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Lee J, Barger B. Factors Predicting Poor Mental and Physical Health in Parents of Children with Autism Spectrum Disorder: Results from 2016 to 2019 National Survey of Children's Health. J Autism Dev Disord 2024; 54:915-930. [PMID: 36562931 DOI: 10.1007/s10803-022-05870-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2022] [Indexed: 12/24/2022]
Abstract
Although poor health has been reported in parents of children with autism spectrum disorder (ASD), most studies excluded fathers and focused on mental health. We combined 2016-2019 data from the National Surveys of Children's Health to determine child and parent characteristics that predict poor mental and physical health in fathers (n = 818) and mothers (n = 2111) of children with ASD. For fathers of children with ASD, higher parenting stress was significantly associated with greater odds of poor physical health, whereas racial and ethnic minorities and living at 400% above the federal poverty were significantly associated with lower odds of poor mental health. For mothers of children with ASD, greater child sleep problems were significantly associated with greater odds of poor physical health, and two-parent household living 400% above the poverty line was significantly associated with reported lower odds of poor mental health. Continued efforts to reduce parenting stress and improve child sleep problems, along with expanding existing services and coverages of ASD services, especially for low-income families, may help reduce the burden on these families, preventing adverse future health outcomes in this population.
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Affiliation(s)
- Jiwon Lee
- School of Nursing, Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, 140 Decatur Street, Urban Life Building Suite 911, Atlanta, GA, 30303, USA.
| | - Brian Barger
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA
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2
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Wiggins LD, Overwyk K, Daniels J, Barger B, Crain H, Grzadzinski R, Moody E, Reynolds A, Reyes N, Rosenberg C, Rosenberg S, Pazol K. Risk factors and clinical correlates of sensory dysfunction in preschool children with and without autism spectrum disorder. Autism Res 2024; 17:162-171. [PMID: 38099402 DOI: 10.1002/aur.3074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 11/18/2023] [Indexed: 01/30/2024]
Abstract
Sensory dysfunction is a common feature of autism spectrum disorder (ASD). The objectives of this analysis were to examine risk factors and clinical correlates of sensory dysfunction in preschool children with and without ASD. Children aged 2-5 years were enrolled in a multi-site case-control study. Data were collected in eight areas across the United States in three phases. Caregivers completed an interview with questions on assisted delivery, maternal alcohol use, maternal anxiety during pregnancy, pregnancy weight gain, neonatal jaundice, preterm birth, and child sensory diagnosis given by a healthcare provider. Caregivers also completed an interview and questionnaires on sensory symptoms and clinical correlates of sensory dysfunction in their child. There were 2059 children classified as ASD, 3139 as other developmental delay or disability (DD), and 3249 as population comparison (POP). Caregivers reported significantly more sensory diagnoses and sensory symptoms in children classified as ASD than DD or POP (23.7%, 8.6%, and 0.8%, respectively, for a sensory diagnosis and up to 78.7% [ASD] vs. 49.6% [DD] for sensory symptoms). Maternal anxiety during pregnancy and neonatal jaundice were significantly associated with a sensory diagnosis and certain sensory symptoms in children with ASD and DD. Children's anxiety, attention deficits/hyperactivity, and sleep problems were significantly albeit subtly correlated with both a sensory diagnosis and sensory symptoms in children with ASD and DD. These findings support sensory dysfunction as a distinguishing symptom of ASD in preschool children and identify risk factors and clinical correlates to inform screening and treatment efforts in those with atypical development.
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Affiliation(s)
- Lisa D Wiggins
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Katie Overwyk
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Julie Daniels
- University of North Carolina, Chapel Hill, North Carolina, USA
| | | | - Hayley Crain
- University of Wisconsin, Madison, Wisconsin, USA
| | | | - Eric Moody
- University of Wyoming, Laramie, Wyoming, USA
| | - Ann Reynolds
- Children's Hospital Colorado, Aurora, Colorado, USA
| | - Nuri Reyes
- University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | | | - Steven Rosenberg
- University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Karen Pazol
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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3
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Barger B. Epidemiology with psychometric spirit: MoBa leads autism's interdisciplinary future-a commentary on Havdahl et al. (2023). J Child Psychol Psychiatry 2023. [PMID: 38102783 DOI: 10.1111/jcpp.13933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/06/2023] [Indexed: 12/17/2023]
Abstract
Havdahl et al.'s (2023) Norwegian Mother, Father and Child Cohort Study (MoBa) skill loss study stands out for their creative consideration of scale items to gain a better understanding of skill loss/regression. This commentary outlines how the MoBa team continues to challenge the field by conducting "basic" measurement analyses with their public health longitudinal population data. Their creative use of items, validity-oriented analyses, and transparent reporting of item correlations emulates early-stage scale development in psychometric research, and sets the stage for considering how psychometricians and epidemiologists might more directly work with each other to improve early autism identification research.
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Affiliation(s)
- Brian Barger
- Mark Chaffin Center for Healthy Development: Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
- Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA
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Barger B, Salmon A, Moore Q. Medical Home, Developmental Monitoring/Screening, and Early Autism Identification. J Autism Dev Disord 2023:10.1007/s10803-023-06044-0. [PMID: 37477840 DOI: 10.1007/s10803-023-06044-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2023] [Indexed: 07/22/2023]
Abstract
Developmental monitoring/screening predict early identified autism spectrum disorders (ASD), but studies have not yet robustly controlled for a key health care service impacting early identification: medical home. National Surveys of Children's Health (NSCH; 2016-2020) were used to determine the relationship between medical home, developmental monitoring/screening, and identified ASD. NSCH overall medical home variable had a minimal relationship with ASD (under 5 years of age, under 5 identified in last year, under 5 identified over a year prior). Usual source of care was positively, and care coordination negatively, associated with ASD identified in last year, suggesting the overall medical home variable may mask variance from subscales. Research is needed to determine how medical home relates to identification in applied settings.
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Affiliation(s)
- Brian Barger
- Center for Leadership in Disability, School of Public Health, Georgia State University, 75 Piedmont Rd., Atlanta, GA, 30303, USA.
- Population Health Sciences, School of Public Health, Georgia State University, Atlanta, USA.
| | - Ashley Salmon
- Center for Leadership in Disability, School of Public Health, Georgia State University, 75 Piedmont Rd., Atlanta, GA, 30303, USA
| | - Quentin Moore
- Center for Leadership in Disability, School of Public Health, Georgia State University, 75 Piedmont Rd., Atlanta, GA, 30303, USA
- Population Health Sciences, School of Public Health, Georgia State University, Atlanta, USA
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Dahl E, Moody EJ, Barger B, Rosenberg S, DiGuiseppi C, Fallin MD, Lee LC, Wiggins L. Differential Performance of Social Communication Questionnaire Items in African American/Black vs. White Children. J Autism Dev Disord 2023:10.1007/s10803-023-05931-w. [PMID: 36897518 PMCID: PMC10913152 DOI: 10.1007/s10803-023-05931-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2023] [Indexed: 03/11/2023]
Abstract
Screening for autism spectrum disorder (ASD) is an essential early step in the identification process and inaccurate screening may lead to significant delays in the onset of treatment. Past research has highlighted discrepancies in the performance of ASD screening tools such as the Social Communication Questionnaire (SCQ) among certain racial and ethnic groups. The current study explored the functioning of the SCQ among African American/Black and White respondents based on item level performance on the measure. Differential Item Functioning (DIF) analyses showed that 16 (41%) items of the SCQ functioned differently for African American/Black respondents when compared to White respondents. Implications, such as the potential for delayed diagnosis and treatment, and the influence on downstream outcomes, are discussed.
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Affiliation(s)
- Ethan Dahl
- Department of Education, Health, & Behavior Studies, College of Education & Human Development, University of North Dakota, 231 Centennial Dr Stop 7189, Grand Forks, ND, 58202-7189, USA.
| | - Eric J Moody
- Wyoming Institute for Disabilities, University of Wyoming, Laramie, WY, USA
| | - Brian Barger
- Center for Leadership in Disabilities, Georgia State University, Atlanta, Georgia
| | - Steven Rosenberg
- Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA
| | - Carolyn DiGuiseppi
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - M Daniele Fallin
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Li-Ching Lee
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Lisa Wiggins
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
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Barger B, Larson LR, Torquati J, Moody E, Ogletree S, Rosenberg S. The complex relationship between greenspace and well-being in children with and without autism. Appl Psychol Health Well Being 2022; 15:705-722. [PMID: 36196049 DOI: 10.1111/aphw.12406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 08/29/2022] [Indexed: 11/28/2022]
Abstract
Greenspace (defined here as canopy coverage) positively correlates with improved well-being in typically developing individuals, but this relationship has not been established in children with autism spectrum disorder (ASD). To investigate this relationship, the current study merged data from the National Survey of Children's Health (2012) with the National Land Cover Database. Across typically developing children, children with ASD, and non-autistic children with special healthcare needs (CSHCN), greenspace unexpectedly negatively correlated with well-being. Further, compared with typically developing children, children with ASD or CSHCN status had lower well-being. Interestingly, typically developing children with conduct problems displayed an unexpected negative relationship (i.e. as greenspace increased whereas well-being decreased), though those without conduct problems showed no relationship. Children with ASD displayed no relationship between greenspace independent of conduct problems. CSHCN displayed non-significant trends suggesting mild positive relationships between greenspace and well-being. These data indicate the relationship between greenspace and well-being is more complex than expected and may depend on the diagnostic traits of the population studied.
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Affiliation(s)
- Brian Barger
- School of Public Health, Center for Leadership in Disability, Georgia State University, Atlanta, Georgia, USA
| | - Lincoln R Larson
- Department of Parks, Recreation & Tourism Management, College of Natural Resources, North Carolina State University, Raleigh, North Carolina, USA
| | - Julia Torquati
- Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Eric Moody
- Wyoming Institute for Disabilities (WIND), College of Health Sciences, University of Wyoming, Laramie, Wyoming, USA
| | - Scott Ogletree
- Department of Parks, Recreation & Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, South Carolina, USA
| | - Steven Rosenberg
- Department of Psychiatry, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
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Wiggins LD, Tian LH, Rubenstein E, Schieve L, Daniels J, Pazol K, DiGuiseppi C, Barger B, Moody E, Rosenberg S, Bradley C, Hsu M, Rosenberg CR, Christensen D, Crume T, Pandey J, Levy SE. Features that best define the heterogeneity and homogeneity of autism in preschool-age children: A multisite case-control analysis replicated across two independent samples. Autism Res 2022; 15:539-550. [PMID: 34967132 PMCID: PMC9048225 DOI: 10.1002/aur.2663] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 11/15/2021] [Accepted: 12/09/2021] [Indexed: 11/12/2022]
Abstract
The heterogeneous nature of children with symptoms of autism spectrum disorder (ASD) makes it difficult to identify risk factors and effective treatment options. We sought to identify behavioral and developmental features that best define the heterogeneity and homogeneity in 2-5-year-old children classified with ASD and subthreshold ASD characteristics. Children were enrolled in a multisite case-control study of ASD. Detailed behavioral and developmental data were gathered by maternal telephone interview, parent-administered questionnaires, child cognitive evaluation, and ASD diagnostic measures. Participants with a positive ASD screen score or prior ASD diagnosis were referred for comprehensive evaluation. Children in the ASD group met study criteria based on this evaluation; children who did not meet study criteria were categorized as having subthreshold ASD characteristics. There were 1480 children classified as ASD (81.6% boys) and 594 children classified as having subthreshold ASD characteristics (70.2% boys) in the sample. Factors associated with dysregulation (e.g., aggression, anxiety/depression, sleep problems) followed by developmental abilities (e.g., expressive and receptive language skills) most contributed to heterogeneity in both groups of children. Atypical sensory response contributed to homogeneity in children classified as ASD but not those with subthreshold characteristics. These findings suggest that dysregulation and developmental abilities are clinical features that can impact functioning in children with ASD and other DD, and that documenting these features in pediatric records may help meet the needs of the individual child. Sensory dysfunction could be considered a core feature of ASD and thus used to inform more targeted screening, evaluation, treatment, and research efforts. LAY SUMMARY: The diverse nature of autism spectrum disorder (ASD) makes it difficult to find risk factors and treatment options. We identified the most dissimilar and most similar symptom(s) in children classified as ASD and as having subthreshold ASD characteristics. Factors associated with dysregulation and developmental abilities contributed to diversity in both groups of children. Sensory dysfunction was the most common symptom in children with ASD but not those with subthreshold characteristics. Findings can inform clinical practice and research.
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Affiliation(s)
- Lisa D. Wiggins
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Lin H. Tian
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Eric Rubenstein
- Department of Epidemiology, Boston University, Boston, Massachusetts, USA
| | - Laura Schieve
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Julie Daniels
- Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Karen Pazol
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | | | - Brian Barger
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | - Eric Moody
- Institute for Disabilities, University of Wyoming, Laramie, Wyoming, USA
| | - Steven Rosenberg
- Anschutz Medical Campus, University of Colorado, Boulder, Colorado, USA
| | - Chyrise Bradley
- Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Melanie Hsu
- The Autism Research Program, Kaiser Permanente Northern California, Oakland, California, USA
| | | | - Deborah Christensen
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Tessa Crume
- Anschutz Medical Campus, University of Colorado, Boulder, Colorado, USA
| | - Juhi Pandey
- Center for Autism Research, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Susan E. Levy
- Center for Autism Research, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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Graybill E, Salmon A, Barger B, Roach AT. Examining the predictive utility of the self-report Strengths and Difficulties Questionnaire with middle school students. International Journal of Mental Health 2022. [DOI: 10.1080/00207411.2022.2038983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Barger B, Benevides T, Riszk S, Rice C, Heiman H, Salmon A, Sanchez-Alvarez S. Race/ethnic inequities in conjoint monitoring and screening for U.S. children 3 and under: Disparities in Monitoring and Screening. Disabil Health J 2021; 15:101179. [PMID: 34412986 DOI: 10.1016/j.dhjo.2021.101179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 07/10/2021] [Accepted: 08/02/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Non-White children with developmental disabilities are frequently identified later than White children and therefore miss out on opportunities for early intervention (EI). Recent research indicates that conjoint monitoring and screening is more strongly associated with EI receipt than monitoring or screening alone. OBJECTIVE To determine if there are racial/ethnic inequities in the conjoint receipt of monitoring and screening. METHOD A series of survey weighted and stratified logistic regression analyses were conducted on National Surveys of Children's Health (2016-2018) data with conjoint monitoring and screening, screening alone, monitoring alone, and non-receipt as outcomes for children aged 9-23 months of age. The primary predictor was child race/ethnicity (Black, Hispanic, Other, and White). Additional co-variates included child (e.g., Age), caretaker/family (e.g., poverty level), healthcare (e.g., usual source of healthcare), state EI policies, and city metropolitan status. RESULTS Bivariate analyses indicated significant variation in conjoint monitoring and screening across racial/ethnic groups and covariates. Bivariate analyses showed that Black and Hispanic children had significantly lower odds of conjoint monitoring and screening receipt than White children. Multivariate analyses showed that this relationship was better accounted by co-variates. The health service variable, usual source of healthcare, had the strongest relationship with receipt of conjoint monitoring and screening. CONCLUSIONS Black and Hispanic children are less likely to receive conjoint monitoring and screening than White children. Analyses investigating the role of usual source of healthcare seem particularly promising for understanding the sources of inequities in monitoring and screening receipt.
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Affiliation(s)
- Brian Barger
- Center for Leadership in Disability, School of Public Health, Georgia State University, United States; Population Health Sciences, School of Public Health, Georgia State University, United States.
| | - Teal Benevides
- Department of Occupational Therapy, Augusta State University, United States
| | - Sabrin Riszk
- Department of Occupational Science and Technology, University of Wisconsin-Milwaukee, United States
| | | | - Harry Heiman
- Center for Leadership in Disability, School of Public Health, Georgia State University, United States; Department of Health Management and Policy, School of Public Health, Georgia State University, United States
| | - Ashley Salmon
- Center for Leadership in Disability, School of Public Health, Georgia State University, United States
| | - Sonia Sanchez-Alvarez
- Center for Leadership in Disability, School of Public Health, Georgia State University, United States
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Wiggins LD, Rubenstein E, Windham G, Barger B, Croen L, Dowling N, Giarelli E, Levy S, Moody E, Soke G, Fields V, Schieve L. Evaluation of sex differences in preschool children with and without autism spectrum disorder enrolled in the study to explore early development. Res Dev Disabil 2021; 112:103897. [PMID: 33610079 PMCID: PMC8215620 DOI: 10.1016/j.ridd.2021.103897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 01/30/2021] [Accepted: 02/05/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND AND AIMS Research in school-aged children, adolescents, and adults with autism spectrum disorder (ASD) has found sex-based differences in behavioral, developmental, and diagnostic outcomes. These findings have not been consistently replicated in preschool-aged children. We examined sex-based differences in a large sample of 2-5-year-old children with ASD symptoms in a multi-site community-based study. METHODS AND PROCEDURES Based on a comprehensive evaluation, children were classified as having ASD (n = 1480, 81.55 % male) or subthreshold ASD characteristics (n = 593, 70.15 % male). Outcomes were behavior problems, developmental abilities, performance on ASD screening and diagnostic tests, and parent-reported developmental conditions diagnosed before study enrollment. OUTCOMES AND RESULTS We found no statistically significant sex differences in behavioral functioning, developmental functioning, performance on an ASD screening test, and developmental conditions diagnosed before study enrollment among children with ASD or subthreshold ASD characteristics. Males in both study groups had more parent reported restricted interests and repetitive behaviors than females, but these differences were small in magnitude and not clinically meaningful. CONCLUSIONS AND IMPLICATIONS Preschool males and females who showed risk for ASD were more similar than different in the outcomes assessed in our study. Future research could examine sex-based differences in ASD phenotypes as children age.
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Affiliation(s)
- Lisa D Wiggins
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States.
| | - Eric Rubenstein
- Boston University, Department of Epidemiology, Boston, MA, United States
| | - Gayle Windham
- California Department of Public Health, Environmental Health Investigations Branch, Richmond, CA, United States
| | - Brian Barger
- Georgia State University, School of Public Health, Atlanta, GA, United States
| | - Lisa Croen
- Kaiser Permanente Northern California, Division of Research, Autism Research Program, Oakland, CA, United States
| | - Nicole Dowling
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Ellen Giarelli
- College of Nursing and Health Professionals, Drexel University, Philadelphia, PA, United States
| | - Susan Levy
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Eric Moody
- University of Wyoming, Wyoming Institute for Disabilities College of Health Sciences, Laramie, WY, United States
| | - Gnakub Soke
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Victoria Fields
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Laura Schieve
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, United States
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Wells R, Daniel P, Barger B, Rice CE, Bandlamudi M, Crimmins D. Impact of medical home-consistent care and child condition on select health, community, and family level outcomes among children with special health care needs. Children's Health Care 2020. [DOI: 10.1080/02739615.2020.1852085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Rebecca Wells
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Patricia Daniel
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Brian Barger
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Catherine E. Rice
- Emory Autism Center, Emory University School of Medicine, Atlanta, GA, USA
| | - Maitreyi Bandlamudi
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Daniel Crimmins
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
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Pizur-Barnekow K, Lang AC, Barger B. Development and utility of the Family-Centered Autism Navigation interview. Autism 2020; 25:1154-1160. [PMID: 33238720 DOI: 10.1177/1362361320972890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
LAY ABSTRACT When a parent learns of their child's autism diagnosis, they may be overwhelmed, confused, and frustrated. Family navigation services are designed to improve access to care. While these services are a promising intervention to enhance well-being and developmental outcomes, there are limited tools that can systematically facilitate the development of a shared navigation plan that prioritizes the concerns of the family. The Family-Centered Autism Navigation semi-structured interview guide is designed for family navigators to triage and prioritize caregiver's needs to coordinate and navigate systems of care after learning of their child's autism spectrum disorder diagnosis. The goals of the Family-Centered Autism Navigation interview are to (1) identify family and child strengths; (2) identify family/caregiver concerns regarding navigation of services and systems following their child's diagnosis of autism; (3) measure change in caregiver knowledge, ability and skill as it relates to understanding, remembering, and evaluating information they receive; and (4) assist with the development of a shared navigation plan. When using the Family-Centered Autism Navigation guide, family navigators and caregivers co-create a family-centered, prioritized action plan that supports and prepares caregivers as they navigate systems of care. This short report describes the development process of the Family-Centered Autism Navigation semi-structured interview guide. We utilized brief interviews (n = 42), expert feedback (n = 13), and quality improvement strategies (n = 2 family navigators) to develop the questions and determine the usability of the Family-Centered Autism Navigation interview in practice.
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Chödrön G, Barger B, Pizur-Barnekow K, Viehweg S, Puk-Ament A. "Watch Me!" Training Increases Knowledge and Impacts Attitudes Related to Developmental Monitoring and Referral Among Childcare Providers. Matern Child Health J 2020; 25:980-990. [PMID: 33237507 DOI: 10.1007/s10995-020-03097-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES To evaluate the impact of "Watch Me!" developmental monitoring training on childcare providers' knowledge and attitudes related to monitoring developmental milestones and making recommended referrals when there is a concern about a child's development. METHODS A pretest-posttest design using web-based surveys was used to assess the impact of "Watch Me!" training on knowledge and attitudes related to conducting five key components of developmental monitoring (tracking development, recognizing delays, talking to parents about development, talking to parents about concerns, and making referrals). Variables included belief that developmental monitoring is important and is part of childcare provider role; perceived knowledge of, access to tools for, and prioritization of developmental monitoring; and ability to list recommended referrals when there is a concern. RESULTS Childcare providers demonstrated a significant pre-post increase in perceived knowledge and access to the tools to engage in five core components of developmental monitoring after completing "Watch Me!" training. There was also a significant pre-post increase in childcare providers' ability to list the child's doctor as an appropriate referral (39 pre-63% post), but not in the ability to list Part C/Part B programs as an appropriate referral (56 pre-58% post). CONCLUSIONS FOR PRACTICE: "Watch Me!" training may be effective at impacting targeted areas of knowledge and attitude about developmental monitoring among childcare providers in the short term.
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Affiliation(s)
- Gail Chödrön
- Waisman Center University Center for Excellence in Developmental Disabilities, University of Wisconsin-Madison, 1500 Highland Avenue, Madison, WI, 53705, USA.
| | - Brian Barger
- School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Kris Pizur-Barnekow
- Department of Occupational Science and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
| | - Stephan Viehweg
- Riley Child Development Center, Indiana University, Bloomington, IN, USA
| | - Alexandra Puk-Ament
- Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, USA
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Oleske D, Barbato L, Barger B, Wells K. Epidemiology of Comorbidities in Patients with Multiple Sclerosis (MS) by Phenotype in Germany. Ann Epidemiol 2020. [DOI: 10.1016/j.annepidem.2020.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Graybill E, Roach A, Barger B. Factor Structure of the Self-Report Strength and Difficulties Questionnaire in a Diverse U.S. Sample. J Psychopathol Behav Assess 2020. [DOI: 10.1007/s10862-020-09833-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Affiliation(s)
- Corey Jones
- Center for Leadership in DisabilityGeorgia State University Atlanta Georgia
| | - Emily Graybill
- Center for Leadership in DisabilityGeorgia State University Atlanta Georgia
| | - Brian Barger
- Center for Leadership in DisabilityGeorgia State University Atlanta Georgia
| | - Andrew T. Roach
- Counseling and Psychological ServicesGeorgia State University Atlanta Georgia
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Kira I, Barger B, Shuwiekh H, Kucharska J, Al-Huwailah A. The Threshold Non-linear Model for the Effects of Cumulative Stressors and Traumas: A Chained Cusp Catastrophe Analysis. ACTA ACUST UNITED AC 2020. [DOI: 10.4236/psych.2020.113025] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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18
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Barger B, Squires J, Greer M, Noyes-Grosser D, Eile JM, Rice C, Shaw E, Surprenant KS, Twombly E, London S, Zubler J, Wolf RB. State Variability in Diagnosed Conditions for IDEA Part C Eligibility. Infants Young Child 2019; 32:231-244. [PMID: 32327900 PMCID: PMC7177194 DOI: 10.1097/iyc.0000000000000151] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
An infant or toddler can begin the process of receiving Part C early intervention services by having a diagnosed condition with a high probability of developmental delay (Individuals with Disabilities Education Improvement Act, 2004). How states define those diagnosed conditions that begin the initiation process varies widely. Lists of diagnosed conditions were collected from state Part C websites and Part C coordinators for a descriptive analysis. Across 49 states, the District of Columbia, and 4 territories, a final list of 620 unique conditions was compiled. No single condition was listed by all jurisdictions. Hearing impairment was the condition listed by the most states (n = 38), followed by fetal alcohol syndrome (n = 34). Of the 620 conditions, 168 (27%) were listed by only 1 state, 554 (89%) were listed by fewer than 10 states, and 66 (11%) were listed by 10 or more states. Of these 66 conditions, 47 (71%) were listed by fewer than 20 states. Most of these 66 conditions (n = 48; 72.7%) had a prevalence of "very rare or rare," 8 (12%) were "common," 6 (9%) were "very common," and 4 (6.1%) were "unknown." The wide heterogeneity in the number and type of diagnostic conditions listed across states should be further investigated as it may represent imbalances in children with diagnosed conditions gaining access to Part C evaluations and individualized family service plans and potentially the services themselves across states. In addition, providing ready access to lists of diagnosed conditions is a simple step that could help states and Part C programs facilitate access to services.
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Affiliation(s)
- Brian Barger
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Jane Squires
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Maureen Greer
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Donna Noyes-Grosser
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Julia Martin Eile
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Catherine Rice
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Evelyn Shaw
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Kala Shah Surprenant
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Elizabeth Twombly
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Sarah London
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Jennifer Zubler
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
| | - Rebecca B Wolf
- Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta (Dr Barger); Disability Research and Dissemination Center, Arnold School of Public Health, University of South Carolina, Columbia (Dr Barger); Center on Human Development, University of Oregon, Eugene (Dr Squires and Ms Twombly); Infant & Toddler Coordinators Association, Indianapolis, Indiana (Ms Greer); Office of Special Education Programs (Dr Noyes-Grosser and Ms Martin Eile) and Office of General Counsel (Dr Surprenant), US Department of Education, Washington, District of Columbia; Department of Psychiatry and Behavioral Sciences (Dr Rice) and Emory School of Public Health (Ms London), Emory University, Atlanta, Georgia; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill (Ms Shaw); Carter Consulting, Inc, Atlanta, Georgia (Dr Zubler); and National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Rice and Zubler and Mss London and Wolf)
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Wiggins LD, Barger B, Moody E, Soke G, Pandey J, Levy S. Brief Report: The ADOS Calibrated Severity Score Best Measures Autism Diagnostic Symptom Severity in Pre-School Children. J Autism Dev Disord 2019; 49:2999-3006. [PMID: 28265795 DOI: 10.1007/s10803-017-3072-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The severity of autism spectrum disorder (ASD) is often measured by co-occurring conditions, such as intellectual disability or language delay, rather than deficits in social interaction, and restricted interests and repetitive behaviors. The Autism Diagnostic Observation Schedule calibrated severity score (ADOS CSS) was created to facilitate comparison of the diagnostic features of ASD independent of related conditions over time. We examined the relationship between the ADOS CSS, ADOS total score, and clinician rated degree of impairment (DOI) in the Study to Explore Early Development. Like others, we confirmed that, among the measures we evaluated, the ADOS CSS was least influenced by developmental functioning and demographic factors and is therefore the best measure of core features of ASD in pre-school children.
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Affiliation(s)
- Lisa D Wiggins
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway MS E-86, Atlanta, GA, 30341, USA.
| | - Brian Barger
- Georgia State University School of Public Health, Atlanta, GA, USA
| | - Eric Moody
- University of Colorado School of Medicine, Aurora, CO, USA
| | - Gnakub Soke
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway MS E-86, Atlanta, GA, 30341, USA
| | - Juhi Pandey
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Susan Levy
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA
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Ellis JA, Brown CM, Barger B, Carlson NS. Influence of Maternal Obesity on Labor Induction: A Systematic Review and Meta-Analysis. J Midwifery Womens Health 2019; 64:55-67. [PMID: 30648804 DOI: 10.1111/jmwh.12935] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Revised: 09/27/2018] [Accepted: 09/28/2018] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Studies have shown that women with obesity have longer labors. The purpose of this systematic review and meta-analysis is to examine existing evidence regarding labor induction in women with obesity, including processes and outcomes. The primary outcome was cesarean birth following labor induction. Secondary outcomes were the timing and dosage of prostaglandins, the success of mechanical cervical ripening methods, and synthetic oxytocin dose and timing. METHODS Searches were performed in PubMed, MEDLINE, Embase, CINAHL, EBSCO, the Cochrane Database of Systematic Reviews, the Database of Abstracts of Effects, Google Scholar, and ClinicalTrials.gov. Searches were limited to studies published in English after 1990. Ten studies published between 2009 and 2017 were included in this review. All were observational studies comparing processes and outcomes of induction of labor in relation to maternal body mass index. The primary outcome was cesarean birth following labor induction. We assessed heterogeneity using Cochran's Q test and tau-squared and I2 statistics. We also calculated fixed-effect models to estimate pooled relative risks and weighted mean differences. RESULTS Ten cohort studies met inclusion criteria; 8 studies had data available for a meta-analysis of the primary outcome. Cesarean birth was more common among women with obesity compared with women of normal weight following labor induction (Mantel-Haenszel fixed-effect odds ratio, 1.82; 95% CI, 1.55-2.12; P < .001). Maternal obesity was associated with a longer time to birth, higher doses of prostaglandins, less frequent success of cervical ripening methods, and higher dose of synthetic oxytocin, as well as a longer time to birth after oxytocin use. DISCUSSION Women with obesity are more likely than women with a normal weight to end labor induction with cesarean birth. Additionally, women with obesity require longer labor inductions involving larger, more frequent applications of both cervical ripening methods and synthetic oxytocin.
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Kira I, Barger B, Shuwiekh H, Kucharska J, Al-Huwailah AH. Cumulative Stressors and Traumas and Suicide: A Non-Linear Cusp Dynamic Systems Model. ACTA ACUST UNITED AC 2019. [DOI: 10.4236/psych.2019.1015128] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Barger B, Rice C, Roach A. Socioemotional developmental surveillance in young children: monitoring and screening best identify young children that require mental health treatment. Child Adolesc Ment Health 2018; 23:206-213. [PMID: 32677288 DOI: 10.1111/camh.12240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/19/2017] [Indexed: 11/27/2022]
Abstract
BACKGROUND Widely recommended socioemotional developmental surveillance methods include monitoring and development screening techniques. Currently, very little research has compared the effectiveness of monitoring and screening together, and existing research primarily focuses on the relationship between surveillance techniques and referrals or receipt of early intervention (EI). This study investigates the relationship between monitoring and screening and mental health treatment receipt in 3-5 year olds. METHODS The authors conducted logistic regression analyses on data from the National Surveys of Children's Health (NSCH; 2007) and NSCH (2011/2012) on the odds of mental health treatment receipt in children aged 3-5 years of age who either received (a) screening only, (b) monitoring only, (c) both monitoring and screening, or (d) no monitoring or screening. Sociodemographic control variables were also considered. RESULTS In both 2007 and 2011/2012 datasets, monitoring and screening together was the best predictor of mental health treatment receipt. Neither screening alone nor monitoring alone was associated with mental health treatment receipt. CONCLUSIONS Children who received monitoring and screening together had the greatest odds of treatment receipt compared with children receiving screening only, monitoring only, or no monitoring or screening.
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Affiliation(s)
- Brian Barger
- Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA
| | | | - Andrew Roach
- Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA
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Larson LR, Barger B, Ogletree S, Torquati J, Rosenberg S, Gaither CJ, Bartz JM, Gardner A, Moody E, Schutte A. Gray space and green space proximity associated with higher anxiety in youth with autism. Health Place 2018; 53:94-102. [DOI: 10.1016/j.healthplace.2018.07.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 06/01/2018] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
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Barger B, Rice C, Roach A. Commentary: Response to Foreman's commentary on detecting unmet mental health needs in preschool children (2018). Child Adolesc Ment Health 2018; 23:217-219. [PMID: 32677300 DOI: 10.1111/camh.12276] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/19/2018] [Indexed: 11/29/2022]
Abstract
In this response, we build on insights from Dr. David Foreman's commentary on our recent article "Socio-emotional Surveillance in Preschoolers: Monitoring and Screening Best Identify Children Who Need Mental Health Treatment." In particular, we build on Foreman's insights that underidentification is likely related to clinician error, measurement error, and population properties by also including the role of community systems within which children are identified. We also provide frameworks for considering screening tools and developmental monitoring processes to help direct future research on this important topic.
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Affiliation(s)
- Brian Barger
- Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA
| | - Catherine Rice
- Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA
| | - Andrew Roach
- Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA
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Abstract
Objectives Developmental screening is considered critical to identifying children with developmental delays and disabilities so that they may receive early intervention. To date, only a handful of studies report data on the percentage of health care professionals (HCP) who provide developmental screening. These reports are limited by low participation rates and reporters being pediatricians who may be biased towards reporting higher rates of developmental screening. The purpose of this study is to verify reported increases by reporting on changes in caretakers' awareness of HCP provided developmental screening from 2007/2008 to 2011/2012. Methods Authors report data on caretaker reported receipt of HCP provided developmental screening from the National Survey of Children's Health (NSCH, 2007/2008) and NSCH (2011/2012), as well as changes from the 2007/2008 to 2011/2012. Changes for the 50 states plus Washington D.C. are visualized using 'micromapST' and states are organized in ascending order according to changes in caretaker awareness of developmental screening. Results Nationally, the proportion of caretakers aware that their HCP provided developmental screening increased from 23.0% in 2007/2008 (range 12.6-46%) to 33.3% in 2011/2012 (range 19.4-61.6%) and states level changes ranged from -2 to +35%, with a median change of +10%. Conclusions for Practice Data reported here indicate that a greater number of caretakers are aware that their HCP is providing developmental screening. This reinforces the existing reports indicating increases in HCP reported developmental screening. Despite growth, there is still a need to increase developmental screening efforts in many states.
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Affiliation(s)
- Brian Barger
- Division of Epidemiology and Biostatistics, Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA.
| | - Andrew Roach
- Division of Epidemiology and Biostatistics, Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA
| | - Gabriel Moreno
- School of Medicine, ArizonaLEND, University of Arizona, Tucson, AZ, USA
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Abstract
Authors conducted a systematic literature review on early identification steps leading at-risk young children to connect with Part C services. Authors classified data collection settings as primary (settings for general population) or specialized (settings for children at risk of developmental delay) and according to the phases of early identification in the study: (a) original population of children aged 0 to 6 years who had received Part C services, (b) screening and/or referral and/or developmental assessment from 0 through age 2 years, and (c) were deemed eligible and/or received Part C services. Authors identified 43 articles including at least two phases of the early identification process. The literature about connecting children to Part C early intervention (EI) is sparse and fragmented; few studies document the full process from community monitoring to service receipt. Results indicate opportunities for development of systems to better track and improve the identification of young children in need of EI.
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Affiliation(s)
| | | | | | - Rebecca Wolf
- Centers for Disease Control and Prevention, Atlanta, GA, USA
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Barger B, Rice C, Wolf R, Roach A. Better together: Developmental screening and monitoring best identify children who need early intervention. Disabil Health J 2018; 11:420-426. [PMID: 29459217 DOI: 10.1016/j.dhjo.2018.01.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Revised: 12/14/2017] [Accepted: 01/21/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND Widely recommended developmental surveillance methods include developmental monitoring (DM) and development screening (DS). Much research has been done on DS, but very little research has compared the effectiveness of DM and DS together. OBJECTIVES To investigate the relationship between DM and DS in Part C early intervention (EI) service receipt. METHODS Authors used data from the 2007/2008 and 2011/2012 National Survey of Children's Health (NSCH). Authors report the prevalence of children aged 10 months to 3 years who received (a) DM only, (b) DS only, (c) both DM and DS, and (c) no DM or DS across survey years. Authors compare the odds of EI receipt across these groups. RESULTS During both periods, estimated EI receipt prevalence was higher for children receiving both DM and DS (8.38% in 2007/2008; 6.47% in 2011/2012) compared to children receiving no DM or DS (1.31% in 2007/2008; 1.92% in 2011/2012), DM alone (2.74% in 2007/2008; 2.70% in 2011/2012), or DS alone (3.59% in 2007/2008; 3.09% in 2011/2012) (for both time frames, p < .05). From 2007/2008 to 2011/2012, the proportion of children receiving DS only and both DM and DS increased, while children receiving DM only and no DM or DS decreased. CONCLUSIONS Children receiving DM and DS together were more likely to receive EI compared to children receiving DM alone, DS alone, or neither DM nor DS. These findings support the AAP recommendations indicating that DM and DS are complementary strategies for improving early identification and linkage to EI for young children.
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Affiliation(s)
- Brian Barger
- USC, DRDC Policy Research Fellow at National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA; Center for Leadership in Disability, Georgia State University, School of Public Health, Epidemiology and Biostatistics, Atlanta, GA, USA.
| | - Catherine Rice
- Learn the Signs. Act Early., National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA; Emory Autism Center, Emory University School of Medicine, Atlanta, GA, USA
| | - Rebecca Wolf
- Learn the Signs. Act Early., National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Andrew Roach
- Center for Leadership in Disability, Georgia State University, School of Public Health, Epidemiology and Biostatistics, Atlanta, GA, USA
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Derryberry WP, Wilson T, Snyder H, Norman T, Barger B. Moral Judgment Developmental Differences Between Gifted Youth and College Students. ACTA ACUST UNITED AC 2016. [DOI: 10.4219/jsge-2005-392] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
In order to better understand contributing factors of moral judgment development, gifted youth and college students were compared. Moral judgment development, ACT scores, attributional complexity, and descriptors of personality were assessed among 140 college students and 97 gifted youth. Important distinctions favoring the gifted sample were seen among aspects of all considered variables. Stepwise hierarchical regression models noted that there was variability in how these variables accounted for the moral judgment developmental variance of each group. Discussed are explanations for the differences seen in the gifted sample relative to the college sample. Efforts to understand populations prone to early advancement, such as the gifted, are recommended in the hopes of transferring gained knowledge to other populations.
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Barger B, Piazza A, Muir P. Treatment of stable partial cruciate rupture (Grade 1 sprain) in five dogs with tibial plateau levelling osteotomy. Vet rec case rep 2016. [DOI: 10.1136/vetreccr-2016-000315] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- B Barger
- UW Veterinary Care HospitalUniversity of Wisconsin‐MadisonSchool of Veterinary MedicineMadisonWisconsinUSA
| | - A Piazza
- Comparative Orthopaedic Research LaboratoryUniversity of Wisconsin‐MadisonSchool of Veterinary MedicineMadisonWisconsinUSA
| | - P Muir
- Comparative Orthopaedic Research LaboratoryUniversity of Wisconsin‐MadisonSchool of Veterinary MedicineMadisonWisconsinUSA
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Bray JE, Coughlan K, Mosley I, Barger B, Bladin C. Are suspected stroke patients identified by paramedics transported to appropriate stroke centres in Victoria, Australia? Intern Med J 2014; 44:515-8. [DOI: 10.1111/imj.12382] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2013] [Accepted: 09/18/2013] [Indexed: 11/29/2022]
Affiliation(s)
- J. E. Bray
- Research and Evaluation Department; Ambulance Victoria; Melbourne Victoria Australia
- Department of Epidemiology and Preventive Medicine; Monash University; Melbourne Victoria Australia
| | - K. Coughlan
- Department of Neuroscience; Box Hill Hospital; Melbourne Victoria Australia
| | - I. Mosley
- Division of Stroke Epidemiology and Public Health; Florey Institute of Neuroscience and Mental Health; Melbourne Victoria Australia
| | - B. Barger
- Research and Evaluation Department; Ambulance Victoria; Melbourne Victoria Australia
| | - C. Bladin
- Department of Epidemiology and Preventive Medicine; Monash University; Melbourne Victoria Australia
- Department of Neuroscience; Box Hill Hospital; Melbourne Victoria Australia
- Division of Stroke Epidemiology and Public Health; Florey Institute of Neuroscience and Mental Health; Melbourne Victoria Australia
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Maiga H, Barger B, Sagara I, Doumbo O, Djimde A. School performance after intermittent preventive treatment using artemisinin-based combination. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Barger B, Nabi R, Hong LY. Standard back-translation procedures may not capture proper emotion concepts: A case study of Chinese disgust terms. Emotion 2010; 10:703-11. [DOI: 10.1037/a0021453] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Antczak DF, Bailey E, Barger B, Guerin G, Lazary S, McClure J, Mottironi VD, Symons R, Templeton J, Varewyck H. Joint report of the Third International Workshop on Lymphocyte Alloantigens of the Horse, Kennett Square, Pennsylvania, 25-27 April 1984. Anim Genet 2009; 17:363-73. [PMID: 3826760 DOI: 10.1111/j.1365-2052.1986.tb00730.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The Third International Workshop on Lymphocyte Alloantigens of the Horse was held on 25-27 April 1984 in Kennett Square, Pennsylvania. Twelve laboratories from five countries participated. The principal purpose of this Workshop was to determine the phenotypic and gene frequencies of the 10 equine lymphocyte antigens (ELA) and a non-ELA lymphocyte antigen, ELY-2.1, in several breeds of horse. A total of 86 alloantisera characterized in previous workshops were tested against lymphocytes from 1179 horses. In addition, several experimental antisera were also tested against the same panel of lymphocytes. As a result of analysis of these data, the Workshop recognized two new equine lymphocyte alloantigens: W11 of the ELA system, and ELY-1.1, an antigen not linked to the ELA system.
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Hutchison A, Malaiapan Y, Barger B, Braitberg G, Cameron J, Meredith I. Field 12 lead ECG and ED activation of the infarct team in STEMI improves door to balloon times: An update of the MonashHEART acute myocardial infarction (Mon-AMI) 12 lead project. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Hogan LH, Macvilay K, Barger B, Co D, Malkovska I, Fennelly G, Sandor M. Mycobacterium bovis strain bacillus Calmette-Guérin-induced liver granulomas contain a diverse TCR repertoire, but a monoclonal T cell population is sufficient for protective granuloma formation. J Immunol 2001; 166:6367-75. [PMID: 11342661 DOI: 10.4049/jimmunol.166.10.6367] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Granuloma formation is a form of delayed-type hypersensitivity requiring CD4(+) T cells. Granulomas control the growth and dissemination of pathogens, preventing host inflammation from harming surrounding tissues. Using a murine model of Mycobacterium bovis strain bacillus Calmette-Guérin (BCG) infection we studied the extent of T cell heterogeneity present in liver granulomas. We demonstrate that the TCR repertoire of granuloma-infiltrating T cells is very diverse even at the single-granuloma level, suggesting that before granuloma closure, a large number of different T cells are recruited to the lesion. At the same time, the TCR repertoire is selected, because AND TCR transgenic T cells (Valpha11/Vbeta3 anti-pigeon cytochrome c) are preferentially excluded from granulomas of BCG-infected AND mice, and cells expressing secondary endemic Vbeta-chains are enriched among AND cells homing to granulomas. Next, we addressed whether TCR heterogeneity is required for effective granuloma formation. We infected 5CC7/recombinase-activating gene 2(-/-) mice with recombinant BCG that express pigeon cytochrome c peptide in a mycobacterial 19-kDa bacterial surface lipoprotein. A CD4(+) T cell with a single specificity in the absence of CD8(+) T cells is sufficient to form granulomas and adequately control bacteria. Our study shows that expanded monoclonal T cell populations can be protective in mycobacterial infection.
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Affiliation(s)
- L H Hogan
- Department of Pathology and Laboratory Medicine, University of Wisconsin Medical School, Madison, WI 53706, USA
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Hogan LH, Markofski W, Bock A, Barger B, Morrissey JD, Sandor M. Mycobacterium bovis BCG-induced granuloma formation depends on gamma interferon and CD40 ligand but does not require CD28. Infect Immun 2001; 69:2596-603. [PMID: 11254624 PMCID: PMC98196 DOI: 10.1128/iai.69.4.2596-2603.2001] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Progressive granuloma formation is a hallmark of chronic mycobacterial infection. Granulomas are localized, protective inflammatory reactions initiated by CD4+ T cells, which contribute to control of bacterial growth and blockade of bacterial dissemination. In order to understand the costimulatory requirements that allow CD4+ T cells to directly or indirectly induce granulomas, we studied granuloma formation after 6 weeks in Mycobacterium bovis BCG-infected CD28- and CD40 ligand (CD40L)-deficient mice and compared it to granuloma formation in infected wild-type inbred mice and infected cytokine-deficient mice. We characterized granulomas morphologically in liver sections, analyzed granuloma infiltrating cells by flow cytometry, and measured cytokine production by cultured granuloma cells. CD28-deficient mice have no defect at the local inflammatory site, inasmuch as they form protective granulomas and control bacterial growth. However, there are fewer activated T cells in the spleen compared to infected wild-type animals, and quantitative differences in the cellular composition of the granuloma are observed by flow cytometry. In CD40L-deficient mice, the granuloma phenotype is very similar to the phenotype in gamma interferon (IFN-gamma)-deficient mice. Both IFN-gamma-deficient and CD40L-deficient mice form granulomas which prevent bacterial dissemination, but control of bacterial growth is significantly impaired. The relative proportion of CD4+ T cells in granulomas from both CD28(-/-) and CD40L(-/-) mice is significantly decreased compared with wild-type animals. Both models demonstrate that the phenotype and activation stage of systemic T cells do not always correlate with the phenotype and activation stage of the localized granulomatous response.
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Affiliation(s)
- L H Hogan
- Department of Pathology and Laboratory Medicine, University of Wisconsin Medical School, Madison, Wisconsin, USA.
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Affiliation(s)
- T Boland
- Department of Bioengineering, Clemson University, SC 29634, USA
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Barger B, Shroyer TW, Hudson SL, Deierhoi MH, Barber WH, Curtis JJ, Phillips MG, Julian BA, Gaston RS, Laskow DA. The impact of the UNOS mandatory sharing policy on recipients of the black and white races--experience at a single renal transplant center. Transplantation 1992; 53:770-4. [PMID: 1566342 DOI: 10.1097/00007890-199204000-00013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The impact of the United Network for Organ Sharing mandatory sharing policy on a large transplant center procuring kidneys primarily from caucasians while serving a pool of prospective recipients composed mainly of blacks is described. This policy requires that all 6-antigen-matched and phenotypically identical donor kidneys be shipped to the appropriately matched recipients. The study consisted of 49 kidneys from 25 cadaveric donors; one kidney was unusable. In general, the 33 recipients of the mandatorily shared kidneys were caucasian (94%), unsensitized (70%), and first-time transplants (73%). Allograft survival for the 24 first-time recipients was 100% (mean graft survival = 11.3 months). Of the 9 regraft kidneys, 2 have failed (mean graft survival = 11.9 months) due to chronic rejection. In comparison, the 16 paired kidneys transplanted into non-6-antigen-matched recipients exhibited a 1-year graft survival of 80% versus 92% for the 33 recipients of mandatorily shared kidneys (P = 0.01). These 16 recipients were composed of more blacks (38%), fewer regrafts (6%), and most were unsensitized (75%). All 25 cadaveric donors were caucasians with very common HLA types. Thus, kidneys provided by the UNOS mandatory sharing policy had excellent allograft survival, and the recipients were largely unsensitized caucasians receiving their first kidney. The low number of blacks receiving allografts under this policy may be due to two factors. First, the histocompatibility differences between black recipients and the primarily caucasian cadaveric donor pool limit the number of kidneys available to blacks. Secondly, blacks do not have access to the best-matched kidneys, in part due to few black donors, their best source for well-matched kidneys. Thus, the mandatory sharing program is of clear benefit to the recipients of these well-matched kidneys; however, for a local program servicing a waiting list composed of 64% blacks the policy has been of limited value. In contrast, over 50% of local cadaveric transplants are into black recipients in a waiting time of 197 days, one third the national average for blacks. In conclusion, this study supports efforts to improve graft survival through matching but emphasizes the need to broaden our efforts in all areas of research and organ procurement to serve the entire recipient population, regardless of race.
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Affiliation(s)
- B Barger
- Department of Surgery, University of Alabama, Birmingham
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Shroyer T, Diethelm A, Senkbeil R, Barger B. A simple approach to obtaining reagent grade class II anti-sera using immunomagnetic beads. Hum Immunol 1991. [DOI: 10.1016/0198-8859(91)90302-p] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Barger B, Shroyer T, Hudson S, Deierhoi M, Barber W, Laskow D, Julian B, Curtis J, Gaston R, Diethelm A. Parametric analysis of graft survival in cadaveric renal retransplant recipients: Race and the Flow Cytometry Crossmatch(FCXM). Hum Immunol 1991. [DOI: 10.1016/0198-8859(91)90203-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Barger B, Pace JL, Ragland WL. Purification and partial characterization of an avian thymic hormone. Avian thymic hormone. Thymus 1991; 17:181-97. [PMID: 1712131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
An avian thymic hormone, originally designated the T1-antigen, was purified from chicken thymus by Sephadex G-75-40 chromatography and affinity chromatography, following enrichment by heat and pH treatments. It was characterized as an acidic polypeptide rich in phenylalanine, alanine and serine, lacking in histidine, tryptophan, methionine and cysteine, and having a blocked N-terminal amino acid. The hormone also was rich in hydrophobic amino acid residues, which gave it a propensity to form aggregates. Its molecular weight was estimated by gel electrophoresis and low speed sedimentation equilibrium to be 12-13 Kd, and by molecular sieving chromatography to be 15-16 Kd. The hormone was lacking in carbohydrates and amino sugars.
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Affiliation(s)
- B Barger
- Department of Microbiology, University of Alabama Medical Center, Birmingham 35294
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Iwaki Y, Terasaki PI, Lau M, Yanagiya A, Feduska N, Cross D, Diethelm A, Barger B, Senitzer D, Langley J. Prospective study of kidney transplantation across positive T warm crossmatches. Transplant Proc 1989; 21:693. [PMID: 2650225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- Y Iwaki
- Department of Surgery, University of California, Los Angeles 90024
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Barger B, Shroyer TW, Hudson SL, Deierhoi MH, Barber WH, Curtis JJ, Julian BA, Luke RG, Diethelm AG. Successful renal allografts in recipients with crossmatch-positive, dithioerythritol-treated negative sera. Race, transplant history, and HLA-DR1 phenotype. Transplantation 1989; 47:240-5. [PMID: 2645705 DOI: 10.1097/00007890-198902000-00008] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Graft survival was examined in 15 renal allograft recipients from a group of 20 patients with IgM autolymphocytotoxic antibody that could be removed in a crossmatch assay using a reducing agent, dithioerythritol (DTE). The significant differences in this group of 20 patients compared with end-stage renal disease (ESRD) patients lacking autolymphocytotoxic antibodies included an increased frequency of black patients (P = 0.002), a lack of previous transplants (P = 0.003), and an increased frequency of the HLA-DR1 phenotype (P = 0.0001). Sex and the number of transfusions did not appear significant, whereas the cause of ESRD was primarily systemic lupus erythematosus. Fifteen of the 20 patients were transplanted against a positive donor crossmatch. Eleven were recipients of cadaveric kidneys, nine of which are still functioning for periods ranging from 0.5 to 40 months. Two fo the cadaveric recipients died with functional grafts. Four received living-related donor transplants, one of which was lost to acute rejection one month posttransplant, while the remaining three have survived 1.5, 9, and 21 months, respectively. Fourteen patients had immediate allograft function with no hyperacute rejection and only one case of acute tubular necrosis (ATN) was found. In summary, a negative crossmatch using DTE-treated, autologous reactive recipient sera may identify a group of patients who can be transplanted with minimal concern for hyperacute rejection or ATN. In addition to cause of ESRD, race, transplant history, and HLA-DR phenotype may further define this group of transplant candidates having IgM autolymphocytotoxic antibody. Extrapolation of these conclusions to transplant candidates lacking autolymphocytotoxic antibodies is not warranted.
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Affiliation(s)
- B Barger
- Department of Surgery/Histocompatibility Laboratory, University of Alabama, Birmingham 35233
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Barger B, Shroyer T, Hudson S, Deierhoi M, Barber W, Curtis J, Julian B, Diethelm A. Successful renal allografting of recipients with past positive/current positive crossmatches: Relationship to race and DR phenotype. Hum Immunol 1988. [DOI: 10.1016/0198-8859(88)90099-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Rabbani S, Galvin M, Louv WC, McVay J, Acton R, Barger B, Go RC, Roseman JM. Risk factor surveys of the adult populations of the state of Alabama and Jefferson County. Ala J Med Sci 1987; 24:143-9. [PMID: 3578704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Budowle B, Dearth J, Bowman P, Melvin S, Crist W, Go R, Kim T, Iyer R, Roseman J, Barger B. Genetic predisposition to acute lymphocytic leukemia in American blacks. A Pediatric Oncology Group study. Cancer 1985; 55:2880-2. [PMID: 2581686 DOI: 10.1002/1097-0142(19850615)55:12<2880::aid-cncr2820551230>3.0.co;2-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Recent reports have shown an association between genes lying within the major histocompatibility complex (MHC), particularly HLA and factor B (Bf), and acute lymphocytic leukemia (ALL) in white children. The frequencies of Bf and complement component C4 phenotypes in 90 black American children with ALL were examined to determine if a genetic association existed. The Bf and C4 results for the black children with ALL were compared with frequencies in healthy black Americans from the same geographic region. The BfF allele was carried by 95.6% of the black ALL patients compared with 86.1% of the controls (P = 0.017; relative risk = 3.5). In contrast, only 2.2% of the patients with ALL were homozygous for BfS compared with 9.8% of the controls (P = 0.043; relative risk = 0.2). These findings are similar to those observed in white American children. The C4A6 phenotype was found in 11.9% of the black children with ALL compared with 0.6% of the controls (P = 0.0026; relative risk = 22.7). These findings represent the first reported association of a particular allele whose gene lies within the MHC with ALL in black American children. The results suggest that the occurrence of ALL in black American children may be partially due to a genetic influence.
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Barger B. Automated equipment cuts costs and boosts production. Am Laund Dig 1979; 44:34-8. [PMID: 10245099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Barger B. Preventative action in college mental health. Programming for prevention. J Am Coll Health Assoc 1966; 15:91-3. [PMID: 5915800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Barger B. The development of a university mental health program. J Am Coll Health Assoc 1966; 15:80-2. [PMID: 5915797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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