Perinatal Depression in Sexual and Gender Minorities

Leiszle Lapping-Carr博士是一位有执照的临床心理学家和混合方法研究员， 性健康和生殖健康。通过拟议的指导性患者导向研究职业生涯 发展奖（K23）题为围产期抑郁症的性和性别少数群体，她将发展成为 一个独立的研究人员，致力于减少健康差距的性和性别少数群体（SGM）期间， 围产期Lapping-Carr博士将利用这个奖项接受以下方面的具体培训：1）社区参与 与SGM父母的研究; 2）针对特定人群的干预适应框架和流程; 3） 实施科学; 4）临床试验设计。这一重点是干预措施的适应和实施 与SGM的父母将允许她填补她的培训，使过渡到一个独立的研究人员的差距。 她未来的研究计划将侧重于改善SGM的心理和生殖健康公平性 个人通过混合的方法，社区参与的研究，以开发，评估和实施 对SGM个体的有效干预，以及对患病率和 SGM个人与生殖健康有关的心理健康问题的经验。此外，今后的工作 将包括临床医生培训计划的发展，以提高能力，以满足SGM父母的心理 健康需求。Lapping-Carr博士将通过职业发展计划实现这些职业目标，包括 教学培训，指导研究经验，直接基于社区的研究经验，出席 地方、国家和国际科学会议，以及机构资源的利用。她出色 导师团队包括首席导师Darius Tandon博士和共同导师洛里罗斯博士（方法论 和SGM Health）、Michael纽科姆博士（基于社区的SGM Health）和凯瑟琳维斯纳医学博士、理学硕士 （围产期精神疾病）。Lapping-Carr博士的研究策略包括两项不同的研究， 应用系统的干预适应框架，帮助她实现培训目标 上面描述具体目标1将使用定性访谈来确定围产期健康的决定因素 在SGM的父母和描述的经验和未满足的需求，在围产期精神保健。具体 目标2将包括纳入目标1中通过定性研究确定的主题， 循证干预对SGM父母预防围产期抑郁症的需求。具体 目标3将试点适应性干预，以评估可行性，可接受性和初步疗效。与 根据这些研究的经验和结果，Lapping-Carr博士将准备通过以下方式获得R 01赠款： NIMHD进行大规模临床试验，检查适应的疗效和有效性 围产期抑郁症的预防性干预这一重点是社区参与的干预适应， 对SGM个体的评估将使Lapping-Carr博士能够推进围产期心理健康领域， 通过她的研究和指导研究生研究人员减少SGM的差距。

Dr. Leiszle Lapping-Carr is a licensed clinical psychologist and mixed methods researcher with a specialty in sexual and reproductive health. Through the proposed Mentored Patient-Oriented Research Career Development Award (K23) entitled Perinatal Depression in Sexual and Gender Minorities, she will develop into an independent researcher working to reduce health disparities for sexual and gender minorities (SGM) during the perinatal period. Dr. Lapping-Carr will use this award to receive specific training in 1) community-engaged research with SGM parents; 2) intervention adaptation frameworks and processes for specific populations; 3) implementation science; and 4) clinical trial design. This focus on intervention adaptation and implementation with SGM parents will allow her to fill gaps in her training enabling transition into an independent researcher. Her future research program will be focused on improving mental and reproductive health equity for SGM individuals through mixed methods, community-engaged research to develop, evaluate, and implement effective interventions for SGM individuals, as well as broader investigations into the prevalence and experience of SGM individuals mental health concerns related to reproductive health. Additionally, future work will include the development of clinician training programs to increase capacity to meet SGM parents’ mental health needs. Dr. Lapping-Carr will achieve these career goals through a career development plan including didactic training, mentored research experiences, direct community-based research experience, attendance at local, national, and international scientific meetings, and utilization of institutional resources. Her outstanding mentorship team includes Lead Mentor Darius Tandon, PhD and Co-Mentors Lori Ross, PhD (Methodology and SGM Health), Michael Newcomb, PhD (Community-Based SGM Health), and Katherine Wisner, MD, MS (Perinatal Psychiatric Disorders). Dr. Lapping-Carr’s research strategy incorporates two distinct studies as part of applying a systematic intervention adaptation framework that will help her to achieve the training goals described above. Specific Aim 1 will use qualitative interviews to identify determinants of perinatal wellbeing among SGM parents and describe experiences with and unmet needs in perinatal mental healthcare. Specific Aim 2 will involve the incorporation of themes identified through the qualitative study in Aim 1 to adapt an evidence-based intervention for the prevention of perinatal depression to the needs of SGM parents. Specific Aim 3 will pilot the adapted intervention to evaluate feasibility, acceptability, and preliminary efficacy. With the experience and results of these studies, Dr. Lapping-Carr will be poised to pursue an R01 grant through NIMHD to conduct a large-scale clinical trial that examines the efficacy and effectiveness of the adapted perinatal depression preventative intervention. This focus on community-engaged intervention adaptation and evaluation with SGM individuals will allow Dr. Lapping-Carr to advance the field of perinatal mental health and reduce disparities for SGM through her research and mentorship of graduate student researchers.