Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care

Abstract Background Group well-child care (GWCC) is a novel group-based alternative for pediatric primary care visits that may allow for adaptations that better tailor to the needs of underserved populations. This qualitative study investigates clinician and parent perspectives on the acceptability...

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Main Authors: Ishaan T. Shah, Nina D. Ham, Hassan Lubega, Christopher L. Boswell, Esther Kim Liu, Renée D. Boynton-Jarrett
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Primary Care
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Online Access:https://doi.org/10.1186/s12875-025-02718-z
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author Ishaan T. Shah
Nina D. Ham
Hassan Lubega
Christopher L. Boswell
Esther Kim Liu
Renée D. Boynton-Jarrett
author_facet Ishaan T. Shah
Nina D. Ham
Hassan Lubega
Christopher L. Boswell
Esther Kim Liu
Renée D. Boynton-Jarrett
author_sort Ishaan T. Shah
collection DOAJ
description Abstract Background Group well-child care (GWCC) is a novel group-based alternative for pediatric primary care visits that may allow for adaptations that better tailor to the needs of underserved populations. This qualitative study investigates clinician and parent perspectives on the acceptability and feasibility of integrating ecology-focused content in GWCC using semi-structured interviews with GWCC parent-graduates and ecology-focused child clinicians. Methods Ecology-focused child clinicians were purposively sampled via email outreach. GWCC parent graduates were recruited via announcement in private Facebook groups. One-on-one interviews were conducted via videoconference, transcribed, and analyzed using an inductive approach. Parent and clinician thematic analyses were independently conducted to construct shared domains. Results Nine GWCC parent-graduates and nine ecology-focused child clinicians were recruited into the study. Four overarching themes were constructed across parent and clinician responses: questions about clinical appropriateness, parent and clinician desires for educational support, influences of perceptions of nature on clinicians, and parent desires to develop independence and autonomy. Conclusion This study identified nuanced considerations from the perspective of parents and clinicians for the implementation of ecology-focused content in the GWCC setting. Understanding the range of preferences parents and clinicians may have over ecology-focused content can help GWCC clinicians in designing ecology-focused preventive counseling materials.
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spelling doaj-art-0f398aabbdf349faa38cdb579d3b000e2025-02-02T12:35:32ZengBMCBMC Primary Care2731-45532025-02-0126111010.1186/s12875-025-02718-zPerspectives from parents and clinicians on an ecology-focused approach to a group well-child careIshaan T. Shah0Nina D. Ham1Hassan Lubega2Christopher L. Boswell3Esther Kim Liu4Renée D. Boynton-Jarrett5Department of Pediatrics, Boston University School of MedicineUniversity of California Davis School of MedicineDepartment of Pediatrics, Boston University School of MedicineDepartment of Family Medicine, Mayo ClinicDepartment of Pediatrics, University of Maryland Baltimore Washington Medical CenterDepartment of Pediatrics, Boston University School of MedicineAbstract Background Group well-child care (GWCC) is a novel group-based alternative for pediatric primary care visits that may allow for adaptations that better tailor to the needs of underserved populations. This qualitative study investigates clinician and parent perspectives on the acceptability and feasibility of integrating ecology-focused content in GWCC using semi-structured interviews with GWCC parent-graduates and ecology-focused child clinicians. Methods Ecology-focused child clinicians were purposively sampled via email outreach. GWCC parent graduates were recruited via announcement in private Facebook groups. One-on-one interviews were conducted via videoconference, transcribed, and analyzed using an inductive approach. Parent and clinician thematic analyses were independently conducted to construct shared domains. Results Nine GWCC parent-graduates and nine ecology-focused child clinicians were recruited into the study. Four overarching themes were constructed across parent and clinician responses: questions about clinical appropriateness, parent and clinician desires for educational support, influences of perceptions of nature on clinicians, and parent desires to develop independence and autonomy. Conclusion This study identified nuanced considerations from the perspective of parents and clinicians for the implementation of ecology-focused content in the GWCC setting. Understanding the range of preferences parents and clinicians may have over ecology-focused content can help GWCC clinicians in designing ecology-focused preventive counseling materials.https://doi.org/10.1186/s12875-025-02718-zNatureEcologyPediatricsGroup well-child carePreventionCounseling
spellingShingle Ishaan T. Shah
Nina D. Ham
Hassan Lubega
Christopher L. Boswell
Esther Kim Liu
Renée D. Boynton-Jarrett
Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
BMC Primary Care
Nature
Ecology
Pediatrics
Group well-child care
Prevention
Counseling
title Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
title_full Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
title_fullStr Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
title_full_unstemmed Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
title_short Perspectives from parents and clinicians on an ecology-focused approach to a group well-child care
title_sort perspectives from parents and clinicians on an ecology focused approach to a group well child care
topic Nature
Ecology
Pediatrics
Group well-child care
Prevention
Counseling
url https://doi.org/10.1186/s12875-025-02718-z
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