Genital Infection Symptoms Among Syrian Refugee Women in Lebanon: A Mixed-Methods Study to Adapt, Pilot Test, and Preliminarily Evaluate an Evidence-Based Intervention

项目摘要/摘要 候选人。Sasha Fahme博士是一名接受过内科培训的内科医生兼科学家，在过去的四年里 多年来在黎巴嫩开展难民健康研究。她有第一手的性治疗经验 传播感染(STI)和开展叙利亚难民的性健康和生殖健康研究 女人。她培训了一个黎巴嫩研究团队和叙利亚同行教育者进行SRH研究和 已经建立了STI检测的能力。她的初步数据表明，叙利亚难民妇女渴望 从同行那里了解SRH，并参与纵向SRH护理，保留89%的1年。她试图 适应和试点循证干预(EBI)，以解决这一人群中SRH护理的障碍。 职业目标。法赫姆博士的目标是： 1.获取混合方法健康科学研究方面的专业知识。 2.加强开展人道主义卫生研究的经验。 3.培养执行科学技能，以制定和评价循证干预措施。 4.培养传播技能，将研究成果转化为实践。 5.培养领导能力，并成功竞争R01研究拨款。 职业发展。Fahme博士将通过研讨会、虚拟课程和一对一实现她的目标 菲茨杰拉德博士(职业指导、人道主义卫生、性传播感染流行病学)德容博士的指导培训 (混合方法，人道主义健康)、唐斯博士(实施科学)和阿布-拉达德博士(STI) 流行病学、传播学)。她将根据她的发现传播与背景相关的STI指南，以及 在国际会议上发表她的研究成果。她将参加赠款撰写研讨会，并提交 R01建议的混合型I型整群随机试验，以改善叙利亚难民妇女在第5年的SRH。 环境拟议的研究和培训将在威尔·康奈尔医学院(纽约， 美国贝鲁特大学(黎巴嫩贝鲁特)是难民健康研究的全球领先者。 研究。在黎巴嫩的叙利亚难民妇女是世界上最大和最脆弱的流离失所者之一 生殖器感染症状负担高的人群。这些症状的病因尚不清楚。 获得治疗的机会受到许多障碍的限制，这些障碍在农村妇女中最为严重。法赫姆博士 将招募204名有症状的农村叙利亚难民妇女参加一项纵向混合方法研究。 她假设，30%的人将经历反复的生殖器感染，而指南未能解决 她将通过深入访谈来探索复发的驱动因素。她将使用这些数据，适配器- ITT模式，以及调整和评估EBI以解决生殖器问题的执行成果框架 在30名叙利亚难民妇女中进行的单组试点可行性研究中的感染症状。

PROJECT SUMMARY/ABSTRACT Candidate. Dr. Sasha Fahme is an Internal Medicine-trained physician-scientist who has spent the past four years conducting refugee health research in Lebanon. She has first-hand experience treating sexually transmitted infections (STIs) and conducting sexual and reproductive health (SRH) studies of Syrian refugee women. She has trained a Lebanese research team and Syrian peer educators to conduct SRH research and has established capacity for STI testing. Her preliminary data suggest that Syrian refugee women are eager to learn about SRH from peers and to engage in longitudinal SRH care, with 89% 1-year retention. She seeks to adapt and pilot-test an evidence-based intervention (EBI) to address barriers to SRH care in this population. Career Goals. Dr. Fahme's goals are: 1. To gain expertise in mixed-methods health sciences research. 2. To strengthen experience in the conduct of humanitarian health research. 3. To foster implementation science skills to develop and evaluate evidence-based interventions. 4. To develop skills in dissemination to translate research findings into practice. 5. To build leadership skills and successfully compete for R01 research grants. Career Development. Dr. Fahme will achieve her goals through workshops, virtual courses, and one-on-one mentored training from Dr. Fitzgerald (career mentorship, humanitarian health, STI epidemiology) Dr. DeJong (mixed-methods, humanitarian health), Dr. Downs (implementation science), and Dr. Abu-Raddad (STI epidemiology, dissemination). She will disseminate contextualized STI guidelines based on her findings, and present her research at international conferences. She will participate in grant-writing workshops and submit an R01 proposal of a hybrid type I cluster-randomized trial to improve Syrian refugee women's SRH in Year 5. Environment. The proposed research and training will take place at Weill Cornell Medical College (New York, USA) and at the American University of Beirut (Beirut, Lebanon), a global leader in refugee health research. Research. Syrian refugee women in Lebanon are among the world's largest and most vulnerable displaced populations, with a high burden of genital infection symptoms. The etiologies of these symptoms are not known and access to treatment is limited by numerous barriers that are most acute among rural women. Dr. Fahme will recruit 204 symptomatic, rural Syrian refugee women to participate in a longitudinal mixed-methods study. She hypothesizes that >30% will experience recurrent genital infections, and that guidelines fail to address drivers of recurrence, which she will explore through in-depth interviews. She will use these data, the ADAPT- ITT model, and the Implementation Outcomes Framework to adapt and evaluate an EBI to address genital infection symptoms in a single-group pilot feasibility study among 30 Syrian refugee women.