LARC Use in Females

LARC 在女性中的使用

• 批准号: 9314888
• 负责人: Pooja Rani Patel
• 金额: $ 15.74万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-15 至 2020-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9314888
• 关键词: Address; Adolescent; Advisory Committees; Age; American; Applications Grants; Area; Attitude; Award; Awareness; Behavior; Child; Child Development; Childhood; Clinic; Clinical; Contraception Behavior; Contraceptive Agents; Contraceptive Usage; Control Groups; Counseling; Data; Decision Making; Development; Development Plans; Devices; Discipline of obstetrics; Doctor of Philosophy; Economics; Education; Educational Intervention; Face; Family member; Female; Female Adolescents; Focus Groups; Friends; Funding; Future; Gynecologist; Gynecology; Health; Health behavior; Health behavior change; Health system; Healthcare; Implant; Intervention; Interview; Intrauterine Devices; Knowledge; Location; Low income; Manuscripts; Measures; Medical; Medicine; Mentors; Methods; Online Systems; Oral Contraceptives; Outcome; Patients; Pediatrics; Pilot Projects; Population; Pregnancy; Pregnancy Rate; Pregnancy in Adolescence; Preventive healthcare; Psychology; Public Health; Publishing; Qualitative Methods; Questionnaires; Randomized; Randomized Controlled Trials; Research; Research Activity; Research Personnel; Research Project Grants; Resources; Risk; Safety; Secure; System; Tablets; Target Populations; Teenagers; Testing; Theoretical model; Time; United States; United States National Institutes of Health; User Compliance; Vaginal Ring; Visit; Writing; base; career; career development; college; community setting; condoms; design; experience; follow-up; hands on research; improved; inner city; innovation; interest; member; metropolitan; peer; peer influence; population based; prevent; professor; programs; response; reversible contraceptive; senior faculty; skills; social; social cognitive theory; symposium; teenage mother; tool; unintended pregnancy; uptake

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.

摘要 该项目的目的是发展一种以同伴为基础的教育干预措施，以提高知识， 青少年最有效的避孕药具、长效可逆避孕药具的使用情况 （LARC）。该项目将是第一个利用同伴叙述来增加青少年避孕药具使用的项目， 高度依赖同伴的影响1 -10 帕特尔博士是一个委员会认证的妇产科医生谁发表了9篇文章避孕 研究11 -19，并通过美国大学独立获得了她的一个项目的资金。 15帕特尔博士建议采用详细的职业发展计划， 获得MPH，参加当地和国家研讨会和会议，获得一对一的指导， 撰写论文，并参与实践研究活动。这些活动将使她能够建立 更深入地了解定性方法，健康行为的理论模型和统计工具。 Patel博士的咨询委员会将由一名主要导师（修道院Berenson博士，医学博士，博士）和2名共同导师组成。 导师（Deborah Thompson博士和Peggy Smith博士）。贝伦森医生是儿科产科医生 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的支持。汤普森博士是贝勒大学的高级教员。 在设计和测试基于Web的医学领域拥有超过15年的领先研究经验 促进儿童和青少年积极行为的方案。汤普森博士收到了 通过美国国立卫生研究院和美国农业部，包括2个R 01奖。史密斯博士是产科系的教授 贝勒医学院的妇科、心理学和儿科，是贝勒医学院的主任。 青少年健康系统，一个由10个诊所组成的系统，每年为2万多人提供青少年保健服务。 休斯顿市区的青少年 拟议的项目将通过青少年的半结构化访谈获得LARC使用的证明 使用LARC的人这些感言将由青少年演员讲述，并转换成专业视频。 青少年焦点小组将被用来选择最有效的文化叙事的最终干预。 这些视频将被上传到一个电子平板电脑上，以便在试点中方便地观看 随机对照试验（RCT）。通过基于网络的平台或非医疗领域的交付实现未来应用 这些设施可以增加观众人数，并在社区环境中促进预防保健。的 结合本研究项目的经验和职业发展中描述的资源， 计划将使Patel博士能够完成R 01申请，以进行更大规模的RCT来测试干预措施， 使她成为一名独立调查员。