Developing a Primary Care Intervention to Support Reproductive Decision-Making among Black and Latina Women of Reproductive Age with Type 2 Diabetes

制定初级保健干预措施以支持患有 2 型糖尿病的育龄黑人和拉丁裔女性的生殖决策

基本信息

批准号：
10558484
负责人：
Cassondra Marshall
金额：
$ 13.71万
依托单位：
UNIVERSITY OF CALIFORNIA BERKELEY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-05-08 至 2026-04-30
项目状态：
未结题

项目摘要

Project Summary/Abstract Candidate: The goal of this K01 Award is to support the training and research of Dr. Cassondra Marshall, who's long-term goal is to advance reproductive and maternal health equity through the translation of evidence into practice using tailored interventions that address the needs of racial/ethnic minority women with chronic medical conditions. Her research has examined young women's contraceptive decision-making and has explored the ways in which health care providers and systems can deliver patient-centered contraceptive care. Research Plan: Women with diabetes prior to pregnancy have elevated rates of maternal and neonatal morbidity and mortality. Type 2 diabetes is increasingly prevalent among women during their childbearing years, disproportionately impacting Black and Latina women. To prevent maternal and infant health complications, there is an urgent need for enhanced efforts to improve reproductive health outcomes among reproductive-aged women with type 2 diabetes, particularly racial/ethnic minorities. However, there are currently no evidence-based strategies to implement clinical guidelines for improving reproductive outcomes among adult women with type 2 diabetes. Patient decision support tools in primary care represent a promising implementation strategy. The research aims are: Aim 1: Elucidate reproductive decision-making processes and reproductive health care preferences among Black and Latina women of reproductive age with type 2 diabetes, using person-centered and structural competency frameworks. Aim 2: Adapt an existing patient decision support intervention to support reproductive decision-making and reproductive health counseling delivery in primary care to meet the needs of Black and Latina reproductive-aged women with type 2 diabetes. Aim 3: Assess acceptability and feasibility of the adapted intervention among patients and providers and examine the implementation context for the intervention. Career Development and Training Plan: The candidate's training plan capitalizes on an interdisciplinary mentoring team with expertise in person-centered family planning care, diabetes care, implementation science, and organizational research in primary care. Through coursework, workshops, apprenticeships, and mentored research experiences, Dr. Marshall will receive training in Person- Centered and Structurally Competent Reproductive Health Interventions, Advanced Mixed Methods, Implementation Science and Stakeholder Engagement, and Designing and Implementing Trials in the Primary Care Setting. UC Berkeley and close partners UCSF and Kaiser Permanente Northern California provide an excellent research infrastructure and training environment for Dr. Marshall. Summary: The training and research proposed in this application position Dr. Marshall to be competitive for R01 funding to support a multisite effectiveness-implementation trial of the adapted intervention and facilitate her transition to independence as a researcher.

项目摘要/摘要候选人：该K01奖的目标是支持Cassondra Marshall博士的培训和研究，谁的长期目标是通过翻译证据来提高生殖和孕产妇健康平等使用量身定制的干预措施来实践，以满足种族/少数民族妇女的需求医疗状况。她的研究检查了年轻女性的避孕决策，并探索了医疗保健提供者和系统可以提供以患者为中心的避孕药的方式。研究计划：怀孕前糖尿病的妇女的母亲和新生儿率升高发病率和死亡率。 2型糖尿病在育儿中越来越普遍多年，对黑人和拉丁裔妇女的影响不成比例。防止母亲和婴儿健康并发症，迫切需要加强努力来改善生殖健康结果患有2型糖尿病的生殖老年妇女，尤其是种族/族裔少数民族。但是，有目前尚无基于证据的策略来实施改善生殖结果的临床指南在2型糖尿病的成年女性中。初级保健中的患者决策支持工具代表了有希望的实施策略。研究目的是：目标1：阐明生殖决策过程， 2型糖尿病生殖年龄的黑人和拉丁裔妇女之间的生殖医疗保健偏好，使用以人为中心的结构能力框架。目标2：适应现有的患者决定支持干预措施以支持生殖决策和生殖健康咨询服务初级保健以满足黑人和拉丁裔生殖年龄2型糖尿病的需求。目标3：评估患者和提供者之间改编干预措施的可接受性和可行性，并检查干预的实施环境。职业发展和培训计划：候选人的培训计划在以人为本的计划生育护理中专业知识的跨学科指导团队大写，糖尿病护理，实施科学和初级保健的组织研究。通过课程，讲习班，学徒和指导的研究经验，马歇尔博士将接受人的培训中心且具有结构胜任的生殖健康干预措施，高级混合方法，实施科学和利益相关者的参与，并在初级设计和实施试验护理设置。 UC Berkeley和Close Partners UCSF和Kaiser Permanente北加州提供 Marshall博士的优秀研究基础设施和培训环境。摘要：培训和在此申请职位上提出的研究Marshall博士对R01资金有竞争力，以支持改编干预的多站点有效性试验，并促进她的过渡到作为研究人员的独立性。