TRAUMA IN PRIMARY CARE--INTERVENTIONS FOR POOR WOMEN

PI是创伤和创伤后应激障碍（PTSD）的高级研究员，她希望将自己的专业知识和研究扩展到初级保健中贫困妇女干预措施的开发和评估。 K 01指导研究科学家发展申请详细介绍了一项培训和研究计划，该计划将使PI能够发展精神卫生服务研究方面的专业知识，重点关注公共医疗保健中女性的创伤相关干预措施。 该项目的目标包括：（1）更好地理解和认识贫困和少数群体地位对创伤暴露、在保健系统中的经历和保健障碍的影响;（2）使用深入和定性的方法，说明有创伤史的妇女与无创伤妇女在健康方面的经历有何不同; 3）了解创伤暴露和依恋风格之间的联系，以及这些风格如何与临床表现和与提供者的互动相关; 4）获得必要的知识，以便在初级保健中为受创伤的妇女制定干预措施，并在这些环境中试行几项短期干预措施。 长期职业目标是能够为患者和提供者制定和评估干预措施，以提高护理质量，服务满意度和适当使用服务。 计划包括来自两个赞助商，珍妮米兰达，博士和爱德华步行者，医学博士的指导，以及初级保健，定性方法，文化人类学，成人依恋和医患关系的心理健康干预专家的辅导。 正式的课程包括少数民族心理健康，定性方法，流行病学，跨文化方法和有效性研究课程。 拟议的研究包括深入的试点研究1）女性患者，2）供应商，和3）他们的互动观察。 这一K 01对PI深入了解贫困妇女、她们的保健环境及其与提供者的关系至关重要。

The PI is a senior investigator in trauma and posttraumatic stress disorder (PTSD) who wishes to extend her expertise and her research to the development and evaluation of interventions for poor women in primary care. This K01 Mentored Research Scientist Development application details a training and research program that will allow the PI to develop expertise in mental health services research focused on trauma-related interventions for women in public medical care. Goals of the project include: 1) To better understand and appreciate the impact of poverty and minority status on trauma exposure, experiences in the health care system, and barriers to care; 2) To delineate how health- related experiences of women with trauma histories differ from those of women without trauma, using in-depth and qualitative methodologies; 3) To understand links between trauma exposure and attachment style, and how these styles are related to clinical presentation and interactions with providers; and 4) To gain the knowledge necessary to develop interventions for traumatized women in primary care, and to pilot several short interventions in these settings. The long-term career goal is to be able to develop and evaluate interventions for patients and providers that increase quality of care, satisfaction with services, and appropriate use of services. Plans include mentoring from two sponsors, Jeanne Miranda, PhD, and Edward Walker, MD, and tutorials from experts in mental health interventions in primary care, qualitative methods, cultural anthropology, adult attachment, and provider-patient relationships. Formal coursework includes courses in minority mental health, qualitative methodologies, epidemiology, cross-cultural methods, and effectiveness research. Proposed research includes in-depth pilot studies of 1) women patients, 2) providers, and 3) observations of their interactions. This K01 is crucial for the PI's development of in-depth knowledge about poor women, their health care settings, and their relationships with providers.