Caregiver and Child Behavioral Health Service Utilization Following Pediatric Traumatic Brain Injury.
Caregiver and Child Behavioral Health Service Utilization Following Pediatric Traumatic Brain Injury.
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DOI：
10.1007/s10802-020-00737-1
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发表时间：
2021-04
影响因子：
2.5
通讯作者：
Wade SL
中科院分区：
文献类型：
--
作者：
Fisher AP;Aguilar JM;Zhang N;Yeates KO;Taylor HG;Kurowski BG;Narad ME;Wade SL
鉴于创伤性脑损伤（TBI）后儿童和照顾者接受行为健康服务的文献很少，我们试图确定未满足需求的预测因素。我们使用广义线性混合效应模型对个体参与者数据进行荟萃分析，以检查行为健康服务使用和未满足需求的预测因素。我们纳入了572名3至18岁的儿童，他们在2002年至2015年期间因复杂的轻度至重度TBI而住院过夜。照顾者完成了抑郁和痛苦，儿童行为问题，家庭功能和行为健康服务利用率的评级。未满足的儿童行为健康服务需求定义为一个或多个儿童行为问题量表的升高，而没有接受行为健康服务。对于照顾者，未满足的需求被定义为没有行为健康服务利用的抑郁或痛苦量表的升高。在那些有行为健康需求的人中，儿童（77.8%）和照顾者（71.4%）的需求未满足率都很高。贫困家庭功能与儿童（F（1，497）=6.57，p= 0.01; OR=1.8）和照顾者（F（1，492）=17.54，p<0.001; OR=2.7）的更多未满足需求相关。与已婚家庭照料者相比，未婚家庭照料者的儿童行为健康服务需求未得到满足的比例也更高（F（1，497）=12.14，p<0.001; OR=2.2）。研究结果强调了监测儿科TBI后服务需求的重要性，并指出了服务使用的差异。
Given sparse literature examining receipt of behavioral health service in children and caregivers following traumatic brain injury (TBI), we sought to identify predictors of unmet need. We performed an individual participant data meta-analysis using generalized linear mixed-effect models to examine predictors of behavioral health service use and unmet need. We included 572 children, ages 3 to 18, who were hospitalized overnight following complicated mild to severe TBI between 2002 and 2015. Caregivers completed ratings of depression and distress, child behavior problems, family functioning, and behavioral health service utilization. For children, unmet behavioral health service need was defined as an elevation on one or more child behavior problem scales without receipt of behavioral health services. For caregivers, unmet need was defined as an elevation on either a depression or distress scale without behavioral health service utilization. Among those with behavioral health needs, rates of unmet need were high for both children (77.8%) and caregivers (71.4%). Poorer family functioning was related to more unmet need in children (F(1, 497)=6.57, p=.01; OR=1.8) and caregivers (F(1, 492)=17.54, p< .001; OR=2.7). Children with unmarried caregivers also had more unmet behavioral health service need than those with married caregivers (F(1, 497)=12.14, p<.001; OR=2.2).In conclusion, unmet needs are common after pediatric TBI and relate to family factors. The findings underscore the importance of monitoring service needs following pediatric TBI and point to disparities in service use.
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DOI：
10.1016/j.apmr.2013.01.023
发表时间：
2013-06-01
影响因子：
4.3
作者：
Corrigan, John D.;Hammond, Flora M.
通讯作者：
Hammond, Flora M.
影响因子：
3.9
作者：
BYLES, J;BYRNE, C;OFFORD, DR
通讯作者：
OFFORD, DR
影响因子：
8
作者：
Aitken, Mary E.;McCarthy, Melissa L.;MacKenzie, Ellen J.
通讯作者：
MacKenzie, Ellen J.
影响因子：
4.2
作者：
Catroppa, Cathy;Crossley, Louise;Anderson, Vicki
通讯作者：
Anderson, Vicki
影响因子：
2.2
作者：
EPSTEIN, NB;BALDWIN, LM;BISHOP, DS
通讯作者：
BISHOP, DS