Perinatal Depression in Sexual and Gender Minorities

性少数群体的围产期抑郁症

• 批准号: 10808644
• 负责人: Leiszle Rae Lapping-Carr
• 金额: $ 13.28万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2028-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10808644
• 关键词: Address; Affect; Area; Award; Awareness; Birth; Clinical; Clinical Trials; Clinical Trials Design; Communities; Data; Data Set; Development; Development Plans; Discrimination; Doctor of Philosophy; Early Intervention; Effectiveness; Equation; Evaluation; Evidence based intervention; Family; Future; General Population; Goals; Grant; Health; Healthcare Systems; Heterosexuals; Individual; Institution; International; Intervention; Interview; Investigation; Lead; Licensing; Longitudinal Studies; Medical Records; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Methods; Minority; Modality; Mothers; National Institute on Minority Health and Health Disparities; Outcome; Parents; Participant; Perinatal; Perinatal Care; Personal Satisfaction; Persons; Pilot Projects; Population; Postpartum Period; Prejudice; Prevalence; Prevention; Preventive; Process; Psychologist; Qualitative Research; Randomized, Controlled Trials; Reduce health disparities; Reporting; Reproductive Health; Research; Research Personnel; Research Project Grants; Resources; Risk; Risk Reduction; Services; Sexual Health; Sexual and Gender Minorities; Site; Stress; Training; Training Programs; Vulnerable Populations; Woman; Work; acceptability and feasibility; assigned female at birth; career; career development; cis-female; clinical efficacy; clinical trial implementation; cohort; community based research; community engaged research; cost; design; disparity reduction; early screening; effective intervention; efficacy evaluation; efficacy study; evidence base; experience; functional disability; gender minority; gender minority group; gender minority health; graduate student; health disparity; health equity; health equity promotion; high risk; implementation intervention; implementation science; implementation study; improved; marginalized community; marginalized population; medical specialties; meetings; minority stress; multidisciplinary; perinatal health; perinatal mental health; perinatal period; peripartum depression; physical conditioning; pregnant; prevent; preventive intervention; programs; recruit; sex assigned at birth; sexual minority; sexual minority women; social stigma; standard of care; virtual group

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.

Leiszle Lapping-Carr博士是一名有执照的临床心理学家和混合方法研究人员，其专长是 性健康和生殖健康。通过建议的以患者为导向的导师研究生涯 发展奖(K23)，题为性和性别少数群体的围产期抑郁症，她将发展为 致力于减少性和性别少数群体(SGM)健康差距的独立研究人员 围产期围产期。拉平-卡尔博士将利用这一奖项接受社区参与的具体培训 与SGM父母的研究；2)针对特定人群的干预适应框架和程序；3) 实施科学；4)临床试验设计。这一重点是干预、适应和实施 有了SGM，父母将允许她填补培训中的空白，使她能够过渡到独立研究人员。 她未来的研究计划将专注于改善SGM的精神和生殖健康公平 个人通过混合方法、社区参与的研究来开发、评估和实施 对SGM个人进行有效干预，以及更广泛地调查流行率和 SGM个人与生殖健康有关的心理健康问题的经验。此外，未来的工作 将包括开发临床医生培训计划，以提高满足SGM父母心理需求的能力 健康需求。拉平-卡尔博士将通过职业发展计划实现这些职业目标，包括 授课培训、有指导的研究经验、直接基于社区的研究经验、参加 地方、国家和国际科学会议以及机构资源的利用。她的杰出之处 导师团队包括首席导师Darius Tandon博士和共同导师Lori Ross博士(方法论 和SGM Health)，Michael Newcomb博士(基于社区的SGM Health)和Katherine Wisner，医学博士，MS (围产期精神障碍)。拉平-卡尔博士的研究策略包括两项截然不同的研究 应用系统的干预适应框架，帮助她实现培训目标 如上所述。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 并描述在围产期心理保健方面的经验和未得到满足的需求。特定的 目标2将涉及在目标1中纳入通过定性研究确定的主题，以适应 循证干预预防围产期抑郁对SGM父母的需求。特定的 目标3将试点适应的干预措施，以评估可行性、可接受性和初步疗效。与 这些研究的经验和结果，拉平-卡尔博士将准备通过以下方式获得R01赠款 NIMHD将进行一项大规模临床试验，以检查适应的 围产期抑郁的预防性干预。这一重点是社区参与的干预适应和 与SGM个人的评估将使拉平-卡尔博士能够推进围产期心理健康领域和 通过她对研究生研究人员的研究和指导，减少SGM的差距。