2023-09-28 14:46:10 +00:00
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abstract: 'OBJECTIVE: Children of color and from low-income families experience
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disparities in hospital care and outcomes. This study examined the
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experiences of parents and providers who participated in a novel patient
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navigation program designed to address these disparities. METHODS:
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Between April and October 2018, we conducted semistructured interviews
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with parents enrolled in the Family Bridge navigation pilot study, and
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inpatient care providers. Each set of interviews was thematically coded
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and analyzed according to the Realist Evaluation Framework of context,
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mechanism and outcomes; to identify how and when the pro-gram worked,
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for whom, and with what results. RESULTS: Of 60 parents enrolled in the
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intervention, 50 (83\%) completed an interview. All enrolled children
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had public insurance; 66\% were Hispanic, 24\% were non -His-panic
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Black, and 36\% of parents preferred Spanish for communication. Of 23
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providers who completed an inter-view, 16 (70\%) were attending
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physicians. Parents identified 4 contexts influencing intervention
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effectiveness: past clinical experience, barriers to communication,
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access to resources, and timing of intervention delivery. Four
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mechanisms were identified by both parents and providers: emotional
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support, information collection and sharing, facilitating communication,
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and addressing unmet social needs. Parent-level outcomes included
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improved communication, feeling supported, and increased parental
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knowledge surrounding the child''s care and the health system.
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Provider-level outcomes included providing tailored communication and
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attending to family nonmedical needs. CONCLUSIONS: This study provided
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insight into the mechanisms by which an inpatient navigation program may
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improve communication, support, and knowledge for parents of low-income
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children of color, both directly and by changing provider behavior.'
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affiliation: 'Chisholm, H (Corresponding Author), Yale Univ, Sch Publ Hlth, Dept Social
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\& Behav Sci, 60 Coll St, New Haven, CT 06510 USA.
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Chisholm, Hillary; Kershaw, Trace, Yale Univ, Sch Publ Hlth, Dept Social \& Behav
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Sci, 60 Coll St, New Haven, CT 06510 USA.
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Chisholm, Hillary, MGH Inst Hlth Profess, Sch Nursing, Boston, MA USA.
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Guerra, Laura Sotelo; Bocek, Kevin; Garcia, Yesenia; Lion, K. Casey, Seattle Childrens
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Res Inst, Ctr Child Hlth Behav \& Dev, Seattle, WA USA.
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Lion, K. Casey, Univ Washington, Seattle Childrens Hosp, Dept Pediat, Sch Med, Seattle,
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WA USA.'
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author: Chisholm, Hillary and Kershaw, Trace and Guerra, Laura Sotelo and Bocek, Kevin
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and Garcia, Yesenia and Lion, K. Casey
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author-email: hchisholm@mghihp.edu
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author_list:
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- family: Chisholm
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given: Hillary
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- family: Kershaw
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given: Trace
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- family: Guerra
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given: Laura Sotelo
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- family: Bocek
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given: Kevin
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- family: Garcia
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given: Yesenia
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- family: Lion
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given: K. Casey
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da: '2023-09-28'
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eissn: 1876-2867
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files: []
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issn: 1876-2859
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journal: ACADEMIC PEDIATRICS
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keywords: 'emotional support; low-income/minority; patient-centered communication;
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patient navigation; pediatric hospital medicine'
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keywords-plus: CARE
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language: English
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month: JUL
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number: '5'
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number-of-cited-references: '26'
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pages: 789-796
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papis_id: 5a48ade4e8ea1fbd7882ce0c5807c10f
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ref: Chisholm2021realistevaluation
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times-cited: '0'
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title: A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation
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Program
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000885960300006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '22'
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web-of-science-categories: Pediatrics
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year: '2021'
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