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Preventing IPV and Reproductive Coercion Among Underserved Adolescents

预防服务不足的青少年中的 IPV 和生殖胁迫

基本信息

批准号：
9247788
负责人：
Argentina Elisa Noelle Servin
金额：
$ 16.11万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-04-01 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9247788
关键词：
20 year old Address Adolescent Affect Africa South of the Sahara Age Alcohol or Other Drugs use Behavior Therapy Caring Client Clinic Community Health Complex Contraceptive Usage Contraceptive methods Control Groups Country Data Data Analyses Development Domestic Violence Educational workshop Epidemiology Evaluation Family Planning Female Adolescents Focus Groups Future Gender General Population Goals Harm Reduction Healthcare High Prevalence Human Rights Income Inequality Instruction Intervention Intervention Studies Interview Knowledge Latin America Latin American Measures Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Mexico Modeling Nature Participant Perception Pilot Projects Pregnancy Rate Pregnancy in Adolescence Prevalence Prevention Primary Health Care Professional counselor Protocols documentation Public Health Qualitative Research Randomized Randomized Controlled Trials Reading Recording of previous events Reporting Reproductive Health Reproductive History Research Research Infrastructure Research Personnel Research Project Grants Sampling Sexual Health Specific qualifier value Surveys Testing Training Training Activity Unwanted pregnancy Urban Health Victimization Visit Woman Women&apos s Health Work Youth adolescent health aged arm base brief intervention condoms consistent condom use epidemiology study experience follow-up gender-based violence girls high risk sexual behavior improved intervention effect intimate partner violence low and middle-income countries male medically underserved multilevel analysis physical conditioning pregnant prevent programs public health relevance reproductive reproductive coercion reproductive epidemiology responsible research conduct satisfaction screening screening and brief intervention sex sexual violence skills social standard of care theories unintended pregnancy violence victimization young woman

项目摘要

DESCRIPTION (provided by applicant): The proposed Mentored Patient-Oriented Research Career Development Award (K23) is to provide the candidate with training and research experiences that will promote her development as an independent clinician-researcher, with particular emphasis in the field of healthcare-based intervention research addressing gender-based violence, specifically reproductive coercion (RC), among medically underserved female adolescents in Mexico. This training will provide her with the opportunity to develop knowledge and skills in: 1) reproductive coercion (RC) epidemiology, assessment and prevention; 2) acquire knowledge in the theory, development, implementation, and adaptation of theoretically driven clinic-based behavioral interventions to reduce RC; 3) Acquire skills in multilevel modeling of longitudinal data to assess the efficacy of clinic-based behavioral interventions. Training activities will include didactic coursework and specific workshops, directed readings and one-on-one tutorials with mentors, and instruction in the responsible conduct of research. The candidate will receive mentorship from a Training Committee comprised of globally renowned experts in the fields of gender-based violence, reproductive coercion, adolescent health, healthcare-based screening and brief interventions for RC and epidemiology research. The present K23 research project emerges from the existing research infrastructure of Drs. Silverman and Miller's ARCHES (Addressing Reproductive Coercion in Healthcare Settings) intervention, specific aims are to conduct secondary data analysis of the sub-sample of adolescents (16-20 years old) from ARCHES and 1) Conduct epidemiologic research to estimate the prevalence and correlates of RC among US female adolescents ages 16-20 (n=1311) from the ARCHES intervention; 2) Conduct multilevel longitudinal data analyses of the ARCHES adolescent sample to evaluate the effect of the intervention on RC among this group; 3) Conduct qualitative research to identify barriers to and adapt the ARCHES intervention to improve the reproductive autonomy of female adolescents in urban health clinics in Tijuana (Mexico); 4) Implement the adapted ARCHES intervention for female adolescents in urban health clinics in Tijuana, pilot test its feasibility and estimate effect sizes needed for future lrge-scale randomized controlled trial (RCT). While the specified initial goal of this work is a clinic-based intervention model adapted for adolescent health care in Mexico, the candidates' longer-term goal is to expand implementation of such programs throughout Latin America and in other low and middle-income countries.