wow-inequalities/02-data/intermediate/wos_sample/da01cb8306eecd723100c94f6dead3b4-chisholm-hillary-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'OBJECTIVE: Children of color and from low-income families experience
disparities in hospital care and outcomes. This study examined the
experiences of parents and providers who participated in a novel patient
navigation program designed to address these disparities.
METHODS: Between April and October 2018, we conducted semistructured
interviews with parents enrolled in the Family Bridge navigation pilot
study, and inpatient care providers. Each set of interviews was
thematically coded and analyzed according to the Realist Evaluation
Framework of context, mechanism and outcomes; to identify how and when
the program worked, for whom, and with what results.
RESULTS: Of 60 parents enrolled in the intervention, 50 (83\%) completed
an interview. All enrolled children had public insurance; 66\% were
Hispanic, 24\% were non-Hispanic Black, and 36\% of parents preferred
Spanish for communication. Of 23 providers who completed an interview,
16 (70\%) were attending physicians. Parents identified 4 contexts
influencing intervention effectiveness: past clinical experience,
barriers to communication, access to resources, and timing of
intervention delivery. Four mechanisms were identified by both parents
and providers: emotional support, information collection and sharing,
facilitating communication, and addressing unmet social needs.
Parent-level outcomes included improved communication, feeling
supported, and increased parental knowledge surrounding the child''s care
and the health system. Provider-level outcomes included providing
tailored communication and attending to family nonmedical needs.
CONCLUSIONS: This study provided insight into the mechanisms by which an
inpatient navigation program may improve communication, support, and
knowledge for parents of low-income children of color, both directly and
by changing provider behavior.'
affiliation: 'Chisholm, H (Corresponding Author), Yale Univ, Sch Publ Hlth, Dept Social
\& Behav Sci, 60 Coll St, New Haven, CT 06510 USA.
Chisholm, Hillary; Kershaw, Trace, Yale Univ, Sch Publ Hlth, Dept Social \& Behav
Sci, 60 Coll St, New Haven, CT 06510 USA.
Chisholm, Hillary, MGH Inst Hlth Profess, Sch Nursing, Boston, MA USA.
Guerra, Laura Sotelo; Bocek, Kevin; Garcia, Yesenia; Lion, K. Casey, Seattle Childrens
Res Inst, Ctr Child Hlth Behav \& Dev, Seattle, WA USA.
Lion, K. Casey, Univ Washington, Seattle Childrens Hosp, Dept Pediat, Sch Med, Seattle,
WA USA.'
author: Chisholm, Hillary and Kershaw, Trace and Guerra, Laura Sotelo and Bocek, Kevin
and Garcia, Yesenia and Lion, K. Casey
author-email: hchisholm@mghihp.edu
author_list:
- family: Chisholm
given: Hillary
- family: Kershaw
given: Trace
- family: Guerra
given: Laura Sotelo
- family: Bocek
given: Kevin
- family: Garcia
given: Yesenia
- family: Lion
given: K. Casey
da: '2023-09-28'
eissn: 1876-2867
files: []
issn: 1876-2859
journal: ACADEMIC PEDIATRICS
keywords: 'emotional support; low-income/minority; patient-centered communication;
patient navigation; pediatric hospital medicine'
keywords-plus: ETHNIC DISPARITIES; CARE; HEALTH
language: English
month: JUL
number: '5'
number-of-cited-references: '26'
orcid-numbers: 'Chisholm, Hillary/0000-0002-3946-4641
Lion, K. Casey/0000-0002-7718-7462
Sotelo Guerra, Laura/0000-0002-8456-8220
Bocek, Kevin/0000-0003-3574-2429'
pages: 789-796
papis_id: 3d6369c6bf8bb82d48bc30dcb2249087
ref: Chisholm2022realistevaluation
times-cited: '1'
title: A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation
Program
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000877504000013
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '22'
web-of-science-categories: Pediatrics
year: '2022'