Pediatric Group Well Child Visits for Detection of Maternal Depression in Latinas

儿科团体儿童健康检查以检测拉丁裔母亲抑郁症

基本信息

批准号：
10001640
负责人：
Rheanna Edith Platt
金额：
$ 19.8万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10001640
关键词：
Academy Address Adherence Adoption Adverse effects Affect Age American Award Caring Case Study Child Child Care Child Health Child Mental Health Childhood Clinic Clinic Activity Clinical Clinical Research Communication Complement Data Depression screen Detection Development Disclosure Effectiveness Elements Environment Evaluation Family Foundations General Population Generations Goals Group Processes Guidelines Health Hour Human Immigrant Intervention Interview Knowledge Latina Latino Learning Limited English Proficiency Medical Mental Health Mental Health Services Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Modeling National Institute of Mental Health Parents Patients Pediatrics Perinatal Pilot Projects Postpartum Depression Postpartum Period Primary Health Care Procedures Process Provider Psychiatrist Psychiatry Qualitative Research Research Research Methodology Research Personnel Research Priority Risk Sampling Self Management Series Service delivery model Service setting Site Solid Structure Surveys Symptoms Testing Time Training Trust Visit Work arm bilingualism career cohesion cohort contextual factors depressive symptoms design experience follow-up health care availability health disparity improved informant knowledge base maternal depression member novel outreach patient population peer support perinatal mental health perinatal women primary care setting programs psychoeducation psychosocial screening screening, brief intervention, referral, and treatment shared decision making skills social determinants social stigma therapy development treatment disparity treatment services

项目摘要

Project Summary The overarching goal of this NIMH Mentored Patient-Oriented Research Career Development Award (K23) is to provide me with the skills and advanced training necessary to establish an independent program of research focused on the development and testing two-generational service delivery models in pediatric primary care to reduce mental health treatment disparities. To facilitate my long-term career goal, I have developed specific short-term training goals including: 1) Obtain advanced skills in applied, multimethod qualitative research; 2) Gain expertise in cultural psychiatry and cross-cultural research; 3) Develop a core knowledge base in group psychotherapeutic interventions including their mechanism(s) of benefit and evaluation; and 4) Develop core skills in mental health services intervention development and implementation in primary care settings. During the award period, I will conduct a series of inter-related studies which will serve as vehicles for pragmatic learning of the training goals complementing formal training and mentorship. The studies seek to characterize and subsequently enhance a novel and increasingly utilized form of pediatric well-child care, group pediatric well-child visits, to address disparities in identification, initial management, and subsequent treatment engagement of immigrant Latinas with postpartum depressive symptoms. The aims will be achieved through (1) a case study of two purposively sampled clinics currently delivering group well-child visits with immigrant Latino families, triangulating data from direct observations; in-depth and semi-structured interviews and surveys with parents participating and electing not to participate in group visits, group visit facilitators and other key informants at two purposively sampled clinics; (2) development of enhanced group visits using Intervention Mapping and Human-Centered Design methods and procedures; and (3) a single-arm pre-post pilot of the enhanced visit with one cohort of patients/families at each of the sites studied in Aim 1. We anticipate that the enhancements incorporate elements from interventions that have previously shown acceptability and/or effectiveness with this patient population including screening, brief intervention and referral to treatment procedures, provider communication skill- building to address cultural barriers to problem identification and treatment-seeking and facilitate a cohesive group process, and psychoeducation and self-management strategies.

项目概要 NIMH 指导的以患者为导向的研究职业发展的总体目标奖（K23）旨在为我提供建立一个独立研究计划专注于两代产品的开发和测试儿科初级保健的服务提供模式，以减少心理健康治疗差异。为了促进我的长期职业目标，我制定了具体的短期培训目标包括： 1) 获得应用、多方法定性研究的高级技能； 2）增益文化精神病学和跨文化研究方面的专业知识； 3）开发核心知识库团体心理治疗干预，包括其益处和评估机制； 4) 发展心理健康服务干预发展的核心技能和在初级保健机构中的实施。颁奖期间，我将进行一系列相互关联的研究将作为培训目标的务实学习的工具补充正式培训和指导。这些研究旨在描述和随后加强一种新型的、越来越多地使用的儿童健康儿童保育形式，团体儿科健康儿童就诊，以解决识别、初始管理和治疗方面的差异患有产后抑郁症状的拉丁美洲移民的后续治疗参与。这些目标将通过以下方式实现：(1) 对目前有目的地抽样的两家诊所进行案例研究对拉丁裔移民家庭进行团体儿童健康探访，对直接数据进行三角测量观察；对参与的家长进行深入和半结构化的访谈和调查选择不参加团体访问、团体访问协调员和其他关键信息提供者两个有目的地抽样的诊所； (2) 利用干预措施开展强化团体访问绘图和以人为本的设计方法和程序； (3)单臂前柱在 Aim 研究的每个地点对一组患者/家庭进行强化访视试点 1. 我们预计这些改进将纳入干预措施的要素先前显示出对该患者群体的可接受性和/或有效性，包括筛查、简短干预和转诊治疗程序、提供者沟通技巧- 致力于解决问题识别和寻求治疗的文化障碍，并促进一个有凝聚力的团体过程，以及心理教育和自我管理策略。