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Video Abstract: Factors Associated with Developmental-Behavioral Pediatricians Prescribing Psychotropic Medication to Children with Autism Spectrum Disorder: A Study of 3 DBPNet Sites

Video Author: Peter Palumbo
Published on: 08.14.2017
Associated with: Journal of Developmental & Behavioral Pediatrics. 38(8):584-592, October 2017

Electronic health record data was collected from 3 DBPNet sites in order to look at variations in prescribing practices and factors associated with Developmental-behavioral pediatricians prescribing psychotropic medication to children with ASD. Click here to read the article.

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Creator: Rutgers University
Duration: 5:00
This video discusses results from a study of pediatric residency program training directors across the country. This study was intended to identify perceptions of behavioral health training in pediatric residency programs, degree of involvement from behavioral health providers, and opportunities for/barriers to innovation in training. Despite substantial improvement in residency training in behavioral health over the past decade, additional improvement is needed. Barriers to continued improvement include training content, training methods, support from faculty and administrator stakeholders, and resource issues. Strategies derived from implementation science have the potential to address these barriers.
Creator: Seattle Children’s Research Institute
Duration: 6:36
Lead author, Jennifer Gerdts, PhD, discusses the rationale for developing a streamlined and efficient interdisciplinary diagnostic evaluation for autism spectrum disorder (ASD) at Seattle Children’s Autism Center (SCAC). Dr. Gerdts compares diagnostic outcomes, follow-up care rates, provider satisfaction, billed time, and reimbursement amounts in interdisciplinary teams to those of more traditional psychology-led and physician-led models. She also suggests benefits of this diagnostic approach for families of children with ASD.
Creator: Walter Zahorodny and Justin Smith
Duration: 8:21
This video is a brief summary of the article, "Preliminary Evaluation of a Brief Autism Screener for Young Children." It provides the reasons for undertaking development of a new parent report tool and describes the methodology and initial data assessing the usefulness of the PDQ-1, a brief Autism screener for toddler-age children.
Creator: Louisa Salisbury, MD
Duration: 6:37
Overview of our research, clinical implications and directions for future research.
Creator: Aleix Cabrera, Barcelona Institute for Global Health (ISGlobal) Video
Duration: 02:43
This study is the first to demonstrate associations between a longer time spent engaging in cognitively stimulating activities and lower scores of both ADHD symptoms and behavior problems, in ADHD-free children at baseline. We also found that sleeping longer was associated with a lower ADHD symptom score. In contrast, time spent watching TV and time spent engaging in physical activity at age 4 years were not associated with ADHD symptoms or behavior problems at age 7 years, nor was there any evidence of interactions between the several exposures considered.
Creator: Massachusetts General Hospital
In this short video, the article "Use and Nondisclosure of Complementary Health Approaches among US Children with Developmental Disabilities" is summarized. More specifically, the study's objectives, methodology, and key findings are highlighted. Read the article
Creator: University of Maryland
Duration: 3:17
During toddlerhood, children establish regular sleep patterns, with night awakenings followed by returning to sleep without parental intervention. However, some toddlers experience frequent night awakenings and may require parental intervention to return to sleep. Co-sleeping, meaning sharing the same bed or same room, occurs among many families with toddlers. We found that when parents perceive that their toddler has a sleep problem and they co-sleep, mothers lose almost one hour of sleep and report increased symptoms of stress, depression, and anxiety. Practitioners might consider alternatives to co-sleeping when discussing sleep arrangements with parents.Read the article
Creator: University of Maryland School of Pharmacy
Duration: 5:28
The video abstract highlights the significance and innovation of the research on caregiver preferences for outcomes in youth with mental health multimorbidity. Outcomes were identified in partnership with caregivers to include the range of outcome domains beyond clinical factors that are relevant when making treatment decisions. Best-Worst Scaling is a preference elicitation method where caregivers jointly considered multiple attributes related to treatment outcomes and selected the one most important to them, much as they do real life decisions. This work moves beyond a sole focus on disease-specific outcomes, and provides insight into the outcome priorities that influence treatment decisions. Click here to read the article.
Creator: Melissa Bright, Lindsay Thompson
Duration: 3:22
Adverse childhood experiences (ACEs) and physical, mental, and developmental health conditions Video Creator: Christopher Gomez, University of Florida. Read the article
Creator: Megan Narad, Jessica King
We report on the rate need for academic services and academic service utilization among a cohort of children who sustained a traumatic brain injury (TBI) between the ages of 3 and 7 years old, as they transitioned to middle school, approximately 6.8 years after injury. Findings show the need for services among students with a history TBI remains high even years after injury. Rates of unmet need were high across all injury groups (46.2%-63.6%), underscoring the importance of continued monitoring of students with a history of TBI, especially children with less severe injuries who are at risk for being underserved. Read the article
Creator: Natacha Akshoomoff, Ph.D.
Duration: 3:56
We analyzed follow-up data at age 10 years from children who participated in the Extremely Low Gestational Age Newborns Study - also known as a the ELGAN study. Complete data were available from 668 children who were born at less than 28 weeks gestation and who did not have intellectual disability at age 10. We found that about 30% of these children had low achievement in math, reading, or both. As predicted, the rate of having a Math Learning Disability was twice as high as having a Reading Learning Disability. The pattern of deficits on neuropsychological tests varied as a function of learning disability type. Click here to read the article.
Creator: Jack Dempsey & Allison G. Dempsey
Duration: 2:28
Describing an investigation of whether family factors are associated with obesity in children with autism spectrum disorder. Read the article.
Creator: C. Thomas Lewis, IUPUI School of Informatics and Computing
Duration: 5:13
Attention deficit hyperactivity disorder (ADHD) is commonly encountered in primary care practice. Group visits are an alternate way to provide chronic care management while attending to the needs of families. This study examines the acceptability of group visits for ADHD care from the perspectives of caregivers, children and providers and lessons learned in using the group visits across two studies. A brief description of our ADHD group visit model, TEACH-Tailoring Education for ADHD and Children’s Health, is reviewed. Findings suggest that stakeholders find group visits acceptable and increased in satisfaction in ADHD care. Click here to read the article.
Creator: Peter Palumbo
Duration: 4:32
Electronic health record data was collected from 3 DBPNet sites in order to look at variations in prescribing practices and factors associated with Developmental-behavioral pediatricians prescribing psychotropic medication to children with ASD. Click here to read the article.
Creator: Mission Health System Audio-Visual Support
Duration: 6:20
This video describes the initial development of the Clinical Functional Impairment Scale (CFIS). The CFIS was developed because of the lack of an efficient and flexible measure of functional outcomes in Developmental-Behavioral Pediatrics. We describe the importance of shared-decision-making in the clinical use of the CFIS. Focus groups and qualitative methods were used to establish content validity. Inter-rater reliability was assessed with a convenience sample of DBP clinicians who responded to a survey on the SDBP Discussion Board in which case vignettes were presented. The video describes future development and goals for dissemination of the CFIS. Click here to read the article.
Creator: Joe Speer & Chelsey Grasso
Duration: 5:12
We analyzed cross-sectional data from the National Health Interview Survey 2014-2015 to explore the relationship between parental psychological distress and food insecurity by parental status (mothers/fathers). We found that food insecurity was independently associated withserious psychological distress (SPD) among both parents, with this association being especially strong in fathers, who were over four times more likely to have (SPD) if they were food insecure versus food secure. Findings suggest we need to improve screening and treatment for serious mental illness among food insecure parents by targeting both parents to mitigate the adverse effects of parental distress on children’s development. Click here to read the article.
Creator: Wilko Duprez
Duration: 4:51
This longitudinal study assessed the intellectual, academic and executive functioning skills of children diagnosed with ADHD at diagnosis and four years later. Intellectual function was stable over the four-year interval. Reliable change analyses highlighted variability in academic performance, with half the children showing performance declines in at least one academic subject. Executive functions followed a generally stable or improving course. There was some evidence of better neurocognitive performance in those with partial symptom remission at follow up, however early cognitive functioning did not predict symptom outcome over time. Findings emphasize the importance of monitoring academic performance in children with ADHD. Click here to read the article.
Creator: U.S. Centers for Disease Control and Prevention (CDC)
Duration: 5:51
Attention Deficit Hyperactivity Disorder (ADHD) U.S. Centers for Disease Control and Prevention (CDC). Clinical guidelines provide recommendations for diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD), with specific guidance on caring for children younger than 6 years. This exploratory study describes ADHD diagnosis and treatment patterns among young children in the U.S. using two nationally representative parent surveys. Click here to read the article.
Creator: Dori Jenks
Duration: 4:33
In this video abstract, the lead author for the study describes the importance of examining the association between television viewing and parent-child shared book reading, given the implications that each of these activities has on children’s developmental outcomes. The results of the study are presented along with recommendations for policy makers and health care providers on how to communicate with parents regarding structuring screen time and shared book reading in the home. The video concludes with a challenge posed to the audience to reflect on their own experiences with these two activities. Click here to read the article.
Creator: Luke Walton & Tugce Bilgin
Duration: 4:58
We report on the findings of a longitudinal study that followed very preterm/very low birth weight and full-term mother-infant dyads from birth to 18 months. We assessed both infant feeding problems and maternal sensitive parenting at term, 3 and 18 months and examined the direction of the associations between both. Results showed that the association between maternal sensitivity and feeding problems differed in very preterm and full-term mother-infant dyads. In full-term infants, there was a reciprocal association from 3 to 18 months; while in very preterm infants, higher feeding problems decreased maternal sensitivity over time. Click here to read the article.