{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:19:09Z","timestamp":1787653149048,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["2B2\u201020\u2010001"],"award-info":[{"award-number":["2B2\u201020\u2010001"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe factors influencing caregiver engagement in pediatric care management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting and Design<\/jats:title>\n                    <jats:p>This qualitative descriptive study of family engagement was based in the North Carolina Integrated Care for Kids (NC InCK) care management model. NC InCK proactively offers assistance with healthcare coordination and health\u2010related social needs to Medicaid\u2010insured children in five North Carolina counties. Participants were randomly recruited from three cohorts with different levels of engagement (never engaged, briefly engaged, and retained) and participated in semi\u2010structured virtual interviews to understand barriers and facilitators to both enrollment and retention in care management. Cross\u2010cohort themes were identified using rapid qualitative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Analytic Sample<\/jats:title>\n                    <jats:p>Interviews were conducted between May 2024 and January 2025 with 50 NC InCK\u2010eligible English\u2010speaking families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>\n                      Most participants were mothers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200938, 74%) and grandmothers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096, 12%) of non\u2010Hispanic Black children (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932, 64%). Initial enrollment facilitators included clear, genuine explanations of care management tailored to family needs. Enrollment obstacles included high caregiver self\u2010reliance, confusion around program scope, and negative prior experiences with social service programs. Retention facilitators included flexible scheduling, convenient communication, and strong interpersonal relationships with care managers. Retention obstacles included competing demands, communication challenges, evolution of family needs, and misalignment between caregiver expectations and services. Post\u2010interview, 32% of briefly engaged and 73% of never engaged participants requested re\u2010enrollment in the NC InCK model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Care management is a fundamental pediatric population health strategy, but low family engagement limits large\u2010scale implementation and impact. Strategies to increase participation include clear messaging and simplified eligibility criteria to effectively convey care management benefits. Strong care manager communication skills are needed to build relationships with caregivers from varied backgrounds. Evolving family needs and bandwidth necessitate flexible care management options rather than a one\u2010size\u2010fits\u2010all model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.70129","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T09:51:07Z","timestamp":1783331467000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Engaging Families in Pediatric Care Management: A Qualitative Study From the North Carolina Integrated Care for Kids Model"],"prefix":"10.1111","volume":"61","author":[{"given":"Hartlee","family":"Lidsky","sequence":"first","affiliation":[{"name":"University of Michigan Internal Medicine\u2010Pediatrics  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6562-017X","authenticated-orcid":false,"given":"Eleanor","family":"Wertman","sequence":"additional","affiliation":[{"name":"University of North Carolina Health Alliance and North Carolina Integrated Care for Kids  Morrisville North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadiya B.","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Samuel Merritt University  Oakland California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greeshma","family":"James","sequence":"additional","affiliation":[{"name":"University of Missouri\u2010St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberlin","family":"Neblett","sequence":"additional","affiliation":[{"name":"North Carolina Integrated Care for Kids and Orange County Health Department  Chapel Hill North Carolina 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