A5087678931- Traumatic Brain Injury Research
- Family and Disability Support Research
- Cardiac Arrest and Resuscitation
- Infant Development and Preterm Care
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Psychosocial and Emotional Development
- Trauma and Emergency Care Studies
- Family and Patient Care in Intensive Care Units
- Cerebral Palsy and Movement Disorders
- Attention Deficit Hyperactivity Disorder
- Neonatal and fetal brain pathology
- Advanced Neuroimaging Techniques and Applications
- Child Abuse and Trauma
- Family Support in Illness
- Resilience and Mental Health
- Autism Spectrum Disorder Research
- Telemedicine and Telehealth Implementation
- Epilepsy research and treatment
- Emergency and Acute Care Studies
- Functional Brain Connectivity Studies
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Asthma and respiratory diseases
Cincinnati Children's Hospital Medical Center
2016-2025
University of Cincinnati
2016-2025
University of Cincinnati Medical Center
2015-2024
Wade College
2014-2024
Bell (Canada)
2024
De Beers (Canada)
2024
University of Toronto
2024
Schmid (Germany)
2022
University of Calgary
2015-2022
National Archives and Records Administration
2022
Mild traumatic brain injury (mTBI), or concussion, in children is a rapidly growing public health concern because epidemiologic data indicate marked increase the number of emergency department visits for mTBI over past decade. However, no evidence-based clinical guidelines have been developed to date diagnosing and managing pediatric United States.To provide guideline based on previous systematic review literature obtain assess evidence toward developing recommendations care professionals...
The social outcomes of pediatric traumatic brain injury (TBI) were examined in a prospective, longitudinal study that included 53 children with severe TBI, 56 moderate and 80 orthopedic injuries, recruited between 6 12 years age. Child family functioning assessed at baseline, 6- 12-month follow-ups, an extended follow-up mean 4 post injury. Growth curve analyses revealed TBI yields negative are exacerbated by environments characterized lower socioeconomic status, fewer resources, poorer...
To determine the acute predictors associated with development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury.Retrospective analysis a prospective observational study.Pediatric emergency department (ED) children's hospital.Four hundred six aged 5 to 18 years.Closed head trauma.The Rivermead Post Concussion Symptoms Questionnaire administered 3 months injury.Of patients presenting ED injury, 29.3% developed PCS. The most frequent PCS symptom was...
This article addresses the need for age-relevant outcome measures traumatic brain injury (TBI) research and summarizes recommendations by inter-agency Pediatric TBI Outcomes Workgroup. The Workgroup's address primary clinical objectives including characterizing course of recovery from TBI, prediction later outcome, measurement treatment effects, comparison outcomes across studies. Consistent with other Common Data Elements (CDE) Workgroups, Workgroup adopted standard three-tier system in its...
To describe the methodology and report primary outcomes of an exploratory randomized clinical trial (RCT) aerobic training for management prolonged symptoms after a mild traumatic brain injury (mTBI) in adolescents.Outpatient research setting.Thirty adolescents between ages 12 17 years who sustained mTBI had 4 16 weeks persistent symptoms.Partially blinded, pilot RCT subsymptom exacerbation compared with full-body stretching program.The outcome was postinjury symptom improvement assessed by...
Longitudinal behavior and achievement outcomes of traumatic brain injury (TBI) were investigated in 53 children with severe TBI, 56 moderate 80 orthopedic injuries not involving insult. Measures preinjury child family status postinjury skills administered shortly after injury. Assessments repeated 3 times across a mean follow-up interval 4 years. Results from mixed model analysis revealed persisting sequelae TBI. Recovery math was observed the TBI group but only for less stressed families....
Objective. Children living in the inner city are affected disproportionately by asthma morbidity and mortality. Previous research has shown that behavioral psychosocial factors affect children. The National Cooperative Inner-City Asthma Study investigated contribute to among inner-city This article examines relationship between this population. Methods. A total of 1528 English- Spanish-speaking children 4 9 years age with their primary caretakers were recruited from 8 centers 7 metropolitan...
Child behavior problems, injury-related family burden, and parent psychological distress were assessed longitudinally over the first year post injury in 40 children with severe traumatic brain (TBI), 52 moderate TBI, 55 orthopedic injuries not involving insult. Parents rated children's preinjury soon after injury. Postinjury child outcomes at 6- 12-month follow-ups. Findings from path analysis revealed both direct indirect effects of TBI on outcomes, as well cross-lagged child-family...
Previous studies of childhood traumatic brain injury (TBI) have emphasized injury-related variables rather than environmental factors as predictors recovery. We addressed this concern using data collected during a prospective study children with either TBI or orthopedic injuries (OI) and their families. Participants included 53 severe TBI, 56 moderate 80 OI, all from 6 to 12 years age at the time injury. Measures preinjury family environment were shortly after (baseline). Child cognitive...
Objective-This study sought to determine whether the family environment moderates psychosocial outcomes after traumatic brain injury (TBI) in young children.Method-Participants were recruited prospectively from consecutive hospital admissions of 3-6 year old children, and included 19 with severe TBI, 56 complicated mild/moderate 99 orthopedic injuries (OI).They completed four assessments across first 18 months postinjury.The initial assessment measures parenting style, functioning, quality...
This study examined recovery over the first year following traumatic brain injury (TBI) in children 6-12 years of age. Forty-two with severe TBI and 52 moderate were compared to 58 orthopedic injuries. The their families evaluated at a baseline assessment 6- 12-month follow-ups. Findings documented cognitive, achievement, behavioral sequelae TBI, only limited evidence for postinjury. Outcomes predicted by preinjury factors, severity, measures postinjury family environment. Some more marked...
Objectives. Morbidity from asthma among children is one of the most important US health concerns. This study examines relationship baseline nonadherence to subsequent morbidity inner-city children. Methods. A multisite, prospective, longitudinal panel was conducted 1199 who were aged 4 9 years and had their caregivers, whom parents, in emergency departments clinics at 8 research centers 7 metropolitan areas. Nine indicators collected 3, 6, months after baseline, including hospitalizations,...
This study examined whether an online problem-solving intervention could improve parental adjustment following pediatric traumatic brain injury (TBI). Families of children with moderate-to-severe TBI were recruited from the trauma registry a large children's hospital and randomly assigned to receive family problem solving therapy (FPS; n = 20) or Internet resources (IRC; in addition usual care. The FPS group reported significantly less global distress, depressive symptoms, anxiety at...
Longitudinal patterns of functional deficits were investigated in 37 children with severe traumatic brain injury (TBI), 40 moderate TBI, and 44 orthopedic injuries. They from 6 to 12 years age when injured. Their neuropsychological, behavioral, adaptive, academic functioning assessed at months, 3-5 postinjury. Functional (<10th percentile for age) identified within each outcome domain occasion. Children classified into 4 a priori longitudinal outcomes domains (i.e., no deficits, improvement,...
This study looked at the emergence of clinically significant problems in behavior, executive function skills, and social competence during initial 18 months following traumatic brain injury (TBI) young children relative to a cohort with orthopedic injuries (OI) environmental factors that predict difficulties postinjury.Children, ages 3-7 years, hospitalized for severe TBI, moderate or OI were seen shortly after their (M = 40 days) again 6 months, 12 postinjury.Behavioral parent self-reports,...
This study examined the impact of traumatic brain injury (TBI) in young children on executive functions and social competence, particularly role as a predictor competence.
Pediatric traumatic brain injury (TBI) contributes to impairments in behavior and academic performance. However, the long-term effects of early childhood TBI on functioning across settings remain poorly understood.
Changes in daily life created by the novel coronavirus (COVID-19) pandemic have resulted a largely unprecedented situation for millions of families worldwide. Families are under considerable stress, and parents may experience greater psychological distress disruptions parent- child relationship. Some be particularly vulnerable to recent stressors, including those with preexisting disorders family dysfunction. In United States, military veterans one such at-risk population. Recent challenges...
Previous research has demonstrated a significant reciprocal relationship between psychosocial factors and asthma morbidity in children. The National Cooperative Inner-City Asthma Study investigated both asthma-specific non-specific variables, including knowledge beliefs management behavior, caregiver child adjustment, life stress, social support. This article presents these characteristics 1,528 4-9-year-old asthmatic urban children their caretakers. Caretakers considerable knowledge,...
Longitudinal neuropsychological outcomes of traumatic brain injury (TBI) were investigated in 53 children with severe TBI, 56 moderate and 80 orthopedic injuries only. Neuropsychological functioning was assessed at baseline, 6- 12-month follow-ups, an extended follow-up (a mean 4 years postinjury). Mixed model analyses revealed persistent sequelae TBI that generally did not vary as a function time postinjury. Some recovery occurred during the first year postinjury, but reached plateau after...
Objective. Relatively little is known about the longer-term impact of traumatic brain injury (TBI) on children’s daily functioning, especially broader outcome domain referred to as health-related quality life (HRQL). The objective present study was examine nature and predictors HRQL outcomes in children with moderate severe TBI an average 4 years postinjury. Methods. used a concurrent cohort-prospective design involving postinjury assessments 3 groups traumatically injured their families...
Objective. Traumatic brain injury (TBI) often leads to long-term behavioral and cognitive deficits in children. However, little is known about the burden psychosocial morbidity of pediatric TBI for families. The purpose this study was test hypothesis that moderate severe children has more adverse consequences than orthopedic trauma. Design. sample comprised between ages 6 12 recruited from hospital trauma inpatient units including 53 with TBI, 56 80 injuries not involving central nervous...