Improving Interventions for Drug Abuse-Partner Violence

描述：(申请人提供) 申请者要求通过指导职业生涯获得五年的资助 发展奖(K01)计划建立一个独立的计划 物质滥用研究的重点是改善识别和 干预药物滥用、亲密伴侣暴力(IPV)和 早期干预环境中的共生情感障碍(AD)。这个 申请人？S具有较强的学术、科研和护士临床培训背景 药物滥用、暴力、家庭健康和健康服务研究 为这项工作提供了良好的基础。拟议的培训目标 在1)之间的复杂联系中提供额外的指导和指导 ATOD、IPV和AD以及早期预防的参与和治疗策略 干预，2)纵向数据分析和建模技术，3) 使早期干预复杂化的文化问题和健康差距 不同人群之间的努力，以及4)关于道德行为的培训 研究。这项培训将为申请人从事研究工作做好准备。 针对育龄妇女药物滥用的预防科学 年龄。在第一阶段，将对纵向数据进行二级数据分析 由两个产后妇女大样本提供，以检查ATOD的作用， IPV和AD关于参与和参与的早期干预：主页 探视。基于年龄、种族/民族和以下各项组合的分组分析 将检查ATOD、IPV和AD。在第二阶段，提供商的现有协议 评估方面的教育和培训，包括仪器、口译、 分诊将在两个示范项目中进行严格的检验。第三阶段将 使用第一阶段和第二阶段的调查结果以及特定领域专家的指导 为制定战略和初步议定书提供信息的内容领域 加强针对这些具体问题的早期预防性干预 并对这些协议进行试点测试。第三阶段将确定以下特征 影响提供商、系列和计划层面的实施，并将 生成初步数据，为研究和项目开发提供信息。数据 将成为R01应用程序的基础，以前瞻性地测试 旨在改善提供商教育和实践的战略的有效性 育龄妇女中ATOD、IPV和AD的相关因素。

DESCRIPTION: (Provided by Applicant) The applicant is requesting five years of funding through the Mentored Career Development Award (K01) program to establish an independent program of substance abuse research focused on improving the identification and intervention for substance abuse, intimate partner violence (IPV) and co-occurring affective disorders (AD) in early intervention settings. The applicant?s strong background of academic, research and nurse clinical training in substance abuse, violence, family health, and health services research provides an excellent foundation for this work. The proposed training goals provide additional instruction and mentoring in 1) the complex linkage between ATOD, IPV, and AD and engagement and treatment strategies for early preventive intervention, 2) longitudinal data analysis and modeling techniques, 3) cultural issues and health disparities that complicate early intervention efforts among diverse populations, and 4) training in the ethical conduct of research. This training will prepare the applicant to pursue a research career in prevention science targeting substance abuse among women of childbearing age. In Phase I secondary data analysis will be conducted on longitudinal data provided by two large samples of postpartum women to examine the role of ATOD, IPV and AD on engagement and participation with an early intervention: home visitation. Subgroup analyses based on age, race/ethnicity and combinations of ATOD, IPV and AD will be examined. In Phase II, existing protocols for provider education and training in assessment including instrumentation, interpretation, and triage will be critically examined in two model programs. Phase III will use findings from Phases I and II as well as mentoring from experts in specific content areas to inform the development of strategies and preliminary protocols to strengthen early preventive interventions addressing these specific issues and to pilot test these protocols. Phase III will identify characteristics that impact implementation at the provider, family, and program level and will generate preliminary data to inform research and program development. The data will form the basis for a R01 application to prospectively test the effectiveness of strategies designed to improve provider education and practice related to ATOD, IPV, and AD among women of childbearing age.