Evidence map›Paper›PMID 31107769›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP

Behavioral Health Service Utilization and Unmet Need After Traumatic Brain Injury in Childhood.

Megan E Narad, Emily Moscato, Keith Owen Yeates, H Gerry Taylor, Terry Stancin, Shari L Wade

Abstract read
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Megan E NaradDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Emily MoscatoDivision of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Keith Owen YeatesDepartment of Psychology, Alberta Children's Hospital Research Institute and Hotchkiss Brain Institute, University of Calgary, Alberta, Canada.
H Gerry TaylorBiobehavioral Health Center, Nationwide Children's Hospital Research Institute, Nationwide Children's Hospital, Columbus, OH.
Terry StancinDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Shari L WadeDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
VITAMIN K DEFICIENCY IN CHOLESTATIC LIVER DISEASEM01RR008084 · NCRR · CINCINNATI CHILDRENS HOSP MED CTR · PI STRAUSS, ARNOLD W · 1994 to 2009
$20.6M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Long Term Functional Outcomes of Early TBIR01HD042729 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI WADE, SHARI L · 2002 to 2013
$5.2M
Outcomes of Traumatic Brain Injury in ChildrenK02HD044099 · NICHD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI YEATES, KEITH O · 2003 to 2007
$519k
Online Family Based Problem Solving after Pediatric Traumatic Brain Injury: The Moderating Effect of Attention ProblemsF32HD088011 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI NARAD, MEGAN · 2016 to 2018
$126k
NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425NCRR NIH HHS M01 RR008084NICHD NIH HHS F32 HD088011NICHD NIH HHS K02 HD044099NICHD NIH HHS R01 HD042729
6 · The paper itself

Abstract

objectiveThe need for behavioral health services, service utilization, and predictors of utilization was examined in children with moderate-to-severe traumatic brain injury (TBI) relative to a comparison group of children with orthopedic injury (OI) 6.8 years after injury.

methodsA total of 130 children hospitalized for moderate-to-severe TBI (16 severe and 42 moderate) or OI (72) between the ages of 3 and 7 years, who were enrolled at the time of injury at 3 tertiary care children's hospital and one general hospital in Ohio, and completed a long-term follow-up 6.8 years after injury were included in analyses.

resultsAdolescents with TBI (moderate [38%] and severe [69%]) had significantly greater rates of need than those with OI (17%). Behavioral health services were utilized by 10% of the sample with no injury group differences (OI: 6%; moderate: 17%; severe: 13%). Early treatment and white race were associated with less service utilization; 77% had an unmet need, with no injury group differences (OI: 75%; moderate: 75%; severe: 82%). Rate of unmet need was greater among white than non-white children.

conclusionChildren who sustain a TBI in early childhood experience persistent and clinically significant impairments even years after injury. Rates of unmet need were high for all injury groups. Findings underscore the importance of long-term monitoring to identify developing needs and prevent significant complications/deficits.

Indexed as

Brain Injuries, TraumaticMental DisordersAdolescentChildChild, PreschoolFacilities and Services UtilizationFemaleHealth Services Needs and DemandHumansMaleMental Health ServicesPatient Acceptance of Health Care

Identifiers

PMID31107769
PMCPMC6660389

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.