Utilizing pediatric primary care connections to advance reproductive health

利用儿科初级保健联系促进生殖健康

基本信息

批准号：
10738847
负责人：
Tania Maria Caballero
金额：
$ 17.39万
依托单位：
JOHNS HOPKINS UNIVERSITY
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：
2023-09-18 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10738847
关键词：
Academy Address Adoption American Award Caring Child Child Health Childhood Clinic Clinical Trials Color Communities Contraceptive Agents Contraceptive Usage Control Groups Data Dedications Demography Developmental Delay Disorders Effectiveness Eligibility Determination Emergency Care Engineering Equity Face Family Family Planning Family health status Focus Groups Future Goals Health Healthcare Human Hybrids Immigrant Immigrant community Immigrant family Individual Insurance Intervention Interview Justice Lactation Latina Latina Population Latinx Leadership Learning Legal Status Limited English Proficiency Maps Maternal Health Maternal and Child Health Measures Medical Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Methods Mothers Needs Assessment Outcome Parents Pediatrics Persons Postpartum Depression Postpartum Period Pregnancy Pregnancy Rate Premature Birth Prenatal care Preventive healthcare Primary Care Process Productivity Protocols documentation Provider Qualitative Methods Reach, Effectiveness, Adoption, Implementation, and Maintenance Recommendation Reproductive Health Research Research Methodology Research Personnel Research Training Risk Structural Racism Structure Surveys Testing Training Uninsured Visit Woman Women&apos s Health acceptability and feasibility bilingualism care coordination care costs career cohort collaborative environment design effectiveness measure experience health care availability health equity health organization implementation evaluation implementation facilitators implementation framework implementation outcomes implementation science implementation/effectiveness improved innovation medical schools multidisciplinary novel pediatrician person centered prevent primary care setting programs reproductive reproductive health intervention screening sexual health intervention skills social social health determinants therapy design unintended pregnancy uptake

项目摘要

PROJECT ABSTRACT/SUMMARY In the US, nearly half of all pregnancies are unintended. Unintended pregnancies are associated with risks to maternal and child health including late prenatal care, premature delivery, developmental delay, and family instability. Governmental agencies and professional maternal and child health organizations support access to contraceptive use and family planning services as essential for women’s health. However, some communities face structural barriers to contraceptive access. The Latinx immigrant community in the US is growing and over half of all US-born Latinx children live with at least one immigrant parent. Latinx immigrants have a limited path to legal status in the US, limiting preventive health care access. With the growing number of US-born children living in immigrant families and the limited options for Latinas to access contraceptive care, the pediatric setting is an unexplored venue for interventions that increase contraceptive access for Latina immigrants. However, to be effective, contraceptive access interventions must be person-centered and acknowledge the historical burdens of structural racism on contraceptive access for communities of color. In this K23 application, Dr Caballero, a research-trained pediatrician, proposes a rigorous training and research plan that will facilitate her long-term career goal: to strengthen child and family health by developing and implementing person-centered interventions to improve contraceptive access equity for immigrants. She proposes to: 1) develop expertise in qualitative methods and analysis to inform implementation-focused outcomes; 2) develop skills in human factors engineering principles and implementation science; 3) learn and apply family planning demography principles to intervention design and analysis; and 4) develop a deeper understanding of contraceptive and reproductive oppression in the US and how to apply health equity principles to advance equitable sexual and reproductive health interventions. She also proposes innovative mentored research to develop and pilot a contraceptive screening and care coordination intervention (Conecta/Conect) in a pediatric primary care setting that serves a large proportion of immigrant families. Conecta will be stakeholder-informed and rooted in human factors engineering approaches to health care redesign. This study will provide preliminary data to support a future larger trial of Conecta. Dr. Caballero’s research will occur in a supportive, collaborative environment at Johns Hopkins School of Medicine, under the guidance of an experienced and dedicated multidisciplinary mentoring team. This team is committed to supporting Dr. Caballero in achieving her research and training goals and her long-term goal of becoming a highly productive independent clinician-investigator and leader in pediatric-focused interventions to improve contraceptive access equity that uniquely address the needs of immigrant families.

项目摘要/总结在美国，近一半的怀孕是意外怀孕，这会带来风险。孕产妇和儿童健康，包括晚期产前护理、早产、发育迟缓和家庭政府机构和专业妇幼保健组织支持获得服务。避孕药具的使用和计划生育服务对于妇女的健康至关重要。美国的拉丁裔移民群体在获得避孕药具方面面临着结构性障碍。一半在美国出生的拉丁裔儿童与至少一位移民父母生活在一起，他们的出路有限。随着美国出生儿童数量的增加，限制了其在美国的合法地位。生活在移民家庭以及拉丁裔获得避孕护理、儿科环境的选择有限然而，这是一个尚未探索的干预措施，可以增加拉丁裔移民获得避孕药具的机会。为了有效，避孕药具获取干预措施必须以人为本，并承认历史结构性种族主义对有色人种群体获得避孕药具的负担。卡瓦列罗是一位经过研究培训的儿科医生，她提出了严格的培训和研究计划，以帮助她长期职业目标：通过制定和实施以人为本的方针，加强儿童和家庭健康她建议采取干预措施来改善移民获得避孕药具的公平性：1）发展以下方面的专业知识。定性方法和分析，以告知以实施为重点的成果；2) 培养人类技能； 3）学习和应用计划生育人口学干预设计和分析的原则；4) 加深对避孕和避孕措施的理解；美国的生殖压迫以及如何应用健康公平原则来促进公平的性和生殖权利她还建议开展创新性指导研究，以开发和试点生殖健康干预措施。儿科初级保健机构中的避孕筛查和护理协调干预 (Conecta/Conect) Conecta 将了解利益相关者并植根于人类。这项研究将提供初步数据来支持医疗保健重新设计。未来对 Caballero 博士的研究进行更大规模的试验将在一个支持性的协作环境中进行。约翰霍普金斯大学医学院，在经验丰富、敬业的多学科专家的指导下该团队致力于支持 Caballero 博士实现她的研究和培训。目标和她的长期目标是成为一名高产的独立临床医生研究员和领导者以儿科为重点的干预措施，以改善避孕药具的获取公平性，独特地满足儿童的需求移民家庭。