J Pediatr Health Care. 2023 Nov-Dec;37(6):616-625. doi: 10.1016/j.pedhc.2023.06.005. Epub 2023 Aug 16.
This qualitative research study explored the perspectives of adolescents, 12 to 19-years-old, and caregivers of children under 12-years-old on the acceptibility of adverse childhood experiences (ACEs) screenings in five pediatric clinics.
A constructivist grounded theory approach was utilized. One-on-one semistructured phone interviews were conducted with 44 adolescents and 95 caregivers of children less than 12 years old. Interviews were analyzed using thematic analysis.
Most participants reported feeling comfortable discussing ACEs with their providers. Some reported that screening helped build trust. Others expressed privacy concerns and did not receive information about the reason for screening. Adolescent patients shared conflicting feelings-of both comfort and discomfort. Caregivers attending to multiple children, foster parents, and monolingual Spanish speakers disclosed unique challenges to ACEs screening. We found no evidence of lasting adverse effects.
Participants generally found ACEs screenings acceptable. Some adolescents identified benefits from the experience. However, clinics planning to adopt routine ACEs screening should ensure clear messaging on why screening is occurring, anticipate and address privacy concerns, and adopt workflows to discuss screening results.
本定性研究探讨了 12 至 19 岁青少年和 12 岁以下儿童看护者对在五家儿科诊所进行不良童年经历（ACE）筛查的可接受性的看法。
采用建构主义扎根理论方法。对 44 名青少年和 95 名 12 岁以下儿童的看护者进行了一对一的半结构化电话访谈。使用主题分析对访谈进行了分析。
大多数参与者表示愿意与提供者讨论 ACEs。一些人表示筛查有助于建立信任。其他人则表示隐私问题，并不知道筛查的原因。青少年患者表达了既舒适又不适的矛盾情绪。照顾多个孩子的看护者、寄养父母和只会说西班牙语的人透露了 ACE 筛查面临的独特挑战。我们没有发现持久的不良影响的证据。
参与者普遍认为 ACE 筛查是可以接受的。一些青少年从这种经历中受益。然而，计划采用常规 ACE 筛查的诊所应确保明确传达筛查的原因，预测和解决隐私问题，并采用工作流程来讨论筛查结果。
