Use of Long-Acting Reversible Contraception

使用长效可逆避孕药

基本信息

批准号：
10164836
负责人：
Jenny Kristine Rodriguez Francis
金额：
$ 16.68万
依托单位：
UT SOUTHWESTERN MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-05-15 至 2024-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10164836
关键词：
20 year old Address Adolescent Advisory Committees Age Belief Birth Centers for Disease Control and Prevention (U.S.)Childhood Chronic Cities Clinical Communication Communication Tools Communities Complex Contraceptive Agents Contraceptive methods Counseling Coupled Decision Making Development Discipline Doctor of Philosophy Equilibrium Faculty Family Female Fostering Foundations Funding Future Goals Gold Health Health Promotion Health behavior Healthcare House Staffs Implant Institution International Intervention Interview Intrauterine Devices Knowledge Learning Logic Medical Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Methods Minor Modeling Mothers Oral Outcome Parental Consent Parents Pregnancy Pregnancy in Adolescence Pregnant Women Primary Health Care Process Provider Publishing Qualitative Methods Questionnaires Reproductive Health Research Research Activity Research Methodology Research Personnel Role Schools Science Structure Teacher Professional Development Testing Texas Time Training Training Activity Translating Triad Acrylic Resin Universities adolescent health birth control career development consistent condom use design dyadic interaction evidence base expectation experience faculty mentor girls implementation science improved insight microbicide next generation parent-adolescent communication patient-clinician communication pediatrician preference pregnancy prevention prevent recruit reproductive reproductive health of adolescents satisfaction sexual initiation delay skills support tools teen birth therapy design therapy development tool uptake vaccine acceptance young adult young woman

项目摘要

PROJECT SUMMARY This K23 Award will provide Dr. Jenny K Rodriguez Francis support to: (1) gain a strong grounding in the science of adolescent contraceptive decision-making; (2) acquire advanced training in mixed-methods; and (3) learn and apply intervention development approaches to translate observational findings into communication- focused interventions. To achieve these goals Dr. Francis has assembled a mentoring team and advisory committee spanning multiple disciplines and institutions. Her primary mentor, Jasmin Tiro, PhD, has an excellent track record of research funding and mentorship and is an expert in adolescent health promotion, mixed-methods, intervention development and patient-provider communication. Dr. Francis’ next mentor is Susan L. Rosenthal, PhD, internationally renowned for adolescent-parent communication, acceptability of vaccines and microbicides, mixed-methods, faculty development and mentoring junior faculty to become independent investigators. Dr. Francis’ advisory committee includes: Simon Craddock Lee, PhD, MPH, an expert of implementation science and qualitative methods; Melanie A. Gold, DO, a well-published expert in LARC for adolescents; and Nancy Kelly, MD, MPH, a community pediatrician who partners closely with local schools. Problem: Texas has the fifth highest rate of teen births in the nation, with 33,144 females under age 20 years giving birth last year. LARC (intrauterine devices and contraceptive implants) is the first line method for contraception for adolescents/young adults; yet uptake is sub-optimal. Interventions designed to increase uptake have insufficiently considered the provider’s communication with adolescents and mothers to initiate contraception. Informed by Dr. Francis’ prior research assessing discordance between adolescent-parent dyads and her clinical experience, this mixed methodology proposal will examine these gaps in knowledge to enhance the development of interventions to foster LARC uptake. Specific Aims seek to (1) characterize medical providers’ (pediatric house staff) knowledge of and communication about LARC when discussing with adolescent-mother dyads; (2) describe adolescents’ and mothers’ beliefs about the optimal ways that providers can support contraceptive decision-making among adolescents. Methods: For aim 1, we will recruit 200 University of Texas pediatric house officers to complete a brief online questionnaire. For aim 2, we will evaluate adolescents’ beliefs, mother’s beliefs, and their dyadic interactions about their contraceptive counseling preferences through separate semi-structured interviews with 30 adolescents, 30 mothers and 30 adolescent-mother dyads (90 interviews total). Outcomes: These hypothesis-generating mixed-methods findings will provide a strong grounding in the science of adolescent contraceptive decision-making to design a future communication-focused intervention tool to support LARC uptake. Results could also improve subspecialists’ ability to prevent pregnancy among adolescents with chronic conditions. This study impacts provider communication, addresses maternal needs and supports adolescent contraception decision-making.

项目概要该 K23 奖将为 Jenny K Rodriguez Francis 博士提供以下支持：(1) 在青少年避孕决策科学；(2) 获得混合方法的高级培训；以及 (3) 学习并应用干预开发方法，将观察结果转化为沟通- 为了实现这些目标，弗朗西斯博士组建了一个指导团队和顾问。她的主要导师 Jasmin Tiro 博士拥有一个跨越多个学科和机构的委员会。研究经费和指导的良好记录，是青少年健康促进方面的专家，弗朗西斯博士的下一位导师是混合方法、干预开发和患者与提供者的沟通。 Susan L. Rosenthal 博士，因青少年与家长的沟通、对孩子的接受度而闻名于世。疫苗和杀菌剂、混合方法、教师发展和指导初级教师成为弗朗西斯博士的顾问委员会包括：Simon Craddock Lee，博士，公共卫生硕士，实施科学和定性方法专家；Melanie A. Gold，DO，一位发表了大量文章的专家青少年 LARC；以及 Nancy Kelly，医学博士、公共卫生硕士，她是一位与当地密切合作的社区儿科医生问题：德克萨斯州的青少年出生率位居全国第五，有 33,144 名未成年女性。去年分娩20周年，LARC（宫内节育器和皮下埋植法）是一线避孕方法。青少年/年轻人的避孕措施；但旨在增加的干预措施的采用率并不理想。没有充分考虑提供者与青少年和母亲的沟通来启动避孕措施来自弗朗西斯博士之前评估青少年与父母之间不一致的研究。结合两人和她的临床经验，这个混合方法提案将检查这些知识差距，以加强干预措施的制定，以促进 LARC 的采用。具体目标旨在 (1) 描述特征。医疗服务提供者（儿科工作人员）在与患者讨论时对 LARC 的了解和沟通青少年与母亲的二元关系；(2) 描述青少年和母亲对提供者的最佳方式的看法可以支持青少年的避孕决策方法：对于目标 1，我们将招募 200 名参与者。对于目标 2，德克萨斯大学儿科院官员将完成一份简短的在线调查问卷。评估青少年的信念、母亲的信念以及他们关于避孕的二元互动通过对 30 名青少年、30 名母亲和 30 名儿童进行单独的半结构化访谈，了解咨询偏好青少年与母亲的二元关系（总共 90 次访谈）：这些假设生成的混合方法。研究结果将为青少年避孕决策提供坚实的科学基础，以设计一个未来以沟通为中心的干预工具来支持 LARC 的采用，结果也可能会有所改善。这项研究影响了专科医生预防慢性病青少年怀孕的能力。提供者沟通，满足孕产妇需求并支持青少年避孕决策。