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Parent Perspectives on Social Risk Screening in the PICU.

Authors :
Asp RA
Paquette ET
Source :
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2024 Oct 01; Vol. 25 (10), pp. 953-958. Date of Electronic Publication: 2024 Jul 17.
Publication Year :
2024

Abstract

Objective: Health inequities are widespread and associated with avoidable poor health outcomes. In the PICU, we are increasingly understanding how health inequities relate to critical illness and health outcomes. Experts recommend assessing for health inequities by screening for social determinants of health (SDOH) and adverse childhood experiences (ACEs); however, guidance on screening is limited and screening has not been universally implemented. Our study aimed to understand parent perspectives on screening for SDOH/ACEs in the PICU, with the primary objective of determining whether screening would be acceptable in this setting.<br />Design: We conducted a qualitative study using semistructured interviews with a convenience sample of eleven PICU parents between November 2021 and January 2022.<br />Setting: Urban, quaternary free-standing children's hospital.<br />Subjects: Parents of children with a PICU hospitalization between November 2020 and October 2021.<br />Interventions: None.<br />Measurements and Main Results: Domains of interest included experience with and attitudes toward SDOH/ACEs screening, perspectives on addressing needs with/without resources and their relationship to health, and recommendations for screening. Interviews were transcribed verbatim and coded with an inductive approach using thematic analysis and constant comparative methods. Ann & Robert H. Lurie Children's Institutional Review Board approved this study (2021- 4781, Approved September 13, 2021). Ten participants found SDOH/ACEs screening to be acceptable and valuable in the PICU, even for topics without a readily available resource. Participants did not have broad experience with ACEs screening, though all believed this provided the medical team with valuable context regarding their child. Ten participants recommended screening occur after their child has been stabilized and that they are notified that screening is universal.<br />Conclusions: Participants found screening for SDOH/ACES to be acceptable and valuable in the PICU. Families have important insight that should be leveraged to improve the support of unmet needs through the development of strengths-based, parent-informed screening initiatives.<br />Competing Interests: Dr. Paquette received support for effort from the National Institutes of Child Health and Human Development (L40 HD089260, K12HD047349, and 1K23HD09828901A1). Gift cards were provided from institutional funds. She received support for article research from the National Institutes of Health. Dr. Asp has disclosed that she does not have any potential conflicts of interest.<br /> (Copyright © 2024 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.)

Details

Language :
English
ISSN :
1529-7535
Volume :
25
Issue :
10
Database :
MEDLINE
Journal :
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Publication Type :
Academic Journal
Accession number :
39016706
Full Text :
https://doi.org/10.1097/PCC.0000000000003580