TY - JOUR
AU - S. D. Harris
AU - T. P. Bruni
AU - D. Dwyer
AU - E. T. Koval
AU - L. Mohammed
AU - J. Radesky
AU - T. G. Munzer
A1 - 
AB - Follow up care after an abnormal developmental screening may be challenging for families, particularly those from under resourced communities. In this study, we examined how an existing integrated primary care (IPC) co-located model could address the needs of families whose children faced developmental concerns by conducting qualitative interviews to inform the adaptation to include developmental services. Data from 51 caregivers of pediatric patients (4 months to 6 years old) were analyzed qualitatively and coded using the Consolidated Framework for Implementation Research (CFIR) in combination with grounded theory to identify themes. Following coding with the CFIR framework, a thematic analysis was conducted for overarching themes in the data with the gradual development of codes and categories in an inductive manner. The thematic analyses identified three major themes: components of effective referrals, barriers, and caregiver preferences. The current study provides in-depth, contextualized information about how current IPC models can be expanded to address developmental concerns.
AD - Department of Pediatrics and Psychology, Nationwide Children's Hospital, The Ohio State University, Toledo, OH, USA.; Department of Psychology, Algoma University, Sault Ste. Marie, ON, Canada.; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.; Division of Developmental and Behavioral Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.
AN - 41506644
BT - Clin Pediatr (Phila)
C5 - Healthcare Disparities
CP - 4
DA - May
DO - 10.1177/00099228251407418
DP - NLM
ET - 20260108
IS - 4
JF - Clin Pediatr (Phila)
LA - eng
N2 - Follow up care after an abnormal developmental screening may be challenging for families, particularly those from under resourced communities. In this study, we examined how an existing integrated primary care (IPC) co-located model could address the needs of families whose children faced developmental concerns by conducting qualitative interviews to inform the adaptation to include developmental services. Data from 51 caregivers of pediatric patients (4 months to 6 years old) were analyzed qualitatively and coded using the Consolidated Framework for Implementation Research (CFIR) in combination with grounded theory to identify themes. Following coding with the CFIR framework, a thematic analysis was conducted for overarching themes in the data with the gradual development of codes and categories in an inductive manner. The thematic analyses identified three major themes: components of effective referrals, barriers, and caregiver preferences. The current study provides in-depth, contextualized information about how current IPC models can be expanded to address developmental concerns.
PY - 2026
SN - 0009-9228 (Print); 0009-9228
SP - 566
EP - 573+
ST - Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care
T1 - Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care
T2 - Clin Pediatr (Phila)
TI - Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care
U1 - Healthcare Disparities
U3 - 10.1177/00099228251407418
VL - 65
VO - 0009-9228 (Print); 0009-9228
Y1 - 2026
ER -