Friday, June 2, 2023
As an organization accredited by the ACCME, Medscape, LLC requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.
Medscape, LLC encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Nurse Planner, Medscape; Adjunct Assistant Professor, School of Health Sciences, George Washington University, Washington, DC; Curriculum Coordinator, Nurse Practitioner Alternatives, Inc., Ellicott City; Nurse Practitioner, Baltimore City School-Based Health Centers, Baltimore, Maryland
This article is intended for primary care clinicians and specialists who care for children.
The goal of this activity is to provide medical news to primary care clinicians and other healthcare professionals in order to enhance patient care.
Upon completion of this activity, participants will be able to:
As an organization accredited by the ACCME, Medscape, LLC requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.
Medscape, LLC encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Nurse Planner, Medscape; Adjunct Assistant Professor, School of Health Sciences, George Washington University, Washington, DC; Curriculum Coordinator, Nurse Practitioner Alternatives, Inc., Ellicott City; Nurse Practitioner, Baltimore City School-Based Health Centers, Baltimore, Maryland
Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Medscape, LLC designates this educational activity for a maximum of 0.25
AMA PRA Category 1 Credit(s)™
. Physicians should only claim credit commensurate with the extent of their participation in the activity. Medscape Medical News has been reviewed and is acceptable for up to 350 Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins 09/01/08. Term of approval is for 1 year from this date. This activity is approved for 0.25 Prescribed credits. Credit may be claimed for 1 year from the date of this activity.
Note: Total credit is subject to change based on topic selection and article length.
Medscape is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Awarded 0.25 contact hour(s) of continuing nursing education for RNs and APNs; None of these credits is in the area of pharmacology.
For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]
There are no fees for participating in or receiving credit for this online educational activity. For information on applicability
and acceptance of continuing education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the time designated on the title page; physicians should claim only those
credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the
activity online during the valid credit period that is noted on the title page.
Follow these steps to earn CME/CE credit*:
You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it.
Credits will be tallied in your CME/CE Tracker and archived for 5 years; at any point within this time period you can print
out the tally as well as the certificates by accessing "Edit Your Profile" at the top of your Medscape homepage.
*The credit that you receive is based on your user profile.
CME / CE Released: 11/10/2008
Valid for credit through: 11/10/2009
processing....
November 10, 2008 — Most parents, even those with alcohol problems, are receptive to being screened for alcohol use by their child's pediatrician, results from a large multicenter study suggest.
"The fact that more than 75% of the parents who screened positive were receptive to alcohol screening should reassure pediatricians who fear a negative response to questioning," lead author Celeste R. Wilson, MD, from the Children's Hospital, in Boston, Massachusetts, told Medscape Psychiatry.
Children with a parent who abuses alcohol are at increased risk for neglect, physical and sexual abuse, and educational, cognitive, and mental health problems, and are 3 to 4 times more likely to later have alcohol problems themselves, she noted.
"It is important for clinicians to recognize that screening a parent for alcohol-use problems is a way to help minimize the large negative affect that alcoholism has on the well-being of the child," she said.
The study is published in the November issue of Pediatrics.
Ideal Opportunity
The American Academy of Pediatrics recognizes that a child's healthcare visit is an ideal opportunity to address attitudes about alcohol use with parents and to discuss the importance of being a good role model for their children.
Previous studies have shown that parents are receptive to being screened for alcohol use in a pediatrician's office, but little was known about the subgroup of parents who screen positive for problem alcohol use.
To shed light on parents' attitudes and preferences about screening for alcohol use during a visit to a pediatric clinic with a child, the researchers surveyed 879 parents who brought their child to 1 of 3 urban, rural, and suburban pediatric clinics in 2 states between 2004 and 2006.
Willing to Take That First Step
The parents completed a questionnaire that included 2 brief tests to detect alcohol problems and to assess willingness to be screened in a pediatrician's office, preferred screening methods, and preferred interventions should they screen positive.
About 1 in 9 parents screened positive for an alcohol problem.
A total of 91% of parents who screened positive and 77% of parents who screened negative for alcohol problems indicated that they would welcome or at least not mind being asked about their drinking during a pediatric office visit.
The parents indicated they would be most comfortable and honest if they were replying to questions posed by their child's pediatrician, as opposed to another staff member, or if they were filling in a questionnaire.
More than 70% of parents who screened positive reported that they would be receptive if their child's pediatrician discussed the implications of their drinking habits, gave them telephone numbers for centers where they could get additional help, or provided them with educational material.
"This study suggests that if pediatricians can implement a screening and intervention model, then there is already a population of parents who would surely benefit and may, indeed, be willing to take that first step," the researchers conclude.
The study was supported by a grant from the Robert Wood Johnson Foundation-Substance Abuse Policy Research Program. Dr. Wilson was supported by a grant from the Center of Excellence in Minority Health and Health Disparities at Harvard Medical School. The study authors have disclosed no relevant financial relationships.
Pediatrics. 2008;122:e1022-e1029.
In 2001, more than 6 million children in the United States were living with a parent with either alcohol or other substance abuse, and these children are more likely to witness domestic violence and be physically and sexually abused, neglected, or maltreated. Tools are needed to identify alcohol consumption habits among parents of children.
This is prospective descriptive study of parents of children presenting to 3 pediatric clinics to examine the prevalence of alcohol abuse and preferred methods of screening and referral for these problems.
