Nearly 300,000 U.S. children experience injuries that require them to be hospitalized this year. These children, and their caregivers, are at high risk for emotional and behavioral problems, as well as poor quality of life. Trauma centers in the US have good outcomes for survival and physical recovery, but they typically do not have programs to address the emotional and behavioral needs of families. The purpose of this project is to develop a service that achieves this and that can serve as a good model for trauma centers to use. This project will develop, evaluate, and test CAARE (Caregivers' Aid to Accelerate Recovery after pediatric Emergencies) to address the behavioral and emotional needs of caregivers and children.
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Change in scores of caregiver self-report of psychological distress
Timeframe: 30 days; 60 days; and 90 days post-baseline
Change in scores in caregiver proxy-report of child emotional distress, ages 2-11
Timeframe: baseline; 30 days; 60 days; and 90 days post-baseline
Change in scores in child self-report and caregiver proxy-report of child Quality of Life (QOL)
Timeframe: baseline; 30 days; 60 days; and 90 days post-baseline
Change in scores in child self-report and caregiver proxy-report of child Posttraumatic Stress
Timeframe: baseline; 30 days; 60 days; and 90 days post-baseline
Change in scores in child self-report (ages 6-11) of child depression; Caregiver self-report of caregiver depression
Timeframe: baseline; 30 days; 60 days; and 90 days post-baseline
Mean number of child missed daycare/school days due to pediatric traumatic injury
Timeframe: 30 days post-baseline
Mean number of child missed daycare/school days due to pediatric traumatic injury
Timeframe: 60 days post-baseline
Mean number of child missed daycare/school days due to pediatric traumatic injury
Timeframe: 90 days post-baseline
Change in caregiver health status
Timeframe: Baseline, 30 days; 60 days; and 90 days post-baseline
Change in caregiver work and productivity status
Timeframe: Baseline, 30 days; 60 days; and 90 days post-baseline