Martha Zaslow, Rachel Anderson, Zakia Redd, Julia Wessel, Paula Daneri, Katherine Green, Elizabeth W Cavadel, Louisa Tarullo, Margaret Burchinal, Ivelisse Martinez-Beck
I. QUALITY THRESHOLDS, FEATURES, AND DOSAGE IN EARLY CARE AND EDUCATION: INTRODUCTION AND LITERATURE REVIEW
Monographs of the Society for Research in Child Development
study explored factors underpin decisions seek emergency department ed care chronic noncancer pain patients identifying culturally linguistically diverse cald australian born mixedmethods study underpinned behavioral model health services use conceptual framework consenting consecutive patients attending ed chronic pain condition recruited cald n 45 australianborn n 45 cohort statistical comparisons compared demographic pain health literacy episode care profiles cohorts twentythree cald 16 australianborn participants consented audiorecorded semistructured interview n 24 focus group n 5 focus groups conducted preferred language interviews translated transcribed english analysis using applied thematic analysis guided conceptual framework data triangulated investigate patterns ed utilization contributing factors cohorts ed attendance product escalating distress influenced degree participants perceived needs outweighed capacity manage pain interaction amplified presence predisposing factors including constrained social positions trauma exposure biomedical health beliefs importantly experiences varied two cohorts higher degrees pain catastrophizing lower health literacy greater social challenges present cald cohort study highlights role contextual factors play amplifying painrelated distress cald australianborn patients chronic pain findings support need health care providers recognize features higher vulnerability consider streamlining access available support services