Preventing IPV and Reproductive Coercion Among Underserved Adolescents

预防服务不足的青少年中的 IPV 和生殖胁迫

基本信息

批准号：
9110075
负责人：
Argentina Elisa Noelle Servin
金额：
$ 13.84万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-04-01 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9110075
关键词：
20 year old Address Adolescent Affect Africa South of the Sahara Age Alcohol or Other Drugs use Behavior Therapy Caring Client Clinic Community Health Complex Contraceptive Usage Contraceptive methods Control Groups Country Data Data Analyses Data Set Development Domestic Violence Educational workshop Epidemiologic Studies Epidemiology Evaluation Family Planning Female Adolescents Focus Groups Future Gender Goals Harm Reduction Healthcare High Prevalence Human Rights Income Inequality Instruction Intervention Intervention Studies Interview Knowledge Latin America Latin American Life Measures Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Mexico Modeling Nature Participant Perception Pilot Projects Pregnancy Rate Pregnancy in Adolescence Prevalence Prevention Primary Health Care Professional counselor Protocols documentation Public Health Qualitative Research Randomized Randomized Controlled Trials Reading Recording of previous events Reporting Reproductive Health Research Research Infrastructure Research Personnel Research Project Grants Research Training Sampling Sexual Health Specific qualifier value Surveys Testing Training Training Activity Unwanted pregnancy Urban Health Victimization Visit Woman Women&apos s Health Work Youth adolescent health aged arm base brief intervention condoms consistent condom use experience follow-up gender-based violence girls high risk sexual behavior improved intervention effect intimate partner violence low and middle-income countries male medically underserved multilevel analysis physical conditioning pregnant prevent programs public health relevance reproductive reproductive coercion responsible research conduct satisfaction screening screening and brief intervention sex sexual violence skills social standard of care theories unintended pregnancy violence victimization young woman

项目摘要

DESCRIPTION (provided by applicant): The proposed Mentored Patient-Oriented Research Career Development Award (K23) is to provide the candidate with training and research experiences that will promote her development as an independent clinician-researcher, with particular emphasis in the field of healthcare-based intervention research addressing gender-based violence, specifically reproductive coercion (RC), among medically underserved female adolescents in Mexico. This training will provide her with the opportunity to develop knowledge and skills in: 1) reproductive coercion (RC) epidemiology, assessment and prevention; 2) acquire knowledge in the theory, development, implementation, and adaptation of theoretically driven clinic-based behavioral interventions to reduce RC; 3) Acquire skills in multilevel modeling of longitudinal data to assess the efficacy of clinic-based behavioral interventions. Training activities will include didactic coursework and specific workshops, directed readings and one-on-one tutorials with mentors, and instruction in the responsible conduct of research. The candidate will receive mentorship from a Training Committee comprised of globally renowned experts in the fields of gender-based violence, reproductive coercion, adolescent health, healthcare-based screening and brief interventions for RC and epidemiology research. The present K23 research project emerges from the existing research infrastructure of Drs. Silverman and Miller's ARCHES (Addressing Reproductive Coercion in Healthcare Settings) intervention, specific aims are to conduct secondary data analysis of the sub-sample of adolescents (16-20 years old) from ARCHES and 1) Conduct epidemiologic research to estimate the prevalence and correlates of RC among US female adolescents ages 16-20 (n=1311) from the ARCHES intervention; 2) Conduct multilevel longitudinal data analyses of the ARCHES adolescent sample to evaluate the effect of the intervention on RC among this group; 3) Conduct qualitative research to identify barriers to and adapt the ARCHES intervention to improve the reproductive autonomy of female adolescents in urban health clinics in Tijuana (Mexico); 4) Implement the adapted ARCHES intervention for female adolescents in urban health clinics in Tijuana, pilot test its feasibility and estimate effect sizes needed for future lrge-scale randomized controlled trial (RCT). While the specified initial goal of this work is a clinic-based intervention model adapted for adolescent health care in Mexico, the candidates' longer-term goal is to expand implementation of such programs throughout Latin America and in other low and middle-income countries.

描述（由申请人提供）：拟议的以患者为导向的研究职业发展奖（K23）旨在为候选人提供培训和研究经验，以促进她作为独立临床医生研究员的发展，特别是在医疗保健领域针对墨西哥医疗服务不足的女性青少年中基于性别的暴力，特别是生殖胁迫 (RC) 的干预研究，该培训将为她提供发展以下方面知识和技能的机会：1) 生殖。强迫 (RC) 流行病学、评估和预防；2) 获得理论驱动的基于临床的行为干预措施的理论、开发、实施和适应知识，以减少 RC；3) 获得纵向数据多层次建模的技能，以评估疗效培训活动将包括教学课程和特定研讨会、定向阅读和导师一对一辅导，以及负责任地进行研究的指导。候选人将获得由全球组成的培训委员会的指导。性别暴力、生殖胁迫、青少年健康、基于医疗保健的筛查以及 RC 和流行病学研究的简短干预领域的知名专家目前的 K23 研究项目源于 Silverman 和 Miller 博士的 ARCHES 现有研究基础设施。医疗环境中的强制生育）干预，具体目标是对来自 ARCHES 的青少年（16-20 岁）子样本进行二次数据分析，以及 1) 进行通过流行病学研究评估 ARCHES 干预措施在美国 16-20 岁女性青少年 (n=1311) 中 RC 的患病率和相关性；2) 对 ARCHES 青少年样本进行多纵向数据分析，以评估干预措施对 RC 的影响该小组； 3) 开展定性研究，以确定 ARCHES 干预措施的障碍并进行调整，以提高蒂华纳城市卫生诊所女性青少年的生殖自主权； 4) 实施在蒂华纳城市卫生诊所对女性青少年进行适应性 ARCHES 干预，试点测试其可行性并估计未来大规模随机对照试验 (RCT) 所需的效果大小，而这项工作的具体初始目标是基于临床的干预模型。对于墨西哥的青少年保健，候选人的长期目标是在整个拉丁美洲和其他低收入和中等收入国家扩大此类计划的实施。