Promoting Early Child Development in Primary Care for Low-Income Families

促进低收入家庭初级保健中的早期儿童发展

• 批准号: 9750044
• 负责人: Reshma Shah
• 金额: $ 17.26万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-23 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9750044
• 关键词: Address; Administrator; Age-Months; Area; Behavior; Behavioral; Biological; Child; Child Development; Child Rearing; Childhood; Clinic; Clinical; Clinical Investigator; Clinical Trials; Cognitive; Communication; Complement; Data; Data Analyses; Development; Diagnosis; Disadvantaged; Economics; Educational Status; Emotional; Family; Focus Groups; Future; Goals; Intervention; Interview; K-Series Research Career Programs; Knowledge; Language; Lead; Life; Literacy Programs; Longitudinal Studies; Measures; Mentors; Mentorship; Modeling; National Institute of Child Health and Human Development; Outcome; Outcome Measure; Parent-Child Relations; Parents; Pediatrics; Persons; Play; Population; Poverty; Prevention strategy; Preventive; Preventive Intervention; Primary Health Care; Process; Protocols documentation; Public Health; Publications; Qualitative Methods; Randomized; Randomized Controlled Trials; Readiness; Research; Research Personnel; Risk; Schools; Self Efficacy; Structure; Targeted Research; Testing; Training; Visit; base; cost; design; developmental disease; early childhood; improved; informant; lower income families; model development; participant retention; patient oriented; pediatrician; primary care setting; recruit; social; social cognitive theory; success; theories; therapy development; usability

Summary The overall goal of this proposed Mentored Patient-Oriented Career Development Award (K23) is for the candidate, Dr. Reshma Shah, to become an independent clinical investigator with a focus on primary care- based strategies to improve early child development in low-income families. Recognized by the NICHD as a target for research to improve early child development and school readiness among at-risk families, the primary care setting offers an ideal opportunity to reach the millions of children who live in poverty. To develop, implement, and evaluate preventive primary care delivered strategies that support early child development the candidate requires additional formal training in the following important areas: 1) the design, execution, and analysis of clinical trials in the primary care setting, 2) qualitative methods and longitudinal data analysis for intervention development, 3) childhood development and its social determinants, and 4) professional development through scientific publications and presentations. The proposed research plan will integrate these training objectives and be implemented with the support of the candidate's mentorship team, which includes experts in each of these areas. The overall objective of the proposed research plan is to develop and pilot test a brief, theory-based intervention delivered in the primary care setting. Grounded in social cognitive theory and modeled after the widely disseminated literacy program Reach Out and Read, the intervention aims to enrich positive parenting behaviors and promote early child development in low-income families. By pursuing the following specific aims, the candidate will gather data essential to test its efficacy on parental and child outcomes (to be proposed in a subsequent R01). In Aim 1, the candidate will utilize qualitative methods and conduct focus groups and semi-structured interviews with key stakeholders (i.e., parents, clinicians, clinical staff and administrators of the proposed intervention) to inform intervention development and identify barriers to implementation. In Aim 2, the developed intervention will be tested via a pilot longitudinal randomized controlled trial to determine the feasibility of protocol implementation and to investigate the potential impact on parental outcomes. The training and research plan will complement the candidate's strong clinical background in developmental-behavioral pediatrics, serve as a framework to develop accessible and sustainable clinical interventions that seek to enhance early child development, and prepare the candidate for long-term independence as a clinical researcher.

总结 这个建议的指导病人为导向的职业发展奖（K23）的总体目标是为 候选人Reshma Shah博士将成为一名独立的临床研究者，专注于初级保健- 为基础的战略，以改善低收入家庭的儿童早期发展。被NICHD认定为 为改善高危家庭的幼儿发展和入学准备而开展的研究目标， 初级保健环境为接触数百万生活在贫困中的儿童提供了一个理想的机会。为了发展， 实施和评价预防性初级保健提供战略，支持儿童早期发展， 候选人需要在以下重要领域进行额外的正式培训：1）设计，执行， 初级保健环境中的临床试验分析，2）定性方法和纵向数据分析， 干预发展，3）儿童发展及其社会决定因素，4）专业 通过科学出版物和演示文稿进行开发。拟议的研究计划将整合这些 培训目标，并在候选人导师团队的支持下实施，其中包括 每个领域的专家。拟议研究计划的总体目标是开发和试点测试 在初级保健环境中提供的简短的、基于理论的干预。基于社会认知理论， 在广泛传播的扫盲计划“伸出手来阅读”之后，干预措施旨在丰富 积极的养育行为，促进低收入家庭的儿童早期发展。因为针对 根据具体的目标，候选人将收集必要的数据，以测试其对父母和儿童的功效。 结果（将在随后的R 01中提出）。在目标1中，候选人将使用定性方法， 与关键利益相关者进行焦点小组和半结构化访谈（即，父母、临床医生、临床 建议干预措施的工作人员和管理人员），为干预措施的制定提供信息，并确定障碍 执行。在目标2中，开发的干预措施将通过试点纵向随机 对照试验，以确定方案实施的可行性并调查对的潜在影响 父母的结果。培训和研究计划将补充候选人的强大的临床背景 在发展行为儿科学中，作为一个框架，发展可获得和可持续的临床 旨在促进儿童早期发展的干预措施，并为候选人的长期发展做好准备。 作为临床研究者的独立性。