Physician Communications with African-American Parents

描述（由申请人提供）：这个指导病人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，成为精神卫生服务研究领域的独立研究者。长期的职业目标是发展必要的技能，进行以社区为基础的父母沟通的临床调查，这将改善有色人种儿童的情感和行为结果。职业发展的关键是丰富的临床经验，为拟议的研究提供信息和经验丰富的顾问团队。候选人将与她的主要导师Lawrence 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，在父母沟通和心理健康服务研究方面具有专业知识；Vonnie mclloyd博士，发展心理学家，在调查社会经济因素对非洲裔美国儿童及其家庭结果的影响方面具有丰富的经验；Robert McCarter理学博士，一位在培训初级教员先进研究方法方面经验丰富的生物统计学家，以及约瑟夫·赖特（Joseph Wright），医学博士，公共卫生硕士，一位在社区推广方面经验丰富的知名研究员，一位在儿童权益倡导和将研究成果转化为政策方面的国家领导者。该奖项的培训目标是：1)发展在儿科初级保健环境中研究父母与提供者沟通的理论和方法专业知识；2)对影响非裔美国家庭与医学界互动的社会观点有基本的了解；3)了解在有色人种社区中进行父母沟通研究所涉及的生物统计学原理。本奖项的研究目标是完成一项横断面研究，研究对象是2-5岁儿童的父母与来自低、中/高社会经济背景的非裔美国人父母之间的沟通。调查还将检查两个潜在的可改变因素（母亲与孩子的提供者互动中的自我效能感和提供者沟通方式）对非裔美国母亲的社会经济地位和母亲披露心理社会问题之间的关系的影响。有了这样的培训和研究经验，候选人将准备为提供者和父母制定与文化相关的、基于理论的干预措施，这将减少非洲裔美国父母和儿科初级保健提供者之间的沟通障碍，并为减少非洲裔美国儿童心理健康结果的差异迈出第一步。

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.