Community Racial Equity Training And Evaluation of Current and Future Health Care Clinicians (CREATE) Study

标题：社区种族平等和培训干预措施以及对当前和未来医疗保健的评估 临床医生(CREATE)研究 项目摘要/摘要 在美国，黑人妇女面临着不成比例的高孕产妇发病率和死亡率，两者 其中一些正在上升，这与全球利率的提高形成了直接对比。产前护理一直是 被确定为可能减轻这些风险的一种方式，但种族主义和种族歧视是阻碍 妇女在获得产前护理方面的作用。《2019-2023年跨国立卫生研究院妇女健康战略计划》呼吁 针对有色人种女性的这些明显的健康差距的研究。我的长期职业目标是领导 研究将为优化黑人妇女生殖健康和福祉的干预措施提供信息。我瞄准了 成为应用生殖正义框架了解临床和结构的领先研究人员 黑人妇女经历健康逆境的因素。在这本K01指导研究科学家 发展奖，我建议1)完善产前护理环境中的种族平等培训干预；2) 初步测试种族公平培训干预对临床医生结局的影响；3)探讨 种族平等培训干预减少黑人和黑人在适当护理方面的差异 白人女性。我将寻求高级培训，以支持这些研究目标1)干预发展和 实施科学，2)整群随机设计的临床研究，3)项目中的专业技能 管理、领导力和恩赐精神。这些努力将受益于跨学科的指导 来自世界知名学者，包括主要导师Monica McLemore，PhD，MPH，RN，FAAN(临床 产科护理、种族公平、生殖正义)和共同导师Miriam Kupmann，博士，公共卫生硕士(围产期 关怀模式、共享决策、加州大学旧金山分校的专业领导力)，Charles McCulloch，博士 (生物统计学)和辛西娅·哈珀(以人为中心的设计和健康教育)博士。此外，教职员工 MAS医学博士安德里亚·杰克逊顾问将提供产前和分娩保健设置方面的专业知识。这个 加州大学旧金山分校流行病学和生物统计学系将提供 支持这些活动的基础设施。系里给我开出了一个竞争性的录用通知，要我当教员。 2018年的职位，部门领导层高度致力于我的成功，提供资源和 受保护的时间。K01中提出的培训和研究活动是建立在我在 生殖健康中的健康行为和种族不平等，并给我必要的新技能，以促进我的 过渡到一个独立的调查员。我的目标是领导研究，使用多种方法来理解 社会生态产生性健康和生殖健康差异的机制 促进黑人妇女健康的干预措施。

Title: Community Racial Equity And Training Interventions and Evaluation of Current and Future Healthcare Clinicians (CREATE) Study Project Summary/Abstract Black women face disproportionately high rates of maternal morbidity and mortality in the United States, both of which are on the rise, in direct contrast to the improved rates globally. Prenatal care has been identified as a way to potentially mitigate these risks, but racism and racial discrimination are barriers to women in accessing prenatal care. The 2019-2023 Trans-NIH Strategic Plan for Women’s Health calls for research that addresses these stark health disparities for women of color. My long-term career goal is lead research to inform interventions that will optimize the reproductive health and wellbeing of Black women. I aim to become a leading investigator applying a reproductive justice framework to understand clinical and structural factors underpinning health adversities experienced by Black women. In this K01 Mentored Research Scientist Development Award, I propose to 1) Refine a racial equity training intervention for prenatal care settings; 2) Pilot test the effects of the racial equity training intervention on clinician outcomes; and 3) Explore the impact of the racial equity training intervention in reducing disparities in adequate care in a sub-sample of Black and white women. I will seek advanced training to support these research goals in 1) intervention development and implementation science, 2) clinical research in cluster randomized designs, and 3) professional skills in project management, leadership, and grantsmanship. These endeavors will benefit from interdisciplinary mentorship from world-renowned scholars including primary mentor Monica McLemore, PhD, MPH, RN, FAAN (clinical obstetric care, racial equity, reproductive justice), and co-mentors Miriam Kuppermann, PhD, MPH (perinatal care models, shared decision-making, professional leadership at UCSF), Charles McCulloch, PhD (biostatistics), and Cynthia Harper, PhD (human centered design and health education). In addition, faculty advisor Andrea Jackson, MD, MAS will provide expertise in prenatal and delivery healthcare settings. The Department of Epidemiology and Biostatistics at the University of California at San Francisco will provide the infrastructure to support these activities. The department made a competitive offer to recruit me into a faculty position in 2018, and departmental leadership is highly committed to my success, providing both resources and protected time. The training and research activities proposed in this K01 build on my strong background in health behavior and racial inequities in reproductive health and give me essential new skills to facilitate my transition to an independent investigator. I aim to lead research using a multi-method approach to understand the mechanisms by which the social ecology produces sexual and reproductive health disparities and to inform interventions to advance Black women’s health.