Overview
My scholarly interests and expertise are in pediatric neurodevelopmental outcomes assessment and research as well as child and parent coping with chronic childhood illness. In the 1990s, I collaborated with Dr. Robert Thompson in investigating the transactional biopsychosocial model of adaptation to pediatric conditions in children and families. Our research program was funded by the NIH and culminated in the publication of our book, Adaptation to Chronic Childhood Illness. Since that time, I have worked closely with the Division of Neonatology and the Duke Neonatal-Perinatal Research Unit on neurodevelopmental outcomes research with high-risk infants, toddlers, and school-age children. I am a gold standard psychology consultant to the Neonatal Research Network (NRN) of the NIH/NICHD, train and certify psychologists nationally and internationally in infant and toddler developmental assessment for numerous research groups, and serve as consultant for protocol development. In addition, I collaborate with colleagues in Pediatric Ophthalmology to investigate preterm optic nerve anatomy assessed via optical coherence tomography imaging and the association with neurodevelopment. I am also involved in investigations of umbilical cord blood stem cell transplant for young children with hypoxic ischemic encephalopathy, cerebral palsy, and inborn errors of metabolism, such as Krabbe disease, with colleagues in the Pediatric Transplant and Cellular Therapy program.
Current Appointments & Affiliations
Recent Publications
Neurodevelopmental Pediatric Follow-Up After the Azithromycin Prevention in Labor Use Study.
Journal Article Obstet Gynecol · May 14, 2026 OBJECTIVE: To evaluate the association between 2 g of intrapartum azithromycin given to laboring mothers and neurodevelopmental outcomes after birth asphyxia. METHODS: This was a neurodevelopmental follow-up study of children born at 34 weeks of gestation ... Full text Link to item CiteParent-reported quality of life at school age among children born extremely preterm is associated with non-medical determinants of health and developmental outcomes.
Journal Article Early human development · May 2026 ObjectiveThe study examined how neonatal medical morbidities and non-medical determinants of health, in children born extremely preterm, affected Pediatric Quality of Life (PedsQL) scores at age 6-7 years, and whether these scores were associated ... Full text CiteHealth-Related Quality of Life in Children with Hypoplastic Left Heart Syndrome: Changes over Time and Associations with Neurodevelopmental and Clinical Factors.
Journal Article J Pediatr · February 2026 OBJECTIVES: To evaluate changes in health-related quality of life (HRQOL) over time as perceived by parents and to examine associations between neurodevelopmental and clinical factors and patient-reported HRQOL in a large multicenter cohort of children wit ... Full text Link to item CiteRecent Grants
North Carolina Clinical Center for the Eunice Kennedy Shiver NICHD Cooperative Multicenter Neonatal Research Network
ResearchCollaborating Investigator · Awarded by Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2001 - 2030The Darbepoetin Kindergarten Development Study (Darbe-KIDS)
ResearchPsychologist · Awarded by Research Triangle Institute International · 2023 - 2028Clinical Outcome Assessments for Acute Pain Therapeutics in Infants and your Children (COA APTIC)
ResearchCo Investigator · Awarded by Food and Drug Administration · 2019 - 2026View All Grants