Physician Communications with African-American Parents

该指导以患者为导向的研究职业发展（K23）奖将使候选人，一个以社区为基础的普通学术儿科医生，成为心理健康服务研究领域的独立调查员。长期的职业目标是培养必要的技能，进行以社区为基础的临床调查的父母提供者的沟通，这将改善情绪和行为的结果为颜色的孩子。职业发展的关键是强大的临床经验，为拟议的研究和经验丰富的顾问团队提供信息。候选人将完成严格的培训与她的主要导师，劳伦斯Wissow医学博士，公共卫生硕士，董事会认证的儿童精神病学家和儿科医生与专业知识的父母提供者沟通和心理健康服务的研究，冯尼McLoyd，博士，发展心理学家在调查社会经济因素对结果的影响，为非洲裔美国儿童及其家庭，罗伯特McCarter，ScD，一位生物统计学家，他在高级研究方法培训初级教员方面有经验，另一位是约瑟夫·赖特，医学博士，公共卫生硕士，他是一位有社区外展经验的资深研究员，也是儿童宣传和将研究成果转化为政策的国家领导人。该奖项的培训目标是1）在儿科初级保健环境中发展父母提供者沟通研究的理论和方法专业知识; 2）获得对影响非裔美国人家庭与医学界互动的社会观点的基本理解;和3）了解生物统计学原则，涉及进行研究，将检查家长提供者在社区的颜色通信。该奖项的研究目标是完成一项关于父母提供者与2-5岁儿童的非裔美国父母沟通的横断面研究，这些儿童来自较低和中等/较高的社会经济背景。调查还将研究两个潜在的可修改的因素（母亲的自我效能与她的孩子的供应商和供应商的沟通风格）之间的关系SES和产妇披露的心理社会问题之间的影响，非洲裔美国人的母亲。有了这样的培训和研究经验，候选人将准备开发文化相关的，以理论为基础的干预措施，为供应商和父母，这将减少非洲裔美国人的父母和儿科初级保健提供者之间的沟通障碍，并提供了第一步，减少非洲裔美国儿童心理健康结果的差异。

DESCRIPTION (provided by applicant): This Mentored Patient-Oriented Research Career Development (K23) Award will enable the candidate, a community-based general academic pediatrician, to become an independent investigator in the field of mental health services research. The long-term career goal is to develop the skills necessary to conduct community-based clinical investigations of parent-provider communication that will improve emotional and behavioral outcomes for children of color. Keys to the career development are strong clinical experiences that inform the proposed research and an experienced team of advisors. The candidate will complete rigorous training with her primary mentor, Lawrence Wissow MD, MPH, a board-certified child psychiatrist and pediatrician with expertise in parent provider communication and mental health services research, Vonnie McLoyd, PhD, a developmental psychologist with extensive experience in the investigation of the impact of socioeconomic factors on outcomes for African American children and their families, Robert McCarter, ScD, a biostatistician with experience in training junior faculty members in advanced research methodologies, and Joseph Wright, MD, MPH, an established researcher with experience in community outreach and a national leader in child advocacy and translating research efforts into policy. Training goals for this award are to 1) develop theoretical and methodological expertise in the study of parent provider communication in the pediatric primary care setting; 2) gain a foundational understanding of the social perspectives that influence African American families in their interactions with the medical community; and 3) understand the biostatistical principles involved in conducting studies that will examine parent provider communication in communities of color. Research goals of this award are to complete a cross-sectional study of parent provider communication with African American parents of children ages 2-5 years from lower and middle/upper socioeconomic backgrounds. Investigations will also examine the effect of two potentially modifiable factors (maternal self efficacy in interactions with her child's provider and provider communication style) on the relationship between SES and maternal disclosure of psychosocial issues among African American mothers. With such training and research experience, the candidate will be prepared to develop culturally relevant, theoretically-based interventions for providers and parents that will reduce barriers to communication between African American parents and pediatric primary care providers and provide a first step in reducing disparities in mental health outcomes for African American children.