Use of Long-Acting Reversible Contraception

使用长效可逆避孕药

基本信息

批准号：
10612912
负责人：
Jenny Kristine Rodriguez Francis
金额：
$ 16.44万
依托单位：
UT SOUTHWESTERN MEDICAL CENTER
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：
2019-05-15 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10612912
关键词：
20 year old Address Adolescent Advisory Committees Age Belief Birth Centers for Disease Control and Prevention (U.S.)Childhood Chronic Cities Clinical Communication Communication Tools Communities Complex Contraceptive Agents Contraceptive methods Counseling Coupled Decision Making Development Discipline Doctor of Philosophy Education Equilibrium Faculty Family Female Fostering Foundations Funding Future Goals Gold Health Health Promotion Health behavior Healthcare House Staffs Implant Institution International Intervention Interview Intrauterine Devices Knowledge Learning Logic Medical Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Methods Minor Modeling Mothers Oral Outcome Parental Consent Parents Pregnancy Pregnancy in Adolescence Pregnant Women Primary Care Process Provider Publishing Qualitative Methods Questionnaires Reproductive Health Research Research Activity Research Methodology Research Personnel Role Schools Science Structure Teacher Professional Development Testing Texas Training Training Activity Translating Universities adolescent health birth control career development consistent condom use design dyadic interaction evidence base expectation experience faculty mentor girls implementation science improved insight microbicide next generation parent-adolescent communication patient-clinician communication pediatrician preference pregnancy prevention prevent provider communication provider intervention recruit reproductive reproductive health of adolescents satisfaction sexual initiation delay skills support tools teen birth therapy design therapy development tool uptake vaccine acceptance young adult young woman

项目摘要

PROJECT SUMMARY This K23 Award will provide Dr. Jenny K Rodriguez Francis support to: (1) gain a strong grounding in the science of adolescent contraceptive decision-making; (2) acquire advanced training in mixed-methods; and (3) learn and apply intervention development approaches to translate observational findings into communication- focused interventions. To achieve these goals Dr. Francis has assembled a mentoring team and advisory committee spanning multiple disciplines and institutions. Her primary mentor, Jasmin Tiro, PhD, has an excellent track record of research funding and mentorship and is an expert in adolescent health promotion, mixed-methods, intervention development and patient-provider communication. Dr. Francis’ next mentor is Susan L. Rosenthal, PhD, internationally renowned for adolescent-parent communication, acceptability of vaccines and microbicides, mixed-methods, faculty development and mentoring junior faculty to become independent investigators. Dr. Francis’ advisory committee includes: Simon Craddock Lee, PhD, MPH, an expert of implementation science and qualitative methods; Melanie A. Gold, DO, a well-published expert in LARC for adolescents; and Nancy Kelly, MD, MPH, a community pediatrician who partners closely with local schools. Problem: Texas has the fifth highest rate of teen births in the nation, with 33,144 females under age 20 years giving birth last year. LARC (intrauterine devices and contraceptive implants) is the first line method for contraception for adolescents/young adults; yet uptake is sub-optimal. Interventions designed to increase uptake have insufficiently considered the provider’s communication with adolescents and mothers to initiate contraception. Informed by Dr. Francis’ prior research assessing discordance between adolescent-parent dyads and her clinical experience, this mixed methodology proposal will examine these gaps in knowledge to enhance the development of interventions to foster LARC uptake. Specific Aims seek to (1) characterize medical providers’ (pediatric house staff) knowledge of and communication about LARC when discussing with adolescent-mother dyads; (2) describe adolescents’ and mothers’ beliefs about the optimal ways that providers can support contraceptive decision-making among adolescents. Methods: For aim 1, we will recruit 200 University of Texas pediatric house officers to complete a brief online questionnaire. For aim 2, we will evaluate adolescents’ beliefs, mother’s beliefs, and their dyadic interactions about their contraceptive counseling preferences through separate semi-structured interviews with 30 adolescents, 30 mothers and 30 adolescent-mother dyads (90 interviews total). Outcomes: These hypothesis-generating mixed-methods findings will provide a strong grounding in the science of adolescent contraceptive decision-making to design a future communication-focused intervention tool to support LARC uptake. Results could also improve subspecialists’ ability to prevent pregnancy among adolescents with chronic conditions. This study impacts provider communication, addresses maternal needs and supports adolescent contraception decision-making.

项目摘要该K23奖将为Jenny K Rodriguez Francis博士提供支持：（1）在青少年避孕决策的科学；（2）获得混合方法的高级培训；（3）学习并采用干预开发方法，将观察结果转化为交流 - 专注的干预措施。为了实现这些目标，弗朗西斯博士召集了一个心理团队和咨询涉及多个学科和机构的委员会。她的主要导师Jasmin Tiro博士有一个研究资金和心态的出色记录，是青少年健康促进的专家，混合方法，干预开发和患者提供的沟通。弗朗西斯博士的下一个心理是苏珊·罗森塔尔（Susan L. Rosenthal）疫苗和微生物，混合方法，教职员工发展和精神上的初级教师独立调查员。弗朗西斯博士的咨询委员会包括：西蒙·克拉多克·李（Simon Craddock Lee）博士，MPH，实施科学和定性方法的实验； Melanie A. Gold，Do，一位发表的专家青少年的LARC；以及医学博士Nancy Kelly，MPH，社区儿科医生，与当地人紧密合作学校。问题：德克萨斯州的青少年出生率是全国第五高，有33,144名女性去年有20年出生。 LARC（Intrainine设备和避孕液）是第一行方法用于青少年/年轻人的避孕；然而，吸收是最佳的。旨在增加的干预措施吸收不足以考虑提供者与青少年和母亲的沟通来发起避孕。由弗朗西斯博士先前的研究评估不一致的信息二元组和她的临床经验，这项混合的方法论建议将研究这些知识的差距增强干预措施的发展以促进喉咙吸收。特定目标寻求（1）表征与医疗提供者（儿科众议院工作人员）在与LARC讨论时有关LARC的知识和沟通青春期母亲二元组；（2）描述青少年和母亲对提供者的最佳方式的信念可以支持青少年的避孕决策。方法：对于目标1，我们将招募200 德克萨斯大学儿科房屋官员完成了一份简短的在线问卷。对于目标2，我们将评估青少年的信念，母亲的信念及其对避孕药的二元互动通过与30名青少年，30位母亲和30位青少年的单独半结构化访谈通过咨询偏好青春期母亲二元组（总共90次访谈）。结果：这些假设生成的混合方法调查结果将为青少年避孕决策的科学提供强大的基础，以设计以未来的沟通干预工具支持LARC吸收。结果也可以改善专科医生预防患有慢性疾病的青少年怀孕的能力。这项研究影响提供者沟通，满足Matal需求并支持青少年违反决策。

项目成果

期刊论文数量（12）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Medicaid expansion and provision of prescription contraception to Medicaid beneficiaries.

DOI：
10.1016/j.contraception.2020.11.005
发表时间：
2021-03
期刊：
Contraception
影响因子：
2.9
作者：
Sumarsono A;Segar MW;Xie L;Atem F;Messiah SE;Francis JK;Keshvani N
通讯作者：
Keshvani N

Provider perspectives on communication and dismissal policies with HPV vaccine hesitant parents.

DOI：
10.1016/j.pmedr.2021.101562
发表时间：
2021-12
期刊：
Preventive medicine reports
影响因子：
2.8
作者：
Francis JKR;Rodriguez SA;Dorsey O;Blackwell JM;Balasubramanian BA;Kale N;Day P;Preston SM;Thompson EL;Pruitt SL;Tiro JA
通讯作者：
Tiro JA

Clinical Features of E-cigarette, or Vaping, Product Use-Associated Lung Injury in Teenagers.

DOI：
10.1542/peds.2019-4104
发表时间：
2020-07
期刊：
Pediatrics
影响因子：
8
作者：
Rao DR;Maple KL;Dettori A;Afolabi F;Francis JKR;Artunduaga M;Lieu TJ;Aldy K;Cao DJ;Hsu S;Feng SY;Mittal V
通讯作者：
Mittal V

Characteristics of parents who think intrauterine devices or contraceptive implants are "best" for their daughter: An exploratory analysis in Dallas, Texas.

认为宫内节育器或植入式避孕装置对女儿“最好”的父母的特征：德克萨斯州达拉斯市的一项探索性分析。

DOI：
10.1016/j.contraception.2023.110084
发表时间：
2023
期刊：
Contraception
影响因子：
2.9
作者：
Mang,Angela;Jetelina,KatelynK;McNeely,Courtney;Durante,JuliaC;Sánchez,Victoria;Tiro,JasminA;Francis,JennyKR
通讯作者：
Francis,JennyKR

Adolescent and Parent Perceptions about Participation in Biomedical Sexual Health Trials.

青少年和家长对参与生物医学性健康试验的看法。

DOI：
10.1002/eahr.500048
发表时间：
2020
期刊：
Ethics & human research
影响因子：
0
作者：
Landers,SaraE;Francis,JennyKR;Morris,MarilynC;Mauro,Christine;Rosenthal,SusanL
通讯作者：
Rosenthal,SusanL