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A Randomized Controlled Trial of Group Well-Child Care: Improved Attendance and Vaccination Timeliness.
- Source :
-
Clinical Pediatrics . Jun2020, Vol. 59 Issue 7, p686-691. 6p. - Publication Year :
- 2020
-
Abstract
- Well-child care has suboptimal outcomes regarding adherence to appointments and recall of guidance, especially among families facing structural barriers to health. Group well-child care (GWCC) aims to improve these outcomes by enhancing anticipatory guidance discussions and peer education. We conducted a randomized controlled trial, comparing GWCC with traditional, individual well-child care (IWCC) and assessed health care utilization, immunization timeliness, recall of anticipatory guidance, and family-centered care. Ninety-seven mother-infant dyads were randomized to GWCC or IWCC. Compared with IWCC infants, GWCC infants attended more of the 6 preventive health visits (5.41 vs 4.87, P <.05) and received more timely immunization at 6 months and 1 year but did not differ in emergency or hospital admission rates. There were no differences in mothers' reports of anticipatory guidance received or family-centered care. As primary care is redesigned for value-based care and structural vulnerabilities are considered, GWCC may be a key option to consider. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00099228
- Volume :
- 59
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 143498272
- Full Text :
- https://doi.org/10.1177/0009922820908582