Research Projects & Participation

Current CABI Lab Research Projects

Pilot Study to Develop a Functional Status eScore for Children with Acute Neurologic Injuries and Illnesses.

The goal of this study is demonstrate feasibility and proof of concept for the development of a functional status e-score that uses clinically relevant claims data from the electronic medical record to accurately represent a child’s functional mobility, self-care, and cognitive/ communication status. This two-year study is funded by an Early Career Research Grant awarded by NICHD’s National Center for Medical Rehabilitation Research within the National Institutes of Health to Dr. Lundine and Dr. Jared Huling, a statistician at the University of Minnesota. Dr. Julie Leonard at Nationwide Children’s Hospital is a co-investigator on the project. [Status: Data Review; Study Set-Up]

School Transition after Traumatic Brain Injury (STATBI): Evaluating the Impact of Participation in a Formal Return-to-School Program for K-12 Students

The goal of this study is to compare academic, social, and health outcomes of children with TBI who participate in BrainSTEPS, a formal return-to-school program in PA, and children who receive variable transition services in OH. This study is a $2.2 million, 4-year study funded by the Centers for Disease Control and Prevention awarded to Dr. Angela Ciccia (Case Western Reserve University) and Dr. Lundine (OSU). The project includes co-investigators at BrainSTEPS in Pennsylvania as well. [Status: Study Set-Up]

Engaging Key Stakeholders to Improve Rehabilitation Care for Ohio Children with TBI

The goal of this study is to engage key stakeholders via semi-structured interviews and focus groups to identify specific strategies that would improve the current continuum of care and better meet the long-term needs of children with pTBI. This study is funded by a 2019-2020 Ohio Division of Emergency Medical Services (EMS) EMFTS Board Research Grant awarded to Dr. Lundine. The project includes co-investigators: Dr. Christine Koterba (Nationwide Children’s Hospital, Columbus) and Dr. Angela Ciccia (Case Western Reserve University, Cleveland). [Status: Recruiting; Data Collection]

Adolescent Language Study

The goal of the Adolescent Language Study is to clarify how perceived difficulty and expository type impact the overall quality of verbal summaries produced by adolescents (ages 13-17). Secondly, we will identify which specific cognitive or language skills might be required for production of these verbal summaries in groups of students with typical development. [Status: Completing data collection August 2019; Data Analysis]

Classroom Language Project

The goal of the Classroom Language Study is to explore how students (ages 5-10) are able to summarize informational (or expository) lectures. Although we know this type of language is more challenging to produce and comprehend, we know very little about the skills students need to perform competently on these tasks. The data collected in this project will provide preliminary information about how younger students are able to summarize two different types of lectures and how perceived difficulty might impact summary quality. [Status: Closed; Data Analysis]

Animal-Assisted Therapy in Pediatric Rehabilitation

The goal of the proposed project is to collect pilot data regarding the efficacy and safety of animal-assisted therapy on a pediatric rehabilitation unit. This project is a collaborative project with the inpatient rehabilitation unit at Nationwide Children’s Hospital. [Status: Closed; Data Analysis]

Summarization of Expository & Narrative Discourse in Adolescents and its Relationship to Language and Executive Functions 

Expository discourse is the informational language of the classroom – discourse that is used to inform or teach. Little is known about its development, despite its importance to academic success for students of all ages. This study investigated how adolescents (ages 13-18) are able to summarize one narrative and two different types of expository discourse – a compare-contrast and a cause-effect lecture. We also compared the expressive syntax and cognitive abilities of these adolescents to their discourse summary quality scores to see if we could determine whether expressive syntax or cognition played a greater role in helping them to form their summaries. We also tested a small number of adolescents who had sustained a traumatic brain injury, and compared their summaries to those of students without brain injury. Overall, these findings may help us to create better ways to assess and treat students with learning difficulties or those with brain injury who struggle to understand the language of the curriculum. [Status: Data Analysis & Publication]

Identification of Critical Research and Intervention Needs in Pediatric Traumatic Brain Injury: Stakeholder Perceptions

This study will gather pilot data regarding research and intervention needs for individuals who have experienced pediatric traumatic brain injury (pTBI). Parents, survivors, and health care providers will participate in semi-structured interviews to help us identify common themes related to their experiences with pTBI. These themes will be compared to current research priorities and evidence-based practice guidelines to identify gaps in access to care and ways to improve the continuum of care for survivors of pTBI and their families. This project represents a collaboration between Dr. Lundine and her colleague, Dr. Angela Ciccia, from Case Western Reserve University. [Status: Preliminary Data Analysis; Grant Preparation; Not Currently Recruiting]

Follow-up Appointment Compliance After Pediatric Traumatic Brain Injury

The goal of this study is to assess factors related to appointment compliance following pTBI. It is also investigating the relationship between appointment compliance and quality of life outcomes following pTBI. This study was funded, in part, by a grant from the Ohio Department of Public Safety, awarded to Dr. Henry Xiang at the Research Institute at Nationwide Children’s Hospital. Dr. Lundine was a co-investigator on this project. [Status: Completed] 

Current CABI Lab Student Research Projects

Master’s Theses Academic Year 2019-2020

Audrey Hall: Audrey completed a scoping review to answer the following question: How could non-standardized assessment be helpful in identifying the cognitive-communication needs of students with TBI in the schools?

Collin McGarrett: Collin’s thesis (Time to Follow Commands, Duration of Post-Traumatic Amnesia, and Total Duration of Impaired Consciousness as Predictors of Outcome Following Pediatric Traumatic Brain Injury) examined post-traumatic amnesia and time to follow commands as possible predictors for outcomes 1 year following hospital discharge for children and teens admitted to the inpatient rehabilitation unit at Nationwide Children’s Hospital with a TBI.

Master’s Theses Academic Year 2017-2018

Heath Barron: Microlinguistic and fluency characteristics of narrative and expository discourse in adolescents with traumatic brain injury

Mackenzie Utz: Identification of critical research and intervention needs in pediatric traumatic brain injury: Stakeholder perceptions