Kentucky BIRCWH Program: Training the Next Generation of Women's Health Scholars

肯塔基州 BIRCWH 计划：培训下一代女性健康学者

• 批准号: 10858550
• 负责人: Thomas E Curry
• 金额: $ 9.72万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10858550
• 关键词: Address; Administrative Supplement; Alcohol consumption; Anxiety; Cardiac health; Cardiovascular Diseases; Caregivers; Caring; Data; Dedications; Development; Diet; Dietary Intervention; Discipline of Nursing; Disease Progression; Eating; Environment; Exercise; Female; Friends; Future; Healthcare; Intervention; Investigation; Kentucky; Mediating; Mental Depression; Mental Health; Mentors; Mentorship; National Institute of Drug Abuse; Patients; Postdoctoral Fellow; Psychological Stress; Quality of life; Randomized, Controlled Trials; Research; Research Personnel; Risk; Risk Factors; Role; Rural; Scientist; Self Care; Sex Differences; Stress; Testing; Time; Training; United States National Institutes of Health; Universities; Woman; Women' s Health; cardiovascular disorder risk; cardiovascular risk factor; career; career development; caregiver interventions; caregiver stress; caregiving; college; depressive symptoms; design; effective intervention; good diet; high risk; improved; informal caregiver; loved ones; male; men; next generation; physical conditioning; post-doctoral training; programs; prospective; sex; skills; stress management; substance use; therapy development

ABSTRACT Over the past 20 years, the BIRCWH Program at the University of Kentucky (UK) has been extremely successful in creating a research environment to prepare early career scientists to develop the necessary skills to become independent NIH-supported researchers dedicated to improving women’s health. This administrative supplement will add a 5th BIRCWH scholar. Dr. JungHee Kang is currently a Post Doctoral Scholar at UK in our College of Nursing and mentored by Dr. Debra Moser. Under the direction of Dr. Moser, Dr. Kang focuses her research on reducing cardiovascular disease (CVD) risk among women caregivers. Relative to men, women are disproportionately represented in informal caregiver roles and handle the most challenging and stressful caregiving tasks. A focus on the health of caregivers is strategically important for both the patient and caregiver’s physical and mental health. Women caregivers are at increased risk for developing cardiovascular disease (CVD) due to the stress of caring for their loved ones or friends and limited time for their own self-care such as eating a healthy diet, getting exercise, and stress management. Depression is a major risk factor for CVD; because caregiver responsibilities can increase stress, the risk of depression and anxiety is high in caregivers. Caregivers have substantially higher risk of developing depression than non- caregivers. Here we hypothesize that persistent psychological stress in caregivers can result in a monotonous diet, decreased diet quality, and depression, thereby increasing CVD risk or progression. To date, there has been no investigation of the mediating role of diet quality and depressive symptoms between caregiver stress and CVD risk in female or male caregivers. Data from a completed, 12-month, prospective, randomized controlled trial of female and male caregivers (n=311) will be used to test the following aims during the BIRCWH Post-Doctoral training. The purpose of the completed trial was to test an intervention (Rural Intervention for Caregivers Heart Health [RICHH]) designed to improve self-care of CVD risk factors among caregivers and decrease CVD risk. For this BIRCWH Post Doctoral Scholar, 2 specific aims are posed. Dr. Kang’s research has direct relevance for NIDA, UK BIRCWH’s funder, and her research addresses both sex differences and women’s health. Aim 1. Determine whether diet quality (including substance use) and depressive symptoms mediate the association between caregiver stress and CVD risk factors among female and male informal caregivers. Aim 2. Evaluate the longitudinal effect of RICHH on caregiver stress, diet quality, alcohol consumption, depressive symptoms, and CVD risk by sex among informal caregivers. Expected Impact: This mediational research will inform future development of dietary interventions to reduce CVD risk and to improve quality of life in caregivers by identifying the mechanisms of actions needed for effective intervention development. Training: his Administrative Supplement will provide training for Dr. Kang through the existing UK BIRCWH career development and mentorship program.

摘要 在过去的20年里，肯塔基州大学（英国）的BIRCWH项目一直非常成功。 成功地创造了一个研究环境，为早期职业科学家培养必要的技能做好准备 成为独立的NIH支持的研究人员，致力于改善妇女的健康。这 行政补充将增加第五个BIRCWH学者。JungHee Kang博士目前是博士后 英国护理学院学者，由Debra Moser博士指导。在莫泽博士的指导下， 博士Kang的研究重点是降低女性护理人员的心血管疾病（CVD）风险。 与男子相比，妇女在非正式照顾者角色中所占比例过高， 具有挑战性和压力的任务。关注照顾者的健康对双方都具有战略重要性。 患者和护理人员的身心健康。女性照顾者患上糖尿病的风险增加 心血管疾病（CVD）由于照顾亲人或朋友的压力和有限的时间， 他们自己的自我保健，如健康饮食，锻炼和压力管理。抑郁症是一 心血管疾病的主要危险因素;因为照顾者的责任会增加压力，抑郁症的风险， 看护者的焦虑程度很高。照顾者患抑郁症的风险比非照顾者高得多。 照顾者在这里，我们假设，持续的心理压力，在照顾者可以导致单调的 饮食，饮食质量下降和抑郁，从而增加CVD风险或进展。迄今为止， 没有调查饮食质量和抑郁症状在照顾者压力之间的中介作用 女性或男性照顾者的心血管疾病风险。数据来自一项已完成的12个月前瞻性随机 将使用女性和男性护理人员（n=311）的对照试验来测试以下目标 BIRCWH博士后培训。已完成试验的目的是测试干预措施（农村 护理人员心脏健康干预[RICHH]），旨在改善 护理人员和降低CVD风险。对于这个BIRCWH博士后学者，提出了2个具体目标。博士 Kang的研究与英国BIRCWH的资助者NIDA直接相关，她的研究涉及两性 差异和妇女健康。目标1.确定饮食质量（包括物质使用）和 抑郁症状介导了女性照料者压力与CVD危险因素之间的关联， 男性非正式照顾者。目标2.评估RICHH对护理人员压力、饮食质量、 饮酒、抑郁症状和非正式照顾者中不同性别的CVD风险。预期影响： 这项中介研究将为未来的饮食干预发展提供信息，以降低CVD风险， 通过确定有效干预所需的行动机制，提高照顾者的生活质量 发展培训：他的行政补充将通过 现有的英国BIRCWH职业发展和指导计划。

项目成果

Sexual coercion and sexual violence at first intercourse associated with sexually transmitted infections.

与性传播感染相关的初次性交时的性胁迫和性暴力。

• DOI: 10.1097/olq.0000000000000011
• 发表时间: 2013
• 期刊: Sexually transmitted diseases
• 影响因子: 3.1
• 作者: Williams,CorrineM;Clear,EmilyR;Coker,AnnL
• 通讯作者: Coker,AnnL

Broadcasting War Trauma: An Exploratory Netnography of Veterans' YouTube Vlogs.

广播战争创伤：退伍军人 YouTube 视频博客的探索性网络志。

• DOI: 10.1177/1049732318797623
• 发表时间: 2019
• 期刊: Qualitative health research
• 影响因子: 3.2
• 作者: Schuman,DonnaL;Lawrence,KarenA;Pope,Natalie
• 通讯作者: Pope,Natalie

"Going the Extra Mile": Disclosure, Accommodation, and Stigma Management among Working Women with Disabilities.

“加倍努力”：残疾职业女性的信息披露、住宿和耻辱管理。

• DOI: 10.1080/01639625.2018.1445445
• 发表时间: 2019
• 期刊: Deviant behavior
• 影响因子: 1.6
• 作者: Moloney,MaireadEastin;Brown,RobynLewis;Ciciurkaite,Gabriele;Foley,SusanM
• 通讯作者: Foley,SusanM

An initial review of residual symptoms after empirically supported trauma-focused cognitive behavioral psychological treatment.

根据经验支持以创伤为中心的认知行为心理治疗后残留症状的初步审查。

• DOI: 10.1016/j.janxdis.2019.01.008
• 发表时间: 2019
• 期刊: Journal of anxiety disorders
• 影响因子: 10.3
• 作者: Larsen,SadieE;Bellmore,Aimee;Gobin,RobynL;Holens,Pamela;Lawrence,KarenA;Pacella-LaBarbara,MariaL
• 通讯作者: Pacella-LaBarbara,MariaL

Temporal dynamics of symptom change among veterans receiving an integrated treatment for posttraumatic stress disorder and substance use disorders.

• DOI: 10.1002/jts.22769
• 发表时间: 2022-04
• 期刊: JOURNAL OF TRAUMATIC STRESS
• 影响因子: 3.3
• 作者: Badour, Christal L.;Flanagan, Julianne C.;Allan, Nicholas P.;Gilmore, Amanda K.;Gros, Daniel F.;Killeen, Therese;Korte, Kristina J.;Brown, Delisa G.;Kolnogorova, Kateryna;Back, Sudie E.
• 通讯作者: Back, Sudie E.