Screening for childhood adversity among adult primary care patients.

Journal of the American Association of Nurse Practitioners
Karen A KalmakisSusan Jo Roberts

Abstract

Over half of Americans reports a history of adverse childhood experiences (ACEs), which have been associated with many chronic health conditions. Yet primary care providers infrequently screen patients for ACEs and fail to consider the relationship between ACEs and adult health. Therefore, the purposes of this study were to test the effectiveness and feasibility of a screening interview for ACEs and to confirm the prevalence of ACEs among individuals with chronic health conditions. Screening interviews were conducted with 71 adults in a primary care setting. Patients' ACE history, nurse practitioner comfort with screening, time to screen, and patient follow-up care recommendations were gathered through questionnaires. Adverse childhood experience prevalence was analyzed by descriptive statistics. Relationships between ACEs, number of clinic visits, time to screen, and follow-up care recommendations were analyzed by bivariate statistics. Over half of participants reported more than four ACEs, with ACEs common among participants with chronic health conditions (93%). Adverse childhood experience scores were positively correlated with number of clinic visits, time to screen, and recommendations for follow-up care. Findings support ...Continue Reading

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Citations

Dec 15, 2018·Journal of the American Association of Nurse Practitioners·Susan Jo RobertsKaren Kalmakis
Sep 5, 2018·Journal of Addictions Nursing·Genevieve E ChandlerTeri Murtha
Sep 24, 2020·The Journal for Nurse Practitioners : JNP·Christina RaridenDeborah Loman
Mar 16, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Mikenzy FasselLucy A Wibbenmeyer
Sep 26, 2021·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Karen A KalmakisLisa M Chiodo
Oct 11, 2020·Journal of the American Association of Nurse Practitioners·Kimberly A StrauchMarylyn M McEwen
Jan 4, 2022·Journal of the American Association of Nurse Practitioners·Joyce D Cappiello, Maureen B Boardman

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