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Updated: Apr 21, 2026

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A National Fetal Alcohol Spectrum Disorders Learning Collaborative for Pediatric Care Teams

Daniel P Alford1,2, Jacqueline S German1,2, Nicole Kitten1

  • 1Boston Medical Center, Boston, MA.

Journal of Pediatrics. Clinical Practice
|April 20, 2026
PubMed

Insights

The SAFEST Choice program improved pediatric teams' knowledge and confidence in identifying and managing fetal alcohol spectrum disorders (FASD). This educational model enhanced clinical practices for children’s FASD care.

Area of Science:

  • Pediatric Healthcare
  • Medical Education
  • Public Health

Background:

  • Fetal alcohol spectrum disorders (FASD) present diagnostic and management challenges in pediatric care.
  • Effective identification and management strategies are crucial for improving outcomes in affected children.
  • There is a need for specialized training programs for healthcare teams to address FASD.

Purpose of the Study:

  • To evaluate the SAFEST Choice Learning Collaborative's impact on pediatric health care teams.
  • To assess changes in knowledge, confidence, and clinical practices regarding FASD identification and management.
  • To understand participant-reported clinical challenges in managing FASD.

Main Methods:

  • A 2-year virtual learning collaborative model (Project ECHO) with 10 sessions.
  • Pre-/posttest evaluation design to measure changes in knowledge, confidence, and practice.
  • Analysis of participant case presentations to identify common clinical challenges.

Main Results:

  • 105 participants from 23 clinics across 8 states enrolled.
  • Significant increases in self-reported FASD knowledge, confidence, and screening/counseling practices.
  • Key challenges included diagnosis timing, patient care management, and addressing stigma.

Conclusions:

  • The SAFEST Choice program effectively trained pediatric teams in FASD identification and care.
  • The program demonstrated a promising educational model for improving FASD care.
  • Increased knowledge, confidence, and practice changes were reported by participants.
Abstract

Keywords:
developmental disabilitieseducationfetal alcohol spectrum disordersprenatal alcohol exposure

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