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Association Between Educational Resources and Pediatric Fellows' Mental Health Attitudes and Self-Reported Competence.

Authors :
Green, Cori
Leyenaar, JoAnna K.
Leslie, Laurel K.
Source :
Academic Pediatrics; Nov/Dec2023, Vol. 23 Issue 8, p1628-1635, 8p
Publication Year :
2023

Abstract

BACKGROUND/OBJECTIVES: Children with chronic medical conditions (CCMC) have high rates of mental health (MH) conditions. This study examines associations between MH educational resources during fellowship and 3 dependent variables: fellows' interest, perceived responsibility, and self-reported competence in assessing MH concerns of CCMC. METHODS: Subspecialty fellows taking the American Board of Pediatrics in-training examinations in February 2020 were invited to participate in a survey inquiring about MH educational resources. Logistic regression examined associations between MH educational resources and the 3 dependent variables, adjusting for demographics and program-level characteristics. RESULTS: Of the 97.7% (4216) fellows who responded, 3870 were included in analyses. About 37.5% reported formal MH teaching sessions; 36.7% reported on-site MH professionals engaged in teaching; 41.6% reported co-assessing patients with MH specialists; and 28.3% reported performance evaluation of their MH skills. All 4 resources were significantly and positively associated with self-reported competence in adjusted analyses, with odds ratios (OR) ranging from 1.28 (95% confidence interval (95% CI): 1.03--1.58) for formal teaching sessions to 2.14 (95% CI: 1.73--2.65) for performance evaluation. Resources were positively associated with the dependent variables in a "dose-response" pattern. Respondents who reported having all 4 educational resources compared to zero resources had an OR of 2.20 (95% CI: 1.74--2.78) for high MH interest, 3.18 (95% CI: 2.45--4.12) for high perceived responsibility, and 4.38 (95% CI: 3.43--5.60) for high self-reported competence CONCLUSIONS: Access to mental health educational resources was associated with higher interest, perceived responsibility, and self-reported competence; investing in these resources may improve fellows' skills in addressing the emotional needs of CCMC. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
18762859
Volume :
23
Issue :
8
Database :
Supplemental Index
Journal :
Academic Pediatrics
Publication Type :
Academic Journal
Accession number :
175060076
Full Text :
https://doi.org/10.1016/j.acap.2023.07.013