Women in Prison: Decreasing Unplanned Pregnancies & STDs

描述(由申请人提供)：本申请是一份修改后的申请 以患者为导向的研究职业发展奖(K23) 美国国立卫生研究院。我的目标是获得所需的工具 成为女性的领导者？S作为独立的临床健康研究 调查员，重点关注被监禁的妇女。建立在我强大的基础上 培训女性？S健康我建议通过以下途径培养更多技能： 1)课程和研讨会，以加强我对统计和 研究方法和获得公共卫生硕士学位；2)与多学科的互动 导师团队；以及3)重点督导的研究项目。我的研究和 职业目标包括影响贫困社区的健康 通过对公共卫生干预措施的调查，满足 被监禁的女性。我计划与Jeffrey Peipert博士(主要)密切合作 导师)，他是一位在预防方面有专长的有成就的研究人员 性传播感染(STI)和计划外怀孕。我也会 与迈克·斯坦和蒂莫西·弗拉尼根博士合作，他们在 传染病、药物滥用和涉及监禁的研究 女人。本申请中提出的研究检查了一种 以行为为导向的计算机教育干预，以减少性传播感染 以及意外怀孕。其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？S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)和生物性(突发或复发性性传播感染或计划外感染 怀孕。)女性将被随机分配到个性化的 在监狱期间进行干预或提高护理标准，并将予以遵守 每六个月一次，持续12个月。我的主要导师佩佩特博士有广泛的 个体化干预的经验，并在其 发展。在NICHD的资助下，他是PI在两个方面评估这个系统 初级保健设置。他将为我提供调查方面的高级培训 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.