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Article ; Online: The Influence of the Family Functioning and Social Relationships on Child Participation After Traumatic Brain Injury.

Crook, Libby / Riccardi, Jessica S / Lundine, Jennifer P / Ciccia, Angela

2024 Volume 26, Issue 8, Page(s) 462–470

Abstract: Purpose: To describe the relationship amongst child and family characteristics (e.g. social relationships, family functioning) and child participation after traumatic brain injury (TBI) an average of 2.65 years post-TBI (SD = 2.12).: Method: Cross- ... ...

Abstract	Purpose: To describe the relationship amongst child and family characteristics (e.g. social relationships, family functioning) and child participation after traumatic brain injury (TBI) an average of 2.65 years post-TBI (SD = 2.12). Method: Cross-sectional, secondary analysis of data collected as part of a larger research project. Results: N Conclusions: School-aged children with TBI might experience chronic participation restrictions, associated with challenges in family functioning. Professionals can support children with TBI and their families through follow-up services that include a focus on family-based interventions to better support long-term outcomes for this population.
MeSH term(s)	Child ; Humans ; Cross-Sectional Studies ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/complications ; Interpersonal Relations ; Social Participation ; Family
Language	English
Publishing date	2024-03-30
Publishing country	England
Document type	Journal Article
ZDB-ID	2280007-4
ISSN	1751-8431 ; 1751-8423
ISSN (online)	1751-8431
ISSN	1751-8423
DOI	10.1080/17518423.2024.2331446
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Article ; Online: The Role of Speech-Language Pathologists in Expanding Delivery of Teen Online Problem Solving for Adolescents With Acquired Brain Injury: A Quality Improvement Project.

Lundine, Jennifer P / Chitwood, Kerrie Lemons / Wade, Shari L

American journal of speech-language pathology

2023 Volume 32, Issue 3, Page(s) 989–998

Abstract: Purpose: Teen Online Problem Solving (TOPS) is an evidence-based teletherapy program designed to promote neurocognitive, behavioral, and psychosocial recovery following brain injury through family-centered training. To date, TOPS has been primarily ... ...

Abstract	Purpose: Teen Online Problem Solving (TOPS) is an evidence-based teletherapy program designed to promote neurocognitive, behavioral, and psychosocial recovery following brain injury through family-centered training. To date, TOPS has been primarily administered by neuropsychologists and clinical psychologists. This clinical focus article discusses a quality improvement project to adapt the TOPS training and manual for use by speech-language pathologists (SLPs) and reports feedback from SLPs following TOPS training and after delivering the program with adolescents who experienced neurological insults. Method: SLPs were invited to participate in TOPS training. Trainees were asked to complete posttraining surveys, active therapist questionnaires, and follow-up surveys directed to SLPs who had completed the intervention with at least one patient. Results: To date, a total of 38 SLPs completed TOPS training, 13 have implemented TOPS with at least one adolescent. Eight SLPs and 16 psychologists/trainees responded to follow-up surveys to share their perspectives on the program. Perceptions of clinicians delivering the program did not differ significantly in most respects. SLPs rated the ease of understanding nonverbal communication higher than psychologists. Seven SLPs responded to an SLP-specific survey about their experiences administering TOPS, noting a range of advantages and some limitations in their open-ended responses. Conclusion: Training SLPs to deliver TOPS has the potential to increase service provision to adolescents with acquired brain injury who have cognitive communication difficulties and their families. Supplemental material: https://doi.org/10.23641/asha.22357327.
MeSH term(s)	Humans ; Adolescent ; Speech ; Pathologists ; Quality Improvement ; Brain Injuries ; Problem Solving ; Communication Disorders ; Surveys and Questionnaires ; Speech-Language Pathology
Language	English
Publishing date	2023-04-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2023_AJSLP-22-00241
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Article ; Online: Perspectives on care coordination for youth with TBI: Moving forward to provide better care.

Lundine, Jennifer P / Hagen, Erika / Davies, Susan

NeuroRehabilitation

2023 Volume 52, Issue 4, Page(s) 585–596

Abstract: Background: Care coordination aligns services and optimizes outcomes for children with traumatic brain injury (TBI), yet numerous obstacles can impede effective care coordination following a TBI.: Objective: The goal of this work is to identify ... ...

Abstract	Background: Care coordination aligns services and optimizes outcomes for children with traumatic brain injury (TBI), yet numerous obstacles can impede effective care coordination following a TBI. Objective: The goal of this work is to identify barriers and facilitators to care coordination from the perspective of individuals who care for young people impacted by TBI (e.g., medical providers, educators, caregivers). Methods: Twenty-one care providers participated in semi-structured interviews to gather their perspectives on systems of care coordination for youth with TBI and potential areas for improvement. Using reflexive thematic analysis, researchers identified key themes across interviews. Results: Three themes were identified: 1) gaps in knowledge; 2) poor collaboration and communication between systems and care providers; and 3) inadequate legislative and policy frameworks that fund and support pediatric TBI. Across themes, participants shared their experiences and ideas to improve each of these areas. Conclusion: A structured, consistent, and coordinated system of care for pediatric TBI is critical to ensure optimal outcomes. Protocols that emphasize intentional and productive collaboration between healthcare settings and schools and education for all care providers are cornerstones in improving outcomes for children. Top-down action that develops policy and funding initiatives is needed to ensure equitable, consistent access to appropriate healthcare and educational supports.
MeSH term(s)	Humans ; Child ; Adolescent ; Brain Injuries, Traumatic ; Caregivers ; Schools ; Communication ; Qualitative Research
Language	English
Publishing date	2023-05-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1087912-2
ISSN	1878-6448 ; 1053-8135
ISSN (online)	1878-6448
ISSN	1053-8135
DOI	10.3233/NRE-220196
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Article ; Online: Doubly structured sparsity for grouped multivariate responses with application to functional outcome score modeling.

Huling, Jared D / Lundine, Jennifer P / Leonard, Julie C

Statistics in medicine

2023 Volume 42, Issue 15, Page(s) 2619–2636

Abstract: This work is motivated by the need to accurately model a vector of responses related to pediatric functional status using administrative health data from inpatient rehabilitation visits. The components of the responses have known and structured ... ...

Abstract	This work is motivated by the need to accurately model a vector of responses related to pediatric functional status using administrative health data from inpatient rehabilitation visits. The components of the responses have known and structured interrelationships. To make use of these relationships in modeling, we develop a two-pronged regularization approach to borrow information across the responses. The first component of our approach encourages joint selection of the effects of each variable across possibly overlapping groups of related responses and the second component encourages shrinkage of effects towards each other for related responses. As the responses in our motivating study are not normally-distributed, our approach does not rely on an assumption of multivariate normality of the responses. We show that with an adaptive version of our penalty, our approach results in the same asymptotic distribution of estimates as if we had known in advance which variables have non-zero effects and which variables have the same effects across some outcomes. We demonstrate the performance of our method in extensive numerical studies and in an application in the prediction of functional status of pediatric patients using administrative health data in a population of children with neurological injury or illness at a large children's hospital.
MeSH term(s)	Child ; Humans ; Routinely Collected Health Data ; Rehabilitation
Language	English
Publishing date	2023-04-09
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	843037-8
ISSN	1097-0258 ; 0277-6715
ISSN (online)	1097-0258
ISSN	0277-6715
DOI	10.1002/sim.9740
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Article ; Online: Using Nonstandardized Assessments to Evaluate Cognitive-Communication Abilities following Pediatric Traumatic Brain Injury.

Lundine, Jennifer P / Hall, Audrey

Seminars in speech and language

2020 Volume 41, Issue 2, Page(s) 170–182

Abstract: The subtle cognitive-communication challenges experienced by students with traumatic brain injury (TBI) are often missed, leaving these students with unmet needs in the school environment and increasing the likelihood for negative social, academic, and ... ...

Abstract	The subtle cognitive-communication challenges experienced by students with traumatic brain injury (TBI) are often missed, leaving these students with unmet needs in the school environment and increasing the likelihood for negative social, academic, and vocational outcomes. For children and adolescents with TBI, nonstandardized assessment offers several advantages over standardized assessment procedures, and may improve speech-language pathologists' ability to identify students who might benefit from intervention services. This article discusses curriculum-based assessment and discourse analysis specifically and uses case studies to demonstrate how these procedures can be used within the school environment. Nonstandardized assessment procedures are a valuable tool to measure a student's cognitive-communication abilities and the effects of intervention in real-world contexts.
MeSH term(s)	Adolescent ; Brain Injuries, Traumatic/complications ; Child ; Cognition Disorders/diagnosis ; Cognition Disorders/etiology ; Communication Disorders/diagnosis ; Communication Disorders/etiology ; Female ; Humans ; Male ; Neuropsychological Tests
Language	English
Publishing date	2020-03-10
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	604960-6
ISSN	1098-9056 ; 0734-0478
ISSN (online)	1098-9056
ISSN	0734-0478
DOI	10.1055/s-0040-1701685
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Article ; Online: Nonstandardized Assessment of Cognitive-Communication Abilities Following Pediatric Traumatic Brain Injury: A Scoping Review.

Hall, Audrey / Lundine, Jennifer P / McCauley, Rebecca J

American journal of speech-language pathology

2021 Volume 30, Issue 5, Page(s) 2296–2317

Abstract: Purpose The purpose of this study is to describe and synthesize existing research on nonstandardized assessment of cognitive-communication abilities in children with traumatic brain injury (TBI) in order to improve the detection, diagnosis, and tracking ... ...

Abstract	Purpose The purpose of this study is to describe and synthesize existing research on nonstandardized assessment of cognitive-communication abilities in children with traumatic brain injury (TBI) in order to improve the detection, diagnosis, and tracking of injury sequelae and guide appropriate service provision. Materials and Method A search of peer-reviewed journal databases revealed 504 unique articles published between January 2000 and August 2019. For full inclusion, articles had to report on empirical studies examining variables related to the nonstandardized assessment of cognitive-communication skills following TBI in children. Review articles, expert opinion pieces, and non-English language articles were excluded. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guided this process. Results Results were tabulated for each of the 14 articles that met full inclusion criteria. Included studies presented five different types of nonstandardized assessment: discourse analysis (
MeSH term(s)	Attention ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/therapy ; Child ; Cognition ; Communication ; Humans ; Problem Solving
Language	English
Publishing date	2021-08-04
Publishing country	United States
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2021_AJSLP-20-00231
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Article ; Online: Microstructural and Fluency Characteristics of Narrative and Expository Discourse in Adolescents With Traumatic Brain Injury.

Lundine, Jennifer P / Barron, Heath D

American journal of speech-language pathology

2019 Volume 28, Issue 4, Page(s) 1638–1648

Abstract: Purpose The purpose of this exploratory study was to identify specific microstructural and fluency differences in expository and narrative summaries produced by students with a traumatic brain injury (TBI) compared to students with typical development ( ... ...

Abstract	Purpose The purpose of this exploratory study was to identify specific microstructural and fluency differences in expository and narrative summaries produced by students with a traumatic brain injury (TBI) compared to students with typical development (TD). Method Five adolescents with TBI and 5 matched peers with TD verbally summarized 1 narrative and 2 expository (compare-contrast, cause-effect) lectures, creating 30 summaries. Researchers transcribed summaries and used paired
MeSH term(s)	Adolescent ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/psychology ; Female ; Humans ; Language Disorders/etiology ; Language Disorders/psychology ; Language Tests ; Male ; Narration ; Students/psychology ; Verbal Behavior
Language	English
Publishing date	2019-09-16
Publishing country	United States
Document type	Evaluation Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2019_AJSLP-19-0012
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Article ; Online: Factors that Influence Follow-Up Care for Families of Children with Acquired Brain Injury: A Scoping Review.

Lundine, Jennifer P / Ciccia, Angela H / Koterba, Christine / Guernon, Ann

Brain injury

2022 Volume 36, Issue 4, Page(s) 469–478

Abstract: Purpose: To describe factors that contribute to medical/rehabilitation service access following pediatric acquired brain injury (ABI) and identify gaps in the literature to guide future research.: Materials & methods: The PRISMA framework for scoping ...

Abstract	Purpose: To describe factors that contribute to medical/rehabilitation service access following pediatric acquired brain injury (ABI) and identify gaps in the literature to guide future research. Materials & methods: The PRISMA framework for scoping reviews guided this process. Peer-reviewed journal databases were searched for articles published between 1/2008 and 12/2020, identifying 400 unique articles. For full inclusion, articles had to examine a variable related to the receipt or initiation of medical/rehabilitative services for children with ABI. Review articles and non-English articles were excluded. Results: Nine studies met full inclusion criteria. Included studies identified factors focused on four primary areas: understanding brain injury education/recommendations and ease of implementing recommendations, ease of scheduling and attending appointments, age/injury factors, and sociocultural factors. Well-scheduled appointments and simple strategies facilitated families' access to care and implementation of recommendations. An overwhelming number of recommendations, socioeconomic variables, and transportation challenges served as barriers for families and schools. Conclusions: This scoping review offers several directions on which researchers can build to improve access to care and recommendation-implementation for families who have a child with an ABI. Enhanced understanding of these factors may lead to better service access, reduction of unmet needs, and enhanced long-term outcomes for children with ABI.
MeSH term(s)	Aftercare ; Brain Injuries/rehabilitation ; Child ; Family ; Humans ; Schools
Language	English
Publishing date	2022-03-24
Publishing country	England
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	639115-1
ISSN	1362-301X ; 0269-9052
ISSN (online)	1362-301X
ISSN	0269-9052
DOI	10.1080/02699052.2022.2051741
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Article ; Online: Bayesian Generalized Linear Mixed-Model Analysis of Language Samples: Detecting Patterns in Expository and Narrative Discourse of Adolescents With Traumatic Brain Injury.

Collins, Gavin / Lundine, Jennifer P / Kaizar, Eloise

Journal of speech, language, and hearing research : JSLHR

2021 Volume 64, Issue 4, Page(s) 1256–1270

Abstract: Purpose Generalized linear mixed-model (GLMM) and Bayesian methods together provide a framework capable of handling a wide variety of complex data commonly encountered across the communication sciences. Using language sample analysis, we demonstrate the ... ...

Abstract	Purpose Generalized linear mixed-model (GLMM) and Bayesian methods together provide a framework capable of handling a wide variety of complex data commonly encountered across the communication sciences. Using language sample analysis, we demonstrate the utility of these methods in answering specific questions regarding the differences between discourse patterns of children who have experienced a traumatic brain injury (TBI), as compared to those with typical development. Method Language samples were collected from 55 adolescents ages 13-18 years, five of whom had experienced a TBI. We describe parameters relating to the productivity, syntactic complexity, and lexical diversity of language samples. A Bayesian GLMM is developed for each parameter of interest, relating these parameters to age, sex, prior history (TBI or typical development), and socioeconomic status, as well as the type of discourse sample (compare-contrast, cause-effect, or narrative). Statistical models are thoroughly described. Results Comparing the discourse of adolescents with TBI to those with typical development, substantial differences are detected in productivity and lexical diversity, while differences in syntactic complexity are more moderate. Female adolescents exhibited greater syntactic complexity, while male adolescents exhibited greater productivity and lexical diversity. Generally, our models suggest more advanced discourse among adolescents who are older or who have indicators of higher socioeconomic status. Differences relating to lecture type were also detected. Conclusions Bayesian and GLMM methods yield more informative and intuitive results than traditional statistical analyses, with a greater degree of confidence in model assumptions. We recommend that these methods be used more widely in language sample analysis. Supplemental Material https://doi.org/10.23641/asha.14226959.
MeSH term(s)	Adolescent ; Bayes Theorem ; Brain Injuries, Traumatic ; Child ; Female ; Humans ; Language ; Language Tests ; Male ; Narration
Language	English
Publishing date	2021-03-30
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1364086-0
ISSN	1558-9102 ; 1092-4388
ISSN (online)	1558-9102
ISSN	1092-4388
DOI	10.1044/2020_JSLHR-20-00471
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Article ; Online: Long-Term Outcomes of Pediatric Traumatic Brain Injury Following Inpatient Rehabilitation.

Horn, Timothy C / Lundine, Jennifer P / Busch, Tyler A / Benkart, Rebekah A / Taylor, H Gerry / Koterba, Christine H

The Journal of head trauma rehabilitation

2024 Volume 39, Issue 2, Page(s) E95–E104

Abstract: Objective: Assess residual disability in youth with traumatic brain injury (TBI) treated in a pediatric inpatient rehabilitation unit and examine associations of disability with inpatient status and measures of concurrent functioning.: Setting: Large, ...

Abstract	Objective: Assess residual disability in youth with traumatic brain injury (TBI) treated in a pediatric inpatient rehabilitation unit and examine associations of disability with inpatient status and measures of concurrent functioning. Setting: Large, urban, quaternary care children's hospital in the Midwestern United States. Participants: Forty-five youth aged 6 to 18 years treated in an inpatient rehabilitation unit for mild-complicated to severe TBI at a minimum of 12 months postdischarge (mean = 3.5 years). Design: Retrospective chart review of clinical data collected from standard clinical care at admission and discharge combined with follow-up data examining current functioning at the time of study enrollment. Main outcome measures: Glasgow Outcome Scale-Extended, Pediatric Revision (GOS-E Peds), Neurology Quality of Life Measurement System Short Form (NeuroQOL) Social Interaction with Peers and Cognitive Short Forms, Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Scale, Strengths and Difficulties Questionnaire, and the Behavior Rating Inventory of Executive Function, 2nd Edition (BRIEF-2). Results: Based on parent report at follow-up, 62% of the children had residual TBI-related disabilities on the GOS-E Peds, while 38% reported "good recovery." Children with residual disability also reported more long-term problems in overall health, social relationships, emotional regulation, behaviors, and executive functioning than those with no residual disability. Measures of functional independence and cognitive recovery at discharge were associated with these impairments. Conclusions: More than half of the children with TBI in this study had residual disability more than 1 year after inpatient rehabilitation. Findings highlight the associations between measures of functional independence and cognitive recovery during inpatient rehabilitation with later outcomes and underscore the need for continued services to support the needs of children with TBI following their inpatient rehabilitation stay.
MeSH term(s)	Adolescent ; Humans ; Child ; Retrospective Studies ; Inpatients ; Quality of Life ; Aftercare ; Patient Discharge ; Brain Injuries, Traumatic/psychology ; Recovery of Function
Language	English
Publishing date	2024-03-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	639221-0
ISSN	1550-509X ; 0885-9701
ISSN (online)	1550-509X
ISSN	0885-9701
DOI	10.1097/HTR.0000000000000886
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