{"id":"https://openalex.org/W3202600173","doi":null,"title":"Implementation of Pediatric Adverse Childhood Experiences Screening in Primary Care","display_name":"Implementation of Pediatric Adverse Childhood Experiences Screening in Primary Care","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W3202600173","mag":"3202600173"},"language":"en","primary_location":{"id":"pmh:oai:irl.umsl.edu:dissertation-2108","doi":null,"is_oa":true,"landing_page_url":"https://irl.umsl.edu/dissertation/1072","pdf_url":"https://irl.umsl.edu/cgi/viewcontent.cgi?article=2108&context=dissertation","source":{"id":"https://openalex.org/S4377196466","display_name":"IRL - University of Missouri, St. Louis (University of Missouri\u2013St. Louis)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I208333798","host_organization_name":"University of Missouri\u2013St. Louis","host_organization_lineage":["https://openalex.org/I208333798"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Dissertations","raw_type":"text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://irl.umsl.edu/cgi/viewcontent.cgi?article=2108&context=dissertation","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062780123","display_name":"Alexzandra Hillyer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Alexzandra Hillyer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5062780123"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.9223999977111816,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.9223999977111816,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12235","display_name":"Child Abuse and Related Trauma","score":0.04479999840259552,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.009100000374019146,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adverse-childhood-experiences","display_name":"adverse childhood experiences","score":0.9929999709129333},{"id":"https://openalex.org/keywords/ace-screening","display_name":"ACE screening","score":0.8479999899864197},{"id":"https://openalex.org/keywords/pediatric-primary-care","display_name":"pediatric primary care","score":0.9559999704360962},{"id":"https://openalex.org/keywords/well-child-examination","display_name":"well-child examination","score":0.7839999794960022},{"id":"https://openalex.org/keywords/behavioral-health-referral","display_name":"behavioral health referral","score":0.8460000157356262},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.6449999809265137},{"id":"https://openalex.org/keywords/child-abuse","display_name":"child abuse","score":0.6110000014305115},{"id":"https://openalex.org/keywords/screening-implementation","display_name":"screening program implementation","score":0.35199999809265137}],"concepts":[{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.6168810129165649},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5329820513725281},{"id":"https://openalex.org/C2908744105","wikidata":"https://www.wikidata.org/wiki/Q105821669","display_name":"Adverse Childhood Experiences","level":3,"score":0.4525534212589264},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.377698689699173},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3307700753211975},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11768534779548645},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:irl.umsl.edu:dissertation-2108","doi":null,"is_oa":true,"landing_page_url":"https://irl.umsl.edu/dissertation/1072","pdf_url":"https://irl.umsl.edu/cgi/viewcontent.cgi?article=2108&context=dissertation","source":{"id":"https://openalex.org/S4377196466","display_name":"IRL - University of Missouri, St. Louis (University of Missouri\u2013St. Louis)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I208333798","host_organization_name":"University of Missouri\u2013St. Louis","host_organization_lineage":["https://openalex.org/I208333798"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Dissertations","raw_type":"text"},{"id":"mag:3202600173","doi":null,"is_oa":false,"landing_page_url":"https://irl.umsl.edu/cgi/viewcontent.cgi?article=2108&context=dissertation","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:irl.umsl.edu:dissertation-2108","doi":null,"is_oa":true,"landing_page_url":"https://irl.umsl.edu/dissertation/1072","pdf_url":"https://irl.umsl.edu/cgi/viewcontent.cgi?article=2108&context=dissertation","source":{"id":"https://openalex.org/S4377196466","display_name":"IRL - University of Missouri, St. Louis (University of Missouri\u2013St. Louis)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I208333798","host_organization_name":"University of Missouri\u2013St. Louis","host_organization_lineage":["https://openalex.org/I208333798"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Dissertations","raw_type":"text"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3202600173.pdf","grobid_xml":"https://content.openalex.org/works/W3202600173.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1966543201","https://openalex.org/W2104818125","https://openalex.org/W2116839388","https://openalex.org/W2127307000","https://openalex.org/W2138884119","https://openalex.org/W2194583865","https://openalex.org/W2289014754","https://openalex.org/W2503688098","https://openalex.org/W2595920778","https://openalex.org/W2596806381","https://openalex.org/W2771938927","https://openalex.org/W2891121957","https://openalex.org/W2905223668","https://openalex.org/W2923214547","https://openalex.org/W2983329927"],"related_works":["https://openalex.org/W7038241467","https://openalex.org/W7223640635","https://openalex.org/W3201008290","https://openalex.org/W4312094529","https://openalex.org/W4392203154","https://openalex.org/W6989178985","https://openalex.org/W6987126656","https://openalex.org/W7063690083","https://openalex.org/W7047661896","https://openalex.org/W6925517178"],"abstract_inverted_index":{"Implementation":[0],"of":[1,13,28,37,86,92,104,149,174,193,213],"Pediatric":[2],"Adverse":[3,42],"Childhood":[4,43],"Experiences":[5],"Screening":[6],"in":[7,19,62,112,217,235],"Primary":[8],"Care":[9],"Problem:":[10],"Over":[11],"half":[12,170],"children":[14],"worldwide":[15],"have":[16],"experienced":[17],"abuse":[18],"the":[20,35,90,113,221],"past":[21],"year.":[22],"In":[23],"2012,":[24],"The":[25,102,160,191],"American":[26],"Academy":[27],"Pediatrics":[29],"released":[30],"a":[31,57,73,99],"policy":[32],"statement":[33],"emphasizing":[34],"importance":[36],"primary":[38,77,115,218],"care":[39,78,116],"providers":[40],"implementing":[41],"Experience":[44],"(ACE)":[45],"screening":[46,111,200,216,222],"into":[47,72],"all":[48,134],"well-child":[49,100,158],"examinations.":[50,159],"Methods:":[51],"This":[52,205],"quality":[53],"improvement":[54],"project":[55,106],"was":[56,70,83,107,164],"descriptive,":[58],"observational":[59],"pilot":[60,206],"study":[61,207],"which":[63],"Center":[64],"for":[65,98,155,203],"Youth-Well":[66],"ACE":[67,110,138,162,172,199,215],"Questionnaire":[68],"(CYW-ACE-Q)":[69],"implemented":[71],"large,":[74],"metropolitan":[75],"pediatric":[76,87,114,151,214],"clinic.":[79],"A":[80,124,147],"convenience":[81],"sample":[82],"utilized":[84],"composed":[85],"patients":[88,135,152,179],"between":[89,118],"ages":[91],"5":[93],"and":[94,121],"18":[95],"being":[96],"seen":[97],"examination.":[101],"aim":[103,126],"this":[105],"to":[108,143,188],"implement":[109],"setting":[117],"January":[119],"2021":[120],"April":[122],"2021.":[123],"secondary":[125],"included":[127],"increasing":[128],"behavioral":[129,144,189],"health":[130],"referrals":[131,195],"by":[132],"referring":[133],"with":[136,198],"an":[137],"score":[139,163],"greater":[140],"than":[141],"two":[142,182],"health.":[145,190],"Result:":[146],"total":[148],"22":[150],"were":[153,186,224,229],"screened":[154],"ACEs":[156,185],"during":[157],"average":[161],"1.8.":[165],"(n=22).":[166],"Of":[167],"those,":[168],"over":[169],"had":[171,181],"scores":[173],"2":[175],"or":[176,183],"more.":[177],"All":[178],"who":[180],"more":[184],"recommended":[187],"number":[192],"BH":[194],"increased":[196],"slightly":[197],"implementation.":[201],"Implications":[202],"Practice:":[204],"provided":[208],"additional":[209],"insight":[210,234],"regarding":[211],"implementation":[212],"care.":[219],"While":[220],"rates":[223],"low":[225],"(31%),":[226],"significant":[227],"barriers":[228],"identified":[230],"that":[231],"will":[232],"provide":[233],"future":[236],"PDSA":[237],"cycles.":[238]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2021-10-11T00:00:00"}