Child & Adolescent Health
“Kids have so much potential. How can we optimize their health?”
Rita Mangione-Smith, MD, MPH
Vice President for Research and Health Care Innovation
Executive Director of Kaiser Permanente Washington Health Research Institute
Kaiser Permanente Washington Health Research Institute Senior Investigator
Research overview
Babies, children, and teens have specific health needs. Research and evaluation at Kaiser Permanente Washington Health Research Institute (KPWHRI) covers family health from pregnancy through childhood and early adulthood.
KPWHRI research and evaluation topics in child and adolescent health include:
- drug safety during pregnancy
- pediatric care quality in health systems
- quality of care for respiratory illnesses
- care and transitions for hospitalized children
- implementation of screening for adverse childhood experiences
- quality of youth mental health care
- programs to support trauma and resilience-informed care for youth
- impact of social determinants of health
- disease prevention through vaccines
“We’re working with families, helping them make healthy eating, exercise, and preventive care part of their busy daily lives,” says Paula Lozano, MD, MPH, Washington Permanente Medical Group associate medical director for research and translation, KPWHRI senior investigator, and Washington Permanente Medical Group pediatrician.
Recent publications on Child & Adolescent Health
Figueroa Gray M, Ludman EJ, Beatty T, Rosenberg AR, Wernli KJ. Balancing hope and risk among adolescent and young adult cancer patients with late-stage cancer: a qualitative interview study. J Adolesc Young Adult Oncol. 2018 Dec;7(6):673-680. doi: 10.1089/jayao.2018.0048. Epub 2018 Aug 10. PubMed
Bardach NS, Burkhart Q, Richardson LP, Roth CP, Murphy JM, Parast L, Gidengil CA, Marmet J, Britto MT, Mangione-Smith R. Hospital-based quality measures for pediatric mental health care. Pediatrics. 2018 Jun;141(6). pii: e20173554. doi: 10.1542/peds.2017-3554. PubMed
Wright DR, Christakis DA, Lozano P, Saelens BE. Healthy, wealthy, and wise? exploring parent comparative optimism about future child outcomes. MDM Policy Pract. 2018 May 23;3(1):2381468318774776. doi: 10.1177/2381468318774776. eCollection 2018 Jan-Jun. PubMed
Arthur KC, Mangione-Smith R, Burkhart Q, Parast L, Liu H, Elliott MN, McGlynn EA, Schneider EC. Quality of care for children with medical complexity: an analysis of continuity of care as a potential quality indicator. Acad Pediatr. 2018 Aug;18(6):669-676. doi: 10.1016/j.acap.2018.04.009. Epub 2018 Apr 25. PubMed
Inge T, Coley RY, Bazzano LA, Xanthakos SA, McTigue K, Arterburn D, Williams N, Wellman R, Coleman KJ, Courcoulas A, Desai NK, Anau J, Pardee R, Toh S, Janning C, Cook A, Sturtevant J, Horgan C, Zebrick AJ, Michalsky M. Comparative effectiveness of bariatric procedures among adolescents: the PCORnet bariatric study. Surg Obes Relat Dis. 2018 Apr 17. doi: 10.1016/j.soard.2018.04.002.
Researchers in Child & Adolescent Health
 David C. Grossman, MD, MPHSenior Investigator, KPWHRI; Senior Associate Medical Director, Market Strategy & Public Policy and Physician, Pediatrics, Washington Permanente Medical Group |
 Paula Lozano, MD, MPHSenior Investigator, KPWHRI; Associate Medical Director for Research and Translation & Physician, Pediatrics, Washington Permanente Medical Group |
 Lisa A. Jackson, MD, MPHSenior Investigator |
 Michael L. Jackson, PhD, MPHAssociate Investigator |
 Sascha Dublin, MD, PhDSenior Investigator |
 Cara C. Lewis, PhD, HSPPAssociate Investigator |
 Rita Mangione-Smith, MD, MPHVice President for Research and Health Care Innovation, Kaiser Permanente Washington; Executive Director and Senior Investigator, Kaiser Permanente Washington Health Research Institute |
 Robert Penfold, PhDSenior Investigator |
adjunct and Affiliate researchers
John Dunn, MD, MPH
Pediatrician
Washington Permanente Medical Group
Medical Director of Preventive Care
Kaiser Permanente Washington
Gina Sucato, MD, MPH
Director of Adolescent Health Services
Washington Permanente Medical Group
Doug Opel, MD, MPH
Assistant Professor, Department of Pediatrics
University of Washington
Laura P. Richardson, MD, MPH
Adolescent Medicine
Seattle Children's Hospital
Professor, Department of Pediatrics
University of Washington
news
Screening for adverse childhood experiences
KPWHRI’s Center for Community Health and Evaluation offers 5 recommendations to improve ACEs screens.
Improving Pediatric Care
For better pediatric care, back guidelines with more evidence
In the 2000s, Dr. Beth McGlynn showed that rates of getting recommended care are low. In a new JAMA editorial, Dr. David Grossman has ideas to improve them.
Read it in Healthy Findings.
research projects
Research projects overview for Dr. Rita Mangione-Smith
Dr. Rita Mangione-Smith develops innovative ways to pinpoint which medical treatments, procedures and practices improve patients’ health outcomes, and which ones need improvement.
Prevention
How to keep guns—and troubled teens—safe
Dr. Grossman’s team has studied safe gun storage. But they found parents of adolescents with mental illness were no more likely to store guns safely.
Read about it in Healthy Findings.
Teen Health
Helping teens — and their families — manage online health care
CCHE’s Creagh Miller knows teens do best when technology supports trusting relationships.
Read it in Healthy Findings.
KPWHRI In the Media
Preventing antibiotic resistance
How do I know if my kid needs antibiotics?
New York Times, Nov 15, 2019
