TABLE 3.
Characteristics of Well-Child Visits and Child’s Developmental Status (Adjusted for Clustering by Physician)
| Total (SD) (N = 89) | Group 1: Usual Practice (SD) (n = 29) | Group 2: PEDS (SD) (n = 30) | Group 3: Video and PEDS(SD) (n = 30) | F Test/χ 2 | Overall P | |
|---|---|---|---|---|---|---|
| Visit characteristics | ||||||
| Duration, min (95% CI) | 22.5 (5.6) | 22.4 (20.1–24.7) | 23.0 (20.7–25.2) | 22.0 (19.8–24.3) | 0.25 (F) | .78 |
| Length of CD/B discussion, min (95% CI) | 5.7 (3.3) | 4.6 (3.3–5.8) | 5.9 (4.7–7.1) | 6.6 (5.4–7.8)a | 3.060 (F) | .052 |
| Child’s developmental status | ||||||
| Physician’s rating of CD/B, n(%) | ||||||
| No concern | 71 (79.8) | 26 (89.7) | 23 (76.7) | 22 (73.3) | 3.81 (χ2) | .15 |
| Concern | 18 (20.2) | 3 (10.3) | 7 (23.3) | 8 (26.7) | ||
| PEDS screener result | ||||||
| Pass (no pediatric concerns) | 38 (63.3) | NA | 20 (66.7) | 18 (60) | 0.24 (χ2) | .62 |
| Fail (1 or more predictive concerns) | 22 (36.7) | NA | 10 (33.3) | 12 (40) | ||
| ASQ screener result | ||||||
| Pass, n (%) | 71 (79.8) | 27 (93.1) | 23 (76.7)a | 21 (70.0)a | 5.29 (χ2) | .071 |
| Fail, n (%) | 18 (20.2) | 2 (6.9) | 7 (23.3) | 9 (30.0) | ||
| Timing of next visit | ||||||
| Normal schedule | 72 (80.9) | 25 (86.2) | 26 (86.7) | 21 (70.0) | 6.00 (χ2) | .051 |
| See child back sooner than normal | 15 (16.8) | 3 (10.3) | 3 (10.0) | 9 (30.0) | ||
| Physician referrals at end of visit | ||||||
| No referral needed | 80 (89.9) | 28 (96.6) | 26 (86.7) | 26 (86.7) | 1.50 (χ2) | .47 |
| Referral made (total) | 9 (10.1) | 1 (3.4) | 4 (13.3) | 4 (13.3) | ||
| Referral to (n) | ||||||
| EI | 4 | 0 | 1 | 3 | — | — |
| Hearing test/audiology | 3 | 0 | 1 | 2 | — | — |
| Physical therapy | 1 | 0 | 1 | 0 | — | — |
| Speech therapy, occupational therapy, or mental health | 0 | 0 | 0 | 0 | — | — |
| Medical or developmental specialist | 2 | 0 | 2 | 0 | — | — |
| Other | 3 | 1 | 0 | 2 | — | — |
CD/B indicates child development or behavior; NA, not applicable.
a
Significantly different from usual practice (group 1);P<.05.