National Practice Based Network to Improve Child Health
Project Number: R60 MC 00107-17 Project Date: 09/01/1990 Grantee: The American Academy of Pediatrics Department/Center: Department, Service, Laboratory or Equivalent Pediatrics
Final Report
Pending
Principal Investigator
Richard C. Wasserman M.D., M.P.H., Director, PROS, The American Academy of Pediatrics Department, Service, Laboratory or Equivalent Pediatrics, One South Prospect St., St Jospeh 7202 Burlington, VT 05401 rwasserman@aap.org; richard.wasserman@uvm.edu
Abstract
This project is carried out by the Pediatric Research in Office Settings (PROS), founded by the American Academy of Pediatrics and now co-located within the AAP’s Center for Child Health Research and the Department of Practice and Research of the AAP. PROS is a national research network of primary care practitioners who care for children. The PROS mission is to improve the health of children by conducting collaborative practice-based research to enhance primary care practice. As of April 2004, PROS has grown to involve over 1,898 practitioners at 678 practice sites in every region of the United States and the Commonwealth of Puerto Rico. Project goals are to: (1) enhance the national pediatric primary care research network infrastructure by increasing representation of under-represented minority populations; (2) conduct studies that identify existing gaps in child health care, test innovations in care, and test quality improvement strategies; and (3) improving care by conducting and disseminating research to child health professionals, creators of policies and guidelines, educators, and quality improvement groups. PROS, a practice-based research network of the AAP conducts research to address project goals and objectives. New projects are developed at semi-annual meetings of state representatives. PROS practitioners collect research data in community-based pediatric practice sites. PROS research staff analyze data and report results. Since its inception, PROS research studies have included topics such as preschool vision screening, puberty in young girls, immunizations in pediatric practice, management of gastroenteritis, management of acute asthma, management of child psychosocial problems, febrile infant study, randomized controlled trial to prevent child violence, and reducing environmental tobacco smoke. The research findings are disseminated via publications and through collaborations with policymakers, educators, and leadership at the American Academy of Pediatrics.
Darden P, Taylor J, Brooks D, Hendricks JW, Massoudi M, Stevenson J, Bocian A. How Should Immunization Rates be Measured in the Office Setting? A Study from PROS and NMA PedsNet. Clinical Pediatrics. 2008; 47: 252-260.
Finch S, Lalama C, Spino C, Schwartz HC, Wasserman RC, McCormick MC, Bernstein HH. Practice-based research network solutions to methodological challenges encountered in a national, prospectice cohort study of mothers and newborns. Pediatric and Perinatal Epidemiology. 2008; 22(1): 87-98.
Finch S, Weiley V, Ip E, Barkin S. Impact of Pediatricians' Perceived Self-Efficacy and Confidence on Violence Prevention Counseling: A National Study. Maternal and Child Health Journal. 2008; 12(1): 75-82.
Slora E, Steffes J, Harris D, Clegg H, Norton D, Darden P, Sullivan S, Wasserman R. Improving Practice Immunization Rates Through Distance-Based Quality Improvement: A Feasibility Trial from PROS. Clinical Pediatrics. 2008; 47(1): 25-36.
Barkin S, Finch S, Ip E, Scheindlin B, Craig J, Steffes J, Weiley V, Slora E, Altman D, Wasserman R. Is Office-Based Counseling About Media Use, Time-outs, and Firearm Storage Effective? Results from a Cluster Randomized Controlled Trial. Pediatrics. 2008; 122: e15-e25.
Barkin S, Scheindlin B, Ip E, Richardson I, Finch S. Determinants of parental discipline practices: A national sample from primary care practices. Clinical Pediatrics. 2007; 46(1): 64-69.
DuRant R, Barkin S, Craig J, Weiley V, Ip E, Wasserman R. Firearm ownership and storage patterns among families with children who receive well-child care in pediatric offices. Pediatrics. 2007 Jun; 119(6): e1271-9.
Finch SA, Weiley V, Ip E, Barkin S. Impact of pediatricians perceived self-efficacy and confidence on violence prevention counseling: A national study. Maternal and Child Health Journal. 2007 Jun 7 (Epub ahead of print).
Schwartz R, Hamre R, Dietz W, Wasserman R, Slora E, Myers E, Sullivan S, Rockett H, Thoma K, Dumitru G, Resnicow K. Office-based motivational interviewing to prevent childhood obesity: A feasibility study. Archives of Pediatrics & Adolescent Medicine. 2007 May; 161(5): 495-501.
