New Bright Futures Web Site is Launched
- The new Web site has been completely redesigned to provide easier access to clinical tools and tip sheets, and includes new resources for families, states and community health programs. The new Web site features a media center to house both audio and video files related to different aspects of Bright Futures. There is strong emphasis on implementation strategies and stories from practices, states, and communities that use Bright Futures.
- If you are new to the Bright Futures Guidelines, watch this 2-minute video to get started using the Bright Futures recommendations in your health promotion and disease prevention practices and with programs and families in your community.
Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents: Revision Update
- The Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents are currently under revision that is expected to reﬂect 20–25% change of content and include recommendations based on new policies and emerging evidence.
- The Guidelines will include a new theme that addresses the impact and intersection between children's biology (genetic predisposition) and determinants of health (social and physical environments) on lifelong health and development. It also discusses the importance of partnership between health care providers, patients, and families utilizing a strength-based approach and shared decision-making model to improve outcomes.
- A public review of the draft Guidelines is anticipated to take place later this year. As a subscriber to the Bright Futures Newsletter/eNews, a notice of the public review will be sent to you. If you would like a notice sent to your colleagues, please share the Contact Us link with them so that they can become subscribers and receive notices and updates.
New Pediatric Preventive Coding Resources Now Available
Bright Futures and Quality Improvement
- A new article by Paula Duncan, Amy Pirretti, Marian Earls, et al. titled, Improving Delivery of Bright Futures Preventive Services at the 9- and 24-Month Well Child Visit was published in the January edition of Pediatrics. The article answers the key question: can Bright Futures actually be done in a real life busy practice? The answer is Yes.
- Planning is underway to spread Bright Futures implementation efforts for children birth to aged 3. The project builds from the lessons learned from the Preventive Services Improvement Project (PreSIP), a successful 9-month modified learning collaborative conducted within the AAP Quality Improvement Innovation Network (QuIIN). PreSIP tested the birth to 3 Bright Futures preventive services measures with 21 practice teams culminating in nearly 4,000 chart reviews.
- The Bright Futures Education in Quality Improvement in Pediatric Practice (EQIPP) module is undergoing a revision. Along with an instructional designer, the subject matter experts are revising the module that will be built into two tracks based on age: 1) Birth to 4 Years, and 2) 5 to 21 Years.
Bright Futures-related Publications
- AAP's Section on Developmental and Behavioral Pediatrics, Committee on Psychosocial Aspects of Child and Family Health, Council on Early Childhood, and Society for Developmental and Behavioral Pediatrics published a new clinical report titled, "Promoting Optimal Development: Screening for Behavioral and Emotional Problems." This clinical report focuses on the need to increase behavioral screening, offers potential changes in practice and the health system, and reviews the research needed to accomplish these goals. The report also provides pediatricians a clear road map to execute recommended behavioral and emotional screening in practice.
- A recent Pediatrics article titled, "Timing of Initial Well-Child Visit and Readmissions of Newborns" supports adherence to the AAP Bright Futures Guidelines for within a few days of discharge from a well-baby nursery. The authors found knowledge of the relationship between early well child visits and hospital readmissions may inform newborn health policy interventions.
- Paving the Road to Good Health: Strategies for Increasing Medicaid Adolescent Well-Care Visits, developed by the Centers for Medicaid & Medicare Services, is a guide that highlights several strategies designed to advance gains in access to and utilization of adolescent preventive health care. The first strategy listed is to "adopt current Bright Futures guidelines for adolescents." The second strategy recommends Bright Futures related materials as primary resources for clinicians and parents.
Parent/Caregiver Focused Resources
- The Head Start National Center on Health recently developed a set of 8 parent tip-sheets/cards adapted from Bright Futures Guidelines. These tip-sheets/cards inform parents on what to expect from their caregiver starting at 2 months through 4 years. The tip-sheets also include questions parents can ask their health care provider. They are divided into developmental stages and designed to help families to promote the health and well-being of their children, with information on what to expect in group care, including topics such as social development, safety, eating and physical activity.
- Health Education Materials for Parents and Child Care Providers. These plain language health education resources (including: lead awareness, home safety and injury prevention, and mental health) can be shared with both parents and providers. The content is useful information and basic tips that parents and providers can easily understand.
- The Strategies to Support and Encourage Healthy Active Living course is an online, interactive self-study course for Head Start and Early Head Start staff. It focuses on healthy, active living for children and families. It encourages building skills to effectively communicate and engage with families around creating and maintaining a healthy, active lifestyle.
- Books Build Connections Toolkit is a designed to promote healthy parent-child bonding and early learning by ensuring that pediatricians, parents and caregivers have the information, tools and books they need to promote early literacy and brain development. This is a collaborative partnership between the AAP and Too Small to Fail (a joint initiative of the Bill, Hillary and Chelsea Clinton Foundation and Next Generation).
2015 Bright Futures Young Investigator Awardees
- The Academic Pediatric Association (APA), in partnership with the AAP, has funded many small awards since 2009 through the Bright Futures Young Investigator Award (YIA) Program, with support from HRSA’s MCHB. Six awardees were funded in February 2015 during the most recent funding cycle. These projects aim at enhancing the effectiveness and evidence base for health supervision in primary care, consistent with Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition.
2015 YIA Recipients:
Caitlin Canfield, PhD
Understanding Intergenerational Transmission of Toxic Stress and its Role in Childrens Mental Health Outcomes
New York University School of Medicine
Keely Dwyer-Matzky, MD
Adolescent to Adult-Oriented Health Care Transition Survey: Study of a Video-Based Educational Intervention
University of Rochester
Stacy Ellen, DO
Text Message-based Parenting Advice Focus Groups and Pilot Study
St. Christopher's Hospital for Children
Dawn Magnusson, MPT, PhD
Anticipatory guidance for parents of children screening positive for developmental delay: exploring the role of parent beliefs in early intervention utilization
Johns Hopkins University
Previous publications and awards by former Bright Futures Young Investigator Awardees include the following:
Deepak Palakshappa, MD
Addressing Household Food Insecurity in Suburban Pediatric Primary Care Practices
Children's Hospital of Philadelphia
Elizabeth Peacock-Chambers, MD
Parental self-efficacy and perceived control regarding child development: Implications for anticipatory guidance
Boston Medical Center
- Deepa Sekhar, MD, recently published "Pilot Study of a High-frequency School-based Hearing Screen to Detect Adolescent Hearing Loss" (Sekhar DL, Zalewski TR, Ghossaini SN, King TS, Rhoades JA, Czarnecki B, Grounds S, Deese B, Barr AL, Paul IM) in the Journal of Medical Screening.
- William Heerman, MD, received a 2013 APA Trainee Research Award based on his Bright Futures YIA project titled The Interaction between Maternal Pre-Pregnancy BMI and Excess Gestational Weight Gain Shapes Infant Growth.
For more information about the YIA program, visit http://www.academicpeds.org/research/research_YIA_MCHB.cfm