title: Clinical case study: pediatric residents' discussions of and interventions for children's behavioral and emotional problems.
abstract: OBJECTIVE
  To examine the effects of a screening instrument and parent handouts on pediatric residents' discussions of and interventions for children's behavioral and emotional problems.
  
  
  METHODS
  Four pediatric residents and 52 parent-child dyads attending an ambulatory pediatric primary care clinic participated in the study. We used a multiple baseline design across residents. We assessed the effect of the interventions by measuring nine target behaviors of the pediatric residents.
  
  
  RESULTS
  After being trained to use the screening instrument, residents increased the number and variety of questions they asked regarding behavioral and emotional issues. Residents' attempts at intervention showed small but consistent increases when handouts on behavior management procedures were made available for distribution to parents.
  
  
  CONCLUSIONS
  The use of a screening instrument in pediatric primary care shows promise for increasing discussions between residents and parents about children's behavioral and emotional issues. Further research should examine strategies to improve pediatric residents' attempts at intervention for behavioral and emotional problems in children.
authors.affiliation: , University of Mississippi Medical Center, Department of Psychiatry and Human Behavior, 2500 N. State Street, Jackson, Mississippi 39216-4505, USA. hbrapplegate@yahoo.com
authors.forename: Heather
authors.initials: H
authors.lastname: Applegate
authors.forename: Mary Lou
authors.initials: ML
authors.lastname: Kelley
authors.forename: Bradford W
authors.initials: BW
authors.lastname: Applegate
authors.forename: Indra K
authors.initials: IK
authors.lastname: Jayasinghe
authors.forename: Charmaine L
authors.initials: CL
authors.lastname: Venters
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002653:Child Behavior Disorders / Q000453:epidemiology / Q000628:therapy*; D003142:Communication; D003299:Cooperative Behavior; D006801:Humans; D007396:Internship and Residency; D007400:Interprofessional Relations; D008403:Mass Screening; D019964:Mood Disorders / Q000453:epidemiology / Q000628:therapy*; D015588:Observer Variation; D010372:Pediatrics / Q000193:education*; D010549:Personal Satisfaction; D011320:Primary Health Care; D011368:Professional-Family Relations; D011795:Surveys and Questionnaires