Perinatal Depression in Sexual and Gender Minorities

性少数群体的围产期抑郁症

基本信息

批准号：
10808644
负责人：
Leiszle Rae Lapping-Carr
金额：
$ 13.28万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-19 至 2028-11-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10808644
关键词：
Address Affect Area Award Awareness Birth Clinical Clinical Trials Clinical Trials Design Communities Data Data Set Development Development Plans Discrimination Doctor of Philosophy Early Intervention Effectiveness Equation Evaluation Evidence based intervention Family Future General Population Goals Grant Health Healthcare Systems Heterosexuals Individual Institution International Intervention Interview Investigation Lead Licensing Longitudinal Studies Medical Records Mental Depression Mental Health Mental Health Services Mental disorders Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Methods Minority Modality Mothers National Institute on Minority Health and Health Disparities Outcome Parents Participant Perinatal Perinatal Care Personal Satisfaction Persons Pilot Projects Population Postpartum Period Prejudice Prevalence Prevention Preventive Process Psychologist Qualitative Research Randomized, Controlled Trials Reduce health disparities Reporting Reproductive Health Research Research Personnel Research Project Grants Resources Risk Risk Reduction Services Sexual Health Sexual and Gender Minorities Site Stress Training Training Programs Vulnerable Populations Woman Work acceptability and feasibility assigned female at birth career career development cis-female clinical efficacy clinical trial implementation cohort community based research community engaged research cost design disparity reduction early screening effective intervention efficacy evaluation efficacy study evidence base experience functional disability gender minority gender minority group gender minority health graduate student health disparity health equity health equity promotion high risk implementation intervention implementation science implementation study improved marginalized community marginalized population medical specialties meetings minority stress multidisciplinary perinatal health perinatal mental health perinatal period peripartum depression physical conditioning pregnant prevent preventive intervention programs recruit sex assigned at birth sexual minority sexual minority women social stigma standard of care virtual group

项目摘要

Dr. Leiszle Lapping-Carr is a licensed clinical psychologist and mixed methods researcher with a specialty in sexual and reproductive health. Through the proposed Mentored Patient-Oriented Research Career Development Award (K23) entitled Perinatal Depression in Sexual and Gender Minorities, she will develop into an independent researcher working to reduce health disparities for sexual and gender minorities (SGM) during the perinatal period. Dr. Lapping-Carr will use this award to receive specific training in 1) community-engaged research with SGM parents; 2) intervention adaptation frameworks and processes for specific populations; 3) implementation science; and 4) clinical trial design. This focus on intervention adaptation and implementation with SGM parents will allow her to fill gaps in her training enabling transition into an independent researcher. Her future research program will be focused on improving mental and reproductive health equity for SGM individuals through mixed methods, community-engaged research to develop, evaluate, and implement effective interventions for SGM individuals, as well as broader investigations into the prevalence and experience of SGM individuals mental health concerns related to reproductive health. Additionally, future work will include the development of clinician training programs to increase capacity to meet SGM parents’ mental health needs. Dr. Lapping-Carr will achieve these career goals through a career development plan including didactic training, mentored research experiences, direct community-based research experience, attendance at local, national, and international scientific meetings, and utilization of institutional resources. Her outstanding mentorship team includes Lead Mentor Darius Tandon, PhD and Co-Mentors Lori Ross, PhD (Methodology and SGM Health), Michael Newcomb, PhD (Community-Based SGM Health), and Katherine Wisner, MD, MS (Perinatal Psychiatric Disorders). Dr. Lapping-Carr’s research strategy incorporates two distinct studies as part of applying a systematic intervention adaptation framework that will help her to achieve the training goals described above. Specific Aim 1 will use qualitative interviews to identify determinants of perinatal wellbeing among SGM parents and describe experiences with and unmet needs in perinatal mental healthcare. Specific Aim 2 will involve the incorporation of themes identified through the qualitative study in Aim 1 to adapt an evidence-based intervention for the prevention of perinatal depression to the needs of SGM parents. Specific Aim 3 will pilot the adapted intervention to evaluate feasibility, acceptability, and preliminary efficacy. With the experience and results of these studies, Dr. Lapping-Carr will be poised to pursue an R01 grant through NIMHD to conduct a large-scale clinical trial that examines the efficacy and effectiveness of the adapted perinatal depression preventative intervention. This focus on community-engaged intervention adaptation and evaluation with SGM individuals will allow Dr. Lapping-Carr to advance the field of perinatal mental health and reduce disparities for SGM through her research and mentorship of graduate student researchers.

Leiszle Lappar-Carr博士是一位有执照的临床心理学家和混合方法研究人员，专业性健康和生殖健康。通过拟议的指导以患者为导向的研究职业发展奖（K23），题为“性和性别少数群体中的围产期抑郁症”，她将发展成一名独立研究人员致力于减少性别和性别少数群体（SGM）的健康差异（SGM）围产期。 Lappar-Carr博士将使用该奖项在1）社区参与的特定培训与SGM父母一起研究； 2）干预适应框架和特定人群的过程； 3）实施科学； 4）临床试验设计。关注干预适应和实施与SGM的父母一起，她可以填补培训中的空白，从而使过渡到独立研究人员。她未来的研究计划将集中于改善SGM的心理和生殖健康公平通过混合方法，社区参与的研究来开发，评估和实施个人 SGM个人的有效干预措施，以及广播公司对患病率和 SGM个人的精神健康问题与复制健康有关。此外，未来的工作将包括制定临床培训计划，以增加满足SGM父母心理的能力健康需求。 Lappapar博士将通过一项职业发展计划来实现这些职业目标教学培训，修复研究经验，基于社区的直接研究经验，出席地方，国家和国际科学会议以及机构资源的利用。她的杰出指导团队包括首席导师达里乌斯·丹顿（Darius Tandon），博士学位和联合官员洛里·罗斯（Lori Ross），博士学位（方法论和SGM Health），Michael Newcomb博士（基于社区的SGM Health）和MS MD的Katherine Wisner （围产期精神病）。拉普 - 卡尔博士的研究策略纳入了两项不同的研究应用系统的干预适应框架，以帮助她实现培训目标上面描述。特定目标1将使用定性访谈来识别围产期健康的决定者在SGM父母中，描述了围产期心理保健的经验和未满足的需求。具体的 AIM 2将涉及通过定性研究确定在AIM 1中确定的主题以适应一个主题基于证据的干预措施预防SGM父母需求的围产期抑郁症。具体的 AIM 3将试行改编的干预措施，以评估可行性，可接受性和初步效率。与这些研究的经验和结果，Lapping-Carr博士将被中毒以通过 NIMHD进行大规模的临床试验，该试验检查了适应的围产期抑郁预防性干预。关注社区参与的干预适应和与SGM个人的评估将使Lappar-Carr博士能够促进围产期心理健康领域和通过研究生研究人员的研究和心态减少SGM的分布。