School Transition After Traumatic Brain Injury (STATBI): Evaluating the Impact of Participation in a Formal Return-to-School Program for K-12 Students

创伤性脑损伤后的学校过渡 (STATBI)：评估 K-12 学生参加正式重返校园计划的影响

• 批准号: 9923386
• 负责人: Angela Hein Ciccia
• 金额: $ 53.82万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2023-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9923386
• 关键词: Transition; After; Traumatic; Brain; Injury

PROJECT ABSTRACT Every day in the United States, nearly 2,000 children under 14 years visit emergency departments with a traumatic brain injury (TBI). Despite the high incidence of negative long-term academic, social, and behavioral challenges experienced by children with TBI, few of these children receive appropriate educational supports at school. Return to school (RTS) programs that aim to assist children with TBI vary widely by state, and no existing RTS program has been systematically evaluated to determine its impact on students. The overall objective of this project is to rigorously evaluate the impact of a formal RTS program on outcomes for students in grades K-12 who have experienced TBI of any severity, compared to students who have no formal RTS programming. The hypothesis is that students who receive formal RTS services will demonstrate better academic, social, and health outcomes than students who do not receive these same services. The rationale for this research is that in order to make recommendations to guide public policy, we must improve our understanding of which specific components of a RTS program are most effective in improving outcomes for students with TBI. Comparing outcomes of students who receive formal RTS services to those who do not will provide us with valuable information about the effectiveness of comprehensive service provision for students with TBI. This study will prospectively evaluate the academic, social, and health outcomes of a group of 450 students with TBI who receive formal RTS services and a comparator cohort sample of 308 students who receive variable services (Aim 1). Students and caregivers will complete multiple measures and a family interview four times within the first year after injury, and again at year two and three. Additionally, using semi- structured focus groups and satisfaction surveys, researchers will evaluate service utilization, adherence to recommendations, and engagement with stakeholders between the two groups of students (Aim 2). The results of this work will provide, for the first time, a systematic comparison of outcomes for students with TBI who receive services through a formal RTS program and students who receive variable services. Ultimately, findings from this study will demonstrate the effectiveness of a structured, formalized RTS program on health, academic, and social outcomes for students in grades K-12 who sustain a TBI of any severity. The innovation of our design mitigates current challenges to creating best practices for RTS after TBI by evaluating the immediate and longer-term outcomes of students who receive formal RTS services compared to a demographically similar group of students with TBI who receive variable services.

项目摘要 在美国，每天有近 2,000 名 14 岁以下儿童带着孩子到急诊室就诊。 创伤性脑损伤（TBI）。尽管长期学术、社会和行为方面的负面影响发生率很高 患有 TBI 的儿童所经历的挑战，这些儿童中很少有人在学校接受适当的教育支持 学校。旨在帮助患有 TBI 的儿童的重返学校 (RTS) 计划因州而异，并且没有 现有的 RTS 计划已经过系统评估，以确定其对学生的影响。整体 该项目的目标是严格评估正式 RTS 计划对学生成果的影响 与没有接受过正式 RTS 的学生相比，经历过任何严重程度 TBI 的 K-12 年级学生 编程。假设接受正式 RTS 服务的学生会表现得更好 与没有接受这些相同服务的学生相比，他们的学业、社会和健康状况更好。理由 这项研究的重点是，为了提出指导公共政策的建议，我们必须改进我们的政策 了解 RTS 计划的哪些具体组成部分对于改善结果最有效 患有 TBI 的学生。比较接受正式 RTS 服务的学生与未接受正式 RTS 服务的学生的结果 为我们提供有关为学生提供全面服务的有效性的宝贵信息 与创伤性脑损伤。这项研究将前瞻性地评估 450 名参与者的学业、社会和健康结果 接受正式 RTS 服务的 TBI 学生和 308 名接受正式 RTS 服务的学生组成的比较队列样本 接受可变服务（目标 1）。学生和看护者将完成多项措施和家庭 受伤后第一年内面试四次，第二年和第三年再次面试。此外，使用半 结构化焦点小组和满意度调查，研究人员将评估服务利用率、遵守情况 建议，以及与两组学生之间的利益相关者的互动（目标 2）。结果 这项工作将首次对患有 TBI 的学生的结果进行系统比较 通过正式的 RTS 计划接受服务以及接受可变服务的学生。最终， 这项研究的结果将证明结构化、正式的 RTS 计划对健康、 遭受任何严重程度的 TBI 的 K-12 年级学生的学业和社会成果。创新 我们的设计通过评估 TBI 后的 RTS 最佳实践，缓解了当前的挑战 与接受正式 RTS 服务的学生相比，接受正式 RTS 服务的学生的近期和长期成果 人口统计相似的患有 TBI 的学生群体，他们接受不同的服务。