Women in Prison: Decreasing Unplanned Pregnancies & STDs

描述（由申请人提供）：本申请是修订后的提交资料 获得指导性患者导向研究职业发展奖（K23） 国家卫生研究所。我的目标是获得所需的工具， 成为女性的领导者作为独立临床的健康研究 调查员，重点关注被监禁的妇女。建立在我强大的 女性培训？我建议通过以下方式发展额外的技能： 1)课程和研讨会，以加强我对统计的理解， 研究方法，并获得MPH; 2）与多学科的互动 导师团队;和3）一个有重点的监督研究项目。我的研究和 职业目标包括影响贫困社区的健康 通过调查公共卫生干预措施， 被监禁的女人我计划与Jeffrey Peipert博士（主要）密切合作， 导师），他是一位有成就的研究人员，在预防 性传播感染和意外怀孕。我也会 与Mike Stein博士和Timothy Flanigan博士合作，他们在以下方面具有专长： 传染病，药物滥用，以及涉及监禁的研究 妇女本申请中提出的研究考察了 以减少性传播感染行为为目标的计算机教育干预 和意外怀孕具体目标是评估基于计算机的 针对女性的个性化反馈计划准备改变 行为（个性化干预）与标准计算机教育 程序.主要结果是行为（报告使用双重方法， 避孕）和生物（意外或复发性STI或计划外 怀孕）。女性将被随机分配至个体化 在监狱期间进行干预或提高护理标准，并将予以遵循 每六个月一次共十二个月我的主要导师佩珀特博士 个人化干预的经验，并有助于其 发展由NICHD资助，他是PI评估这一系统在两个 初级保健机构。他将为我提供测量方面的高级培训 研究方法

DESCRIPTION (provided by applicant): This application is a revised submission for a Mentored-Patient Oriented Research Career Development Award (K23) from the National Institute of Health. My goal is to gain the tools required to become a leader in women?s health research as an independent clinical investigator with a focus on incarcerated women. Building on my strong training in women?s health I propose to develop additional skills through: 1)coursework and seminars to strengthen my understanding of statistics and research methods and to obtain an MPH; 2) interaction with a multidisciplinary team of mentors; and 3) a focused supervised research project. My research and career objectives involve impacting the health of impoverished communities through investigations of public health interventions addressing the needs of incarcerated women. I plan to work closely with Dr. Jeffrey Peipert (primary mentor) who is an accomplished researcher with expertise in prevention of sexually transmitted infections (STIs) and unplanned pregnancies. I will also work with Drs. Mike Stein and Timothy Flanigan who have expertise in infectious diseases, substance abuse, and research involving incarcerated women. The research proposed in this application examines the effects of a computer-based educational intervention targeting behaviors to decrease STIs and unplanned pregnancies. The specific aim is to evaluate a computer based feedback program that is individualized to a woman?s readiness to change a behavior (Individualized Intervention) versus a standard computer educational program. Primary outcomes are behavioral (reporting use of dual methods of contraception) and biological (incident or recurrent STIs or unplanned pregnancies.) Women will be randomized to either the Individualized Intervention or enhanced standard of care while in prison and will be followed every six months for 12 months. My primary mentor, Dr. Peipert has extensive experience with the Individualized Intervention and was instrumental in its development. Funded by the NICHD, he is the PI evaluating this system in two primary care settings. He will provide me with advanced training in survey research methodology.