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

社区种族平等和培训干预以及当前和未来医疗保健的评估 临床医生（CREATE）研究 项目概要/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， 这与全球比率的提高形成了鲜明对比。产前护理一直是 被认为是可能减轻这些风险的一种方式，但种族主义和种族歧视是 妇女获得产前护理。2019-2023年跨NIH妇女健康战略计划呼吁 研究解决了有色人种女性的这些明显的健康差异。我的长期职业目标是铅 研究为干预措施提供信息，优化黑人妇女的生殖健康和福祉。我的目标 成为应用生殖正义框架的主要研究者，以了解临床和结构 黑人妇女经历的健康困境的基础因素。在这个K 01指导研究科学家 发展奖，我建议1）完善产前护理环境的种族平等培训干预; 2） 初步测试种族平等培训干预对临床医生结果的影响; 3）探索 种族平等培训干预措施，在减少黑人和 白色女人。我将寻求高级培训，以支持这些研究目标，1）干预发展， 实施科学，2）随机分组设计临床研究，3）项目专业技能 管理、领导力和财务。这些努力将受益于跨学科指导 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，种族平等，生殖正义），和共同导师米里亚姆Kuppermann，博士，公共卫生硕士（围产期 护理模式，共同决策，在加州大学旧金山分校的专业领导），查尔斯麦卡洛克博士 （生物统计学）和辛西娅哈珀，博士（以人为本的设计和健康教育）。此外，教师 顾问安德烈杰克逊，医学博士，MAS将提供专业知识，在产前和分娩保健设置。的 加州大学旧金山分校弗朗西斯科的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。系里开出了一个很有竞争力的条件， 2018年的职位，部门领导高度致力于我的成功，提供资源和 保护时间K 01中提出的培训和研究活动建立在我在以下方面的强大背景之上： 健康行为和生殖健康方面的种族不平等，并给我必要的新技能，以促进我的 过渡到独立调查员。我的目标是使用多种方法来领导研究， 社会生态造成性健康和生殖健康差距的机制，并向 促进黑人妇女健康的措施。

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.