A5039340974- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Mobile Health and mHealth Applications
- Child and Adolescent Psychosocial and Emotional Development
- Reproductive Health and Technologies
- Reproductive tract infections research
- Childhood Cancer Survivors' Quality of Life
- Cervical Cancer and HPV Research
- Child Welfare and Adoption
- Ethics and Legal Issues in Pediatric Healthcare
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- COVID-19 and Mental Health
- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Emergency and Acute Care Studies
- School Health and Nursing Education
- Syphilis Diagnosis and Treatment
- Migration, Health and Trauma
- Ethics in Clinical Research
- Community Health and Development
- Reproductive Health and Contraception
- ICT in Developing Communities
Washington University in St. Louis
2015-2024
American Academy of Pediatrics
2016
St. Louis Children's Hospital
2006
Background The increased demand for mental healthcare associated with the COVID-19 pandemic adds to already high unmet health needs among paediatric patients, resulting in a declared ‘mental emergency’. study objective was describe primary care providers (PCPs’) experience of meeting their patients’ during and identify opportunities optimise care. Methods 19 paediatricians 2 nurse practitioners completed 30 min video interview May 2021. Interviews were recorded transcribed, transcripts...
The American Academy of Pediatrics policy statement “The Pediatrician's Role in Community Pediatrics” encourages all pediatricians to partner with their communities create and disseminate innovative programs that improve child health. This article describes 4 pillars a bridge evidence-based community pediatrics for interested pursuing effective action: (1) collaborate the establish specific, short-term, health-related goal; (2) identify best practice(s) achieving shared (3) adapt this...
BACKGROUND Few adolescents with depression receive treatment in accordance national guidelines. This quality improvement project took place 11 primary care practices the aim of increasing percentage teens who received follow-up within 6 weeks diagnosis and 3 months, once stable. METHODS The strategy was external practice facilitation for 12 months. change process used goal setting plan-do-study-act cycles to identify implement ideas. A preanalysis postanalysis completed evaluate change,...
The purpose of this study was to determine the prevalence and individual risk factors people who trade or sell sex among sexually active individuals seeking HIV transmitted infection (STI) testing. Using electronic agency records, an analysis characteristics 5,029 youth adults voluntarily obtained STI testing conducted. Multiple imputation procedures for missing data from 3 variables logistic regression were A total 128 reported having traded sex. Nine had statistically significant...
Objectives Adolescents and young adults are at high risk for sexually transmitted infections (STIs). We previously reported an increase in STI testing of adolescents our ED by obtaining a sexual history using Audio-enhanced Computer-Assisted Self-Interview (ACASI). now examine associations among demographics, behaviour, chief complaint willingness to be tested. Methods This was prospective study conducted paediatric between April December 2011. After triage, eligible patients 15 21 years...
Young black men who have sex with (YBMSM) HIV experience disproportionate rates of trauma, incarceration, poverty, racial discrimination, and homophobia. The synergistic effects these adverse experiences, along increased mental health disorders, increase their risk for poor health. To address this need, the study authors adapted a current service model to include peer-health navigation intervention (WITH U) attend behavioral health, literacy, linkage services, psychosocial support YBMSM HIV....
We investigated the development of and service utilization at Supporting Positive Opportunities with Teens (SPOT)-a community-based health social facility in St. Louis, Missouri, for youths that focuses on increasing HIV sexually transmitted infection (STI) testing.We identified US-based, co-located youth models guided establishment SPOT. analyzed first 5 years (2008-2013) delivery data.During study period, SPOT provided services 8233 37,480 visits. The most utilized included STI screening,...
This longitudinal, nonexperimental, quantitative study examined the acceptability, feasibility, and efficacy of a texting intervention that was added to medical case management for youth young adults at high risk poor HIV outcomes. The intervention, E-VOLUTION, sent automated text messages participants living with reminded them take prescribed medication attend visits. Automated texts also asked clients about mood, housing, ability pay bills. Client responses indicated challenges triggered...
The St Louis Regional Pediatric Learning Collaborative of pediatric primary care providers and infectious diseases specialists formed in March 2020 to address the needs children families during coronavirus disease 2019 (COVID-19) pandemic. More than 400 participated, using a listserv discuss organize webinars provide updates on local national data plan next steps. To inform decision-making about testing for severe acute respiratory syndrome 2, 95 from 26 practices partnered with...
Given the increase in youth mental health concerns, American Academy of Pediatrics (AAP) recommends universal suicide screening for ages 12 and older, with positive screens followed by a brief risk assessment. However, it is unclear how pediatric clinicians incorporate this recommendation into practice. Therefore, objective qualitative study was to identify clinicians' current practice, attitudes, barriers implement updated primary care.
Program Goals: School Based Health Centers(SBHC) are well positioned to address health care needs of underserved populations, particularly adolescents. While adolescents a relatively healthy population, mental concerns often emerge during this developmental period, and the need for other behavioral interventions issues substance use or exposure relationship violence also arise. The USPSTF AAP recommend routine universal screening depression in teens, yet many high risk do not receive...
Aim: Reducing teenage pregnancy is a national health priority and significant strides have been made in the last two decades. However, recent studies demonstrate that young women foster care are up to times more likely an unplanned before age 19 than their counterparts outside child welfare system. Because youth vulnerable poor outcomes due adverse childhood experiences, trauma lack of access consistent resources, reducing pregnancies takes on particular urgency. We evaluated efficacy …