Funded Projects

National Practice Based Network to Improve Child Health

Grantee: The American Academy of Pediatrics
Principal Investigator: Richard C. Wasserman
Project Number: R60MC00107
Project Date: 09/01/1990

Age group(s)

Perinatal/Infancy (0-12 months)
Toddlerhood (13-35 months)
Early Childhood (3-5 years)
Middle Childhood (6-11 years)
Adolescence (12-18 years)

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.

Publications

Listed is descending order by year published.

Please visit the Grantee's Publication website for a complete list of publications.

Herman-Giddens ME, Bourdony CJ, Dowshen, SA, Reiter EO. Assessment of Sexual Maturity Stages in Girls and Boys. Elk Grove Village, IL: American Academy of Pediatrics; 2010.

Slora EJ, Harris DL, Bocian AB, Wasserman RC. Pediatric clinical research networks: current status, common challenges, and potential solutions. Pediatrics. 2010 Oct;126(4):740-5. Epub 2010 Sep 13.

Slora EJ, Wasserman RC. PROS: a research network to enhance practice and improve child health. Pediatr Ann. 2010 Jun;39(6):352-61.

Finch SA, Barkin SL, Wasserman RC, Dhepyasuwan N, Slora EJ, Sege RD. Effects of local institutional review board review on participation in national practice-based research network studies. Arch Pediatr Adolesc Med. 2009 Dec;163(12):1130-4.

Slora EJ, Bocian AB, Herman-Giddens ME, Harris DL, Pedlow SE, Dowshen S, Wasserman RC. Assessing inter-rater reliability (IRR) of Tanner staging and orchidometer use with boys: a study from PROS. J Pediatr Endocrinol Metab. 2009 Apr;22(4):291-9.

Barkin SL, Finch SA, Ip EH, Scheindlin B, Craig JA, Steffes J, Weiley V, et al. Is office-based counseling about media use, timeouts, and firearm storage effective? Results from a cluster-randomized, controlled trial. Pediatrics. 2008 Jul;122(1):e15-25.

Darden P, Taylor JA, Brooks DA, Hendricks JW, Massoudi M, Stevenson JM, et al. How should immunization rates be measured in the office setting? A study from PROS and NMA PedsNet. Clin Pediatr (Phila). 2008 Apr;47(3):252-60. Epub 2007 Dec 5.

Finch SA, Lalama C, Spino C, Schwartz HC, Wasserman RC, McCormick MC, Bernstein HH. Practice-based research network solutions to methodological challenges encountered in a national, prospective cohort study of mothers and newborns. Paediatr Perinat Epidemiol. 2008 Jan;22(1):87-98.

Finch SA, Weiley V, Ip EH, Barkin S. Impact of pediatricians' perceived self-efficacy and confidence on violence prevention counseling: a national study. Matern Child Health J. 2008 Jan;12(1):75-82. Epub 2007 Jun 7.

Flaherty EG, Sege RD, Griffith J, Price LL, Wasserman R, Slora E, Dhepyasuwan N, Harris D, Norton D, Angelilli ML, Abney D, Binns HJ; PROS network; NMAPedsNet. From suspicion of physical child abuse to reporting: primary care clinician decision-making. Pediatrics. 2008 Sep;122(3):611-9. Epub 2008 Aug 1.

Jones R, Flaherty EG, Binns HJ, Price LL, Slora E, Abney D, Harris DL, Christoffel KK, Sege RD; Child Abuse Reporting Experience Study Research Group. Clinicians' description of factors influencing their reporting of suspected child abuse: report of the Child Abuse Reporting Experience Study Research Group. Pediatrics. 2008 Aug;122(2):259-66.

Luginbuhl LM, Newman TB, Pantell RH, Finch SA, Wasserman RC. Office-based treatment and outcomes for febrile infants with clinically diagnosed bronchiolitis. Pediatrics. 2008 Nov;122(5):947-54.

Luginbuhl LM, Newman TB, Pantell RH, Finch SA, Wasserman RC. Office-based treatment and outcomes for febrile infants with clinically diagnosed bronchiolitis. Pediatrics. 2008 Nov;122(5):947-954.

Pascoe J, Little DR, Forbis SG, Slora EJ. Patient visits to a midwestern primary care practice-based research network: a comparison to two national primary care data sets. South Med J. 2008 Jul;101(7):693-8.

Slora E, Steffes J, Harris D, Clegg H, Norton D, Darden PM, et al. Improving pediatric practice immunization rates through distance-based quality improvement: a feasibility trial from PROS. Clin Pediatr (Phila). 2008 Jan;47(1):25-36. Epub 2007 Aug 10.

Barkin S, Scheindlin B, Ip EH, Richardson I, Finch S. Determinants of parental discipline practices: a national sample from primary care practices. Clin Pediatr (Phila). 2007 Jan;46(1):64-9.

DuRant RH, Barkin S, Craig JA, Weiley VA, Ip EH, Wasserman RC. Firearm ownership and storage patterns among families with children who receive well-child care in pediatric offices. Pediatrics. 2007 Jun;119(6):e1271-9.

Schwartz RP, Hamre R, Dietz W, Wasserman RC, Slora EJ, Myers EF, et al. Office-based motivational interviewing to prevent childhood obesity: a feasibility study. Arch Pediatr Adolesc Med. 2007 May;161(5):495-501.

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