LARC Use in Females

摘要 这个项目的目的是开发一种基于同伴的教育干预，以提高知识， 青少年对最有效避孕药的态度和接受情况，长效可逆避孕药 (LARC)。该项目将是第一个使用同伴叙事来增加青少年避孕用具使用量的项目，这是 高度依赖同龄人的影响。1-10 帕特尔博士是一名获得委员会认证的妇产科医生，曾发表过9篇关于避孕的文章。 研究11-19，并通过美国理工学院为她的一个项目独立获得资金 15帕特尔医生建议使用详细的职业发展计划，包括 获得公共卫生硕士学位，参加地方和国家研讨会和会议，获得一对一指导， 撰写稿件，参与实践研究活动。这些活动将使她能够建立 对定性方法、健康行为理论模型和统计工具有更深的理解。 Patel博士的咨询委员会将由一名主要导师(Abbey Berenson博士，医学博士，博士)和两名联合导师组成。 导师：黛博拉·汤普森博士和佩吉·史密斯博士。贝伦森医生是一名儿科产科医生。 UTMB的妇科医生，在青少年避孕研究方面有20多年的经验， 自1994年以来一直得到联邦政府的支持。汤普森博士是贝勒学院的高级教员。 具有超过15年的医学经验，在基于Web的设计和测试方面领导研究 促进儿童和青少年积极行为的方案。汤普森博士已经收到了资助 通过美国国家卫生研究院和美国农业部，包括2个R01奖项。史密斯医生是妇产科的教授。 贝勒医学院妇科学、心理学和儿科学，贝勒研究所所长 青少年健康系统，一个由10家诊所组成的系统，每年向20,000多人提供青少年医疗保健 休斯敦大都会地区的市中心青少年。 拟议的项目将通过对青少年的半结构化访谈，获得关于LARC使用的证明 使用LARC的人。这些感言随后将由青少年演员讲述并转换为专业视频。 青少年焦点小组将被用来为最终干预选择最具文化效果的叙事。 这些视频将被上传到电子平板电脑上，以便在飞行员中方便地观看 随机对照试验(RCT)。通过基于Web的平台或在非医疗领域交付的未来应用程序 设施可以增加收视率，并在社区环境中促进预防性保健。这个 将这一研究项目的经验与职业发展中描述的资源相结合 计划将使Patel博士能够完成R01应用程序，以执行更大的RCT来测试干预， 使她早年成为一名独立调查员。

ABSTRACT The purpose of this project is to develop a peer-based educational intervention to improve knowledge, attitudes, and uptake of the most effective contraceptives for teenagers, long-acting reversible contraceptives (LARC). This project will be the first to use peer narratives to increase teenage contraceptive use, which is highly dependent on peer influences.1-10 Dr. Patel is a board-certified obstetrician gynecologist who has published 9 articles on contraceptive research11-19 and independently secured funding for one of her projects through the American College of Obstetrics and Gynecologists.15 Dr. Patel proposes to use a detailed career development plan involving obtaining an MPH, attending local and national seminars and conferences, obtaining one-on-one mentoring, writing manuscripts, and participating in hands-on research activities. These activities will allow her to establish a deeper understanding of qualitative methods, theoretical models of health behavior, and statistical tools. Dr. Patel's advisory committee will consist of a primary mentor (Dr Abbey Berenson, MD, PhD) and 2 co- mentors (Dr. Deborah Thompson, PhD, and Dr. Peggy Smith, PhD). Dr. Berenson is a pediatric obstetrician gynecologist at UTMB with more than 20 years of experience in adolescent contraceptive research, having maintained federal support since 1994. Dr. Thompson is a senior faculty member at the Baylor College of Medicine with more than 15 years of experience leading research in designing and testing web-based programs to promote positive behaviors in children and adolescents. Dr. Thompson has received funding through the NIH and USDA, including 2 R01 awards. Dr. Smith is a professor in the Departments of Obstetrics & Gynecology, Psychology, and Pediatrics at the Baylor College of Medicine and is the director of the Baylor Teen Health System, a system of 10 clinics that provides adolescent healthcare annually to more than 20,000 inner city teens across the Houston metropolitan area. The proposed project will obtain testimonials on LARC use, via semistructured interviews from teenagers who use LARC. These testimonials will then be narrated by teen actors and converted into professional videos. Teen focus groups will be used to choose the most culturally effective narratives for the final intervention. These videos will be uploaded onto an electronic tablet so they can be viewed conveniently in a pilot randomized controlled trial (RCT). Future application through a web-based platform or delivery in nonmedical facilities can increase viewership and promote preventive healthcare in the community setting. The combination of experiences from this research project and the resources described in the career development plan will enable Dr. Patel to complete an R01 application to perform a larger RCT to test the intervention, leading her to an early career as an independent investigator.