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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 10 of 10 Research Studies Displayed
Hood CO, Higgins K, Becerra G
Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury.
This feasibility pilot examined a text message-based symptom monitoring service for families after pediatric traumatic injury. The study included 25 caregivers of injured children under age 12 who received up to four daily texts for 30 days after discharge. These messages included questions about the mental health status of both caregiver and child, along with educational tips when symptoms were reported. Results showed strong engagement, with 91.1% of caregivers responding to at least one message and 66.6% responding to over half. Qualitative interviews revealed that caregivers found the timing and content helpful for emotional recovery. They suggested improvements including direct interaction options with mental health providers. The researchers conclude that text-based monitoring services can help address gaps in mental health services during acute recovery for families of traumatically injured children.
AHRQ-funded; HS028006.
Citation: Hood CO, Higgins K, Becerra G . Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury. Psychol Trauma 2024 Dec; 16(suppl 3):S650-S57. doi: 10.1037/tra0001795.
Keywords: Children/Adolescents, Caregiving, Trauma, Behavioral Health, Health Information Technology (HIT)
Morrow EL, Nelson LA, Duff MC
An ecological momentary assessment and intervention tool for memory in chronic traumatic brain injury: development and usability of memory ecological momentary intervention.
This study aimed to develop and test the usability of memory ecological momentary intervention (MEMI), a text message-based assessment and intervention tool for memory in daily life for patients suffering from memory loss due to traumatic brain injury (TBI). The authors developed MEMI by recruiting 14 adults with chronic, moderate-severe TBI from the Vanderbilt Brain Injury Patient Registry to participate in 3 rounds of usability testing: one round of ThinkAloud sessions using the platform and providing real-time feedback to an experimenter (n=4) and 2 rounds of real-world usability testing in which participants used MEMI in their daily lives for a week and provided feedback (n=5/round). They analyzed engagement and quantitative and qualitative user feedback to assess MEMI's usability and acceptability. Participants rated MEMI as highly usable, with scores on the System Usability Scale across all rounds equivalent to an A+ on a standardized scale. Semi-structured interviews were conducted, where participants stated that MEMI was simple and easy to use, that daily retrieval sessions were not burdensome, and that they perceived MEMI as helpful for memory.
AHRQ-funded; HS026122.
Citation: Morrow EL, Nelson LA, Duff MC . An ecological momentary assessment and intervention tool for memory in chronic traumatic brain injury: development and usability of memory ecological momentary intervention. JMIR Rehabil Assist Technol 2024 Nov 26; 11:e59630. doi: 10.2196/59630.
Keywords: Brain Injury, Trauma, Chronic Conditions
Anton NE, Obuseh M, Lim C
Nontechnical skills assessment in acute care trauma simulations: a mixed methods approach using eye tracking and behavioral marker systems.
This study employed a mixed methods approach to assess the relationship between trauma team leaders' objective gaze patterns and subjective expert nontechnical skills (NTS) ratings during patient care simulations. Nine trauma teams from first-year post-graduate general surgery and emergency medicine residents were recruited to participate in 1 of 2 trauma simulations. The results indicated that, when compared to other NTS domains, trauma teams scored relatively poorly on communication. There were also significant differences in trauma team leaders' gaze metrics between teammates and the patient. The authors concluded that their results provided several objective insights into trauma team leaders' NTS behaviors during patient care simulations, which may provide more comprehensive understanding of NTS behaviors and can be leveraged to guide NTS training of trauma physicians in the future.
AHRQ-funded; HS028026; 11001301.
Citation: Anton NE, Obuseh M, Lim C . Nontechnical skills assessment in acute care trauma simulations: a mixed methods approach using eye tracking and behavioral marker systems. Mil Med 2024 Aug 19; 189(suppl 3):719-27. doi: 10.1093/milmed/usae240..
Keywords: Trauma, Simulation, Training
Selden TM, Bernard DM, Decker SL
大象视频Author: Selden TM, Bernard DM, Decker SL, Fang Z
Adverse childhood experiences: health care utilization and expenditures in adulthood.
This study investigated the association between adverse childhood experiences (ACEs) and adult health care utilization and expenditures using data from the 2021 Medical Expenditure Panel Survey. Adults with ACEs showed significantly higher health care utilization and 26.3% higher expenditures compared to those without ACEs. The aggregate spending difference amounted to $292 billion for the 157.6 million U.S. adults with ACEs. Additionally, ACEs were linked to poorer health status, risky health behaviors, and various adverse adult circumstances, including financial and housing issues.
AHRQ-authored.
Citation: Selden TM, Bernard DM, Decker SL . Adverse childhood experiences: health care utilization and expenditures in adulthood. Health Aff 2024 Jul 24; 43(8):1117-27. doi: 10.1377/hlthaff.2023.01271..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Trauma, Healthcare Utilization, Healthcare Costs
Ilkhani S, Naus AE, Pinkes N
The invisible scars: unseen financial complications worsen every aspect of long-term health in trauma survivors.
This study investigated financial toxicity (FT) among trauma survivors, aiming to understand its prevalence, risk factors, and impact on long-term outcomes. The researchers interviewed adult trauma patients with an Injury Severity Score of 9 or higher from Level I trauma centers, 6 to 14 months after discharge. FT was defined as experiencing income loss, lack of care, newly applied or qualified governmental assistance, new financial problems, or work loss due to injury. The study found that 44% of the 577 participants experienced some form of FT. Protective factors against FT included older age and stronger social support networks. Conversely, having two or more comorbidities, lower education levels, and injuries from road accidents or intentional causes were associated with higher FT risk. Notably, injury severity, sex, and single-family household status did not show significant relationships with FT. Patients experiencing FT demonstrated worse outcomes across all health domains measured by the Patient Reported Outcome Measure Index System (PROMIS). A negative linear relationship was observed between FT severity and both mental and physical health scores.
AHRQ-funded; HS028672.
Citation: Ilkhani S, Naus AE, Pinkes N . The invisible scars: unseen financial complications worsen every aspect of long-term health in trauma survivors. J Trauma Acute Care Surg 2024 Jun; 96(6):893-900. doi: 10.1097/ta.0000000000004247..
Keywords: Trauma, Healthcare Costs, Health Status, Injuries and Wounds
Adams DR, P茅rez-Flores NJ, Mabrouk F DR, P茅rez-Flores NJ, Mabrouk F
Assessing access to trauma-informed outpatient mental health services for adolescents: a mystery shopper study.
A mystery shopper study examined the accessibility of trauma-informed mental health services for adolescents in Cook County, Illinois safety-net clinics. Posing as mothers of traumatized children, researchers were only able to schedule appointments in 17% of calls to community mental health centers (CMHCs) and federally qualified health centers (FQHCs). Appointment denials were primarily due to capacity constraints at CMHCs (67%) and administrative requirements to switch providers at FQHCs (62%). Notably, non-White callers were less likely to be offered an appointment than White callers, raising concerns about potential racial bias in scheduling practices. Wait times averaged 12 days, with CMHCs offering shorter wait times than FQHCs. Only 38% of schedulers reported offering trauma-informed therapy at their centers. These findings reveal significant disparities and barriers to accessing crucial mental health services for adolescents, particularly those from marginalized backgrounds.
AHRQ-funded; HS000084.
Citation: Adams DR, P茅rez-Flores NJ, Mabrouk F DR, P茅rez-Flores NJ, Mabrouk F . Assessing access to trauma-informed outpatient mental health services for adolescents: a mystery shopper study. Psychiatr Serv 2024 May; 75(5):402-09. doi: 10.1176/appi.ps.20230198..
Keywords: Children/Adolescents, Behavioral Health, Trauma, Access to Care
O'Connor KE, Shanholtz CE, Espeleta HC
Mental health symptoms and engagement in a stepped-care mental health service among patients with a violent versus nonviolent injury.
This study examined differences in engagement between survivors of nonviolent versus violent injury in the Trauma Resilience and Recovery Program (TRRP), a technology-enhanced model designed to provide evidence-based mental health screening and treatment. Data was analyzed from adult patients enrolled in TRRP and admitted to a Level-I trauma service. Results showed that engagement in services at bedside was similar for survivors of violent and nonviolent traumatic injury; patients with a violent injury had higher levels of posttraumatic stress disorder and depressive symptoms 30 days after injury, but were less likely to engage in mental health screening. The authors concluded that patients with violent traumatic injury have higher levels of mental health needs but face greater barriers to accessing services. Effective strategies are needed to ensure continuity of care and access to mental health care.
AHRQ-funded; HS028006.
Citation: O'Connor KE, Shanholtz CE, Espeleta HC . Mental health symptoms and engagement in a stepped-care mental health service among patients with a violent versus nonviolent injury. J Trauma Acute Care Surg 2024 Apr; 96(4):650-57. doi: 10.1097/ta.0000000000004078..
Keywords: Behavioral Health, Patient and Family Engagement, Trauma
Aghaei P, Bayramzadeh S
Clinicians鈥 experience with technology within the physical environment of trauma rooms: a focus group study.
This study鈥檚 objective was to investigate how trauma team members perceive technological equipment and tools in the trauma room (TR) environment and to identify how the technological equipment could be optimized in relation to the TR鈥檚 space. The authors conducted a total of 21 focus group sessions with 69 trauma team members, all of whom worked in Level I TRs from six teaching hospitals in the USA. Findings were analyzed and categorized into three parent themes: imaging equipment, assistive devices, and room features. The results suggest that trauma team members place high importance on the availability and versatility of the technological equipment in the TR environment. CT-scanners were not usually optimized for easy access to the TR. Other suggestions included the implementation of cameras and screens to accommodate situation awareness, and the rapid sharing of data such as imaging results. This study will inform health-care designers with the knowledge they need to make informed decisions when designing TRs. It covers key considerations such as room layout, equipment selection, lighting and controls.
AHRQ-funded; HS027261.
Citation: Aghaei P, Bayramzadeh S . Clinicians鈥 experience with technology within the physical environment of trauma rooms: a focus group study. Facilities 2024 Mar 12. 2024/02/14..
Keywords: Workflow, Teams, Emergency Department, Trauma
Held P, Smith LJ, Parmar AM
patient history, years of practice, familiarity with the patient, concerns with patient medication adherence, and practice type.
A comparative study evaluated treatment outcomes for veterans receiving intensive PTSD therapy programs of different durations. The research tracked 638 participants in a two-week program and 496 in a three-week program, measuring PTSD and depression symptoms over twelve months. The two-week program delivered cognitive processing therapy twice daily, while the three-week version included both individual and group sessions with additional services. Both programs demonstrated significant improvement in PTSD and depression symptoms, with the shorter program achieving similar therapeutic benefits despite fewer clinical hours.
AHRQ-funded; HS028511.
Citation: Held P, Smith LJ, Parmar AM . patient history, years of practice, familiarity with the patient, concerns with patient medication adherence, and practice type. Eur J Psychotraumatol 2024; 15(1):2350908. doi: 10.1080/20008066.2024.2350908.
Keywords: Depression, Behavioral Health, Stress, Trauma
Scaife JH, Bryce JR, Iantorno SE
Secondary undertriage of pediatric trauma patients across the United States emergency departments.
The term 鈥淯ndertriage鈥 refers to the treatment of patients at facilities lacking in the equipment needed to treat the patient's injuries appropriately. The purpose of this retrospective cohort study was to assess the relationship between patient and hospital characteristics and secondary undertriage in children after major trauma. The researchers utilized the 2019 Nationwide Emergency Department Sample and included patients aged less than 18 years of age if they presented to a Level 3 or non-trauma center (NTC) and were diagnosed with a traumatic injury with an injury severity score of greater than 15 based on International Classification of Diseases 10 codes. The study found that of 6,572 weighted patients, 15% were undertriaged. Undertriage was significantly associated with older age, metropolitan location, and major abdominal injuries. After multivariable adjustment, secondary undertriage was significantly associated with patients aged 6-10 years of age compared to patients aged 15-17 years, penetrating injury, major chest injury, and presentation at a teaching hospital.
AHRQ-funded; HS025776.
Citation: Scaife JH, Bryce JR, Iantorno SE . Secondary undertriage of pediatric trauma patients across the United States emergency departments. J Surg Res 2024 Jan; 293:37-45. doi: 10.1016/j.jss.2023.07.054..
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Emergency Department, Trauma, Injuries and Wounds

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