Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training

Introduction Pediatric anxiety disorders have high rates of prevalence and confer risk for later disorders if they go undetected. In primary care, they are underdiagnosed, partly because pediatricians often lack relevant training. We developed a brief, video-based training program for pediatric resi...

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Autores principales:	Nicholas D. Mian, Donna B. Pincus, Ellen C. Perrin, Megan Bair-Merritt
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Anxiety Anxiety Disorder Pediatric Residency Remote Learning Distance Learning Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/bf6390d2d6ba4620af5504e300090ff2
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spelling	oai:doaj.org-article:bf6390d2d6ba4620af5504e300090ff22021-11-19T15:14:52ZIdentifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training10.15766/mep_2374-8265.110332374-8265https://doaj.org/article/bf6390d2d6ba4620af5504e300090ff22020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11033https://doaj.org/toc/2374-8265Introduction Pediatric anxiety disorders have high rates of prevalence and confer risk for later disorders if they go undetected. In primary care, they are underdiagnosed, partly because pediatricians often lack relevant training. We developed a brief, video-based training program for pediatric residents aimed at improving early identification of anxiety disorders in primary care. Methods Video content was consistent with the American Academy of Pediatrics Behavioral Health Competencies, as applied to the evaluation of anxiety disorders and guidance for discussing treatment options. This training can be delivered in two formats: videos (43 minutes) can be shown in a live, group-based format, or accessed via an online, asynchronous training. We tested this training program using both formats and developed surveys to evaluate knowledge about child anxiety, perceived evaluation skills, and satisfaction with the training. We also developed a video-based vignette to measure sensitivity to detecting disorders (how much the condition is interfering, diagnostic severity, and referral urgency). Results Pediatric residents from two residency programs completed the training and pre- and posttraining assessments to evaluate program efficacy. Residents’ knowledge and perceived evaluation skills increased posttraining, with large effect sizes. Residents also demonstrated increased sensitivity to detecting anxiety disorders on the vignette-based assessment and reported high levels of satisfaction. Discussion Our results suggested that residents participating in this training improved their evaluation skills and that residents found the training beneficial. Video-based trainings can significantly supplement existing education. This cost-effective and minimally burdensome training program can be used to enhance resident education in a much-needed area.Nicholas D. MianDonna B. PincusEllen C. PerrinMegan Bair-MerrittAssociation of American Medical CollegesarticleAnxietyAnxiety DisorderPediatricResidencyRemote LearningDistance LearningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anxiety Anxiety Disorder Pediatric Residency Remote Learning Distance Learning Medicine (General) R5-920 Education L
spellingShingle	Anxiety Anxiety Disorder Pediatric Residency Remote Learning Distance Learning Medicine (General) R5-920 Education L Nicholas D. Mian Donna B. Pincus Ellen C. Perrin Megan Bair-Merritt Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
description	Introduction Pediatric anxiety disorders have high rates of prevalence and confer risk for later disorders if they go undetected. In primary care, they are underdiagnosed, partly because pediatricians often lack relevant training. We developed a brief, video-based training program for pediatric residents aimed at improving early identification of anxiety disorders in primary care. Methods Video content was consistent with the American Academy of Pediatrics Behavioral Health Competencies, as applied to the evaluation of anxiety disorders and guidance for discussing treatment options. This training can be delivered in two formats: videos (43 minutes) can be shown in a live, group-based format, or accessed via an online, asynchronous training. We tested this training program using both formats and developed surveys to evaluate knowledge about child anxiety, perceived evaluation skills, and satisfaction with the training. We also developed a video-based vignette to measure sensitivity to detecting disorders (how much the condition is interfering, diagnostic severity, and referral urgency). Results Pediatric residents from two residency programs completed the training and pre- and posttraining assessments to evaluate program efficacy. Residents’ knowledge and perceived evaluation skills increased posttraining, with large effect sizes. Residents also demonstrated increased sensitivity to detecting anxiety disorders on the vignette-based assessment and reported high levels of satisfaction. Discussion Our results suggested that residents participating in this training improved their evaluation skills and that residents found the training beneficial. Video-based trainings can significantly supplement existing education. This cost-effective and minimally burdensome training program can be used to enhance resident education in a much-needed area.
format	article
author	Nicholas D. Mian Donna B. Pincus Ellen C. Perrin Megan Bair-Merritt
author_facet	Nicholas D. Mian Donna B. Pincus Ellen C. Perrin Megan Bair-Merritt
author_sort	Nicholas D. Mian
title	Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
title_short	Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
title_full	Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
title_fullStr	Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
title_full_unstemmed	Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training
title_sort	identifying and making recommendations for pediatric anxiety disorders in primary care settings: a video-based training
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/bf6390d2d6ba4620af5504e300090ff2
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Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based Training

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