Adapting a low-cost intimate partner violence (IPV) and mental health response intervention for women in informal settlements in Kenya

针对肯尼亚非正规住区的妇女采取低成本的亲密伴侣暴力 (IPV) 和心理健康应对干预措施

• 批准号: 10369185
• 负责人: Samantha C. Winter
• 金额: $ 17.98万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10369185
• 关键词: Address; Adopted; Africa; Anxiety; Applications Grants; Area; Capital; Cities; Clinic; Communities; Community Health; Community Health Aides; Data; Development; Development Plans; Disadvantaged; Distal; Educational workshop; Elements; Feasibility Studies; Focus Groups; Foundations; Goals; Group Meetings; Guidelines; Health; Health Personnel; Health Priorities; Health Services; Health Services Accessibility; Health system; Healthcare; Housing; Infrastructure; International; Interpersonal Violence; Intervention; Interview; Kenya; Longevity; Manuscripts; Mediator of activation protein; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentored Research Scientist Development Award; Mentors; Methodology; Modeling; Morbidity - disease rate; National Health Policy; Outcome; Police; Policies; Population; Post-Traumatic Stress Disorders; Pre-Post Tests; Prevalence; Prevention; Protocols documentation; Psychosocial Assessment and Care; Public Health; Randomized; Recommendation; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Safety; Science; Scientist; Secure; Self Efficacy; Service provision; Services; Social support; Statistical Data Interpretation; Strategic Planning; Suicide attempt; Survivors; Testing; Training; United States National Institutes of Health; Violence; Wing; Woman; Women' s Health; Writing; acceptability and feasibility; career; career development; community consultation; control trial; cost; design; effective intervention; efficacy trial; experience; global health; hands on research; health care settings; international center; intervention cost; intimate partner violence; longitudinal analysis; low and middle-income countries; member; mortality; novel; post-traumatic stress; programs; psychologic; psychological distress; response; safety and feasibility; screening; screening, brief intervention, referral, and treatment; sexual violence; skills; treatment arm; treatment program; violence against women; violence victimization; volunteer

PROJECT SUMMARY/ABSTRACT The purpose of this International Research Scientist Development Award (K01) is to provide the candidate with the training and expertise needed to transition into an independent global health researcher with expertise in the science of violence- and health-related intervention in informal settlements. Globally, 30% of women have experienced intimate partner violence (IPV). Prevention and response to IPV is critical; yet few interventions have been adapted for residents of informal settlements. Currently, 56% of the 3 million residents in Nairobi, the capital city of Kenya, live in informal settlements, and this population is likely to double by 2050. Research carried out in 2012 in Kibera, the largest informal settlement in Nairobi, reported that 85% of women have experienced IPV in their lifetime and a 2018 study reported that 66% of women in similar Nairobi settlements experienced IPV in the past year. Women experiencing IPV are more likely to also experience depression, anxiety, and post- traumatic stress. In 2014, Kenya identified reduction of and response to violence against women (VAW) as a priority health area in national policies and strategic plans; yet, no screening or response protocols have been adopted in clinics in informal settlements for IPV survivors. The aims of this study are, therefore, to: 1) identify potential facilitators and barriers to screening and intervention for IPV and related mental health challenges in healthcare settings in informal settlements in Kenya; 2) combine an IPV (WINGS) and mental health (PM+) response intervention and adapt the combined (WINGS+PM+) intervention for use in existent healthcare settings in informal settlements in Nairobi; and 3) pilot test the adapted WINGS+PM+ intervention through a randomized control trial with 130 women to assess the safety, feasibility, and acceptability of WINGS+PM+ versus PM+-only as the foundation for a low-cost IPV services package that can expand services to women experiencing IPV in informal settlements. The proposed career development plan has been designed to augment the applicant's experience researching VAW and women's health in informal settlements in Kenya and enable her to: 1) gain research skills in the design and adaptation of violence- and health-related interventions, with an emphasis on low-cost interventions that can be carried out by lay community members in healthcare settings in informal settlements; 2) obtain methodological expertise in the design, adaptation, delivery, and assessment of feasibility and acceptability of interventions; 3) cultivate important relationships with global health experts, intervention scientists, and healthcare providers in informal settlements in Kenya and East Africa, and 4) increase her professional skills for a successful independent global health research career, including grantsmanship, manuscript writing, and collaborative interdisciplinary and international research. The training goals will be achieved through didactic courses, specialized workshops and seminars, hands-on research, and mentoring from an interdisciplinary team of experts in both the U.S. and Kenya. The research findings and methodological skills to be gained from this IRSDA (K01) have important applicability for health research in Kenya.

项目总结/文摘