Other Titles90-CA1580 Final Report
HFPN Final Report
AbstractThe Helping Families Prevent Child Neglect Project was a 5-year demonstration project implemented through collaboration between the University of Maryland School of Social Work, and University of Maryland School of Medicine, Pediatrics. The Helping Families Prevent Child Neglect Project offered home-based intervention to families at risk of neglect in order to test two premises: (1) treatment needs to be long-term and (2) parent groups enable needed connections and enhance parenting competency...
DescriptionPROJECT NAME: Helping Families Prevent Neglect. PROJECT DATES: 1996–2002. PRINCIPAL INVESTIGATOR: Diane DePanfilis; CO-PRINCIPAL INVESTIGATORS: Howard Dubowitz; Esta Glazer-Semmel.
Series/Report No.Community & School-based Research;28
SponsorsU.S. Department of Health and Human Services, Administration on Children, Youth, and Families, Children’s Bureau (USDHHS); Grant Number: 90CA1580.
KeywordUniversity of Maryland, Baltimore. School of Social Work--Projects and Reports
University of Maryland, Baltimore. School of Medicine--Projects and Reports
Family social work
Child Abuse--prevention & control
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/80
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/
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Patient-Reported Outcome and Observer-Reported Outcome Assessment in Rare Disease Clinical Trials: An ISPOR COA Emerging Good Practices Task Force ReportBenjamin, K.; Vernon, M.K.; Patrick, D.L. (Elsevier Ltd, 2017)Background Rare diseases (RDs) affect a small number of people within a population. About 5000 to 8000 distinct RDs have been identified, with an estimated 6% to 8% of people worldwide suffering from an RD. Approximately 75% of RDs affect children. Frequently, these conditions are heterogeneous; many are progressive. Regulatory incentives have increased orphan drug designations and approvals. Objective To develop emerging good practices for RD outcomes research addressing the challenges inherent in identifying, selecting, developing, adapting, and implementing patient-reported outcome (PRO) and observer-reported outcome (ObsRO) assessments for use in RD clinical trials. Good Practices for Outcomes Research This report outlines the challenges and potential solutions in determining clinical outcomes for RD trials. It follows the US Food and Drug Administration Roadmap to Patient-Focused Outcome Measurement in Clinical Trials. The Roadmap consists of three columns: 1) Understanding the Disease or Condition, 2) Conceptualizing Treatment Benefit, and 3) Selecting/Developing the Outcome Measure. Challenges in column 1 include factors such as incomplete natural history data and heterogeneity of disease presentation and patient experience. Solutions include using several information sources, for example, clinical experts and patient advocacy groups, to construct the condition's natural history and understand treatment patterns. Challenges in column 2 include understanding and measuring treatment benefit from the patient's perspective, especially given challenges in defining the context of use such as variations in age or disease severity/progression. Solutions include focusing on common symptoms across patient subgroups, identifying short-term outcomes, and using multiple types of COA instruments to measure the same constructs. Challenges in column 3 center around the small patient population and heterogeneity of the condition or study sample. Few disease-specific instruments for RDs exist. Strategies include adapting existing instruments developed for a similar condition or that contain symptoms of importance to the RD patient population, or using a generic instrument validated for the context of use. Conclusions This report provides state-of-the-art solutions to patient-reported outcome (PRO) and observer-reported outcome (ObsRO) assessments challenges in clinical trials of patients with RDs. These recommended solutions are both pragmatic and creative and posed with clear recognition of the global regulatory context used in RD clinical development programs.
Predictors of substantiated re-reports in a sample of children with initial unsubstantiated reportsJedwab, M.; Harrington, D.; Dubowitz, H. (Elsevier, 2017)Many children with unsubstantiated reports of child abuse and neglect repeatedly return to the child protection system, indicating that unsubstantiated reports may represent actual child maltreatment or risk for future maltreatment. Identifying patterns of re-reporting and predictors that may be associated with later substantiated re-reporting could help to identify children who are very likely to be maltreated. This knowledge may guide the development of policies and interventions to prevent further maltreatment and the risk for re-reports. The aims of this study were to: (1) measure the period between the time of the initial reports that were not substantiated and the time of first substantiated re-reports; and (2) identify factors associated with the risk of later substantiated re-reporting. The study analyzed secondary data from the Longitudinal Studies on Child Abuse and Neglect (LONGSCAN) through survival analysis. Of the 378 children with initially unsubstantiated reports, 81% were re-reported, of which almost two-thirds were substantiated. Children who were younger, non-white, and had caregivers with more depressive symptoms were at increased risk of a substantiated re-report. Among those that were later substantiated, 20% were substantiated within one year. Findings suggest that targeted preventative services should be developed and provided for families who are reported for the first time, even if not substantiated. Copyright 2017 Elsevier Ltd