About
33
Publications
1,451
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331
Citations
Citations since 2017
Introduction
Health services researcher with a clinical experience as a music therapist in pediatrics. My program of research aims to improve pediatric rehabilitation equity and efficacy for children with chronic and critical illnesses.
Education
August 2013 - February 2017
August 2007 - January 2012
Publications
Publications (33)
Background:
Pediatric critical care is often accompanied by a variety of functional impairments. Preliminary evidence suggests children's participation in home activities has a slow trajectory post-pediatric intensive care unit (PICU) discharge, however, additional and more granular knowledge on specific problematic activities is needed to inform...
Aim
To analyze whether brain connectivity sequences including diffusion tensor imaging (DTI) and resting state functional magnetic resonance imaging (rsfMRI) identify vulnerable brain regions and networks associated with neurologic outcome after pediatric cardiac arrest.
Methods
Children aged 2 d-17 y with cardiac arrest were enrolled in one of 2...
Objectives:
To identify a PICU Core Outcome Measurement Set (PICU COMS), a set of measures that can be used to evaluate the PICU Core Outcome Set (PICU COS) domains in PICU patients and their families.
Design:
A modified Delphi consensus process.
Setting:
Four webinars attended by PICU physicians and nurses, pediatric surgeons, rehabilitation...
Like all children, children with disabilities deserve the fair and just opportunity to be as healthy as possible. There are many barriers to optimal health for children with disabilities. Eliminating health disparities requires removing or minimizing the obstacles that keep children from being healthy. Because pediatric orthopaedic surgeons are oft...
INTRODUCTION/HYPOTHESIS: Mechanical ventilation (MV) in the pediatric intensive care unit (PICU) increases risk of stress and pain. PICU standard of care to treat stress and pain is a pharmacologic approach, but this increases risk of poor outcomes (e.g., delirium). Listening to music during MV in adults can decrease stress, pain, and medication us...
Background/Objective
Pediatric neurocritical care survivorship is frequently accompanied by functional impairments. Lack of prognostic biomarkers is a barrier to early identification and management of impairment. We explored the association between blood biomarkers and functional impairment in children with acute acquired brain injury.Methods
This...
Date Presented 03/26/20
This study evaluated the feasibility, acceptability, and preliminary effects of PEM+, a web-based care-planning application that was designed with and for caregivers to help OTs enact family-centered and participation-focused care with children and families. Results indicate that PEM+ has potential as an innovative option fo...
Aim
To evaluate the feasibility, acceptability, and preliminary effects of Participation and Environment Measure‐Plus (PEM+) 2.0, an optimized version of a web‐based, participation‐focused, care‐planning tool.
Method
Twenty‐two caregivers of children aged 0 to 5 years receiving rehabilitation services, who reported dissatisfaction with their child...
Background
Pediatric Intensive Care Unit (PICU) teams provide care for critically ill children with diverse and often complex medical and surgical conditions. Researchers often lack guidance on an approach to select the best outcomes when evaluating this critically ill population. Studies would be enhanced by incorporating multi-stakeholder prefere...
Date Presented 04/06/19
Trends in participation-focused strategies used by caregivers of critically ill children who did and did not receive PICU rehabilitation services were identified. Strategies were coded as child focused or to an environmental chapter of the ICF-CY. Caregivers can identify participation-focused strategies, but may benefit from...
Objectives:
The primary objectives are to assess the most common type of caregiver strategy (remedial vs compensatory) reported for supporting their child's home participation after critical illness and identify themes in compensatory strategies described, with a secondary objective to describe themes in strategy use as reported by caregivers of c...
Background:
Family-centered care (FCC) is a model for rehabilitation practice that focuses on collaborative partnerships between providers and clients (i.e., children and their caregivers). FCC is a best-practice standard, and is expected to yield better outcomes for children and greater caregiver satisfaction with rehabilitation services. A commo...
Importance:
The Participation and Environment Measure Plus (PEM+) is a new electronic health application to help caregivers contribute to client-centered and participation-focused care planning for their young child. The PEM+ is designed to help caregivers build on their participation assessment by determining priority activities, setting specific...
OBJECTIVE(s): Determine the associations between having participation-focused strategies and receiving rehabilitation services in the pediatric intensive care unit (PICU) with caregiver stress over six months post-PICU discharge.
DESIGN: Sub-study of a data from Wee-Cover, a prospective cohort study.
SETTING: Two PICU sites.
PARTICIPANTS: Caregi...
Objective: To determine if positive emotion modifies the relationship between cognitive impairment and activities of daily living disability status over 10 years in Mexican American adults aged 75 years and older.
Methods: A retrospective cohort design using data from the Hispanic established populations for the epidemiologic studies of the elderly...
Objective:
To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge.
Data source:
Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files.
Study design:
We retrospectively examined 167,664 Medicare benefic...
Objective(s): To determine the independent effects of hospital and inpa- tient rehabilitation facility lengths of stay on discharge functional status and discharge destination following inpatient rehabilitation. Design: Retrospective cohort study using the 100% Medicare files. Setting: Acute care hospitals and inpatient rehabilitation facilities ac...
Obesity is a growing global health concern that may lead to cardiovascular disease, type II diabetes, and cancer. Several systematic reviews have shown that technology is successful in combating obesity through increased physical activity, but there is no known review on interventions that use an electronic activity monitor system (EAMS). EAMSs are...
