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Last
updated February 10, 2005
Saturday, MAY 14
8:00am–11:00am
4174—Health
Services Research
APA Special Interest Group
Chair:
Lawrence C. Kleinman, kleinman@creatovations.com
Information not yet available.
11:45am–2:45pm
4503—Neonatal
Follow-Up: A Global Perspective
PAS Mini Course
Chair:
Maureen Hack, Case Western Reserve University, Cleveland,
OH
The increase in survival of extremely immature
infants, together with the institution of randomized
clinical trials to assess the efficacy and safety of the
many technologic and pharmacologic advances in perinatal
care, has led to a renewed interest in current outcomes
and the methodologic issues related to high-risk
follow-up. Questions include the practicality of actual
assessment of children versus the reliability of parental
reports and age of follow-up. Traditional measures of
outcome have included mainly cognitive and neurosensory
function, but there is increasing interest in the overall
functioning of the child, as well as other measures of
health including health status and quality of life. This
session will review epidemiologic principles and state of
the art measures of cognitive and neuropsychologic
assessment, neurologic impairment, including cerebral
palsy, health status, growth and quality of life. The
presentations will be illustrated with examples of recent
outcome studies. Audience participation will be
encouraged.
Target Audience: Scientists and clinicians involved
with clinical care and research pertaining to the results
of neonatal intensive care.
Historical Overview and Introduction
Maureen
Hack, Case Western Reserve University, Cleveland, OH
Epidemiology Principles in Designing, Executing and
Analyzing Newborn Follow-Up Studies
Nigel
Paneth, Michigan State University College of Human
Medicine, East Lansing, MI
Cognitive and Neurophysiologic Outcomes
Glen
Aylward, Southern Illinois University School of Medicine,
Springfield, IL
Cerebral Palsy and Other Neurologic Outcomes
Betty
R. Vohr, Women and Infant's Hospital, Providence, RI
Health Status and Growth
Maureen
Hack, Case Western Reserve University, Cleveland, OH
Issues in Measuring Quality of Life in Children
Saroj
Saigal, McMaster University, Hamilton, Ontario, Canada
Discussion
Saturday, MAY 14
11:45am–2:45pm
4542—Elegant
Alternatives to Randomized Trials To Estimate Treatment
Effects
PAS Educational Workshop
Leader:
Thomas B. Newman, San Francisco, CA
Randomized trials are the most reliable method of
estimating treatment effects, but they may be impractical
and costly. In this workshop we will review some elegant
observational designs and strategies that can provide a
strength of causal inference close to that from randomized
trials, both more quickly and less expensively. We will
begin with a discussion of some of these strategies,
presenting specific observational studies and trying to
figure out what, if anything, makes them particularly
convincing. In the second half of the workshop,
participants will work together in small groups to design
observational studies of research questions for which one
of the covered designs or strategies might be suitable.
This is an intermediate to advanced workshop.
Participants should already be familiar with basic
observational study designs, multivariate analysis and
concepts like bias, confounding and interaction.
Objectives:
-
Understand how propensity scores and instrumental
variables can be used to control confounding.
-
Understand how measurements of additional predictor
and outcome variables can provide evidence on whether
confounding is present.
Method of Instruction: Lecture with multiple real
examples, followed by small group problem solving (unless
group is too big and prefers not to, as happened last
year).
Target Audience: Trainee, junior faculty, mid-level
faculty
3:15pm–5:15pm
4845—Health
Services Research—Improving Care
PAS Original Science Abstracts -
Platform Session
3:15pm–5:15pm
4870—Agency
for Healthcare Research and Quality: News You Can Use!
PAS Educational Workshop
Leader:
Denise Dougherty, Rockville, MD; Co-leader: Francis
Chesley
The Agency for Healthcare Research and Quality has
changed since the last time the PAS came to Washington,
DC! Attend this session to learn about AHRQ's new mission
and how it is being implemented, including our emphasis on
quality healthcare and translating research into practice,
plus funding priorities and new and enhanced data sources
for health services research. Get a tour of AHRQ's new
funding website, and learn how the AHRQ application and
funding process differs from that of the NIH. Most
importantly, meet key AHRQ staff face to face.
Sunday, MAY 15
8:00am–10:00am
5145—Health
Care Coverage/Access to Care
PAS Original Science Abstracts -
Platform Session
8:00am–11:00am
5201—New
Care Models for Inner-City Asthma: How Expanding the
Primary Care Role of the Pediatric Emergency Department
Can Improve Patient Outcomes
PAS Mini Course
Chairs:
Ellen F. Crain, Albert Einstein College of Medicine and
Jacobi Medical Center, Bronx, NY; and Sandra J.
Cunningham, Albert Einstein College of Medicine and Jacobi
Medical Center, Bronx, NY
The prevalence of and morbidity from asthma is
especially high among inner-city children, and these
children disproportionately use the emergency department
(ED) for care. While EDs provide excellent acute care,
they are not equipped to provide the preventive care that
these children need. There is a debate in the pediatric ED
community about how much primary care is appropriate for
the ED to take on, but most efforts in primary care
settings to reduce ED use by inner-city children with
asthma have not worked. In this session, participants will
learn about several successful pediatric ED interventions
to reduce ED use by inner-city children, which have
required the addition of relatively modest primary care
activities. The interventions, as well as their human,
financial and implementation costs, and likely success in
other settings will be described.
Target Audience: Pediatric emergency medicine
physicians, pulmonologists, epidemiologists, health
service researchers.
Incorporating Primary Care into Emergency Department
Treatment of Children with Asthma
Sandra
J. Cunningham, Albert Einstein College of Medicine, Jacobi
Medical Center, Bronx, NY
Successful Emergency Department Strategies To Improve
Long-Term Care for Children with Asthma
Joseph
J. Zorc, Children's Hospital of Philadelphia,
Philadelphia, PA
The Asthma Coach Program
Sharon
R. Smith, Connecticut Children's Medical Center, Hartford,
CT
The Fast Track Clinic: An Emergency Department
Intervention To Reduce Morbidity Among Children with
Asthma
Stephen
J. Teach, Children's National Medical Center, Washington,
DC
Discussion
8:00am–11:00am
5232—Design
and Analysis of Childhood Cohort Studies
PAS Educational Workshop
Leader:
Cynthia Minkovitz, Baltimore, MD; Co-leaders: Jennifer
Hawes-Dawson, Kamila Mistry, Amy Rathbun, Mark Schuster,
Jerry West
Childhood longitudinal cohort studies provide
opportunities to examine environmental influences on
children's health over time. They also inform
understanding of developmental trajectories and design of
sound policies and programs.
This workshop introduces three prospective cohort
studies with public use data. The Healthy Steps for Young
Children evaluation follows 5,565 families whose young
children received enhanced developmental services. The
Early Childhood Longitudinal Studies follows 10,600
newborns and 22,000 kindergarteners to study development,
health, child care and education. Healthy Passages follows
5,250 10-year olds and describes evolving adolescent
behaviors.
Participants will review methodological
considerations related to sampling design, variable
specification, data collection timing and cohort
maintenance. Using interactive breakout groups,
participants will propose strategies and challenges for
using cohort studies to address new research questions.
Objectives:
-
Knowledge of three childhood cohort studies and their
public use data sets.
-
Skills related to strategic issues with cohort
studies (e.g., sampling, variable specification,
tracking, cohort maintenance).
Method of Instruction: (1) Interactive discussion of
three childhood cohort studies with question-and-answer
period incorporated, (2) facilitated breakout groups to
apply principles of cohort design to address new research
questions
Target Audience: Trainee, junior faculty.
8:00am–11:00am
5254—Quality
Improvement
APA Special Interest Group
Chairs:
Jean Ogborn, jogborn@jhmi.edu;
David Link, david_link@hms.harvard.edu;
and Dan Neuspiel
Information not yet available.
11:45am–1:45pm
5391—APA
Health Care Delivery Committee
APA Committee
11:45am–1:45pm
Poster
Session II
PAS
Original Science Abstracts - Poster Session
Epidemiology:
5407—Health Services Research
2:00pm–4:00pm
5510—AAP
Presidential Plenary
AAP Presidential Plenary
Chair:
Errol R. Alden, American Academy of Pediatrics, Elk Grove
Village, IL
Target Audience: Scientists and clinicians interested
in the translation of research and evidence-based
principles into health policy and practice.
Introduction
Errol
R. Alden, American Academy of Pediatrics, Elk Grove
Village, IL
The AAP and You
Carol
D. Berkowitz, Harbor-UCLA Medical Center, Torrance, CA
David J. Brailer
Bright Futures and the Evidence for Prevention
Modena
E.H. Wilson, American Medical Association, Chicago, IL
Mental Health (Evidence-Based Medicine)
Kelly
J. Kelleher, Columbus Children's Research Institute,
Columbus, OH
Electronic Health Record—An Essential Tool for
Quality?
Joseph
H. Schneider, Children's Medical Center, Dallas, TX
Panel Discussion and Questions
Sunday, MAY 15
2:00pm–4:00pm
5532—Epidemiology
Research II
PAS Original Science Abstracts -
Platform Session
2:00pm–4:00pm
5535—Neonatal
Epidemiology and Follow-up
PAS Original Science Abstracts -
Platform Session
2:00pm–5:00pm
5590—Practice-Based
Research Networks
APA Special Interest Group
Chair:
Robert M. Siegel, robertsiegel56@pol.net
Information not yet available.
4:15pm–5:45pm
5702—Identification
of Asthma-Susceptibility Genes and Implications for New
Pharmaceutical Development
PAS State of the Art Plenary
Chair:
Clifford W. Bogue, Yale University School of Medicine, New
Haven, CT
Asthma is rapidly emerging as a major public health
disorder in childhood. Innovative strategies combining
genetic mapping and gene expression profiling are
providing the tools to identify genes that underpin asthma
predisposition. This presentation not only has relevance
for an important pediatric medical topic, but also
establishes a paradigm that can be used for other complex
genetic disorders that affect children.
Target Audience: This session will be of interest to
a broad audience including practicing pediatricians,
geneticists, pulmonologists, pharmacologists, critical
care specialists and allergist/immunologists
Marsha Wills-Karp, Children's Hospital Medical
Center, Cincinnati, OH
Monday, MAY 16
8:00am–10:00am
6100—Outcomes
After Congenital Heart Surgery: Moving Beyond Mortality
PAS Topic Symposium
Chair:
Kathy Jenkins, Children's Hospital Boston, Boston, MA
This topic symposium is directed toward educating
interested members about the state of the art in health
outcomes research for pediatric patients with cardiac
disease. The discussion will range from mortality and cost
associated with cardiac surgery to outcomes in the
developmental and quality-of-life domains.
Target Audience: Physicians, epidemiologists and
trainees with interest in pediatric cardiology, health
outcomes research, health economics and developmental
outcomes in children.
Congenital Heart Disease: Moving Beyond Mortality
Kathy
J. Jenkins, Children's Hospital Boston, Boston, MA
Neurodevelopmental Outcomes in Children with
Congenital Heart Disease: Where Are We and Where Are We
Going?
Caren
Goldberg, University of Michigan, C.S. Mott Children's
Hospital, Ann Arbor, MI
Improving Physical Functioning in Congenital Heart
Disease
Ruey
Chang, David Geffen School of Medicine, Los Angeles, CA
Cardiac Rehabilitation for Congenital Heart Disease
Jonathan
Rhodes, Children's Hospital Boston, Boston, MA
Resource Use of Congenital Heart Disease
Jean
Connor, Children's Hospital Boston, Boston, MA
Discussion
8:00am–10:00am
6139—Neonatal
Outcomes: Impact of Health Services Utilization and
Socioeconomics
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
6142—Obesity
and Metabolism I
PAS Original Science Abstracts -
Platform Session
10:15am–12:15pm
6353—Health
Services Research—New Morbidity
PAS Original Science Abstracts -
Platform Session
10:15am–12:15pm
6355—Immunizations
Delivery
PAS Original Science Abstracts -
Poster Symposium
3:00pm–5:00pm
6734—Obesity
and Metabolism II
PAS Original Science Abstracts -
Poster Symposium
5:15pm–6:45pm
Poster
Session III
PAS
Original Science Abstracts - Poster Session
Adolescent Medicine:
6800—Health Services Research/Health Care Delivery
Tuesday, MAY 17
8:00am–10:00am
7101—Inner-City
Asthma Intervention Program: Research to Practice
PAS Topic Symposium
Chair:
Pamela R. Wood, University of Texas Health Sciences Center
at San Antonio, San Antonio, TX
The National Cooperative Inner City Asthma
Intervention (NCICAIS) is an asthma counselor (AC),
social-worker-driven intervention for inner-city children
with persistent asthma. Although the AC intervention was
shown to decrease symptom days in a randomized, controlled
trial, there were no data on implementation of this
intervention outside the research setting. In 2001, the
Centers for Disease Control and Prevention funded a 4-year
program to implement the asthma counselor model in 22
sites. This “research to practice” session will
explore lessons learned through the implementation process
and the implications for researchers, clinicians and
policy makers.
Target Audience: General pediatricians,
pulmonologists, allergists and other health professionals
who care for children with asthma; health services
researchers; and program planners.
Introduction
Pamela
R. Wood, University of Texas Health Sciences Center at San
Antonio, San Antonio, TX
NCICAIS Intervention: Differences Between Research
and Clinical Settings
Meyer
Kattan, Mount Sinai School of Medicine, New York, NY
Asthma Risk Factor Assessment: What Are the Needs of
Inner-City Families?
Karen
Warman, Children's Hospital at Montefiore, Albert Einstein
College of Medicine, Bronx, NY
The Asthma Counselor Speaks: Barriers and Successes
Laudy
Rodriguez, Mount Sinai Medical Center, New York, NY
Aligning Incentives For Optimal Asthma Care
Cathy
Carroll, Children's Mercy Hospitals and Clinics, Kansas
City, MO
Discussion
Tuesday, MAY 17
8:00am–10:00am
7151—Clinical
Bioethics
PAS Original Science Abstracts -
Platform Session
8:45am–11:45am
7205—Measurement
and Feedback Strategies for Quality Improvement
Initiatives in Ambulatory Settings
PAS Educational Workshop
Leader:
Greg D. Randolph, Chapel Hill, NC; Co-leader: Peter A
Margolis
Measurement and feedback are critical components of
quality improvement (QI) initiatives. This workshop will
provide participants with proven methods for creating
measurement and feedback strategies that support QI
initiatives in ambulatory settings (primary and specialty
care).
Objectives:
-
Understand key principles for creating a QI
measurement strategy that is feasible and effective in
busy ambulatory settings.
-
List the key steps in a robust QI measurement
development process.
-
Create a balanced set of measures for an ambulatory
QI initiative.
This workshop will include brief presentations based
on recent research findings as well as lessons learned
from several groups involved in national QI initiatives in
ambulatory settings. Using tools presented during the
workshop, participants will work independently and in
small groups to create a balanced set of measures and an
overall measurement strategy for a potential or existing
QI initiative in their own setting.
Method of Instruction: Brief presentations, question
and answer, and small groups.
Target Audience: Junior faculty, mid-level faculty,
senior faculty.
8:45am–11:45am
7215—Why?
When? What? An Introduction to Qualitative Research
Methods
PAS Educational Workshop
Leader:
Janice L. Hanson, Bethesda, MD; Co-leaders: Cynthia
Christy, Lynn M. Manfred, Ulfat Shaikh, Sherilyn Smith,
Nasreen Talib, Linda R. Tewksbury
Qualitative research methods provide an opportunity
to explore complex questions in medical research. In this
workshop, participants will receive an overview of
commonly used qualitative methods, how qualitative
research is different than quantitative research and
explore some examples of research questions that are best
approached using qualitative methods. They will then
practice using the qualitative research tools on sample
data and discuss the strengths and weaknesses of the
different methodologies in small groups. Each participant
will then identify methods that can be applied to projects
they are currently working on. Finally, participants will
review examples of articles using qualitative methods to
better understand how data analysis can be translated into
scholarly work.
Objectives:
-
Participants will review the qualitative research
methods and how they can be used.
-
Participants will practice using qualitative research
methods on sample data.
Method of Instruction: Large group discussion of
qualitative research methods followed by small group work
in which participants will use a number of qualitative
research tools.
Target Audience: Trainee, junior faculty, mid-level
faculty.
This workshop is sponsored by the APA
Faculty Development Program in the domain of Research.
10:15am–11:45am
7300—Children's
Health and the Federal Government: Research and Public
Health Policy
PAS State of the Art Plenary
Chairs:
Lisa Guay-Woodford, President, Society for Pediatric
Research; and Paul Young, Chair, PAS Program Committee
Elias A. Zerhouni, the Director of the NIH and Vice
Admiral Richard H. Carmona, the Surgeon General of the
United States, will provide PAS attendees with their views
of the critical issues related to pediatric research and
the health of our nation's children.
Target Audience: All attendees
Introduction
Paul
C. Young, University of Utah School of Medicine, Salt Lake
City, UT
Lisa M. Guay-Woodford, University of Alabama at
Birmingham, Birmingham, AL
The NIH Roadmap for Medical Research
Elias
A. Zerhouni, Director, National Institutes of Health,
Bethesda, MD
Promoting Health for U.S. Children and Their Families
Vice
Admiral Richard H. Carmona, Surgeon General of the United
States, Washington, DC
Discussion
10:15am–11:45am
7302—Influences
on the Health and Development of Minority Children: An
Integrative, Ecological Approach
PAS State of the Art Plenary
Chair:
Lee M. Pachter, Saint Francis Hospital and Medical Center
and University of Connecticut School of Medicine,
Hartford, CT
There is growing recognition that developmental
outcomes in minority children are influenced by factors
that are either unique to minority children or that have
differing effects among minority and nonminority children.
This topic symposium will consist of presentations on the
effects of different contextual variables on minority
child behavioral and developmental competencies. A
conceptual model describing the inter-relationship among
these factors and minority child developmental
competencies will be presented, followed by research that
explores the differing effects of individual, family and
community level contexts on the health and development of
minority children.
Target Audience: Researchers, clinicians and
educators involved with primary care and
behavioral/developmental services to minority families.
Introduction
Lee
M. Pachter, Saint Francis Hospital and Medical Center and
University of Connecticut School of Medicine, Hartford, CT
Minority Child Development: An Integrative Model
Cynthia
García Coll, Brown University, Providence, RI
The Six Primary Tasks of Parenting
Robert
H. Bradley, University of Arkansas at Little Rock, Little
Rock, AR
Ethnic Gaps in Early Health and Development: Causes,
Consequences and Prevention
Jeanne
Brooks-Gunn, Columbia University, New York, NY
Closing Remarks
Lee
M. Pachter, Saint Francis Hospital and Medical Center and
University of Connecticut School of Medicine, Hartford, CT
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