Adult Injury Prevention
The Injury Prevention Center (IPC) at Connecticut Children’s provides trauma and injury prevention programs for adults in partnership with the Department of Surgery/Trauma at Hartford Hospital, a Level 1 Trauma Center. The IPC Medical Director for the adult injury prevention program is D’Andrea Joseph, MD.
Research Core (current studies)
Determining the Prevalence of Intimate Partner Violence at Community Hair Salons
Joseph (PI), DiVietro, Beebe, Grasso, Borrup, Grasso, Ruiz, Lapidus. Funded by the Petit Family Foundation.
This is a study of prevalence of IPV among women receiving services at community hair salons. We hypothesize that women will disclose IPV in this setting and that acute trauma from abuse will be 0-1%, past year prevalence of IPV (physical or sexual) will be 10-15% and the lifetime prevalence of physical abuse will be 30-40%. The results of this study will provide the first estimate of IPV among women in this community setting.
Hartford Hospital IPV Prevalence and Dual-Method Screening Project
Joseph (PI), Campbell, Lapidus, DiVietro, Beebe, Grasso, Borrup, Ruiz
This study project is designed to:
- Improve identification and screening of IPV in the HH trauma center by implementing a dual-method screening and decision-making system
- Collect data to inform the development of a probabilistic algorithm that will use existing patient record information to flag patients at high risk for IPV
Dual-method screening combines the benefits of computer-assisted screening with the flexibility and rapport-building potential of face-to-face health care provider assessment. This study will also provide pilot data to develop a probabilistic decision-support tool designed to flag patients who are at high-risk for IPV. This model could be built into the EMR system to greatly enhance detection of IPV while allocating scarce hospital resources in an informed and efficient manner. Thus, the study will provide the health care field with a new technology capable of improving identification of IPV and promotes a data-driven approach to allocating valuable hospital resources in efficient and cost-effective ways.
The Impact of Prenatal Exposure to Family Violence on Epigenetic Processes in Newborns
Grasso (PI), Lapidus, Campbell, Ruiz. Funded by CICATS.
This pilot study will examine genotype and methylation status of FKBP5 in two samples of children recruited as newborns from Hartford Hospital. A stress-exposed group will comprise 50 newborns whose mothers endorsed exposure to domestic violence during pregnancy at pre-screening prior to enrollment. Comparison sample mothers (n = 50) will have reported no prenatal domestic violence. We will collect DNA from several sources (i.e., cord blood, peripheral blood, saliva, buccal) and will examine their degree of concordance in genotyping children and mothers and measuring FKBP5 gene methylation. The degree of FKBP5 methylation in children and mothers will be compared as a function of trauma exposure and genotype.
Community Outreach Core
Addressing list-assist calls to reduce elderly falls
Lapidus (PI). Funding support provided by Connecticut Coalition to Reduce Elderly Falls.
Each year, one in three adults age 65 and older fall. Among older adults, falls are the leading cause of both fatal and nonfatal injuries. Lift-Assists (LAs) for elderly or disabled people are common for many Emergency Medical Systems (EMS). LAs occur when a person has fallen and calls 9-1-1. After EMS evaluation determines no acute illness or injury, the person is helped back to a bed, chair, or wheelchair with no subsequent transport to a hospital. In a recent study in Connecticut, 4.8% of all EMS calls in one community were LAs. In addition, EMS often returned to the same address within the next 30 days, and about half of the subsequent calls for the same patient resulted in transport to the hospital .
In collaboration with the town of Berlin (Police, Fire, Visiting Nurse Association, Social Services), Hunter’s Ambulance, and Central Connecticut Health District, we are implementing and evaluating a community based LA elderly fall prevention program. Through this collaboration, we will work to create primary and secondary fall prevention initiatives that seek to educate elderly persons in the community about the risks associated with a fall and how to create a home environment that reduces fall risk.