Combined Sections Meetings
2004: Opryland, Tenn, February 4–8.
2005: New Orleans, La, February 23–27.
2004: Chicago, Ill, June 30–July 3.
2005: Boston, Mass, June 8–11.
GRANTS FOR CLINICAL RESEARCH
Clinical research grants are available to Section members to assist with a one-year research study that investigates a question or questions of importance to pediatric physical therapy. The purpose of the grants is to provide funding to assist primarily new physical therapist investigators and to encourage research that will add to the body of knowledge related to improvement of pediatric physical therapy.
Five awards are presented annually. The due dates for submission are April 1 for one $5000 and two $1000 awards and October 1 for one $5000 and one $1000 awards. The $5000 and $1000 grants can be given to support postprofessional thesis or dissertation research. (Monies not awarded after the April submission reviews may be awarded to October submissions.)
To request application guidelines, contact the Section on Pediatrics Executive Office at 1111 North Fairfax St, Alexandria, VA 22314-1488; 800/999-2782, ext 3254; e-mail: email@example.com, or visit the Section Web site at www.pediatricapta.org. Any questions concerning the proposal may be sent to the current Section on Pediatrics Research Committee Chair, listed in the current issue of the Section on Pediatrics newsletter or on the Web site at www.pediatricapta.org.
RESEARCH GRANT DEVELOPMENT AWARDS
A research development award of $1000 is available to Section members and student members to assist in the development of research projects that will be submitted to an institution or public or private agency for funding. The purpose of the award is to fund consultants who will help the Section member develop a competitive grant proposal. Consultants may be individuals with content or research expertise in the proposed area of investigation. Consultants also may be individuals with expertise in measurement, research design, or statistics. Consultants do not have to be physical therapists.
Two awards are presented annually. Due dates for submission are April 1 and October 1. To request application guidelines, contact the Section on Pediatrics Executive Office at 1111 North Fairfax St, Alexandria, VA 22314-1488; 800/999-2782, ext 3254; e-mail: firstname.lastname@example.org, or visit the Section Web site at www.pediatricapta.org. Any questions concerning the proposal may be sent to the current Section on Pediatrics Research Committee Chair, listed in the current issue of the Section on Pediatrics newsletter or on the Web site at www.pediatricapta.org.
The Research Committee of the Section on Pediatrics is pleased to announce a call for nominees for the Section’s Research Award.
The Research Award is to be given in recognition of a Section on Pediatrics member who has performed sustained and outstanding basic, clinical, and/or education research pertaining to pediatric physical therapy. Evidence must be giving that the published body of research material makes meaningful contribution to the scientific basis of pediatric physical therapy.
In addition, evidence of one or more of the following should be provided: 1) oral presentations and written articles of the research have been reported to the appropriate audiences, 2) there has been an active attempt to foster research of others, and 3) work has been recognized by receipt of grants.
Submit both the name and address of the nominee. The deadline for nominations is November 1. The research award is presented to the recipient at the business meeting of the Section on Pediatrics during Combined Section Meeting. Nominations should be sent to Cindy Sliwa; Executive Secretary, Section on Pediatrics, APTA, PO Box 327, Alexandria, VA 22314.
THESIS AND DISSERTATION AWARDS
The Thesis Award is given as recognition to an active or student member of the Section on Pediatrics who has completed an outstanding research project as partial fulfillment for a master’s degree.
The Dissertation Award is given as recognition to an active or student member of the Section on Pediatrics who has completed an outstanding research project as partial fulfillment for a doctoral degree.
Submit eight copies of the study abstract: seven (7) without name or address, and one (1) copy containing the name and address. Provide a cover letter with evidence that the thesis or dissertation was completed after January 2001, and a discussion of the relevance of the completed research to the practice of pediatric physical therapy. Research may be basic, clinical, or educational.
After screening, four (4) copies of the thesis or dissertation may be requested for review by the research committee. The deadline for receipt of abstracts is November 1. The thesis and dissertation awards are presented to the recipients at the business meeting of the Section on Pediatrics during the Combined Section Meeting.
Submit abstracts to: Cindy Sliwa, Executive Secretary, Section on Pediatrics, APTA, PO Box 327, Alexandria, VA 22314.
Address any questions concerning the application guidelines to: David Embrey, PT, PhD, Research Program Coordinator, Good Samaritan Children’s Therapy Unit, 407 14th Avenue SE, PO Box 1247, Puyallup, WA 98371-0192. Email: email@example.com.
APTA’S HOOKED ON EVIDENCE PROJECT NEEDS YOUR HELP
APTA’s Hooked on Evidence project represents a “grassroots” effort to develop a database containing current research evidence on physical therapy interventions. The database currently under construction is available at the Hooked on Evidence website. It has grown to almost 400 “extracts” since it was activated in Spring 2002. An extract is a summary of critical information used to judge the effectiveness of an intervention. The Hooked on Evidence project was motivated by a concern that clinicians lacked access to the knowledge available from current research, thus hindering evidence-based practice. Contributions to the database have been received from physical therapy researchers, clinicians, and students. The efforts of many individuals have been responsible to the phenomenal initial growth of the project. Individuals who are interested in extracting articles related to pediatric physical therapy interventions are especially needed to assist with the project.
More than 100 groups have been formed to compile and analyze the published literature on the effectiveness of physical therapy interventions. Groups range in size from one to 80 individuals. These groups select articles related to a specific condition, intervention, and/or outcome to submit to the database. Participants summarize the data and findings from research articles using structured online extraction forms that can be found on the website. The experiences of contributors to date indicate that an extract takes between one and two hours to complete. The length of time can vary, however, depending on the quality of the original article and the experience of the contributor. The ability to save and return to an online extract is available for those who are not able to complete the extract of the article in one visit. Staff of APTA’s Research Services Department review each submission for completeness and provide feedback to the contributor. Feedback received from APTA members has been used to enhance the website through revisions to the extraction forms and provision of an online manual for extractors.
A basic Search function was added to the website in October 2002 to allow APTA members access to selected information from the extracts that have been published on the website, and the extracts of each article are link to PubMed abstracts. Searches in the Hooked on Evidence database should not be considered complete as only an estimated 10% of the randomized clinical trials, cohort studies, case-control studies, and case reports of physical therapy interventions are currently included in the database. Enhancements to the Search function are planned as the database continues to grow.
Plans for Hooked on Evidence in 2003 include implementing a measure of effect size into the search results and making clinical recommendations for physical therapy interventions based on evidence. The Advisory Panel on Research along with expert consultants met in January to help guide these efforts. It is hoped that some of these enhancements will be in place prior to Annual Conference. In the mean time, additional contributors are being invited to form new groups or join existing groups to ensure the continued rapid growth in the size of the database.
The website is available to APTA members at www.apta.org/hookedonevidence/index.cfm. Your Member ID and Last Name are required to log in to the website. Once logged in, you may Search for extracts currently in the database, view a sample of the extract form, view existing groups, and sign-up to create a new group. Individuals who participate in extracting articles have access to additional areas of the site, including the extraction forms and the on-line instructional manual for extractors.
For more information on Hooked on Evidence, and to become an extractor, please contact David Scalzitti, PT, MS, OCS, Associate Director of Research Services at firstname.lastname@example.org or by phone at (703) 706-8555.
SEVERE CHILDHOOD ADHD MAY PREDICT ALCOHOL, SUBSTANCE USE PROBLEMS IN TEEN YEARS
Scientists tracking the progress of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) as they became teenagers have shed new light on the link between ADHD and the risk of developing alcohol and substance use problems. The researchers found that individuals with severe problems of inattention as children were more likely than their peers to report alcohol-related problems, a greater frequency of getting drunk, and heavier and earlier use of tobacco and other drugs. The findings indicate that childhood ADHD may be as important for the risk of later substance use problems as having a history of family members with alcoholism and other substance use disorders. The study appears in the August issue of the Journal of Abnormal Psychology.
ADHD is one of the most commonly diagnosed pediatric mental health disorders. It occurs in 3% to 5% of school-aged children. While previous research has indicated that ADHD together with a variety of other childhood behavior disorders may predispose children to drug, alcohol, and tobacco use earlier than children without ADHD, this study explores specific aspects of that association more closely.
“This is one of the first studies to focus on the severity of inattention problems in childhood ADHD as distinct from impulsivity and hyperactivity,” says Ting-Kai Li, MD, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). “It demonstrates the usefulness of distinguishing ADHD’s effects from the effects of childhood behavior disorders, such as aggression and defiance. Such prospective longitudinal analysis can best guide us in developing research-based prevention programs specifically targeted to help young people,” he says. NIAAA supported the study together with the National Institute on Drug Abuse, the National Institute on Mental Health, and the National Institute of Environmental Health Sciences, all components of the National Institutes of Health.
Brooke Molina, PhD, at the University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, and William Pelham, Jr., PhD, at the State University of New York at Buffalo conducted the research. The scientists recruited 142 teens between 13 and 18 years old who had received treatment for childhood ADHD an average of five years earlier at the Attention Deficit Disorder Clinic at the University of Pittsburgh School of Medicine. The researchers interviewed the teens along with their parents and teachers.
The scientists also recruited a “control” group of 100 similarly aged teens not diagnosed with childhood ADHD. They asked both groups about their alcohol and substance use, including whether they had ever tried a substance during their lifetime, how old they were when they first tried tobacco, alcohol, or drugs, and the type, frequency, and quantity of substances used during the past six months.
The researchers found that significantly more of the teens diagnosed with ADHD as children reported episodes of drunkenness than their counterparts in the non-ADHD group. Nearly twice as many of the ADHD group reported having been drunk more than once in the past six months.
Both groups gave similar responses when asked if they had ever tried alcohol, cigarettes, or marijuana at least once; however, the ADHD group was three times more likely to have tried some other illegal drug besides marijuana. The teens with childhood ADHD also reported having used tobacco and having tried an illegal drug other than marijuana at younger ages than their non-ADHD peers. Additionally, about 11% of the teens diagnosed with ADHD reported having used two or more different illegal drugs more often, compared with 3% of the control group.
The researchers analyzed distinctions within the ADHD group, focusing on responses from youngsters with more severe symptoms of inattention in childhood, something not routinely done previously. They also examined the differences among individuals with symptoms of comorbid behavior disorders—oppositional defiant disorder (ODD) and conduct disorder (CD).
The researchers found that the teenagers who reported more frequent episodes of drunkenness, higher alcohol problem scores, and a greater likelihood of substance abuse were those diagnosed with more severe inattention problems in childhood. The youngsters with severe inattention were about five times more likely than others to use an illegal drug other than alcohol and marijuana at an early age. The researchers point out that inattention appeared to be a uniquely important variable even when the analyses considered the presence of ODD and CD, factors that more typically have been considered predictive of substance use.
Although impulsivity-hyperactivity was not associated with teenage substance abuse, the authors say that better measurement of this behavior in future studies will be important. “The presence of ADHD during childhood appears to be as strong a risk factor for substance use and abuse as having a positive family history of substance use disorder. It is not specific to only one substance but cuts across alcohol, marijuana, and other drugs,” says Dr. Molina. “Our findings indicate that the presence of ADHD during childhood, the severity of symptoms, and the persistence of the disorder may be risk factors for early substance use and the emergence of substance abuse disorders during the teen years.”
The article “Childhood predictors of adolescent substance use in a longitudinal study of children with ADHD” appears in the Journal of Abnormal Psychology (2003;112:3).
SECTION ON PEDIATRICS
2004 Combined Sections Meeting
© 2003 Lippincott Williams & Wilkins, Inc.