Disruptive Behavior Disorders in Children after Severe TBI: Family and Neighborhood Context

严重创伤性脑损伤后儿童的破坏性行为障碍:家庭和邻里环境

基本信息

  • 批准号:
    9223010
  • 负责人:
  • 金额:
    $ 23.09万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2017
  • 资助国家:
    美国
  • 起止时间:
    2017-01-15 至 2018-12-31
  • 项目状态:
    已结题

项目摘要

Abstract Despite preventative measures, traumatic brain injury (TBI) remains the leading cause of death and disability in children. Minimal data exists comprehensively studying the incidence, demographics, and contextual factors that affect recovery. Major questions exist regarding the impact of post-injury disruptive behavioral disorders (DBD), which include attention deficit- hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). Recent evidence suggests that family and neighborhood context play an important role in recovery after TBI; however, this process is poorly understood. Studies have found an association between family functioning and outcomes following TBI but have not completely explained the relationship or determined if impaired family functioning precedes poor TBI outcomes. Neighborhood contexts are hypothesized to affect social conditions and opportunities, affecting recovery. Conversely, neighborhood concentration of poverty is negatively associated with health, including behavioral related sequelae such as ODD and CD. The proposed study is planned to provide an exploration of the contexts in which injuries take place in order to develop a more sophisticated, comprehensive framework to address the needs of children who have survived TBI. Using existing data from The Approaches and Decisions in Acute Pediatric TBI (ADAPT) Trial (target enrollment = 1,000), we will determine the incidence of DBD’s, which children are at risk for developing DBD’s, the impact of family, and the influence of service availability and neighborhood context. The aims of the proposal are to: 1) Conduct focus groups with community stakeholders to identify neighborhood level covariates. 2) Describe the epidemiology of DBD following TBI, and 3) Determine the relationship between family functioning and neighborhood factors on risk for DBD of children following TBI. The overarching goal of this R21 is two-fold: 1) to gain information on this important, understudied process, and 2) to develop this multidisciplinary group including community partners and stakeholders. This will allow us to submit a larger R01 to build upon the proposed work by more finely assessing DBD outcomes and measuring neighborhood influence.
摘要

项目成果

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ANTHONY FABIO其他文献

ANTHONY FABIO的其他文献

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{{ truncateString('ANTHONY FABIO', 18)}}的其他基金

Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    8317290
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    8144330
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    7777079
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    8535069
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    8142017
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Large Scale Natural Experiment of Community Economic Development: Effects on Vio
社区经济发展的大规模自然实验:对Vio的影响
  • 批准号:
    7927128
  • 财政年份:
    2009
  • 资助金额:
    $ 23.09万
  • 项目类别:
Why Some Generations Are More Violent Than Others
为什么有些世代比其他世代更暴力
  • 批准号:
    7120028
  • 财政年份:
    2004
  • 资助金额:
    $ 23.09万
  • 项目类别:
Why Some Generations Are More Violent Than Others
为什么有些世代比其他世代更暴力
  • 批准号:
    6914735
  • 财政年份:
    2004
  • 资助金额:
    $ 23.09万
  • 项目类别:
Why Some Generations Are More Violent Than Others
为什么有些世代比其他世代更暴力
  • 批准号:
    6952022
  • 财政年份:
    2004
  • 资助金额:
    $ 23.09万
  • 项目类别:
Injury control research centers
伤害控制研究中心
  • 批准号:
    7275972
  • 财政年份:
    2003
  • 资助金额:
    $ 23.09万
  • 项目类别:

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