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.

项目摘要这个NIMH指导了以患者为导向的研究职业发展的总体目标奖项（K23）是为我提供建立必要的技能和高级培训独立研究计划的重点是开发和测试两代小儿初级保健中的服务提供模型，以减少心理健康治疗差异。为了促进我的长期职业目标，我已经建立了特定的短期培训目标包括：1）获得应用多途径定性研究的高级技能； 2）增益文化精神病学和跨文化研究方面的专业知识； 3）建立核心知识库在小组心理治疗干预措施中，包括其福利和评估机制； 4）发展心理健康服务干预开发方面的核心技能和在初级保健设置中实施。在颁奖期间，我将进行一系列相互关联的研究将用作务实学习培训目标的工具补充正式培训和指导。研究试图表征和随后增强了一种新颖且日益利用的小儿健康护理形式，小组小儿林子探访，以解决身份证明，初始管理的差异和随后将移民拉丁裔与产后抑郁症状进行治疗。该目标将通过（1）目前的两个有意采样诊所的案例研究来实现与移民拉丁裔家庭一起交付小组健康的访问，直接三角调整数据观察；深入和半结构化访谈和与父母参加的调查并选择不参加小组访问，小组访问主持人和其他关键线人两个有意采样的诊所；（2）使用干预开发增强的小组访问映射和以人为本的设计方法和程序；（3）单臂前船尾在AIM中研究的每个站点的一组患者/家庭的加强访问飞行员 1。我们预计增强功能将结合具有的干预措施的元素先前显示的对患者人群的可接受性和/或有效性筛查，简短的干预和转介治疗程序，提供商沟通技巧 - 建立以解决问题识别和寻求治疗的文化障碍并促进的文化障碍一个有凝聚力的小组过程，心理教育和自我管理策略。