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% of patients failed to follow up between the ini-tial TC and the fasting lipid profile, as requested.6 Because this fasting process is difficult for families,7 a direct method that does not require fasting would be ideal in pediatric primary care. The AAP/NCEP

Objectives To examine the prevalence of parent-reported emotional and behavior problems in pediatric primary care clinics serving rural Appalachia using methods commensurate with studies of broader samples. Methods Parents presenting to pediatric primary care clinics completed a rating scale

first do no harm

Although trait hope is thought to motivate goal directed actions in the face of impediments, few studies have examined directly hope’s role in overcoming obstacles, and none have done so while accounting for related goal constructs. We describe a study of 127 pediatric primary care providers who

Objective To examine predictors and moderators of parent-training outcomes for treatment of Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods Parents of 117 children with ODD, ages 3–6 years, seen in primary care received either a minimal intervention bibliotherapy treatment

ABSTRACT. Objective. To evaluate the quality of pe-diatric primary care, including preventive services, be-fore and after the introduction of an electronic medical record (EMR) developed for use in an urban pediatric primary care center. Methods. A pre-postintervention analysis was used

ABSTRACT: Background: Two strategies have been proposed for early identification of children with autism spectrum disorders (ASD): (1) using a general screening tool followed by an ASD-specific screening tool for those who screen positive on the former or (2) using an ASD-specific tool for all children. The relative yield of these two strategies has not been examined.Objectives: This study compared the number of children identified at risk for ASD at their well child visits between the ages of 18 and 30 months using a general developmental screening tool and an autism-specific screening tool.Methods: The Parents ’ Evaluation of Developmental Status (PEDS) was used as the general developmental screening tool and theModified Checklist for Autism in Toddlers (M-CHAT) was used as the autism-specific tool. These tools were administered concurrently to 152 children. Results: Cross tabulations and 2 tests were used to determine the utility of the PEDS as the first step of a two-part screen for ASD. Of those who screened positive for developmental concerns on the PEDS (n 38), 16% screened positive for ASD on the M-CHAT; of those who did not screen positive for developmental concerns on the PEDS (n 114), 14 % screened positive for ASD on the M-CHAT (p .79). Conclusion: The PEDS missed the majority of children who screened positive for ASD on theM-CHAT, suggesting that these two tools tap into very different domains of developmental concerns. The findings support the use of an ASD-specific tool for all children in conjunction with regular standardized developmental screening.

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Pediatric primary care provides an optimal setting for the practice of pediatric psychology and the use of health and behavior codes to capture this practice. Pediatric primary care settings provide continuous and comprehensive med-ical services that are readily accessible to the vast majority