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Impacting Caregiver Self-efficacy and Stress During the COVID-19 Pandemic Through a Virtual Toddler Group Visit Pilot

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Group visit models in the pediatric primary care setting have been shown to be as effective as individual wellchild visits in providing routine health care. Benefits of group visits include… Click to show full abstract

Group visit models in the pediatric primary care setting have been shown to be as effective as individual wellchild visits in providing routine health care. Benefits of group visits include efficiency,1 increased discussion and feelings of support among parents,2 enhanced anticipatory guidance,3 and parental satisfaction.2 Prior studies of pediatric group visits are largely focused on well-child visits in the 0to 12-month age range or on children with specific medical conditions, such as obesity.4,5 To our knowledge, there have been no prior studies about group visits for children beyond 2 years of age. There is also evidence that incorporating a developmental specialist in primary care visits is beneficial to enhancing developmental counseling.6,7 However, there are no reports in the literature of group visits conducted in the pediatric primary care setting in conjunction with developmental specialists, specifically from Early Intervention (EI). The COVID-19 pandemic challenged practices to innovate new models of well-child care that effectively provided vital health services while maintaining safety. As a result, the use of telehealth modalities increased. Recognizing the potential for telehealth to unite interdisciplinary teams and create community among families, we developed a virtual group visit pilot for 2.5-year-old children and their caregivers in partnership with our primary care practice and a colocated EI site. We aimed to study the relationship between caregiver self-efficacy, caregiver stress, and participation in the group visit. We also aimed to assess feasibility and acceptability of the group visit. We hypothesized that participation in the group visit would be associated with increased caregiver self-efficacy and decreased caregiver stress and that visits would be feasible and acceptable to families. Setting

Keywords: group; care; caregiver self; group visit; self efficacy

Journal Title: Clinical Pediatrics
Year Published: 2021

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