Epidemiology and Prevention of Abusive Abdominal Trauma in Children

儿童虐待性腹部创伤的流行病学和预防

• 批准号: 7766970
• 负责人: WENDY GWIRTZMAN LANE
• 金额: $ 12.83万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-12 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7766970
• 关键词: 1 year old; Abdomen; Abdominal Injuries; Area; Award; Baltimore; Biometry; Case Series; Child; Child Abuse; Child Abuse and Neglect; Child Mortality; Child abuse prevention; Childhood; Clinical; Clinical Management; Clinical Research; Cost Effectiveness Analysis; Craniocerebral Trauma; Data; Databases; Emotional; Epidemiology; Ethical Issues; Evaluation; Evidence based practice; Future; Grant; Health Personnel; Hospitalization; Hospitalized Child; Incidence; Injury; Inpatients; Intervention; Knowledge; Maryland; Medical; Mentors; Morbidity - disease rate; Outcome; Population; Prevention; Prevention program; Preventive Intervention; Preventive Medicine; Primary Health Care; Publications; Research; Research Project Grants; Risk; Risk Factors; Sampling; Screening procedure; Severities; Source; Training; Trauma; Universities; Work; base; career; cost; cost effectiveness; design; experience; maltreatment; pediatric department; prevent; primary care setting; programs; public health relevance; responsible research conduct; skills

DESCRIPTION (provided by applicant): This proposal is designed to prepare this applicant, through educational and research experiences, for an independent academic career in the field of child maltreatment research. Dr. Lane will work closely with three mentors at the University of Maryland, Baltimore: Dr. Howard Dubowitz from the Department of Pediatrics, and Drs. Patricia Dischinger and Dr. Patricia Langenberg from the Department of Epidemiology and Preventive Medicine. Dr. Lane plans to enhance her skills in three specific areas: (1) Identification of where prevention interventions are most needed, through an enhanced understanding of risk and protective factors and expanded skills in epidemiology; (2) Knowledge in design and implementation of prevention interventions, including the ethical issues that may arise; (3) Skills in the evaluation of interventions to prevent maltreatment. The didactic portion of this training will include coursework in the design and evaluation of prevention interventions, advanced epidemiology and biostatistics, cost-effectiveness analysis, and responsible conduct of research. The scholar-initiated research will focus on the epidemiology of overt and occult abusive abdominal trauma, as well as child maltreatment prevention. The specific aims are to: (1) Estimate the incidence of overt and occult abusive abdominal trauma, (2) Compare clinical outcomes of children with abusive abdominal trauma to those with non-abusive abdominal trauma, (3) Identify factors that are associated with a positive screen for occult abdominal trauma among children with suspected abuse, and (4) Determine the cost-effectiveness of a child maltreatment prevention program. Data from several sources will be used. The KID Inpatient Database, a national sample of pediatric hospitalizations, will be used to examine the incidence of overt abusive abdominal trauma. A screening program for occult abdominal trauma will be developed to estimate its incidence among children with suspected abuse. A cost effectiveness analysis will be conducted for Dr. Dubowitz's SEEK III study, which aims to reduce child abuse incidence via risk factor screening in pediatric primary care. In addition to publications, data from this mentored research award will be used to develop independent proposals in child abuse epidemiology and prevention. This proposal has both short- and long-term public health relevance. The specific research projects will help establish evidence-based practice in the medical management and prevention of child abuse. The training component will provide Dr. Lane with the skills to continue this work in future research projects.

描述（由申请人提供）：本提案旨在通过教育和研究经验，为申请人在儿童虐待研究领域的独立学术生涯做好准备。 Lane 博士将与巴尔的摩马里兰大学的三位导师密切合作：儿科系的 Howard Dubowitz 博士和 Drs.流行病学和预防医学系的帕特里夏·迪辛格 (Patricia Dischinger) 和帕特里夏·朗根伯格 (Patricia Langenberg) 博士。 莱恩博士计划增强她在三个具体领域的技能：（1）通过增强对风险和保护因素的理解以及扩展流行病学技能，确定最需要预防干预的地方； (2) 了解预防干预措施的设计和实施，包括可能出现的伦理问题； (3) 评估预防虐待干预措施的技能。该培训的教学部分将包括预防干预措施的设计和评估、高级流行病学和生物统计学、成本效益分析以及负责任的研究行为等课程。这项由学者发起的研究将重点关注公开和隐匿的腹部虐待性创伤的流行病学，以及儿童虐待的预防。具体目标是：(1) 估计明显和隐匿的腹部虐待性创伤的发生率，(2) 比较腹部虐待性创伤儿童与非腹部虐待性创伤儿童的临床结果，(3) 确定与腹部虐待性创伤相关的因素。对疑似虐待儿童进行隐匿性腹部创伤的阳性筛查，以及 (4) 确定儿童虐待预防计划的成本效益。将使用多个来源的数据。 KID 住院数据库是全国儿科住院样本，将用于检查明显虐待性腹部创伤的发生率。将制定一项隐匿性腹部创伤筛查计划，以估计疑似遭受虐待的儿童的发病率。 Dubowitz 博士的 SEEK III 研究将进行成本效益分析，该研究旨在通过儿科初级保健中的危险因素筛查来减少虐待儿童的发生率。除了出版物之外，该指导研究奖的数据还将用于制定虐待儿童流行病学和预防方面的独立提案。该提案具有短期和长期的公共卫生相关性。具体的研究项目将有助于在医疗管理和预防虐待儿童方面建立循证实践。培训部分将为莱恩博士提供在未来的研究项目中继续这项工作的技能。