Piloting Group Well-Child Visits

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Project Title

Piloting Group Well-Child Visits for Limited English Proficiency (LEP) Latino Families at Children’s Medical Practice

Project Summary

Described as a ‘biopsychosocial approach to care,’ group well-child care (group pediatric well-child visits) are being suggested as a form of pediatric primary care redesign that may better meet the needs of families, and over 50 sites across the country are delivering well-child care in this fashion. By combining individual assessment with facilitated group discussion, group visits represent a fundamental shift in well-child care delivery. Such models replace typical 15 minute individual preventive health visits with a 90 to 120 minute group visit for 6 to 8 parent/infant dyads. In these visits, each parent/infant dyad completes a shorter 1:1 evaluation with the provider, followed by a 45 to 60 minute group discussion moderated by the provider and another staff member. In this study we plan to use a social worker. Group prenatal visits are already being delivered at Johns Hopkins Bayview Medical Center.

This study seeks to evaluate whether group pediatric well-child visits are feasible and acceptable, and to gather preliminary data on maternal, child, and health care quality outcomes (including social support, parenting self-efficacy, feeding knowledge, proportion of visits attended, child development, and patient satisfaction). We hypothesize that providers and LEP Latino parents will report that the group visit format is acceptable and feasible.

Project Details