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Pediatric Group Well Child Visits for Detection of Maternal Depression in Latinas

儿科团体儿童健康检查以检测拉丁裔母亲抑郁症

基本信息

批准号：
10251986
负责人：
Rheanna Edith Platt
金额：
$ 19.72万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10251986
关键词：
Academy Address Adherence Adoption Adverse effects Affect Age American Award Caring Case Study Child Child Care Child Health Child Mental Health Childhood Clinic Clinic Activity Clinical Clinical Research Communication Complement Data Depression screen Detection Development Disclosure Effectiveness Elements Environment Evaluation Family Foundations General Population Generations Goals Group Processes Guidelines Health Hour Human Immigrant Intervention Interview Knowledge Latina Latino Learning Limited English Proficiency Medical Mental Health Mental Health Services Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Modeling National Institute of Mental Health Parents Patients Pediatrics Perinatal Pilot Projects Postpartum Depression Postpartum Period Primary Health Care Procedures Process Provider Psychiatrist Psychiatry Qualitative Research Research Research Methodology Research Personnel Research Priority Risk Sampling Self Management Series Service delivery model Service setting Site Solid Structure Surveys Symptoms Testing Time Training Trust Visit Well Child Visits Work arm bilingualism career cohesion cohort contextual factors depressive symptoms design detection limit experience follow-up health care availability health disparity improved informant intervention mapping knowledge base maternal depression member novel outreach patient population peer support perinatal mental health perinatal women primary care setting programs provider factors psychoeducation psychosocial screening screening, brief intervention, referral, and treatment shared decision making skills social determinants social stigma therapy development treatment disparity treatment services

项目摘要

Project Summary The overarching goal of this NIMH Mentored Patient-Oriented Research Career Development Award (K23) is to provide me with the skills and advanced training necessary to establish an independent program of research focused on the development and testing two-generational service delivery models in pediatric primary care to reduce mental health treatment disparities. To facilitate my long-term career goal, I have developed specific short-term training goals including: 1) Obtain advanced skills in applied, multimethod qualitative research; 2) Gain expertise in cultural psychiatry and cross-cultural research; 3) Develop a core knowledge base in group psychotherapeutic interventions including their mechanism(s) of benefit and evaluation; and 4) Develop core skills in mental health services intervention development and implementation in primary care settings. During the award period, I will conduct a series of inter-related studies which will serve as vehicles for pragmatic learning of the training goals complementing formal training and mentorship. The studies seek to characterize and subsequently enhance a novel and increasingly utilized form of pediatric well-child care, group pediatric well-child visits, to address disparities in identification, initial management, and subsequent treatment engagement of immigrant Latinas with postpartum depressive symptoms. The aims will be achieved through (1) a case study of two purposively sampled clinics currently delivering group well-child visits with immigrant Latino families, triangulating data from direct observations; in-depth and semi-structured interviews and surveys with parents participating and electing not to participate in group visits, group visit facilitators and other key informants at two purposively sampled clinics; (2) development of enhanced group visits using Intervention Mapping and Human-Centered Design methods and procedures; and (3) a single-arm pre-post pilot of the enhanced visit with one cohort of patients/families at each of the sites studied in Aim 1. We anticipate that the enhancements incorporate elements from interventions that have previously shown acceptability and/or effectiveness with this patient population including screening, brief intervention and referral to treatment procedures, provider communication skill- building to address cultural barriers to problem identification and treatment-seeking and facilitate a cohesive group process, and psychoeducation and self-management strategies.

项目总结