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Journal of Pediatric Psychology, Vol. 28, No. 5, 2003, pp. 315-321
© 2003 Society of Pediatric Psychology

Clinical Case Study: Pediatric Residents' Discussions of and Interventions for Children's Behavioral and Emotional Problems

Heather Applegate, PHD1, Mary Lou Kelley, PHD2, Bradford W. Applegate, PHD1, Indra K. Jayasinghe, MD2 and Charmaine L. Venters, MD2

1 University of Mississippi Medical Center, 2 Louisiana State University

All correspondence should be sent to Heather Applegate, University of Mississippi Medical Center, Department of Psychiatry and Human Behavior, 2500 N. State Street, Jackson, Mississippi 39216–4505. E-mail: hbrapplegate{at}yahoo.com.

Objective To examine the effects of a screening instrument and parent handouts on pediatric residents' discussions of and interventions for children's behavioral and emotional problems. Method Four pediatric residents and 52 parent-child dyads attending an ambulatory pediatric primary care clinic participated in the study. We used a multiple baseline design across residents. We assessed the effect of the interventions by measuring nine target behaviors of the pediatric residents. Results After being trained to use the screening instrument, residents increased the number and variety of questions they asked regarding behavioral and emotional issues. Residents' attempts at intervention showed small but consistent increases when handouts on behavior management procedures were made available for distribution to parents. Conclusions The use of a screening instrument in pediatric primary care shows promise for increasing discussions between residents and parents about children's behavioral and emotional issues. Further research should examine strategies to improve pediatric residents' attempts at intervention for behavioral and emotional problems in children.

Key words: pediatric primary care; child behavior problems; screening.


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