Data from a large pediatric primary care network demonstrates increases in positive depression and suicide risk screens during the COVID-19 pandemic.What's Known on This Subject: Adolescent mental heath concerns have increased during the COVID-19 pandemic. Adolescents are routinely screened for depression and suicidality in pediatric primary care, but past studies have not examined changes in these outcomes during the pandemic in the primary care setting. What This Study Adds:Using electronic health record data from a large pediatric primary care network, this study identified increases in the proportion of adolescents screening positive for depressive symptoms and suicide risk in pediatric primary care during the pandemic, especially among female adolescents.

IMPORTANCEMissed opportunities for human papillomavirus (HPV) vaccination during pediatric health care visits are common.OBJECTIVES To evaluate the effect of online communication training for clinicians on missed opportunities for HPV vaccination rates overall and at well-child care (WCC) visits and visits for acute or chronic illness (hereafter referred to as acute or chronic visits) and on adolescent HPV vaccination rates.

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This study elicited important end-user viewpoints by exploring the intersection between advanced automobile safety technology and human perception for the particular use case of teen drivers. For example, despite evidence that teens are the highest risk driving population, teens trust their own driving skills and competence more than in-vehicle technology. This understanding will ultimately advance the safety of teen drivers by identifying barriers to effective ADAS use.

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BACKGROUND AND OBJECTIVES: Insights from behavioral economics suggests that the effectiveness of health messages depends on how a message is framed. Parent preferences for smoking cessation messaging has not been studied in pediatrics, warranting further exploration to maximize benefit. We sought to assess parents' perceptions regarding the relative importance of distinct message framings to promote their smoking cessation.METHODS: We conducted a cross-sectional discrete choice experiment in which parent smokers rated the relative importance of 26 messages designed to encourage them to begin cessation treatment. Messages varied on who was featured (child, parent, or family), whether the message was gain or loss framed, and what outcome was included (general health, cancer, respiratory illnesses, child becoming a smoker, or financial impact). The participants were 180 parent smokers attending primary care visits with their children at 4 diverse pediatric sites. The main outcome was the importance of smoking cessation messages based on who was featured, gain or loss framing, and the outcome emphasized.RESULTS: Parent smokers highly prioritized cessation messages emphasizing the impact of quitting smoking on their child versus parent or family. Messages focusing on respiratory illness, cancer, or general health outcomes consistently ranked highest, whereas messages focused on the financial benefits of quitting ranked lowest. Gain versus loss framing did not meaningfully influence rankings.CONCLUSIONS: Parent smokers identified smoking cessation messages that emphasized the impact on their child, with outcomes focused on respiratory health, cancer, or general health, as most important. The clinical impact of these messages should be tested in future research.WHAT'S KNOWN ON THIS SUBJECT: Insights from behavioral economics suggest that effectiveness of health messages depends on how a message is framed. Parent preferences for smoking cessation messaging has not been studied in pediatrics, warranting further exploration to maximize benefit.WHAT THIS STUDY ADDS: In this discrete choice experiment in which 180 parent smokers rated the relative importance of different messages, parents rated messages that emphasized the impact of smoking on their child as most likely to prompt acceptance of cessation treatment.

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