Adapting a low-cost intimate partner violence (IPV) and mental health response intervention for women in informal settlements in Kenya

针对肯尼亚非正规住区的妇女采取低成本的亲密伴侣暴力 (IPV) 和心理健康应对干预措施

• 批准号: 10369185
• 负责人: Samantha C. Winter
• 金额: $ 17.98万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10369185
• 关键词: Address; Adopted; Africa; Anxiety; Applications Grants; Area; Capital; Cities; Clinic; Communities; Community Health; Community Health Aides; Data; Development; Development Plans; Disadvantaged; Distal; Educational workshop; Elements; Feasibility Studies; Focus Groups; Foundations; Goals; Group Meetings; Guidelines; Health; Health Personnel; Health Priorities; Health Services; Health Services Accessibility; Health system; Healthcare; Housing; Infrastructure; International; Interpersonal Violence; Intervention; Interview; Kenya; Longevity; Manuscripts; Mediator of activation protein; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentored Research Scientist Development Award; Mentors; Methodology; Modeling; Morbidity - disease rate; National Health Policy; Outcome; Police; Policies; Population; Post-Traumatic Stress Disorders; Pre-Post Tests; Prevalence; Prevention; Protocols documentation; Psychosocial Assessment and Care; Public Health; Randomized; Recommendation; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Safety; Science; Scientist; Secure; Self Efficacy; Service provision; Services; Social support; Statistical Data Interpretation; Strategic Planning; Suicide attempt; Survivors; Testing; Training; United States National Institutes of Health; Violence; Wing; Woman; Women' s Health; Writing; acceptability and feasibility; career; career development; community consultation; control trial; cost; design; effective intervention; efficacy trial; experience; global health; hands on research; health care settings; international center; intervention cost; intimate partner violence; longitudinal analysis; low and middle-income countries; member; mortality; novel; post-traumatic stress; programs; psychologic; psychological distress; response; safety and feasibility; screening; screening, brief intervention, referral, and treatment; sexual violence; skills; treatment arm; treatment program; violence against women; violence victimization; volunteer

PROJECT SUMMARY/ABSTRACT The purpose of this International Research Scientist Development Award (K01) is to provide the candidate with the training and expertise needed to transition into an independent global health researcher with expertise in the science of violence- and health-related intervention in informal settlements. Globally, 30% of women have experienced intimate partner violence (IPV). Prevention and response to IPV is critical; yet few interventions have been adapted for residents of informal settlements. Currently, 56% of the 3 million residents in Nairobi, the capital city of Kenya, live in informal settlements, and this population is likely to double by 2050. Research carried out in 2012 in Kibera, the largest informal settlement in Nairobi, reported that 85% of women have experienced IPV in their lifetime and a 2018 study reported that 66% of women in similar Nairobi settlements experienced IPV in the past year. Women experiencing IPV are more likely to also experience depression, anxiety, and post- traumatic stress. In 2014, Kenya identified reduction of and response to violence against women (VAW) as a priority health area in national policies and strategic plans; yet, no screening or response protocols have been adopted in clinics in informal settlements for IPV survivors. The aims of this study are, therefore, to: 1) identify potential facilitators and barriers to screening and intervention for IPV and related mental health challenges in healthcare settings in informal settlements in Kenya; 2) combine an IPV (WINGS) and mental health (PM+) response intervention and adapt the combined (WINGS+PM+) intervention for use in existent healthcare settings in informal settlements in Nairobi; and 3) pilot test the adapted WINGS+PM+ intervention through a randomized control trial with 130 women to assess the safety, feasibility, and acceptability of WINGS+PM+ versus PM+-only as the foundation for a low-cost IPV services package that can expand services to women experiencing IPV in informal settlements. The proposed career development plan has been designed to augment the applicant's experience researching VAW and women's health in informal settlements in Kenya and enable her to: 1) gain research skills in the design and adaptation of violence- and health-related interventions, with an emphasis on low-cost interventions that can be carried out by lay community members in healthcare settings in informal settlements; 2) obtain methodological expertise in the design, adaptation, delivery, and assessment of feasibility and acceptability of interventions; 3) cultivate important relationships with global health experts, intervention scientists, and healthcare providers in informal settlements in Kenya and East Africa, and 4) increase her professional skills for a successful independent global health research career, including grantsmanship, manuscript writing, and collaborative interdisciplinary and international research. The training goals will be achieved through didactic courses, specialized workshops and seminars, hands-on research, and mentoring from an interdisciplinary team of experts in both the U.S. and Kenya. The research findings and methodological skills to be gained from this IRSDA (K01) have important applicability for health research in Kenya.

项目摘要/摘要 该国际研究科学家发展奖（K01）的目的是为候选人提供 培训和专业知识需要过渡到具有专业知识的独立全球健康研究人员 与非正式定居点有关暴力和健康相关的干预科学。在全球范围内，有30％的妇女有 经验丰富的亲密伴侣暴力（IPV）。预防和对IPV的反应至关重要；但很少有干预措施 已适用于非正式定居点的居民。目前，内罗毕300万居民中有56％， 肯尼亚的首都，居住在非正式定居点中，到2050年，这个人口可能会翻一番。 2012年，内罗毕最大的非正式定居点基贝拉（Kibera）报告说，有85％的妇女经历了 IPV一生和2018年的一项研究报告说，在内罗毕类似定居点中有66％的妇女经历了 过去一年的IPV。经历IPV的妇女更有可能经历抑郁，焦虑和后 创伤应力。 2014年，肯尼亚确定对妇女暴力行为的减少和反应是 国家政策和战略计划中的优先卫生领域；但是，尚无筛选或响应协议 在IPV幸存者的非正式定居点中在诊所采用。因此，这项研究的目的是：1）确定 在IPV及相关心理健康挑战的筛查和干预措施的潜在促进者和障碍 肯尼亚非正式定居点的医疗保健设置； 2）将IPV（Wings）和心理健康（PM+）结合在一起 响应干预并调整合并的（Wings+PM+）干预措施，以便在存在的医疗设置中使用 在内罗毕的非正式定居点中； 3）试点测试改装的机翼+ PM+通过随机的干预 与130名妇女的控制试验评估机翼+PM+对PM+的安全性，可行性和可接受性 作为低成本IPV服务方案的基础，可以将服务扩展到经历IPV的女性 非正式定居点。拟议的职业发展计划旨在增加申请人的 在肯尼亚的非正式定居点中研究VAW和妇女健康的经验，使她能够：1） 在设计和适应暴力和健康相关干预措施方面的研究技能，重点是 非正式社区成员可以在非正式的医疗机构中进行的低成本干预措施 定居点； 2）在设计，适应，交付和评估可行性方面获得方法论专业知识 和干预的可接受性； 3）与全球卫生专家建立重要关系，干预 肯尼亚和东非非正式定居点的科学家和医疗保健提供者，以及4）增加她 成功的独立全球健康研究职业的专业技能，包括授予技巧， 手稿写作以及协作跨学科和国际研究。培训目标将是 通过教学课程，专业研讨会和研讨会，动手研究和指导 来自美国和肯尼亚的专家跨学科团队。研究结果和方法论 从这个IRSDA（K01）中获得的技能在肯尼亚具有重要的健康研究。