Itasca

Researchers are evaluating newborn infants who require significant resuscitation interventions at birth, such as CPAP, positive pressure ventilation (PPV), intubation, or CPR. The study aims to build a network called the Delivery Room Intervention and Evaluation (DRIVE) Network, which includes hospitals across the United States with diverse populations and settings. This network will collect and analyze key demographic, resuscitative, and outcome data to compare practices, identify best methods, and support professional development in neonatal resuscitation. The study focuses on basic neonatal resuscitation skills that save most newborns, including drying, providing warmth, stimulation, and suctioning, while also capturing data on advanced resuscitation used in fewer cases. Participating centers will contribute data on infants receiving significant resuscitation in delivery rooms. The network helps centers benchmark their results against others to improve care quality and addresses disparities in infant mortality. The American Academy of Pediatrics will use this data to enhance the Neonatal Resuscitation Program and support further research proposals. Participants will be newborn infants who receive resuscitation interventions at birth in hospital delivery rooms. The study collects data immediately after the resuscitation event, including patient disposition and outcomes. Researchers will monitor and analyze these data to improve understanding of neonatal resuscitation practices and outcomes. The network supports ongoing data collection and quality improvement efforts across diverse healthcare settings.

Increasing rates of suicidal thoughts and behaviors among adolescents are a serious concern that this research aims to address. The study focuses on adapting and gathering preliminary data on a digital suicide prevention program, iCHART-cASAP, designed for use in pediatric primary care settings without onsite behavioral health providers. The goal is to offer a low-cost, scalable intervention that may reduce suicide risk among at-risk youth aged 12 to 17. The study uses a stepped wedge cluster randomized pilot trial design across four pediatric primary care practices. After a 3-month baseline period of usual care, practices are randomly assigned to start offering the iCHART-cASAP intervention at staggered 3-month intervals. A total of 60 youth will participate, with 30 receiving usual care and 30 receiving the digital intervention. The iCHART-cASAP program includes digital safety planning, distress tolerance and emotion regulation skills training delivered via a teen's smart device, along with automated text reminders to support treatment adherence. Participants and their caregivers will be approached during office visits and asked for consent and assent. The study will monitor suicidal thoughts and behaviors, depression severity, application use, service use, patient satisfaction, acceptability, usability, and provider feasibility over six months. Assessments occur at baseline, 1-month, 3-month, and 6-month follow-ups. This thorough monitoring aims to evaluate the intervention's impact and feasibility within pediatric primary care settings.