Physician Communications with African-American Parents

医生与非裔美国父母的沟通

• 批准号: 7653654
• 负责人: Ivor B Horn
• 金额: $ 16.91万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7653654
• 关键词: Address; African American; Age; Award; Behavioral; Child; Child Advocacy; Childhood; Clinical; Clinical Trials; Color; Communication; Communities; Community Outreach; Cross-Sectional Studies; Development; Disclosure; Doctor of Philosophy; Emotional; Ethnic Origin; Faculty; Family; Goals; Health Care Visit; Health Services Research; Horns; Investigation; Medical; Mental Health; Mental Health Services; Mentored Patient-Oriented Research Career Development Award; Mentors; Modeling; Mothers; Outcome; Parents; Patients; Physicians; Policies; Primary Health Care; Provider; Psychiatrist; Psychologist; Psychosocial Influences; Race; Research; Research Methodology; Research Personnel; Research Training; Self Efficacy; Shapes; Socioeconomic Factors; Socioeconomic Status; Training; Translating; Work; base; career; career development; experience; improved; member; patient oriented; patient oriented research; pediatrician; primary care setting; programs; provider intervention; skills; social; socioeconomics

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.

描述（由申请人提供）：这项以患者为导向的研究职业发展 (K23) 奖将使候选人（社区普通学术儿科医生）成为心理健康服务研究领域的独立研究者。长期职业目标是培养必要的技能，以进行基于社区的家长与提供者沟通的临床调查，这将改善有色人种儿童的情绪和行为结果。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，以及经验丰富的顾问团队。候选人将与她的主要导师劳伦斯·维索 (Lawrence Wissow) 医学博士、公共卫生硕士 (Lawrence Wissow MD, MPH) 一起完成严格的培训。 生物统计学家，具有在高级研究方法方面培训初级教员的经验；约瑟夫·赖特（Joseph Wright），医学博士，公共卫生硕士，一位在社区外展方面拥有丰富经验的资深研究员，也是儿童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) 发展儿科初级保健机构中家长提供者沟通研究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) 了解进行有色人种社区中家长提供者沟通的研究所涉及的生物统计学原理。该奖项的研究目标是完成一项横断面研究，研究家长提供者与来自下层和中层/上层社会经济背景的 2-5 岁儿童的非裔美国父母的沟通。调查还将考察两个潜在可改变因素（母亲与孩子的提供者互动中的自我效能和提供者的沟通方式）对非裔美国母亲的社会经济地位与母亲披露心理社会问题之间关系的影响。凭借这些培训和研究经验，候选人将准备好为提供者和家长制定文化相关、基于理论的干预措施，以减少非裔美国父母与儿科初级保健提供者之间的沟通障碍，并为减少非裔美国儿童心理健康结果的差异迈出第一步。