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Identifying and Making Recommendations for Pediatric Anxiety Disorders in Primary Care Settings: A Video-Based
Nicholas D Mian1, Donna B Pincus2, Ellen C Perrin3
1Assistant Professor, Department of Life Sciences, University of New Hampshire.
Mededportal : the Journal of Teaching and Learning Resources
|December 16, 2020
Summary
A new video-based training significantly improved pediatric residents' ability to identify anxiety disorders in children. This accessible program enhances essential skills for early detection and intervention in primary care settings.
Area of Science:
- Pediatric behavioral health
- Medical education technology
- Anxiety disorder diagnosis
Background:
- Pediatric anxiety disorders are prevalent and can lead to later issues if missed.
- Underdiagnosis in primary care stems partly from insufficient pediatrician training.
- Early identification is crucial for effective intervention and improved long-term outcomes.
Purpose of the Study:
- To develop and evaluate a brief, video-based training program for pediatric residents.
- To enhance the early identification of anxiety disorders in primary care settings.
- To assess improvements in resident knowledge, evaluation skills, and diagnostic sensitivity.
Main Methods:
- A 43-minute video-based training program was developed, aligned with AAP competencies.
- Training offered in live, group-based or online asynchronous formats.
- Pre- and post-training assessments, including knowledge surveys and a diagnostic vignette, were administered to residents.
Main Results:
- Residents showed significant increases in knowledge and perceived evaluation skills post-training (large effect sizes).
- Diagnostic sensitivity for anxiety disorders improved, as measured by vignette assessment.
- High levels of resident satisfaction with the training program were reported.
Conclusions:
- The video-based training effectively improved pediatric residents' skills in identifying anxiety disorders.
- This cost-effective and minimally burdensome program can supplement existing medical education.
- Enhancing resident education in child anxiety identification is a critical need in primary care.
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