My research has focused on improving healthcare services, function, and participation for adults with cerebral palsy. http://endeavors.unc.edu/striking-a-balance/ My participation in an international investigator group allows me to combine the data I have gathered on secondary conditions within a small cohort of adults with CP with other international databases with similar variables, so that we can make significant contributions to the literature. These results will lead to the development of more efficacious interventions to allow adults with CP to be as functional as possible for as long as possible. Equally important, these cross-sectional, and eventually longitudinal, data will assist in developing prevention programs that will better predict adult outcomes for individuals with CP and their families and eventually be instrumental in the development of programs to prevent secondary conditions. I am also involved in health services research, utilizing large data to identify longitudinal patterns of health care utilization for adults with CP diagnosed with specific musculoskeletal conditions.