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It takes a village: a realist synthesis of social pediatrics program

Author

Listed:
  • Ingrid Tyler

    (Fraser Health Authority)

  • Judith Lynam

    (University of British Columbia)

  • Patricia O’Campo

    (St. Michael’s Hospital)

  • Heather Manson

    (Public Health Ontario)

  • Meghan Lynch

    (University of Toronto)

  • Behnoosh Dashti

    (CCFP Iroquois Ridge Medical Centre)

  • Nicole Turner

    (RD McMaster Children’s Hospital)

  • Andrea Feller

    (FAAP, FACPM Niagara Region, Public Health)

  • Elizabeth Lee Ford-Jones

    (FRCP(C) Hospital for Sick Children)

  • Sue Makin

    (Toronto Public Health (retired))

  • Christine Loock

    (University of British Columbia)

Abstract

Objectives To better understand how social pediatric initiatives (SPIs) enact equitable, integrated, embedded approaches with high-needs children and families while facilitating proportionate distribution of health resources. Methods The realist review method incorporated the following steps: (1) identifying the review question, (2) formulating the initial theory, (3) searching for primary studies, (4) selecting and appraising study quality, (5) synthesizing relevant data and (6) refining the theory. Results Our analysis identified four consistent patterns of care that may be effective in social pediatrics: (1) horizontal partnerships based on willingness to share status and power; (2) bridged trust initiated through previously established third party relationships; (3) knowledge support increasing providers’ confidence and skills for engaging community; and (4) increasing vulnerable families’ self-reliance through empowerment strategies. Conclusions This research is unique because it focused on “how” outcomes are achieved and offers insight into the knowledge, skills and philosophical orientation clinicians need to effectively deliver care in SPIs. Research insights offer guidance for organizational leaders with a mandate to address child and youth health inequities and may be applicable to other health initiatives.

Suggested Citation

  • Ingrid Tyler & Judith Lynam & Patricia O’Campo & Heather Manson & Meghan Lynch & Behnoosh Dashti & Nicole Turner & Andrea Feller & Elizabeth Lee Ford-Jones & Sue Makin & Christine Loock, 2019. "It takes a village: a realist synthesis of social pediatrics program," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 691-701, June.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:5:d:10.1007_s00038-018-1190-7
    DOI: 10.1007/s00038-018-1190-7
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    References listed on IDEAS

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    1. O'Campo, Patricia & Kirst, Maritt & Tsamis, Charoula & Chambers, Catharine & Ahmad, Farah, 2011. "Implementing successful intimate partner violence screening programs in health care settings: Evidence generated from a realist-informed systematic review," Social Science & Medicine, Elsevier, vol. 72(6), pages 855-866, March.
    2. World Bank, 2012. "World Development Indicators 2012," World Bank Publications - Books, The World Bank Group, number 6014, December.
    3. Molnar, Agnes & O’Campo, Patricia & Ng, Edwin & Mitchell, Christiane & Muntaner, Carles & Renahy, Emilie & St. John, Alexander & Shankardass, Ketan, 2015. "Protocol: Realist synthesis of the impact of unemployment insurance policies on poverty and health," Evaluation and Program Planning, Elsevier, vol. 48(C), pages 1-9.
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    1. Morris, Heather & Blewitt, Claire & Savaglio, Melissa & Halfpenny, Nick & Carolan, Erin & Miller, Robyn & Skouteris, Helen, 2022. "Using a realist lens to understand the Victorian Family Preservation and Reunification Response in the first year of implementation — Towards a better understanding of practice," Children and Youth Services Review, Elsevier, vol. 143(C).
    2. Lorna Stabler & Maura MacPhee & Benjamin Collins & Simon Carroll & Karen Davison & Vidhi Thakkar & Esme Fuller-Thomson & Shen (Lamson) Lin & Brandon Hey, 2021. "A Rapid Realist Review of Effective Mental Health Interventions for Individuals with Chronic Physical Health Conditions during the COVID-19 Pandemic Using a Systems-Level Mental Health Promotion Frame," IJERPH, MDPI, vol. 18(23), pages 1-15, November.
    3. Alison Jayne Gerlach & Alysha McFadden, 2022. "Re-Envisioning an Early Years System of Care towards Equity in Canada: A Critical, Rapid Review," IJERPH, MDPI, vol. 19(15), pages 1-23, August.

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