Enhancing Prevention for Children in Diverse Populations

描述（由申请人提供）：背景和候选人。了解和消除健康方面的差距是国家的优先事项。 黑人和拉丁美洲儿童哮喘负担过重，哮喘是儿童发病的主要原因。 然而，与白色儿童相比，少数民族儿童不太可能使用适当的预防药物。 本申请要求为全国公认的儿科健康服务研究员Tracy Lieu博士（医学博士，公共卫生硕士）提供以患者为导向的研究（K24）的职业生涯中期研究者奖。刘博士最近成为哈佛系儿童保健研究中心的主任。她的目标是加强对儿童，特别是少数民族儿童采取有效的预防性卫生干预措施。 她的记录表明，在哮喘和疫苗的资助研究的高生产力。 指导计划。刘博士有越来越多的指导记录和良好的机会与开始研究工作。她负责她的新中心的三个初级教师，他们都是在他们的头三年。她也是哈佛儿科健康服务研究奖学金计划的儿童医院网站主任。这个K24奖是必要的，以保护刘博士的时间，指导这些开始研究人员，因为他们建立自己的研究组合。 研究计划。这项K24奖项中的拟议研究建立在Lieu博士正在进行的NICHD支持的R 01上，该研究是关于持续性哮喘儿童药物使用的种族/民族差异。其目的是： 1.进行一项前瞻性队列研究，以评估父母-提供者沟通模式和健康信念作为黑人、拉丁美洲人和白色持续性哮喘儿童预防性药物采用和流感疫苗接种的预测因素; 2.分析现有的数据，以确定实践现场的政策，以及临床医生和患者水平的预测因素的预防性药物的采用之间的不同群体的儿童持续性哮喘。 摘要这个应用程序提供了一个非常成功的研究人员在智力丰富的环境相结合。拟议中的奖项将使刘博士能够保护时间，指导开始调查，并扩大她的研究，改善预防保健的不同人群的儿童。从这个K24奖的支持将在一个关键时刻来刘博士和她的新中心的初级教师。

DESCRIPTION (provided by applicant): Background and Candidate. Understanding and eliminating disparities in health is a national priority. Black and Latino children bear a disproportionate burden of asthma, a leading cause of childhood morbidity. Yet, minority children are less likely to be using appropriate preventive medications than white children. This application requests a mid-career investigator award in patient-oriented research (K24) for Dr. Tracy Lieu, MD, MPH, a nationally recognized pediatric health services researcher. Dr. Lieu has recently become Director of the new Center for Child Health Care Studies in her department at Harvard. Her goal is to enhance the adoption of effective preventive health interventions for children, especially minority children. Her record demonstrates high productivity in funded research in asthma and vaccines. Mentoring Plan. Dr. Lieu has a growing track record of mentoring and excellent opportunities to work with beginning investigators. She is responsible for three of the junior faculty in her new Center, all of whom are within their first three years. She is also the Children's Hospital Site Director of the Harvard Pediatric Health Services Research Fellowship Program. This K24 award is needed to protect Dr. Lieu's time for guiding these beginning investigators as they establish their research portfolios. Research Plan. The proposed research in this K24 award builds on Dr. Lieu's ongoing NICHD-supported R01 on racial/ethnic disparities in medication use by children with persistent asthma. The aims are to: 1. Conduct a prospective cohort study to evaluate parent-provider communication patterns and health beliefs as predictors of preventive medication adoption and influenza vaccination among black, Latino, and white children with persistent asthma; and 2. Analyze existing data to identify practice site policies as well as clinician and patient-level predictors of preventive medication adoption among a diverse group of children with persistent asthma. Summary. This application offers a combination of a highly successful researcher in an intellectually rich environment. The proposed award will enable Dr. Lieu to protect time for mentoring beginning investigators and expand her research in improving preventive health care for diverse populations of children. Support from this K24 award will come at a critical time for Dr. Lieu and for the junior faculty in her new Center.