Physician Communications with African-American Parents

描述(由申请者提供)：这个以患者为导向的研究职业发展(K23)奖将使候选人，一名社区普通学术儿科医生，成为精神健康服务研究领域的独立调查员。长期的职业目标是发展必要的技能，以进行基于社区的父母-提供者沟通的临床调查，这将改善有色人种儿童的情感和行为结果。职业发展的关键是丰富的临床经验，为拟议的研究提供信息，以及经验丰富的顾问团队。候选人将与她的主要导师Lawrence Wissow医学博士和公共卫生硕士一起完成严格的培训，公共卫生硕士是具有委员会认证的儿童精神病学家和儿科医生，在家长提供者沟通和精神健康服务研究方面具有专业知识，发展心理学家冯尼·麦克洛伊德博士在调查社会经济因素对非裔美国儿童及其家庭结果的影响方面具有丰富经验，罗伯特·麦卡特博士是生物统计学家，有培训初级教员先进研究方法的经验，约瑟夫·赖特医学博士公共卫生硕士是在社区推广方面经验丰富的研究员，也是儿童倡导和将研究努力转化为政策的全国领导者。该奖项的培训目标是：1)发展儿科初级保健环境中父母提供者沟通研究的理论和方法专业知识；2)对影响非裔美国家庭与医学界互动的社会视角有一个基础性的了解；3)了解进行研究所涉及的生物统计学原理，这些研究将检查有色人种社区的父母提供者沟通。该奖项的研究目标是完成一项关于父母提供者与2-5岁来自较低和中等/较高社会经济背景的儿童的非裔美国父母沟通的横断面研究。调查还将考察两个潜在的可修改因素(母亲与子女提供者互动中的自我效能感和提供者沟通方式)对SES与非裔美国母亲中母亲披露心理社会问题之间的关系的影响。有了这样的培训和研究经验，候选人将准备为提供者和父母开发具有文化相关性的、基于理论的干预措施，以减少非裔美国父母和儿科初级保健提供者之间的沟通障碍，并为减少非裔美国儿童在心理健康结果方面的差异迈出第一步。

DESCRIPTION (provided by applicant): This Mentored Patient-Oriented Research Career Development (K23) Award will enable the candidate, a community-based general academic pediatrician, to become an independent investigator in the field of mental health services research. The long-term career goal is to develop the skills necessary to conduct community-based clinical investigations of parent-provider communication that will improve emotional and behavioral outcomes for children of color. Keys to the career development are strong clinical experiences that inform the proposed research and an experienced team of advisors. The candidate will complete rigorous training with her primary mentor, Lawrence Wissow MD, MPH, a board-certified child psychiatrist and pediatrician with expertise in parent provider communication and mental health services research, Vonnie McLoyd, PhD, a developmental psychologist with extensive experience in the investigation of the impact of socioeconomic factors on outcomes for African American children and their families, Robert McCarter, ScD, a biostatistician with experience in training junior faculty members in advanced research methodologies, and Joseph Wright, MD, MPH, an established researcher with experience in community outreach and a national leader in child advocacy and translating research efforts into policy. Training goals for this award are to 1) develop theoretical and methodological expertise in the study of parent provider communication in the pediatric primary care setting; 2) gain a foundational understanding of the social perspectives that influence African American families in their interactions with the medical community; and 3) understand the biostatistical principles involved in conducting studies that will examine parent provider communication in communities of color. Research goals of this award are to complete a cross-sectional study of parent provider communication with African American parents of children ages 2-5 years from lower and middle/upper socioeconomic backgrounds. Investigations will also examine the effect of two potentially modifiable factors (maternal self efficacy in interactions with her child's provider and provider communication style) on the relationship between SES and maternal disclosure of psychosocial issues among African American mothers. With such training and research experience, the candidate will be prepared to develop culturally relevant, theoretically-based interventions for providers and parents that will reduce barriers to communication between African American parents and pediatric primary care providers and provide a first step in reducing disparities in mental health outcomes for African American children.