A Scalable mHealth Resource to Facilitate Behavioral and Emotional Recovery after Pediatric Traumatic Injury - Suplement

促进小儿创伤后行为和情绪恢复的可扩展移动医疗资源 - 补充

• 批准号: 10710907
• 负责人: Leigh E. Ridings
• 金额: $ 5.4万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-15 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10710907
• 关键词: Acceleration; Address; Affect; Area; Behavioral; Caregivers; Caring; Child; Child Care; Child Traumatic Stress; Childbirth; Childhood; Childhood Injury; Clinical; Clinical Trials; Clinical Trials Design; Communication; Data; Data Analyses; Dedications; Development; Education; Emotional; Enrollment; Ensure; Evaluation; Event; Family; Grant; Health; Health Technology; Hospitalization; Improve Access; Individual; Injury; International; Intervention; Life; Managed Care; Medical; Mental Depression; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Modeling; Monitor; Outcome; Participant; Patient Recruitments; Preparation; Prevention Research; Publications; Quality of Care; Quality of life; Recovery; Research; Research Assistant; Resources; Risk; Role; Services; South Carolina; Technology; Testing; Training; Trauma Research; Traumatic injury; Universities; Writing; barrier to care; behavioral health; behavioral outcome; career development; coping; cost effective; cost efficient; design; evidence base; experience; follow-up; implementation science; innovation; iterative design; longitudinal analysis; mHealth; pediatric emergency; pilot test; post-traumatic stress; programs; public health priorities; societal costs; trauma care; trauma centers; treatment research; usability

The overall objective of the Mentored Patient-Oriented Research Career Development Award (K23) is to support Dr. Leigh Ridings as she establishes a research portfolio that develops, rigorously tests, and scales innovative, cost-efficient, evidence-based health technology resources to improve access and quality of care for trauma- impacted families, such as those impacted by pediatric traumatic injury (PTI), in real-world settings. PTI is a public health priority, with nearly 120,000 children requiring hospitalization for injuries each year. PTI is associated with annual individual and societal costs of $87 billion and elevates risk for posttraumatic stress, depression, and other health risk consequences that affect quality of life, physical recovery, emotional and behavioral outcomes, family roles and routines, and academic functioning. Follow-up care for children and caregivers is critical to support behavioral and emotional recovery, but few trauma centers provide these services. Cost-effective, sustainable interventions are needed to reduce barriers to care and reach families that need it most. The current study directly addresses this clinical gap by developing and systematically evaluating CAARE (Caregivers’ Aid to Accelerate Recovery after pediatric Emergencies), an intervention consisting of education, self-monitoring, and coping resources for caregivers of young traumatically injured children. Dr. Ridings has completed Study Aim 1 to conduct usability testing with ~10 caregivers after PTI in preparation for CAARE pilot testing via an open trial with ~60 caregivers (Aim 2). Aim 3 involves assessment of CAARE implementation feasibility with families (n~20), trauma center directors (n~15), and program managers (n~15) and will be conducted following completion of the open trial. Administrative support is needed to ensure study aims are successfully implemented during the critical life events of childbirth and subsequent primary caretaking responsibilities. Support from the supplement will be used to hire a research coordinator to manage essential study tasks including participant recruitment, administering study assessments, participant renumeration, managing CAARE technology-based components, and managing and tracking participant data. Research assistant support will promote successful participant recruitment, enrollment, and completion of study aims. The supplement will also provide the support necessary for Dr. Ridings to maintain focus on dedicated mentorship and training in the following areas: 1) clinical trial design, implementation, and evaluation; 2) development and implementation of iterative-design technology-based solutions; 3) implementation science; 4) advanced statistical training in clinical trials, longitudinal analyses, and qualitative data analysis; and 5) scientific communication, including grant writing, presentations, and publications. Dr. Ridings is conducting K23 activities at the Medical University of South Carolina, which is ideally suited for mentored career development in child traumatic stress research. Administrative support to complete K23 activities will prepare Dr. Ridings to become an internationally recognized leader in child and family trauma prevention and treatment research.

受过指导的以患者为导向的研究职业发展奖（K23）的总体目标是支持 Leigh Ridings博士建立了一项研究组合，该研究组合可以开发，严格测试和扩展创新， 成本效益，基于证据的卫生技术资源，以改善创伤的获得和护理质量 - 在现实世界中，受到影响的家庭，例如受小儿创伤损伤（PTI）影响的家庭。 PTI是一个 公共卫生优先事项，每年有近120,000名儿童需要住院治疗。 PTI是 与每年870亿美元的个人和社会成本相关，并增加了创伤后压力的风险， 抑郁症以及其他影响生活质量，身体恢复，情绪和情感和的健康风险后果 行为成果，家庭角色和常规以及学术功能。儿童的后续护理 护理人员对于支持行为和情感恢复至关重要，但是很少有创伤中心提供这些 服务。需要采取成本效益，可持续的干预措施，以减少护理的障碍和接触家庭 最需要它。当前的研究通过开发和系统评估直接解决了这一临床差距 Caare（护理人员在小儿紧急情况下加速康复的援助），该干预措施包括 教育，自我监控和应对年轻受伤儿童的护理人员的资源。博士 Ridings已完成研究目标1，以在PTI后与约10位护理人员进行可用性测试，以准备 通过与约60名看护人进行开放试验（AIM 2），CAARE飞行员测试。 AIM 3涉及评估CAARE 与家庭的可行性（N〜20），创伤中心董事（N〜15）和计划经理（n〜15） 并将在开放式试验完成后进行。需要行政支持以确保学习 目标在分娩和随后的初级看法的关键生活事件中成功实施 责任。补充剂的支持将用于聘请研究协调员来管理基本 研究任务，包括参与招聘，管理研究评估，参与重生， 管理基于CAARE技术的组件，并管理和跟踪参与者数据。研究 助理支持将促进成功的参与招聘，入学和学习目标的完成。 补充还将为Riding博士提供必要的支持，以保持专注于专门的精神训练 以及以下领域的培训：1）临床试验设计，实施和评估； 2）发展和 实施基于技术设计的解决方案； 3）实施科学； 4）高级 临床试验，纵向分析和定性数据分析中的统计培训； 5）科学 沟通，包括赠款写作，演示和出版物。 Ridings博士正在进行K23活动 在南卡罗来纳州医科大学，非常适合儿童的指导职业发展 创伤性压力研究。为完成K23活动的行政支持将使Riding博士准备成为 一位国际公认的儿童和家庭创伤预防和治疗研究领导者。

项目成果

Caregivers' and Young Children's Emotional Health Needs After Pediatric Traumatic Injury.

• DOI: 10.1177/00099228221097498
• 发表时间: 2022-09
• 期刊: Clinical pediatrics
• 影响因子: 1.6

Adolescent Suicide-Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death.

• DOI: 10.1007/s40719-022-00223-7
• 发表时间: 2022
• 期刊: Current trauma reports
• 影响因子: 0.7
• 作者: Hink AB;Killings X;Bhatt A;Ridings LE;Andrews AL
• 通讯作者: Andrews AL

Prediction of posttraumatic stress and depression one-month post-injury: A comparison of two screening instruments.

• DOI: 10.1037/hea0001114
• 发表时间: 2021-10
• 期刊: HEALTH PSYCHOLOGY
• 影响因子: 4.2
• 作者: Ennis, Naomi;Anton, Margaret;Bravoco, Olivia;Ridings, Leigh;Hunt, Josh;deRoon-Cassini, Tern A.;Davidson, Tatiana;Ruggiero, Kenneth
• 通讯作者: Ruggiero, Kenneth

Hybrid type 1 randomized controlled trial of a tablet-based application to improve quality of care in child mental health treatment.

基于平板电脑的应用程序的混合 1 型随机对照试验，旨在提高儿童心理健康治疗的护理质量。

• DOI: 10.1016/j.cct.2020.106010
• 发表时间: 2020
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Anton,MargaretT;Ridings,LeighE;Hanson,Rochelle;Davidson,Tatiana;Saunders,Benjamin;Price,Matthew;KmettDanielson,Carla;Chu,Brian;Dismuke,ClaraE;Adams,ZacharyW;Ruggiero,KennethJ
• 通讯作者: Ruggiero,KennethJ