ADVOCACY TRAINING
Quantitative and qualitative research on advocacy training of pediatric residents has been conducted at the Lucile Packard Children's Hospital (LPCH). Findings indicate that residents are receptive to this training, and demonstrate increased knowledge and skills levels in advocacy following the curriculum. This work has been funded by the Hearst Foundation and The David and Lucile Packard Foundation among others.
Publications:Chamberlain LJ, Sanders LM, Takayama JI. Advocacy by Any Other Name Would Smell as Sweet. Arch Pediatr Adolesc Med. 2006 April; 160: 453
Chamberlain LJ, Sanders LM, Takayama JI. Child advocacy training: curriculum outcomes and resident satisfaction. Arch Pediatr Adolesc Med. 2005 Sep;159(9):842-7.
Wise PH, Chamberlain L. Creating an analytic voice in the policy storm. Ambul Pediatr. 2005 Jan-Feb;5(1):45-6.
Lead Paint Dangers and Physician Advocacy. AMA Website. December 2005.
Commentaries by Lisa J. Chamberlain, MD, MPH, and Timothy Hoff, PhD
LPCH resident, Sara Trucco, teachers in East Palo Alto about asthma.
ASTHMA
LPCH-Ravenswood Asthma Project
The asthma project began in the fall of 2003, with the new LPCH intern class. Asthma education and case management was determined by the Ravenswood City School District nurse to be the greatest area of need in the district. LPCH interns selected asthma as their class project and began developing a comprehensive and collaborative strategy to address childhood asthma in the community.
- This project is being evaluated with the primary outcome variable being reduced asthma related ER visits using time control methodology. Related ER visits two years prior to and following the intervention will be evaluated.
- School absentee data is similarly being evaluated to observe potential changes in absenteeism for identified asthmatics prior to and following the intervention.
- In response to a request by the East Palo Alto Asthma Task Force we have mapped pediatric asthma cases in East Palo Alto and East Menlo Park using Geographic Information System (GIS) analysis. Based on these maps we will work with the community to develop and test hypotheses regarding case distribution.
Publication:
Chamberlain LJ, Bauer L. The crucial role of the vanishing school nurse. Arch Pediatr Adolesc Med. 2004 Nov;158(11):1091
COMMUNITY BASED PARTICIPATORY RESEARCH
Evaluating the impact of community based collaborative efforts
Over the last three years, the Pediatric Advocacy Program at the Lucile Packard Children’s Hospital at Stanford has collaborated with many different community based organizations to implement projects with the goal of addressing local pediatric health issues. In an effort to examine the impact of community academic partnerships, confidential interviews were conducted with the program’s past and current community partners. All interviewees were asked to reflect on various aspects of community academic partnerships, as well as their experience working with an academic institution. It is anticipated that findings from this study will not only shed light on the impact of community academic partnerships, but they will also be used to strengthen future collaborations with the Pediatric Advocacy Program and increase community benefit. Partner interviews were conducted in the fall of 2005. Qualitative study findings are pending.
Letter to the Editor:Javier, JR, Chamberlain, LJ, Huffman,L, Mendoza, F. Letter to the Editor. Ambulatory Pediatrics, 2006 March; 6(2): 120
HEALTH INSURANCE
Universal coverage and Santa Clara County health care providers
In 2001, Santa Clara County expanded health coverage to cover nearly all children in the county through a new insurance program. In two years, 75,500 children entered a health care system near capacity. Using qualitative methods, we sought to examine how the influx of thousands of previously uninsured children into the health system would affect providers. This study was done in partnership with researchers from UCSF and at the request of the Santa Clara Family Health Plan.
This cross sectional study examined how this influx affected provider practices, job satisfaction, access to specialists, and overarching views about the program. Providers reported improved access to health care, specialists, and medications. They cited increased job satisfaction due to fewer limits on care, improved referral process, and decreased family financial stress. Providers noticed increased access for patients to specialists with persisting appointment wait times. After moving to near universal coverage, safety net providers described increased job satisfaction.
These findings were presented to the Santa Clara Family Health Plan and at the Pediatric Academic Society meeting May 2004. For more information about the study, please see the link to "Universal health care coverage for children: Impact on pediatric health care providers," below.
Publication:
Chamberlain LJ , Hughes DC, Bishop JS, Matsuda DH, Sassoubre L. Universal health care coverage for children: Impact on pediatric health care providers. J Health Care Poor and Underserved. 2005 Nov:16(4).
Healthy Families Members: Examining barriers to retention
At the request of the Santa Clara Family Health Plan (SCFHP), a Stanford University medical student developed a study to examine the barriers preventing member retention in the Healthy Families program. By doing so this study will contribute to the literature on SCHIP (State Children's Health Insurance) disenrollment and provide the SCFHP with a means to improve its retention efforts. This project represents a collaboration between the SCFHP and Stanford University. Study findings are pending.
OBESITY
Healthy Weight Healthy Futures Project
A collaboration between Head Start in East Palo Alto and the Lucile Packard Children’s Hospital facilitated the development of a parent designed obesity prevention program to improve dietary and physical activity behaviors of Latino preschool age children and their families. Parents participated in a series of qualitative focus groups to examine strategies and barriers for promoting health dietary and physical activity behaviors, and to evaluate best practice models for obesity prevention. A subset of parents participated in working group sessions to develop a basic framework for a culturally appropriate and community-specific obesity prevention program for preschool aged children. Qualitative findings are pending.
Food Marketing to Children
Publication:
Lisa J. Chamberlain, MD, MPH; Yun Wang, MS; Thomas N. Robinson, MD, MPH. Does Children’s Screen Time Predict Requests for Advertised Products? Cross-sectional and Prospective Analyses. Arch Pediatr Adolesc Med. 2006;160:363-368
In the News:
Stanford: Children's demands for toys and food increase with TV time, researchers say, --Dave Murphy, San Francisco Chronicle (April 5, 2006)
Interview with Lisa Chamberlain, MD
Program: CBS Radio News
Airdate: December 6, 2005
Station: KCBS
Format: MPEG Audio Layer 3
