Pediatric endocrine society survey of diabetes practices in the United States: What is the current state?

Guttmann‐Bauman, Ines; Thornton, Paul; Adhikari, Soumya; Reifschneider, Kent; Wood, Mark; Hamby, Tyler; Rubin, Karen

doi:10.1111/pedi.12677

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…The primary limitation to this survey-based study is the low response rate (∼11%) when compared to the total number of emails dispersed, which is lower than several other published Pediatric Endocrine Society surveys (18-21%) [23,24]. However, given the specific inclusion cri-teria of active clinicians who treat girls with TS, it is likely that many of the Pediatric Endocrine Society members would not have been eligible.…”

Section: Discussionmentioning

confidence: 92%

Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey

et al. 2020

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Introduction: International Turner syndrome (TS) Clinical Practice Guidelines recommend screening for neurodevelopmental (ND) and mental health (MH) concerns in girls with TS; however, it remains unclear whether this is implemented in current practice. The objective of this mixed methods study was to assess screening practices for ND and MH in girls with TS from the perspective of pediatric endocrinologists. Methods: Pediatric Endocrine Society members who provide care for girls with TS were invited to complete an electronic survey on screening practices. Descriptive statistics were used to summarize quantitative results concurrently with thematic analysis of free-text survey responses. Results: A total of 124 surveys were completed (86% attending pediatric endocrinologists, 81% at academic institutions). Overall, 25% of providers reported their patients with TS received both ND and MH screenings. Only 9 (9%) respondents endorsed screening for ND concerns themselves, while more providers (26%) reported they screen for MH concerns. Multiple barriers to screening for ND and MH concerns within the clinical setting were endorsed. Nearly all providers (>93%) reported they would consider using a short, validated screening tool for ND and MH concerns if such tools were available. Discussion: A minority of pediatric endocrinologists currently perform ND or MH screening for patients with TS, however, many would be interested in implementing a brief screening tool into their clinical practice. Given almost all girls with a TS diagnosis receive care from pediatric endocrinologists at least annually, this may be an effective method to increase the proportion of girls with TS who receive recommended screenings.

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Section: Discussionmentioning

confidence: 92%

Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey

et al. 2020

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“…In line with ISPAD's call for attention to the psychological care of youth with T1DM (Delamater et al, 2018), psychosocial screening is becoming a more common practice within pediatric diabetes care (de Wit et al, 2014;Guttmann-Bauman et al, 2018) and pediatric psychologists increasingly PERSPECTIVES ON MENTAL HEALTH OF DIABETIC YOUTH 9 offer consultation-liaison services within pediatric diabetes clinics (Kichler et al, 2015). Medical providers are key stakeholders, but little is known about their views on these practices.…”

Section: Discussionmentioning

confidence: 99%

Psychological screening and consultation in a pediatric diabetes clinic: Medical providers’ perspectives.

Brodar¹,

Leite²,

Marchetti³

et al. 2022

Clinical Practice in Pediatric Psychology

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Objective: Psychosocial concerns are common among youth with Type I diabetes; psychosocial screening and integrated care models can address these concerns. Medical providers are key stakeholders, but their perspectives on the role of mental health within pediatric diabetes care represent a gap in the literature. This study aimed to describe pediatric diabetes care providers' views on the relationship between psychosocial stress and diabetes, their experiences with psychosocial screening and psychological consultation within their clinic, and their suggestions for mental health professionals working with youth who have diabetes. Method: All endocrinologists, fellows, and diabetes educators involved with psychosocial screening and psychology consultations (N = 7; 71.4% female, 42.9% Hispanic/Latinx White, 28.6% Non-Hispanic/Latinx White, 28.6% Asian) at a single outpatient pediatric diabetes clinic participated in semistructured interviews. Qualitative data were analyzed via thematic content analysis. Results: Providers described a bidirectional relationship between psychosocial stress and diabetes management. They expressed positive views of psychosocial screening and the clinic's integrated psychology team, which allow them to focus on the medical aspect of care and gain comfort with mental health. Providers offered suggestions to improve coordination and communication with mental health professionals. Conclusions: Pediatric diabetes care providers valued psychosocial screening and benefited from collaboration with the clinic psychology team. Clinics without access to mental health professionals may struggle to sustain screening practices. Eliciting medical providers' opinions and using other implementation science strategies are important for incorporating psychosocial screening and intervention within pediatric diabetes clinics, especially for clinics with unique models for psychological services. Kaitlyn E. Brodar https://orcid.

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“…Given the high prevalence of mental health comorbidities among people with diabetes, the American Diabetes Association recommends routine psychosocial screening in the outpatient setting (7). In a recent publication examining clinical practices across the United States, ,45% of pediatric diabetes clinics screened patients with type 1 diabetes for mental health concerns using validated screening tools (8). Thus, there is a need to improve the quality of outpatient pediatric diabetes psychosocial screening.…”

Section: Describe Your Practice Setting and Locationmentioning

confidence: 99%

Screening for Mental Health Comorbidities in a Pediatric Diabetes Clinic Setting

Roberts

Barry²,

Yi‐Frazier³

et al. 2021

Clinical Diabetes

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Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of Clinical Diabetes. The following article describes an effort to improve mental health screening of patients at a pediatric diabetes clinic in Seattle, WA.

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Pediatric endocrine society survey of diabetes practices in the United States: What is the current state?

Cited by 16 publications

References 23 publications

Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey

Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey

Psychological screening and consultation in a pediatric diabetes clinic: Medical providers’ perspectives.

Screening for Mental Health Comorbidities in a Pediatric Diabetes Clinic Setting

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