JAMA pediatrics
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Randomized Controlled Trial
Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.
To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later. ⋯ Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.
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To investigate the risk of self-injury in parentally cancer-bereaved youth compared with their nonbereaved peers. ⋯ One-fifth of cancer-bereaved youth reported self-injury, representing twice the odds for self-injury in their nonbereaved peers, regardless of any of the adjustments we made. Raised awareness on a broad basis in health care and allied disciplines would enable identification and support provision to this vulnerable group.
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Multicenter Study Comparative Study
Inpatient growth and resource use in 28 children's hospitals: a longitudinal, multi-institutional study.
To compare inpatient resource use trends for healthy children and children with chronic health conditions of varying degrees of medical complexity. ⋯ Patients with a chronic condition increasingly used more resources in a group of children's hospitals than patients without a chronic condition. The greatest growth was observed in hospitalized children with chronic conditions affecting 2 or more body systems. Children's hospitals must ensure that their inpatient care systems and payment structures are equipped to meet the protean needs of this important population of children.
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Clinical Trial
Feasibility of web-based self-triage by parents of children with influenza-like illness: a cautionary tale.
Self-triage using web-based decision support could be a useful way to encourage appropriate care-seeking behavior and reduce health system surge in epidemics. However, the feasibility and safety of this strategy have not previously been evaluated. ⋯ This pilot study suggests that web-based decision support to help parents and adult caregivers self-triage children with influenza-like illness is feasible. However, prospective refinement of the clinical algorithm is needed to improve its specificity without compromising patient safety.