federico, S. G., Flanagan, P. J., Garg, A., Gitterman, B. A., Grace, A. M., Gross, R. S., Hole, M. K., Klass, P., Kraft, C., Kuo, A., & Cox, J. (2016). Redesigning health care practices to address childhood poverty. Academic Pediatrics, 16(3S), S136–S146.CrossRefPubMed

Freeman, X. K., Md, X. X., & Coker, X. R. (2018). Six questions for well-child care redesign. Pediatric Association, 18(6), 609.

Friedman, S., Calderon, B., Gonzalez, A., Suruki, C., Blanchard, A., Cahill, E., Kester, K., Muna, M., Elbel, E., Purushothaman, P., Krause, M. C., & Meyer, D. (2021). Pediatric practice redesign with group well child care visits: A multi-site study. Maternal and Child Health Journal, 25(8), 1265–1273. https://doi.org/10.1007/s10995-021-03146-yCrossRefPubMed

Gaskin, E., Yorga, K. W., Berman, R., Allison, M., & Sheeder, J. (2021). Pediatric group care: A systematic review. Maternal and Child Health Journal, 25(10), 1526–1553. https://doi.org/10.1007/s10995-021-03170-yCrossRefPubMed

Graber, L. K., Roder-Dewan, S., Brockington, M., Tabb, T., & Boynton-Jarrett, R. (2019). Parent perspectives on the use of group well-child care to address toxic stress in early childhood. Journal of Aggression, Maltreatment and Trauma, 28(5), 581–600. https://doi.org/10.1080/10926771.2018.1539423CrossRef

Gullett, H., Salib, M., Rose, J., & Stange, K. C. (2019). An Evaluation of centeringparenting: A group well-child care model in an Urban federally qualified community health center. Journal of Alternative and Complementary Medicine, 25(7), 727–732. https://doi.org/10.1089/acm.2019.0090CrossRefPubMed

Irigoyen, M. M., Leib, S. M., Paoletti, A. M., & Delago, C. W. (2020). Timeliness of immunizations in CenteringParenting. Academic Pediatrics, 000, 1–7.

Johnston, J. C., McNeil, D., van der Lee, G., MacLeod, C., Uyanwune, Y., & Hill, K. (2017). Piloting CenteringParenting in two alberta public health well-child clinics. Public Health Nursing, 34(3), 229–237. https://doi.org/10.1111/phn.12287CrossRefPubMed

Jones, K. A., Do, S., Porras-Javier, L., Contreras, S., Chung, P. J., & Coker, T. R. (2018). Feasibility and acceptability in a community-partnered implementation of CenteringParenting for group well-child care. Academic Pediatrics, 18(6), 642–649.CrossRefPubMed

Lazar, J., Boned-Rico, L., Olander, E. K., & McCourt, C. (2021). A systematic review of providers’ experiences of facilitating group antenatal care. Reproductive Health. https://doi.org/10.1186/s12978-021-01200-0CrossRefPubMedPubMedCentral

Levac, D., Colquhoun, H., & O’brien, K. K. (2010). Scoping studies: advancing the methodology. Implementation Science. https://doi.org/10.1186/1748-5908-5-69CrossRefPubMedPubMedCentral

Liebert, H. (2016). Postpartum depression: screening and treatment of low-income women in a primary care setting. The Wright Institute.

Liljenquist, K., & Coker, T. R. (2021). Transforming well-child care to meet the needs of families at the intersection of Racism and poverty. Academic Pediatrics, 21(8), S102–S107. https://doi.org/10.1016/j.acap.2021.08.004CrossRefPubMedPubMedCentral

Machuca, H., Arevalo, S., Hackley, B., Applebaum, J., Mishkin, A., Heo, M., & Shapiro, A. (2016). Well baby group care: Evaluation of a promising intervention for primary obesity prevention in toddlers. Childhood Obesity, 12(3), 171–178. https://doi.org/10.1089/chi.2015.0212CrossRefPubMed

MacMillan Uribe, A. L., Woelky, K. R., & Olson, B. H. (2019). Exploring family-medicine providers’ perspectives on group care visits for maternal and infant nutrition education. Journal of Nutrition Education and Behavior, 51(4), 409–418. https://doi.org/10.1016/j.jneb.2019.01.009CrossRefPubMed

Marchel, M. A., Winesett, H., Hall, K., Luke, S., Duluth, P., & Ladd, M. C. (2015). Holding the holders: An interdisciplinary group well-child model. Zero to Three Journal, 2015, 15–20.

McNeil, D., Johnston, J., van der Lee, G., & Wallace, N. (2016). Implementing CenteringParenting in well child clinics: mothers’ nurses’ and decision makers’ perspectives. Journal of Community & Public Health Nursing. https://doi.org/10.4172/2471-9846.1000134CrossRefPubMed

Miles, M., Huberman, A., & Saldana, J. (2019). Qualitative data analysis: a methods sourcebook. SAGE Publications.

Mittal, P. (2011). Centering parenting: pilot implementation of a group model for teaching family medicine residents well-child care. The Permanente Journal/fall, 15(4), 40.CrossRef

Novick, G., Womack, J. A., & Sadler, L. S. (2020). Beyond implementation: Sustaining group prenatal care and group well-child care. Journal of Midwifery and Women’s Health, 65(4), 512–519. https://doi.org/10.1111/jmwh.13114CrossRefPubMed

Oldfield, B. J., Nogelo, P. F., Vázquez, M., Ona Ayala, K., Fenick, A. M., & Rosenthal, M. S. (2019). Group well-child care and health services utilization: A bilingual qualitative analysis of parents’ perspectives. Maternal and Child Health Journal, 23(11), 1482–1488. https://doi.org/10.1007/s10995-019-02798-1CrossRefPubMed

Oldfield, B. J., Rosenthal, M. S., & Coker, T. R. (2020). Update on the feasibility, acceptability, and impact of group well-child care. Academic Pediatrics, 20(6), 731–732. https://doi.org/10.1177/0009922820908582.TCrossRefPubMed

Osborn, L. (1982). Group well-child care: An option for today’s children. Pediatric Nursing, 8(5), 306–308.PubMed

Osborn, L. M. (1989). Group well-child care offers unique opportunities for patient education. Patient Education and Counseling, 14, 227.CrossRefPubMed

Osborn, L., & Woolley, F. (1981). Use of groups in well child care. Pediatrics, 67(5), 701.CrossRefPubMed

Page, C., Reid, A., Andrews, L., & Steiner, J. (2013). Evaluation of prenatal and pediatric group visits in a residency training program. Family Medicine, 45(5), 349–353.PubMed

Page, C., Reid, A., Hoagland, E., & Brier Leonard, S. (2010). WellBabies: Mothers’ perspectives on an innovative model of group well-child care. Family Medicine, 42(3), 202–207.PubMed

Platt, R. E., Acosta, J., Stellmann, J., Sloand, E., Caballero, T. M., Polk, S., Wissow, L. S., Mendelson, T., & Kennedy, C. E. (2022). Addressing psychosocial topics in group well-child care: A multi-method study with immigrant Latino families. Academic Pediatrics, 22(1), 80–89. https://doi.org/10.1016/j.acap.2021.05.001CrossRefPubMed

Prenatal-to-3 Policy Impact Center. (2020). Group prenatal care.

Rice, R. L., & Slater, C. J. (1997). An analysis of group versus individual child health supervision. Clinical Pediatrics, 36, 685–690.CrossRefPubMed

Rosenthal, M. (2016). Coding grief. Contemporary pediatrics . https://www.contemporarypediatrics.com/view/coding-grief

Rosenthal, M. S., Connor, K. A., & Fenick, A. M. (2014). Pediatric residents’ perspectives on relationships with other professionals during well child care. Journal of Interprofessional Care, 28(5), 481–484. https://doi.org/10.3109/13561820.2014.909796CrossRefPubMed

Rosenthal, M. S., Connor, K. A., & Fenick, A. M. (2016). Pediatric residents’ perspective on family-clinician discordance in primary care: A qualitative study. Journal of Health Care for the Poor and Underserved, 27(3), 1033–1045. https://doi.org/10.1353/hpu.2016.0114CrossRefPubMed

Rushton, F. E., Byrne, W. W., Darden, P. M., & McLeigh, J. (2015). Enhancing child safety and well-being through pediatric group well-child care and home visitation: the well baby plus program. Child Abuse and Neglect, 41, 182–189. https://doi.org/10.1016/j.chiabu.2015.01.008CrossRefPubMed

Saysana, M., & Downs, S. M. (2012). Piloting group well child visits in pediatric resident continuity clinic. Clinical Pediatrics, 51(2), 134–139. https://doi.org/10.1177/0009922811417289CrossRefPubMed

Schor, E. L. (2004). Rethinking well-child care. Pediatrics, 114(1), 210–216.CrossRefPubMed

Shah, N. B., Fenick, A. M., & Rosenthal, M. S. (2016). A healthy weight for toddlers? Two-year follow-up of a randomized controlled trial of group well-child care. Clinical Pediatrics, 55(14), 1354–1357. https://doi.org/10.1177/0009922815623230CrossRefPubMed

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost and meaning in work. In BMJ Quality and Safety, 24(10), 608–610. https://doi.org/10.1136/bmjqs-2015-004160CrossRef

Simon, G., Platt, R., & Hernandez, A. (2020). Evidence from pragmatic trials during routine—slouching toward a learning health system. New England Journal of Medicine, 382(16), 1488–1491. https://doi.org/10.1056/nejmp1915762CrossRefPubMed

Stein, M. T. (1977). The providing of well-baby care within parent-infant groups. Clinical Pediatrics, 17(9), 825–828.CrossRef

Stein, M. T., Plonsky, C., Zuckerman, B., & Carey, W. B. (2005). Reformatting the 9-month health supervision visit to enhance developmental, behavioral and family concerns. Journal of Developmental and Behavioral Pediatrics, 26, 56–60.PubMed

Taylor, J. A., Davis, R. L., & Kemper, K. J. (1997a). A randomized controlled trial of group versus individual well child care for high-risk children: maternal-child interaction and developmental outcomes. Pediatrics, 99, e9.CrossRefPubMed

Taylor, J. A., Davis, R. L., & Kemper, K. J. (1997b). Health care utilization and health status in high-risk children randomized to receive group or individual well child care. Pediatrics, 100, e1.CrossRefPubMed

Taylor, J. A., & Kemper, K. J. (1998). Group well-child care for high-risk families maternal outcomes. Archives of Pediatrics & Adolescent Medicine. https://doi.org/10.1001/archpedi.152.6.579CrossRef

Thomas, K. A., Hassanein, R. S., & Christophersen, E. R. (1984). Evaluation of group well-child care for improving burn prevention practices in the home. Pediatrics, 74, 879–882.CrossRefPubMed

Troiano, G., & Nardi, A. (2021). Vaccine hesitancy in the era of COVID-19. Public Health, 194, 245–251. https://doi.org/10.1016/j.puhe.2021.02.025CrossRefPubMed

Veritas Health Innovation. (2021). Covidence systematic review software. www.covidence.org.

Wittmeier, K. D. M., Klassen, T. P., & Sibley, K. M. (2015). Implementation science in pediatric health care advances and opportunities. JAMA Pediatrics, 169(4), 307–309. https://doi.org/10.1001/jamapediatrics.2015.8CrossRefPubMed

Yoshida, H., Fenick, A. M., & Rosenthal, M. S. (2014). Group well-child care: An analysis of cost. Clinical Pediatrics, 53(4), 387–394. https://doi.org/10.1177/0009922813512418CrossRefPubMed

Titel: A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research
verfasst von: Ashley Gresh
Deborah Wilson
Ada Fenick
Crystal L. Patil
Tumaini Coker
Sharon Schindler Rising
Nancy Glass
Rheanna Platt
Publikationsdatum: 04.04.2023
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 6/2023
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-023-03641-4

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Abstract

Objective

Methods

Results

Conclusion

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2023

Outpatient Opioid Dispensing Patterns for SC Medicaid Children 1–36 Months Old

An Investigation of Pregnant Women’s Attitudes Towards Childhood Vaccination and Trust in Health Services

The Influence of Mediators on the Relationship Between Antenatal Opioid Agonist Exposure and the Severity of Neonatal Opioid Withdrawal Syndrome

A Survey of Breastfeeding Attitudes and Health Locus of Control in the Nigerian Population

Pediatrics: Naming a Medical Specialty (1721–1880)

Equity in Economic Evaluations of Early Childhood Development Interventions in Low-and Middle-Income Countries: Scoping Review