Alexander G. Fiks

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OBJECTIVES To characterize patterns of electronic medical record (EMR) use at pediatric primary care acute visits. DESIGN Direct observational study of 529 acute visits with 27 experienced pediatric clinician users. MEASUREMENTS For each 20 s interval and at each stage of the visit according to the Davis Observation Code, we recorded whether the(More)
BACKGROUND Despite national recommendations, as of 2009 human papillomavirus (HPV) vaccination rates were low with < 30% of adolescent girls fully vaccinated. Research on barriers to vaccination has focused separately on parents, adolescents, or clinicians and not on the decision making process among all participants at the point of care. By incorporating(More)
We developed an electronic medical record (EMR)-based HPV vaccine decision support intervention targeting clinicians, (immunization alerts, education, and feedback) and families (phone reminders and referral to an educational website). Through telephone surveys completed by 162 parents of adolescent girls, we assessed the acceptability of the family-focused(More)
BACKGROUND Evidence increasingly indicates that childhood obesity prevention efforts should begin as early as infancy. However, few interventions meet the needs of families whose infants are at increased obesity risk due to factors including income and maternal body mass index (BMI). Social media peer groups may offer a promising new way to provide these(More)
BACKGROUND Patient portals may improve communication between families of children with asthma and their primary care providers and improve outcomes. However, the feasibility of using portals to collect patient-reported outcomes from families and the barriers and facilitators of portal implementation across diverse pediatric primary care settings have not(More)
OBJECTIVES The purpose of this study was to describe rates and patterns of long- and short-acting alpha agonist use for behavioral problems in a primary care population following Food and Drug Administration (FDA) approval of the long-acting alpha agonists guanfacine and clonidine. METHODS Children and adolescents 4-18 years of age, who received an alpha(More)
BACKGROUND Untreated mental health problems may result in poor outcomes for youth with systemic lupus erythematosus (SLE) and mixed connective tissue disease (MCTD). We investigated perceptions, barriers and facilitators for mental healthcare of these youth. METHODS We conducted 32 semi-structured interviews with 16 outpatient youth with SLE/MCTD, ages(More)
  • Kevin R Dufendach, A Jacob, Eichenberger, L Melissa, Mcpheeters, W H Michael +47 others
  • 2015
The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. The information in this report is intended to help health care decisionmakers—patients and providers, health system leaders, and policymakers, among others—make(More)
BACKGROUND The Institute of Medicine has prioritized shared decision making (SDM), yet little is known about the impact of SDM over time on behavioral outcomes for children. This study examined the longitudinal association of SDM with behavioral impairment among children with special health care needs (CSHCN). METHOD CSHCN aged 5-17 years in the 2002-2006(More)