Promoting Early Child Development in Primary Care for Low-Income Families

促进低收入家庭初级保健中的早期儿童发展

• 批准号: 9179941
• 负责人: Reshma Shah
• 金额: $ 14.09万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-23 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9179941
• 关键词: Address; Administrator; Age-Months; Area; Behavior; Behavioral; Biological; Child; Child Development; Child Rearing; Childhood; Clinic; Clinical; Clinical Investigator; Clinical Trials; Cognitive; Communication; Complement; Data; Data Analyses; Development; Diagnosis; Disadvantaged; Economics; Educational Status; Emotional; Family; Focus Groups; Future; Goals; Intervention; Interview; K-Series Research Career Programs; Knowledge; Language; Lead; Life; Literacy Programs; Longitudinal Studies; Low income; Measures; Mentors; Mentorship; Modeling; National Institute of Child Health and Human Development; Outcome; Outcome Measure; Parent-Child Relations; Parents; Participant; Pediatrics; Persons; Play; Population; Poverty; Prevention strategy; Preventive; Preventive Intervention; Primary Health Care; Process; Protocols documentation; Public Health; Publications; Qualitative Methods; Randomized; Randomized Controlled Trials; Readiness; Reading; Research; Research Personnel; Research Training; Risk; Schools; Self Efficacy; Structure; Targeted Research; Testing; Training; Visit; base; cost; design; developmental disease; early childhood; improved; informant; model development; patient oriented; pediatrician; primary care setting; social; social cognitive theory; success; theories; therapy development; usability

Summary The overall goal of this proposed Mentored Patient-Oriented Career Development Award (K23) is for the candidate, Dr. Reshma Shah, to become an independent clinical investigator with a focus on primary care- based strategies to improve early child development in low-income families. Recognized by the NICHD as a target for research to improve early child development and school readiness among at-risk families, the primary care setting offers an ideal opportunity to reach the millions of children who live in poverty. To develop, implement, and evaluate preventive primary care delivered strategies that support early child development the candidate requires additional formal training in the following important areas: 1) the design, execution, and analysis of clinical trials in the primary care setting, 2) qualitative methods and longitudinal data analysis for intervention development, 3) childhood development and its social determinants, and 4) professional development through scientific publications and presentations. The proposed research plan will integrate these training objectives and be implemented with the support of the candidate's mentorship team, which includes experts in each of these areas. The overall objective of the proposed research plan is to develop and pilot test a brief, theory-based intervention delivered in the primary care setting. Grounded in social cognitive theory and modeled after the widely disseminated literacy program Reach Out and Read, the intervention aims to enrich positive parenting behaviors and promote early child development in low-income families. By pursuing the following specific aims, the candidate will gather data essential to test its efficacy on parental and child outcomes (to be proposed in a subsequent R01). In Aim 1, the candidate will utilize qualitative methods and conduct focus groups and semi-structured interviews with key stakeholders (i.e., parents, clinicians, clinical staff and administrators of the proposed intervention) to inform intervention development and identify barriers to implementation. In Aim 2, the developed intervention will be tested via a pilot longitudinal randomized controlled trial to determine the feasibility of protocol implementation and to investigate the potential impact on parental outcomes. The training and research plan will complement the candidate's strong clinical background in developmental-behavioral pediatrics, serve as a framework to develop accessible and sustainable clinical interventions that seek to enhance early child development, and prepare the candidate for long-term independence as a clinical researcher.

摘要 这项拟议的以病人为导向的导师职业发展奖(K23)的总体目标是 候选人Reshma Shah博士将成为一名独立的临床调查员，专注于初级保健- 以战略为基础，改善低收入家庭的儿童早期发展。被NICHD认可为 改善高危家庭儿童早期发展和入学准备的研究目标， 初级保健环境为接触数百万生活在贫困中的儿童提供了一个理想的机会。为了发展， 实施和评估预防性初级保健提供的支持儿童早期发展的战略 应聘者需要在以下重要领域接受额外的正式培训：1)设计、执行和 初级保健环境中的临床试验分析，2)定性方法和纵向数据分析 干预发展，3)儿童发展及其社会决定因素，4)职业 通过科学出版物和演示文稿促进发展。拟议的研究计划将把这些 培训目标，并在候选人的指导团队的支持下实施，包括 每一个领域的专家。拟议研究计划的总体目标是开发和试运行 在初级保健环境中提供的简短的、基于理论的干预。基于社会认知理论和 这项干预活动效仿了广泛传播的扫盲计划--接触和阅读，旨在丰富 积极的育儿行为，促进低收入家庭儿童的早期发展。通过追求 根据特定的目标，候选人将收集必要的数据，以测试其对父母和孩子的有效性 结果(将在随后的R01中提出)。在目标1中，候选人将利用定性方法和 与关键利益相关者(即父母、临床医生、临床医生)进行焦点小组和半结构化访谈 拟议干预措施的工作人员和管理人员)，以告知干预措施的发展并确定障碍 到实施。在目标2中，开发的干预措施将通过纵向随机试验进行测试 对照试验，以确定方案实施的可行性，并调查对 父母的结果。培训和研究计划将补充候选人强大的临床背景 在发育行为儿科学中，作为开发可获得和可持续的临床应用的框架 旨在促进儿童早期发展并为候选人做好长期准备的干预措施 作为临床研究人员的独立性。