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Child Health Extramural Research by State and Country

Missouri

Principal Investigator: Barlow, Sarah
Title: Improving Obesity Care in Pediatric Offices
Institution: St. Louis University, St. Louis, MO
E-mail: barlowse@slu.edu
Project Dates: 09/01/03-8/31/08
Project No.: K08 HS13901
Summary: The aims of this Mentored Clinical Scientist Development Award include describing the current frequency of obesity evaluation in African-American children ages 6 to 17, according to their pediatricians, and assessing the experiences and attitudes of pediatricians diagnosing and discussing this condition, with particular attention paid to the interpersonal barriers associated with labeling a child overweight. Additionally, the study aims to assess the experiences and attitudes of adolescents, and parents of elementary school age children, in discussing obesity with the pediatrician to learn what approaches are acceptable, and what approaches alienate or motivate them. Finally, researchers will test an intervention that teaches pediatricians how to address obesity and to create a motivational alliance with patients and families, and its effect on the pediatricians' self-efficacy.

Principal Investigator: Fraser, Victoria
Title: Surveillance, Analysis, and Interventions to Improve Patient Safety
Institution: Washington University School of Medicine, St. Louis, MO
E-mail: vfraser@imgate.wustl.edu
Project Dates: 09/30/01-9/29/04
Project No.: U18 HS11898
Summary: The aims of this project are to study: the best methods to identify and improve reporting of medical errors and adverse events; the epidemiology of medical errors including the organizational, process and human factors that contribute to the occurrence of medical errors; the effectiveness of educational and process interventions to reduce medical errors and improve patient safety; and how healthcare workers communicate with patients and families about medical errors. In this study, researchers will use risk management and incident report data on children from the St. Louis Children's Hospital, to document and catalogue medical errors and patient safety issues in children.

Principal Investigator: Garbutt, Jane
Title: Washington University Pediatric Research Consortium
Institution: Washington University, St. Louis, MO
E-mail: jgarbutt@im.wustl.edu
Project Dates: 09/30/02-09/29/04
Project No.: R21 HS13530
Summary: This newly established network of community pediatricians affiliated with Washington University will establish a web-based communication network to coordinate activities, enhance a computer interviewing system, and implement a faculty development plan to increase expertise among network members.

Principal Investigator: Jegier, Briana
Title: The Economics of Mother's Milk Feedings in the Neonatal Intensive Care Unit
Institution: St. Louis University, St. Louis, MO
E-mail: briana@jamus.com
Project Dates: 09/01/06-06/30/07
Project No.: R36 HS16012
Summary: This study will measure doses of mothers' milk recorded daily for entire hospital stays. The study will also attempt to estimate the maternal cost of producing mother's milk for very-low-birth-weight (VLBW) infants in the neonatal intensive care unit (NICU), as well as quantify the impact of increased dosages and the exposure period of mother's milk on hospital financial outcomes, specifically charges and length of stay. The study population is a cohort of 1000 VLBW infants admitted to a NICU from 1997 to 2003, including racial and ethnic minority infants, low-income infants, and infants with special health care needs.

Principal Investigator: McBride, Timothy D.
Title: Comorbidities Among Children with Emotional, Developmental, and Behavioral Conditions
Institution: Washington University in St. Louis, St. Louis, MO
Project Dates: 09/30/08-09/29/09
Project No.: R03-HS017368
Summary: This research project involves children ages 2 to 17 who have emotional, developmental, and behavioral problems and physical special health care needs. The study will focus on the use of health care services and access to care for such children, with an assessment of whether families may be forced to curtail some of the medical care needed by their children due to affordability constraints.

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