Primary Care after Hospitalization for Pediatric Traumatic Brain Injury

描述（由申请人提供）：此K24申请为从事儿科患者导向研究的多个专业的初级教师和临床研究员提供指导经验。K24候选人是犹他大学重症监护科的流行病学家和儿科学副教授，有资助创伤性脑损伤儿童预后的历史。该提案的长期研究目标是改善因创伤性脑损伤住院的儿童的初级保健。这一目标与国家儿童健康和人类发展研究所的使命有关，该研究所的使命是确保儿童有机会在没有残疾的情况下过上健康和富有成效的生活。该研究的第一个具体目标是确定因创伤性脑损伤住院一年后影响儿童日常生活的学业、心理和执行功能缺陷的普遍程度。这一目标将会实现

DESCRIPTION (provided by applicant): This K24 application proposes a mentoring experience for junior faculty and clinical fellows from multiple specialties who are performing patient-oriented research in pediatrics. The K24 candidate is an epidemiologist and Associate Professor of Pediatrics in the Division of Critical Care at the University of Utah with a history o funding in the outcome of children with traumatic brain injury. This proposal's long-term research objective is to improve primary care for children who have been hospitalized for a traumatic brain injury. This goal is related to the National Institute of Child Health and Human Development's mission to ensure children have the opportunity to have healthy and productive lives free of disability. The first specific aim of the research is to ascertain the prevalence of academic, psychological, and executive function deficits that affect every day living among children one year after hospitalization for a traumatic brain injury. This aim will be accomplished by recruiting a cohort of children ages 4 to 14 years of age from Salt Lake County. Children will be followed longitudinally with telephone follow-up for parent reported outcomes. The primary outcome will be the Strengths and Difficulties Questionnaire. The second research aim is to develop and implement a survey of a national sample of pediatricians about their knowledge, attitudes and behavior about treatment of this group of children. A random sample of pediatricians in active general practice will be recruited from the American Medical Association Masterfile. The training aims of this application include course work in qualitative methods, scale development, and leadership. This group of skills will make the candidate a more successful mentor. The proposed mentoring plan takes advantage of a Pediatrics Department program designed to provide senior mentoring to junior faculty who are preparing to write a first external grant. It offers junior faculty a mentored research experience using either the proposed research or research in the mentee's own area of interest. The candidate's background in epidemiologic methods and pediatrics makes it possible for her to mentor junior faculty and fellows across subspecialties. The overall plan capitalizes on the resources offered to junior faculty and fellows in the Department of Pediatrics and at the University of Utah. These include the Center for Clinical and Translational Science's Master's of Science in Clinical Investigation (MSCI), its K12 program, and its biostatistics, survey design, bioinformatics and community engagement cores; many junior faculty with K awards; seminars such as Research in Progress; and the Pediatrics grant writing workshops. PUBLIC HEALTH RELEVANCE: There are 35,000 children hospitalized annually for traumatic brain injury. Many of these children have unrecognized problems in the year after injury including behavioral and academic problems. This project will ascertain what types of problems these children have one year after injury and whether primary care pediatricians are ready to recognize and address these problems.