Advancing Reproductive Health: Qualitative Methods & Interdisciplinary Mentorship

促进生殖健康：定性方法

• 批准号: 8451362
• 负责人: Kate M Guthrie
• 金额: $ 13.79万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8451362
• 关键词: AIDS prevention; Accounting; Adherence; Adult; Award; Behavior; Behavior Therapy; Behavioral; Biomedical Technology; Characteristics; Contraceptive Agents; Data; Data Analyses; Development; Development Plans; Disease; Drug Delivery Systems; Drug Formulations; Evaluation Research; Exposure to; Foundations; Goals; Health Promotion; Health Promotion Sciences; Health Technology; Intervention; Interview; Knowledge; Leadership; Learning; Lubricants; Menopausal Symptom; Mentors; Mentorship; Methodology; Methods; Mid-Career Clinical Scientist Award (K24); Modeling; Morbidity - disease rate; Outcome; Pattern; Perception; Play; Prevention; Prevention strategy; Preventive Intervention; Process; Property; Prospective Studies; Public Health; Qualitative Methods; Reproductive Health; Research; Research Activity; Research Methodology; Research Personnel; Research Training; Resources; Role; Science; Sensory; Sexual Health; Structure; Technology; Time; Training; Training Programs; United States; Vagina; Variant; Woman; Women' s Health; base; career; career development; design; experience; improved; innovation; interest; knowledge base; meetings; microbicide; mortality; patient oriented research; preference; prevent; programs; prospective; public health priorities; unintended pregnancy; vaginal microbicide; willingness

DESCRIPTION (provided by applicant): This midcareer investigator award (K24) will provide protected time, resources, and structure that will allow for a progression in my research career trajectory, from a primary focus on HIV prevention, to a more inclusive and extensive conceptualization of prevention in the broader context of sexual and reproductive health (SRH). Further, it will allow me to engage in a comprehensive process of mentorship in the use of mixed methodologies in patient-oriented research. My career development goals are to: 1) expand my knowledge and expertise from HIV prevention alone to a more inclusive focus on sexual and reproductive health, 2) advance an expanded research agenda into the development of effective sexual and reproductive health technologies and interventions, and 3) advance my scholarly role in the use of mixed methods research for health promotion sciences by mentoring fellows and junior investigators in patient oriented research. The proposed mentorship plan will allow me to dedicate the necessary time and effort to fully integrate a comprehensive mixed methods research training program into my mentoring of junior investigators. The proposed research will provide the context for mentoring those investigators. The structured mentorship program will allow me to provide scientific leadership and in-depth methodological training for junior investigators interested in prevention intervention and treatment evaluation research. Through this mentorship in state-of-the-science mixed methods, I will promote the conduct of rigorous health promotion research across a wide range of health promotion sciences. My midcareer development plan will allow me to pursue learning and research activities that broaden my knowledge base and expertise into SRH and help me to better understand user experiences with SRH technologies, and identify those factors that impact use. Critical to use is "acceptability." However, current conceptualizations of adherence and acceptability fail to fully articulate and account for patterns of use and non-use. I propose that a new model of use, "Effective Use," is required, and propose the conduct of a longitudinal prospective mixed methods study to articulate this model. The concept of "Effective Use" begins with an inherent demand for the best user experience. It holds that a user's positive experience drives use, and that because use is maintained by this positive experience, higher exposure to the biomedical intervention (e.g., active ingredient), whether for prevention or treatment, is achieved. Relevance to Public Health: Sexual and reproductive health is a global public health priority. Providing efficacious SRH technologies that have the greatest likelihood of use will have the greatest impact on women's health. If successful, an Effective Use model would offer a new paradigm for the development of sexual and reproductive health technologies for women and their partners that will result in increased use and improved sexual and reproductive health outcomes.

描述（由申请人提供）：该职业生涯中期研究员奖（K24）将提供受保护的时间、资源和结构，使我的研究职业轨迹能够取得进展，从主要关注艾滋病毒预防，到在更广泛的性健康和生殖健康（SRH）背景下更具包容性和更广泛的预防概念化。此外，它将使我能够参与在以患者为导向的研究中使用混合方法的全面指导过程。我的职业发展目标是：1）将我的知识和专业知识从单纯的艾滋病毒预防扩展到对性和生殖健康更具包容性的关注，2）推进扩大的研究议程，以开发有效的性和生殖健康技术和干预措施，以及3）通过指导研究员和初级研究人员进行以患者为导向的研究，提高我在健康促进科学研究中使用混合方法研究的学术作用。拟议的指导计划将使我能够投入必要的时间和精力，将全面的混合方法研究培训计划完全纳入我对初级研究人员的指导中。拟议的研究将为指导这些研究人员提供背景。结构化的指导计划将使我能够为对预防干预和治疗评估研究感兴趣的初级研究人员提供科学的领导和深入的方法培训。通过这种最先进的混合方法的指导，我将促进在广泛的健康促进科学领域进行严格的健康促进研究。我的职业中期发展计划将使我能够从事学习和研究活动，扩大我在 SRH 方面的知识基础和专业知识，帮助我更好地了解 SRH 技术的用户体验，并确定影响使用的因素。使用的关键是“可接受性”。然而，当前的遵守和可接受性概念未能充分阐明和解释使用和不使用的模式。我建议需要一种新的使用模型“有效使用”，并建议进行纵向前瞻性混合方法研究来阐明该模型。 “有效使用”的概念始于对最佳用户体验的内在需求。它认为用户的积极体验驱动使用，并且由于使用是通过这种积极体验维持的，因此无论是用于预防还是治疗，都可以实现更高的生物医学干预（例如活性成分）暴露。与公共卫生的相关性：性健康和生殖健康是全球公共卫生的优先事项。提供最有可能使用的有效性健康与生殖健康技术将对妇女的健康产生最大的影响。如果成功，有效使用模式将为妇女及其伴侣开发性健康和生殖健康技术提供新的范式，从而增加使用并改善性健康和生殖健康结果。