pediatrics, well-child visit, patient-centered, health-related quality of life, provider intervention
Purpose: Patient-centered care promotes positive health outcomes in pediatrics. We created a provider-focused intervention and implemented it in a pragmatic clustered randomized controlled trial to improve health-related quality of life (HRQOL) among pediatric patients.
Methods: A one-time (1–1.5-hour) webinar focusing on patient-centered care and motivational interviewing, using obesity screening as an example, was developed. Pediatric providers were recruited and randomized to either intervention (webinar) or control (usual care) arms. All well-child visits to these providers for a period of up to 5 months following webinar completion (or study enrollment for controls) were identified, and these family/patients were invited to complete a survey to assess HRQOL postvisit. Reported outcomes were compared between intervention and control participants using clustered t-tests, chi-squared tests and multiple linear regression models.
Results: We recruited 20 providers (10 intervention, 10 control) to the study; 469 parents/guardians and 235 eligible children seeing these providers completed the postvisit survey. Parents/guardians of 8–12-year-old children in the intervention group reported higher school functioning compared to controls (83.5 vs 75.8; P = 0.023). There were no other differences in children’s HRQOL between intervention and control groups.
Conclusions: A one-time, web-based provider intervention is feasible to implement in pediatrics. Modest evidence, requiring further study, indicates that instructing providers on patient-centered care in the well-child visit may improve aspects of pediatric HRQOL (ie, school functioning) compared to usual care. However, this was a brief intervention, with multiple outcomes tested and no evaluation of pre- and postintervention provider knowledge, thus additional study is needed.
Coleman CM, Alexander GL, Barone C, Bossick AS, Kassem Z, Lu M, Zhou Y, Cassidy-Bushrow AE. Influence of a one-time web-based provider intervention on patient-reported outcomes after the well-child visit: a feasibility study. J Patient Cent Res Rev. 2021;8:48-57. doi: 10.17294/2330-0698.1775
May 11th, 2020
July 28th, 2020