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

当前和未来医疗保健临床医生的社区种族平等培训和评估（CREATE）研究

• 批准号: 10652634
• 负责人: Brittany D. Chambers
• 金额: $ 13.92万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-22 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10652634
• 关键词: Accountability; Address; Attention; Attitude; Awareness; Behavior; Belief; Biometry; Black race; California; Caring; Clinical; Clinical Research; Communities; Continuing Education; Data; Discrimination; Disparity; Doctor of Philosophy; Ecology; Educational Intervention; Electronic Health Record; Environment; Epidemiology; Evaluation; Evidence based intervention; Face; Faculty; Feedback; Fellowship; Funding; Future; General Hospitals; Goals; Health; Health behavior; Health education; Healthcare; High Risk Woman; Hypertension; Implementation readiness; Individual; Infrastructure; Institution; Intervention; Justice; Lead; Leadership; Maternal Mortality; Measures; Medical; Mentored Clinical Scientist Development Program; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Modeling; Motivation; Outcome; Patient-Focused Outcomes; Perinatal Care; Personal Satisfaction; Persons; Positioning Attribute; Pregnancy; Pregnancy Complications; Prenatal care; Quality of Care; Quasi-experiment; Race; Racial Equity; Reproductive Health; Research; Research Activity; Research Design; Research Personnel; Research Support; Resources; Risk; San Francisco; Self Efficacy; Sexual Health; Strategic Planning; System; Testing; Time; Training; Training Activity; United States; United States National Institutes of Health; Universities; Woman; Women' s Health; adverse maternal outcomes; adverse pregnancy outcome; black women; care delivery; career; cluster randomized design; diabetes risk; disparity reduction; efficacy evaluation; experience; health care delivery; health care settings; health disparity; human centered design; implementation science; implicit bias; improved; infant outcome; maltreatment; maternal morbidity; maternal outcome; obesity in pregnancy; obstetric care; online intervention; peer; pilot test; post intervention; prenatal; racial bias; racial discrimination; racial disparity; racism; recruit; reproductive; response; risk mitigation; shared decision making; skills; social; structural determinants; success; therapy development; tool; women of color

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.

标题：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（创建）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 其中的数字正在上升，与全球比率的提高形成鲜明对比。产前护理已 被认为是潜在减轻这些风险的一种方法，但种族主义和种族歧视是这些风险的障碍 妇女获得产前护理。 2019-2023 年跨 NIH 女性健康战略计划呼吁 旨在解决有色人种女性这些明显的健康差异的研究。我的长期职业目标是领先 研究为优化黑人妇女生殖健康和福祉的干预措施提供信息。我的目标 成为应用生殖正义框架来了解临床和结构的领先研究者 黑人女性经历健康困境的因素。在这个 K01 指导研究科学家中 发展奖，我建议1）完善产前护理机构的种族平等培训干预措施； 2） 试点测试种族平等培训干预对临床医生结果的影响； 3) 探索影响 种族平等培训干预措施可减少黑人和黑人子样本在适当护理方面的差异 白人妇女。我将寻求高级培训来支持这些研究目标：1）干预开发和 实施科学，2）整群随机设计的临床研究，3）项目专业技能 管理、领导和资助。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 Miriam Kuppermann 博士、公共卫生硕士（围产期 护理模式、共同决策、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·哈珀博士（以人为本的设计和健康教育）。此外，师资队伍 顾问 Andrea Jackson（医学博士、MAS）将提供产前和分娩医疗保健方面的专业知识。这 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。该系提出了有竞争力的聘用我加入教职人员 2018年，部门领导高度重视我的成功，为我提供了资源和帮助 受保护的时间。本 K01 中提出的培训和研究活动建立在我强大的背景之上 健康行为和生殖健康方面的种族不平等，并为我提供必要的新技能，以促进我的 过渡为独立调查员。我的目标是使用多种方法来领导研究来理解 社会生态产生性健康和生殖健康差异的机制并告知 促进黑人妇女健康的干预措施。