Genital Infection Symptoms Among Syrian Refugee Women in Lebanon: A Mixed-Methods Study to Adapt, Pilot Test, and Preliminarily Evaluate an Evidence-Based Intervention

黎巴嫩叙利亚难民妇女的生殖器感染症状：一项混合方法研究，以适应、试点测试和初步评估循证干预措施

• 批准号: 10805723
• 负责人: Sasha Fahme
• 金额: $ 18.52万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-16 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10805723
• 关键词: Acute; Address; American; Appointment; Area; Bacterial Vaginosis; Caring; Cervical Cancer Screening; Chlamydia trachomatis; Client; Clinic; Clinical; Cluster randomized trial; Cohort Studies; Communities; Consult; Continuity of Patient Care; Cross-Sectional Studies; Data; Diabetes Mellitus; Diagnostic tests; Education; Educational workshop; Environment; Epidemiology; Ethics; Etiology; Evidence based intervention; Feasibility Studies; Female; Fogarty International Center; Fostering; Fright; Gender; Gender Identity; Genital; Genitalia; Goals; Grant; Guidelines; HIV; Health; Health Services Accessibility; Healthcare; Human immunodeficiency virus test; Hybrids; Hygiene; Infection; Infection prevention; Infertility; Internal Medicine; International; Internist; Intervention; Interview; Leadership; Learning; Lebanon; Master of Science; Measures; Medical; Medicine; Mentors; Mentorship; Methodology; Methods; Modeling; Neisseria gonorrhoeae; New York; Outcome; Outcome Assessment; Participant; Pathogen detection; Peru; Physicians; Population; Positive Test Result; Prevention; Provider; Public Health; Recurrence; Refugees; Reproductive Health; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Retreatment; Risk; Risk Factors; Rural; Sampling; Scientist; Self Efficacy; Service provision; Sexual Health; Sexually Transmitted Diseases; Symptoms; Testing; Training; Translating; Trichomonas vaginalis; Underserved Population; Universities; Vulvovaginal Candidiasis; Woman; Women' s Health; Writing; barrier to care; career; career development; chronic pain; data integration; dissemination science; effectiveness study; evidence base; experience; genital infection; health disparity; health science research; implementation outcomes; implementation science; implementation strategy; implementation/effectiveness; improved; intervention refinement; low health literacy; maltreatment; medical schools; novel; obstetrical complication; peer; pilot test; prevent; recruit; recurrent infection; response; rural area; rural residence; rural setting; satisfaction; sex; sexual health intervention; sexual risk behavior; skill acquisition; skills; symposium; systematic review; tool; transmission process; virtual

PROJECT SUMMARY/ABSTRACT Candidate. Dr. Sasha Fahme is an Internal Medicine-trained physician-scientist who has spent the past four years conducting refugee health research in Lebanon. She has first-hand experience treating sexually transmitted infections (STIs) and conducting sexual and reproductive health (SRH) studies of Syrian refugee women. She has trained a Lebanese research team and Syrian peer educators to conduct SRH research and has established capacity for STI testing. Her preliminary data suggest that Syrian refugee women are eager to learn about SRH from peers and to engage in longitudinal SRH care, with 89% 1-year retention. She seeks to adapt and pilot-test an evidence-based intervention (EBI) to address barriers to SRH care in this population. Career Goals. Dr. Fahme's goals are: 1. To gain expertise in mixed-methods health sciences research. 2. To strengthen experience in the conduct of humanitarian health research. 3. To foster implementation science skills to develop and evaluate evidence-based interventions. 4. To develop skills in dissemination to translate research findings into practice. 5. To build leadership skills and successfully compete for R01 research grants. Career Development. Dr. Fahme will achieve her goals through workshops, virtual courses, and one-on-one mentored training from Dr. Fitzgerald (career mentorship, humanitarian health, STI epidemiology) Dr. DeJong (mixed-methods, humanitarian health), Dr. Downs (implementation science), and Dr. Abu-Raddad (STI epidemiology, dissemination). She will disseminate contextualized STI guidelines based on her findings, and present her research at international conferences. She will participate in grant-writing workshops and submit an R01 proposal of a hybrid type I cluster-randomized trial to improve Syrian refugee women's SRH in Year 5. Environment. The proposed research and training will take place at Weill Cornell Medical College (New York, USA) and at the American University of Beirut (Beirut, Lebanon), a global leader in refugee health research. Research. Syrian refugee women in Lebanon are among the world's largest and most vulnerable displaced populations, with a high burden of genital infection symptoms. The etiologies of these symptoms are not known and access to treatment is limited by numerous barriers that are most acute among rural women. Dr. Fahme will recruit 204 symptomatic, rural Syrian refugee women to participate in a longitudinal mixed-methods study. She hypothesizes that >30% will experience recurrent genital infections, and that guidelines fail to address drivers of recurrence, which she will explore through in-depth interviews. She will use these data, the ADAPT- ITT model, and the Implementation Outcomes Framework to adapt and evaluate an EBI to address genital infection symptoms in a single-group pilot feasibility study among 30 Syrian refugee women.

项目摘要/摘要 候选人。 Sasha Fahme博士是一位受过内科培训的医师科学家，他过去四个 多年在黎巴嫩进行难民健康研究。她有第一手经验对待性治疗 传播感染（STI）以及对叙利亚难民进行性和生殖健康（SRH）研究 女性。她曾培训过黎巴嫩研究团队和叙利亚同伴教育者，以进行SRH研究和 已经确定了STI测试的能力。她的初步数据表明叙利亚难民妇女渴望 从同龄人那里了解SRH，并从事纵向SRH护理，并保留89％。她寻求 适应和试点测试基于证据的干预措施（EBI），以解决该人群中SRH护理的障碍。 职业目标。 Fahme博士的目标是： 1。获得混合方法健康科学研究的专业知识。 2。加强人道主义健康研究的经验。 3。促进实施科学技能，以制定和评估基于证据的干预措施。 4。开发传播技能，将研究结果转化为实践。 5。建立领导能力并成功竞争R01研究补助金。 职业发展。 Fahme博士将通过研讨会，虚拟课程和一对一的一项实现目标 Fitzgerald博士的指导培训（人道主义健康，STI流行病学）Dejong博士 （混合方法，人道主义健康），唐斯博士（实施科学）和阿布拉达德博士（STI 流行病学，传播）。她将根据她的发现来传播情境化的STI指南，并 在国际会议上介绍她的研究。她将参加授予写作研讨会并提交 R01 I型混合I型集群随机试验的提案，以改善5年级的叙利亚难民女性SRH。 环境。拟议的研究和培训将在Weill Cornell医学院（纽约， 美国）和美国贝鲁特大学（美国黎巴嫩贝鲁特大学）是难民健康研究的全球领导者。 研究。黎巴嫩的叙利亚难民妇女是世界上最大，最脆弱的流离失所者之一 人群，生殖器感染症状很大。这些症状的病因尚不清楚 在农村妇女中，获得治疗的限制受到众多最严重的障碍的限制。法赫姆博士 将招募204个有症状的叙利亚难民妇女参加纵向混合方法研究。 她假设> 30％的人会经历复发性的生殖器感染，该指南无法解决 她将通过深入的访谈探索复发的驱动因素。她将使用这些数据，适应 - ITT模型以及实施结果框架以适应和评估EBI以解决生殖器 在30名叙利亚难民妇女中，单组飞行员可行性研究中的感染症状。