Community Racial Equity Training And Evaluation of Current and Future Health Care Clinicians (CREATE) Study

当前和未来医疗保健临床医生的社区种族平等培训和评估（CREATE）研究

• 批准号: 10652634
• 负责人: Brittany D. Chambers
• 金额: $ 13.92万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-22 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10652634
• 关键词: Accountability; Address; Attention; Attitude; Awareness; Behavior; Belief; Biometry; Black race; California; Caring; Clinical; Clinical Research; Communities; Continuing Education; Data; Discrimination; Disparity; Doctor of Philosophy; Ecology; Educational Intervention; Electronic Health Record; Environment; Epidemiology; Evaluation; Evidence based intervention; Face; Faculty; Feedback; Fellowship; Funding; Future; General Hospitals; Goals; Health; Health behavior; Health education; Healthcare; High Risk Woman; Hypertension; Implementation readiness; Individual; Infrastructure; Institution; Intervention; Justice; Lead; Leadership; Maternal Mortality; Measures; Medical; Mentored Clinical Scientist Development Program; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Modeling; Motivation; Outcome; Patient-Focused Outcomes; Perinatal Care; Personal Satisfaction; Persons; Positioning Attribute; Pregnancy; Pregnancy Complications; Prenatal care; Quality of Care; Quasi-experiment; Race; Racial Equity; Reproductive Health; Research; Research Activity; Research Design; Research Personnel; Research Support; Resources; Risk; San Francisco; Self Efficacy; Sexual Health; Strategic Planning; System; Testing; Time; Training; Training Activity; United States; United States National Institutes of Health; Universities; Woman; Women' s Health; adverse maternal outcomes; adverse pregnancy outcome; black women; care delivery; career; cluster randomized design; diabetes risk; disparity reduction; efficacy evaluation; experience; health care delivery; health care settings; health disparity; human centered design; implementation science; implicit bias; improved; infant outcome; maltreatment; maternal morbidity; maternal outcome; obesity in pregnancy; obstetric care; online intervention; peer; pilot test; post intervention; prenatal; racial bias; racial discrimination; racial disparity; racism; recruit; reproductive; response; risk mitigation; shared decision making; skills; social; structural determinants; success; therapy development; tool; women of color

Title: Community Racial Equity And Training Interventions and Evaluation of Current and Future Healthcare Clinicians (CREATE) Study Project Summary/Abstract Black women face disproportionately high rates of maternal morbidity and mortality in the United States, both of which are on the rise, in direct contrast to the improved rates globally. Prenatal care has been identified as a way to potentially mitigate these risks, but racism and racial discrimination are barriers to women in accessing prenatal care. The 2019-2023 Trans-NIH Strategic Plan for Women’s Health calls for research that addresses these stark health disparities for women of color. My long-term career goal is lead research to inform interventions that will optimize the reproductive health and wellbeing of Black women. I aim to become a leading investigator applying a reproductive justice framework to understand clinical and structural factors underpinning health adversities experienced by Black women. In this K01 Mentored Research Scientist Development Award, I propose to 1) Refine a racial equity training intervention for prenatal care settings; 2) Pilot test the effects of the racial equity training intervention on clinician outcomes; and 3) Explore the impact of the racial equity training intervention in reducing disparities in adequate care in a sub-sample of Black and white women. I will seek advanced training to support these research goals in 1) intervention development and implementation science, 2) clinical research in cluster randomized designs, and 3) professional skills in project management, leadership, and grantsmanship. These endeavors will benefit from interdisciplinary mentorship from world-renowned scholars including primary mentor Monica McLemore, PhD, MPH, RN, FAAN (clinical obstetric care, racial equity, reproductive justice), and co-mentors Miriam Kuppermann, PhD, MPH (perinatal care models, shared decision-making, professional leadership at UCSF), Charles McCulloch, PhD (biostatistics), and Cynthia Harper, PhD (human centered design and health education). In addition, faculty advisor Andrea Jackson, MD, MAS will provide expertise in prenatal and delivery healthcare settings. The Department of Epidemiology and Biostatistics at the University of California at San Francisco will provide the infrastructure to support these activities. The department made a competitive offer to recruit me into a faculty position in 2018, and departmental leadership is highly committed to my success, providing both resources and protected time. The training and research activities proposed in this K01 build on my strong background in health behavior and racial inequities in reproductive health and give me essential new skills to facilitate my transition to an independent investigator. I aim to lead research using a multi-method approach to understand the mechanisms by which the social ecology produces sexual and reproductive health disparities and to inform interventions to advance Black women’s health.

标题：社区种族平等和培训干预措施以及当前和未来医疗保健的评估 临床医生（创建）研究 项目摘要/摘要 在美国，黑人妇女面临的孕产妇发病率和死亡率的比例不成比例 其中有所增加，与全球速度的提高形成鲜明对比。产前护理已经 被确定是一种潜在减轻这些风险的方式，但是种族主义和种族歧视是障碍 妇女获得产前护理。 2019-2023妇女健康典范的Trans-NIH战略计划要求 针对有色女性的这些鲜明的健康分配的研究。我的长期职业目标是领导 研究旨在为干预措施提供的研究，以优化黑人妇女的复制健康和福祉。我瞄准 成为采用复制司法框架以了解临床和结构的领先调查员 黑人妇女经历的健康逆境的因素。在这位K01指导的研究科学家 开发奖，我建议1）为产前护理环境改善种族股权培训干预措施； 2） 试点测试种族平等培训干预对临床结果的影响； 3）探索 种族平等培训干预措施在黑色和黑色子样本中减少适当护理的差异方面的差异 白人妇女。我将寻求高级培训以支持这些研究目标1）干预开发和 实施科学，2）群集随机设计的临床研究和3）项目的专业技能 管理，领导和授予技巧。这些努力将受益于跨学科指导 来自世界知名的学者，包括原发性精神莫妮卡·麦克莫尔（Monica McLemore），博士，MPH，RN，FAAN（临床） 产科护理，种族平等，生殖正义）和联合委员Miriam Kuppermann，博士，MPH（围产期） 护理模型，共享决策，UCSF的专业领导），Charles McCulloch，博士 （生物统计学）和辛西娅·哈珀（Cynthia Harper），博士学位（人类以人为中心的设计和健康教育）。此外，教师 MAS医学博士Andrea Jackson顾问将提供产前和送货医疗机构的专业知识。 加利福尼亚大学旧金山分校的流行病学和生物统计学系将提供 支持这些活动的基础设施。该部门提出了竞争优惠，将我招募到教师 在2018年的职位，部门领导层高度致力于我的成功，提供了资源和 受保护的时间。此K01中提出的培训和研究活动以我的强大背景为基础 生殖健康中的健康行为和种族不平等，并为我提供重要的新技能，以促进我 过渡到独立研究者。我旨在使用多方法的方法来领导研究以了解 社会生态学产生性和生殖健康分布的机制并告知 提高黑人妇女健康的干预措施。