Pediatric Adverse Event Risk Reduction for High Risk Medications in Children and Adolescents: Improving Pediatric Patient Safety in Dental Practices

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Principal Investigator: KJ  Suda
Organization: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
Fiscal Year: 2024
Award: $92,419
Funding agency: National Institute of Dental and Craniofacial Research

ABSTRACT:
The overarching goal of this candidate’s research is to address the health care needs of underrepresented
children diagnosed with a resonance disorder of hypernasality to establish potential programs and interventions
to increase access to needed health care services. The focus is hypernasality which is a resonance disorder
where excessive sound resonates from the nasal cavity during speech for a child who has undergone a primary
cleft palate repair called a palatoplasty.6 The main cause of a resonance disorder is Velopharyngeal Pharyngeal
Incompetence (VPI) which is typically evident post primary cleft palate repair and is characterized as
hypernasality which can affect an individual’s speech intelligibility. Post cleft palate repair, VPI can alter speech
outcomes. After surgical intervention, speech therapy is often needed to address VPI. Timing is key at improving
resonance for children who exhibit hypernasality.13 The proposed research will address finding barriers to speech
therapy services for underrepresented populations to ascertain their access to health care services. To achieve
this, we will use MarketScan databases to evaluate access to speech therapy services. Completion of this project
will advance the candidate’s pursuit of addressing health care disparities for underrepresented populations as it
relates to receiving speech therapy and health care services as an independent clinical research scientist.
To achieve the goals of this research plan and transition to independence, the candidate requires further
development in 1) secondary analysis of administrative data, 2) expertise in qualitative methods research to
inform and evaluate barriers to health care access, and 3) professional development as an independent
researcher. This proposal includes a strong team of mentors. Dr. Katie Suda is the Primary Investigator (PI) of
this grant and has multiple R01s, Dr. Leah Fabiano has significant training in health disparities research and R01
funding, Dr. Mandy Hampton Wray has a background in behavioral research as it relates to speech disorders
and R01 funding. Lastly, Dr. Noel Jabbour is a well-respected Otolaryngologist and has successfully published
research focused on children with cleft palate.

Terms: <0-11 years old><65 and older><65 or older><65 years of age and older><65 years of age or more><65 years of age or older><65+ years><65+ years old><> 65 years><Active Follow-up><Address><Adolescent><Adolescent Youth><Affect><Aged 65 and Over><Algorithms><Anxiety><Asian><Behavioral Research><Black><Black race><Caring><Characteristics><Child><Child Youth><Childhood><Children (0-21)><Children's Hospital><Cleft Palate><Clinical><Clinical Research><Clinical Study><Communication><Communities><Data><Data Bases><Data Set><Databases><Dental><Dental General Practice><Development><Diagnosis><Disease><Disorder><Drugs><Economic Burden><Exhibits><Face><Family><Family Therapy><Family psychotherapy><Foundations><Funding><Future><Goals><Grant><Health><Health Disparities Research><Health Insurance><Health Services Evaluation><Health Services Research><Health disparities related research><Health system><Healthcare><Improve Access><Individual><Insurance><Intervention><Intervention Strategies><Interview><Investigators><Knowledge><Latine><Latinx><Leadership><Left><Literature><Loneliness><Long-Term Effects><Longterm Effects><Medical><Medical Care Research><Medication><Mental Depression><Mentors><Methodology><Nasal cavity><Occupational><Operative Procedures><Operative Surgical Procedures><Oral><Otolaryngologist><Outcome><Parents><Patients><Pediatric Hospitals><Personal Satisfaction><Pharmaceutical Preparations><Pharyngeal structure><Pharynx><Policies><Population><Privatization><Publishing><Qualitative Methods><Qualitative Research><Recommendation><Research><Research Methodology><Research Methods><Research Personnel><Researchers><Risk Reduction><Schedule><Scientist><Services><Social Problems><Socialization><Speech><Speech Disorders><Speech Intelligibilities><Speech Intelligibility><Speech Manifestations><Speech Therapy><Surgical><Surgical Interventions><Surgical Procedure><Therapeutic Intervention><Throat><Training><Translating><Transportation><Underrepresented Groups><Underrepresented Populations><Work><above age 65><access to health care><access to healthcare><accessibility of health care><accessibility to health care><accessibility to healthcare><active followup><administrative data base><administrative database><adolescent minority><adverse event risk><after age 65><age 65 and greater><age 65 and older><age 65 or older><age > 65><age of 65 years onward><aged 65 and greater><aged 65+><aged ≥65><barrier to care><barrier to health care><barrier to healthcare><barrier to treatment><biomedical referral center><career><child patients><cohort><data base><dental practice><depression><developmental><disparity in care><disparity in health><disparity in healthcare><drug/agent><effective intervention><faces><facial><follow up><follow-up><followed up><followup><health care><health care access><health care availability><health care disparity><health care inequality><health care inequity><health care service><health care service access><health care service availability><health disparities science><health disparity><health insurance plan><healthcare access><healthcare accessibility><healthcare availability><healthcare disparity><healthcare inequality><healthcare inequity><healthcare service><healthcare service access><healthcare service availability><high risk><human old age (65+)><improved><interest><intervention therapy><interventional strategy><juvenile><juvenile human><kids><lonely><minority children><minority youth><obstacle to care><obstacle to healthcare><old age><over 65 years><palate repair><palatoplasty><parent><patient safety><pediatric><pediatric minority><pediatric patients><programs><qualitative reasoning><reduce risk><reduce risks><reduce that risk><reduce the risk><reduce these risks><reduces risk><reduces the risk><reducing risk><reducing the risk><referral center><repair><repaired><research and methods><risk-reducing><secondary analysis><services research><skills><social><social disturbance><socio-economic><socio-economically><socioeconomically><socioeconomics><sound><success><surgery><under representation of groups><under represented groups><under represented people><under represented populations><underrepresentation of groups><underrepresented people><well-being><wellbeing><young minority><youngster><≥65 years>