Developing an engagement intervention for Black and Latinx caregivers to improve children’s receipt of mental health services after sexual abuse

为黑人和拉丁裔护理人员制定参与干预措施，以改善儿童在性虐待后接受心理健康服务的情况

• 批准号: 10371392
• 负责人: Hiu-fai Fong
• 金额: $ 16.77万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-10 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10371392
• 关键词: Address; Affect; Area; Behavior Therapy; Behavioral; Black race; Boston; Caregivers; Case Manager; Child; Child Abuse; Child Sexual Abuse; Child Welfare; Childhood; Clinic; Clinical Trials; Communities; Cultural Diversity; Development; Development Plans; Educational Intervention; Effectiveness; Ensure; Ethical Issues; Evidence based intervention; Expectancy; Family; Feedback; Feeling; Female; Focus Groups; Future; Goals; Guilt; Health Care Research; Individual; Institution; Intervention; Interview; Latinx; Legal Guardians; Longevity; Mental Depression; Mental Health; Mental Health Services; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Minority Groups; Minority Health Research; Modeling; National Institute on Minority Health and Health Disparities; Outcome; Parents; Patient Education; Patients; Pediatric Hospitals; Perception; Pilot Projects; Population; Population Heterogeneity; Population Intervention; Positioning Attribute; Post-Traumatic Stress Disorders; Process; Psychopathology; Public Health Schools; Quality of Care; Randomized; Randomized Controlled Trials; Research; Research Personnel; Resources; Risk; Sampling; Self Efficacy; Self Management; Services; Sexual abuse; Shame; Social Workers; Substance abuse problem; Suicide attempt; Testing; Training; Trauma; Voice; Work; acceptability and feasibility; adverse outcome; base; biomedical referral center; care outcomes; care seeking; career development; catalyst; clinical encounter; community based participatory research; design; ethnic minority; experience; healing; health care delivery; health care disparity; health disparity; improved; improved outcome; information gathering; male; medical schools; medical specialties; minority engagement; minority patient; novel; pediatrician; pilot test; preference; prevent; preventive intervention; racial and ethnic; racial and ethnic disparities; racism; research and development; shared decision making; social culture; social norm; social stigma; therapy development; treatment as usual

PROJECT SUMMARY This application for a K23 Mentored Patient-Oriented Research Career Development Award aims to support the career development of Dr. Hiu-fai Fong, a child abuse pediatrician at Boston Children’s Hospital and Harvard Medical School, in becoming an independent investigator whose work improves mental health care and outcomes for families affected by child abuse. Dr. Fong proposes to develop and pilot test a novel engagement intervention for Black and Latinx caregivers of sexually abused children to address the significant burden of unmet mental health need for these children. Engagement interventions, in which child-serving professionals (e.g., social workers) work with caregivers to increase children’s receipt of MH services, represent a promising approach to address unmet mental health need but have not been well studied with Black and Latinx caregivers of sexually abused children. This K23 project seeks to develop a novel engagement intervention for this new population of caregivers that integrates components from two evidence- based interventions (McKay’s engagement intervention and the DECIDE intervention). The research will use principles of community based participatory research and a systematic process of cultural adaptation to develop the engagement intervention over three Aims. Aim 1 will use in-depth interviews with Black and Latinx caregivers of sexually abused children to identify sociocultural perceptions about child sexual abuse and mental health care seeking. Aim 2 will use focus groups to elicit feedback from social workers that serve Black and Latinx caregivers of sexually abused children and input from a community advisory board to culturally and contextually adapt intervention components. Aim 3 will pilot test the new engagement intervention for feasibility and acceptability with Black and Latinx caregivers of sexually abused children. This research will lead to the development of a new engagement intervention ready for large-scale testing as a strategy to reduce racial and ethnic disparities in mental health care after sexual abuse. Dr. Fong has assembled a highly experienced mentorship team, including Dr. Margarita Alegria (intervention development for multicultural populations), Dr. Megan Bair-Merritt (trauma-focused research), and Dr. Michael Lindsey (treatment engagement for minority families) to guide her through a rigorous training plan to gain expertise in: 1) intervention development for culturally diverse populations; 2) sociocultural and ethical issues in trauma-focused research with minority groups; and 3) clinical trial methodology for behavioral interventions. Dr. Fong will leverage the unique resources available at Boston Children’s Hospital (a leading pediatric healthcare and research institution, and a specialty referral center for child sexual abuse) and the broader Harvard community (Harvard Medical School, Harvard T.H. Chan School of Public Health, Harvard Catalyst) to carry out her research and career development plan. The K23 award will prepare Dr. Fong to tackle the substantial challenges of inadequate and inequitable mental health care for abused children and their families as a future independent researcher.

项目概要 本申请 K23 指导的以患者为导向的研究职业发展奖旨在支持 波士顿儿童医院虐待儿童儿科医生方晓辉医生的职业发展 哈佛医学院，成为一名独立调查员，其工作改善了心理健康保健 方博士建议开发并试点测试一部小说。 对受性虐待儿童的黑人和拉丁裔照顾者进行参与干预，以解决重大问题 这些儿童的心理健康需求未得到满足，造成了参与干预措施的负担，其中包括儿童服务。 专业人员（例如社会工作者）与护理人员合作，增加儿童接受 MH 服务的机会， 解决未满足的心理健康需求的一种有前途的方法，但尚未得到充分研究 这个 K23 项目旨在创作一部小说，帮助受性虐待儿童的黑人和拉丁裔看护者。 针对这一新的护理人员群体的参与干预，整合了以下两个证据的组成部分： 本研究将使用基于干预措施（麦凯的参与干预措施和 DECIDE 干预措施）。 基于社区的参与性研究的原则和文化适应的系统过程 制定三个目标的参与干预措施，目标 1 将使用对黑人和拉丁裔的深入访谈。 受性虐待儿童的照顾者确定对儿童性虐待的社会文化观念 目标 2 将利用焦点小组来征求为黑人服务的社会工作者的反馈。 和受性虐待儿童的拉丁裔照顾者以及社区咨询委员会的意见，以促进文化和 目标 3 将试点测试新的参与干预措施的可行性。 以及受性虐待儿童的黑人和拉丁裔照顾者的接受度。 开发一种新的参与干预措施，为大规模测试做好准备，作为减少种族和种族歧视的战略 方博士组建了经验丰富的专家团队，以解决性虐待后心理健康护理方面的种族差异。 导师团队，包括 Margarita Alegria 博士（针对多元文化人群的干预发展）、Dr. Megan Bair-Merritt（以创伤为重点的研究）和 Michael Lindsey 博士（少数族裔的治疗参与） 家庭）指导她通过严格的培训计划来获得以下方面的专业知识：1）干预开发 文化多元化人群；2）针对少数群体的创伤研究中的社会文化和伦理问题 3）方博士将利用独特的行为干预临床试验方法。 波士顿儿童医院（领先的儿科医疗保健和研究机构，以及 儿童性虐待专业转诊中心）和更广泛的哈佛社区（哈佛医学院， 哈佛大学陈曾熙公共卫生学院 (Harvard T.H. Chan School of Public Health)、哈佛催化剂 (Harvard Catalyst) 开展她的研究和职业生涯 K23 奖将使方博士做好准备，应对不足和不足的重大挑战。 作为未来的独立研究员，受虐儿童及其家人的心理健康护理不公平。