Primary Care after Hospitalization for Pediatric Traumatic Brain Injury

儿童脑外伤住院后的初级保健

• 批准号: 8337166
• 负责人: HEATHER T. KEENAN
• 金额: $ 18.69万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-20 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8337166
• 关键词: 14 year old; 15 year old; Address; Affect; Age; American Medical Association; Area; Attitude; Behavior; Behavioral; Bioinformatics; Biometry; Brain; Caring; Child; Child Care; Child health care; Childhood; Clinical; Clinical Sciences; Clinical Trials; Cognitive; Cognitive deficits; Communities; County; Critical Care; Data; Development; Educational workshop; Ensure; Epidemiologic Methods; Epidemiologist; Faculty; Family; Focus Groups; Friends; Functional disorder; Funding; General Practices; Goals; Grant; Group Practice; Health Knowledge, Attitudes, Practice; Healthcare; Home environment; Hospitalization; Hospitalized Child; Hospitals; Human Development; Injury; Inpatients; Institutes; Intelligence; Intervention; Interview; K-Series Research Career Programs; Knowledge; Late Effects; Leadership; Life; Master of Science; Mentored Clinical Scientist Development Program; Mentors; Mission; Neurosurgeon; Nursing Faculty; Outcome; Parents; Patients; Pediatrics; Performance; Persons; Population; Prevalence; Primary Health Care; Psychological Tests; Qualitative Methods; Questionnaires; Recording of previous events; Recruitment Activity; Rehabilitation therapy; Reporting; Research; Resources; Risk; Role; Sampling; Schools; Sodium Chloride; Structure; Surveys; Symptoms; System; Telephone; Telephone Interviews; Testing; Time; Training; Translational Research; Traumatic Brain Injury; Universities; Utah; Work; Writing; base; care systems; cohort; design; disability; executive function; experience; follow-up; improved; injured; insight; interest; medical specialties; patient oriented research; pediatric department; pediatric traumatic brain injury; pediatrician; primary outcome; professor; programs; psychologic; rehabilitation service; skills

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.

描述（由申请人提供）：此K24申请为来自多个专业的初级教师和临床研究员提供指导经验，他们正在儿科进行以患者为导向的研究。K24候选人是犹他州大学重症监护部的流行病学家和儿科副教授，曾在创伤性脑损伤儿童的结局方面获得资助。这项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，即确保儿童有机会过上健康和有所作为的生活，不受残疾的影响。这项研究的第一个具体目的是确定在创伤性脑损伤住院治疗一年后，影响儿童日常生活的学术、心理和执行功能缺陷的患病率。这一目标将得以实现 通过从盐湖县招募一组4至14岁的儿童。将对儿童进行纵向随访，并对父母报告的结局进行电话随访。主要结果将是优势和困难问卷。第二个研究目标是制定和实施一项全国性的儿科医生样本调查，了解他们对这组儿童治疗的知识、态度和行为。将从美国医学协会主文件中随机抽取一批活跃的全科医生。该应用程序的培训目标包括定性方法，量表 发展和领导力。这组技能将使候选人成为更成功的导师。拟议的指导计划利用了儿科系的一个项目，该项目旨在为准备撰写第一份外部赠款的初级教师提供高级指导。它为初级教师提供了一个指导的研究经验，使用拟议的研究或研究在受指导者自己感兴趣的领域。候选人在流行病学方法和儿科学方面的背景使她有可能指导跨亚专业的初级教师和研究员。总体计划利用了提供给初级教师和研究员的资源 在儿科系和犹他州大学。其中包括临床和转化科学中心的临床研究科学硕士（MSCI），其K12计划，以及其生物统计学，调查设计，生物信息学和社区参与核心;许多初级教师获得K奖;研讨会，如研究进展;和儿科补助金写作研讨会。 公共卫生相关性：每年有35，000名儿童因创伤性脑损伤住院。这些孩子中的许多人在受伤后的一年里出现了未被认识到的问题，包括行为和学业问题。该项目将确定这些儿童在受伤一年后有什么类型的问题，以及初级保健儿科医生是否准备好认识和解决这些问题。