Tailoring Clinical Interventions for Adolescent Relationship Abuse

描述(由申请人提供)：这项K24职业中期研究和指导计划旨在为候选人提供保护时间，使其从临床和行政责任中解脱出来，进行以患者为导向的青少年健康和暴力预防研究，并指导健康专业实习生(医学、护理和公共卫生专业学生、住院医生和研究员)和初级教员进行翻译的、以患者为导向的青少年健康研究。候选人的社区合作研究计划强调针对临床和社区环境的创新暴力预防和干预发展，并与弱势青年人口合作，以减少青少年健康方面的差异。此K24应用程序的目标是：1)建立研究培训和指导计划，为初学者培养成为成功的、独立的、以患者为中心的青少年健康调查人员；2)获得额外的个性化方法和技术培训，以加强候选人当前的研究计划，重点是发展神经科学和知识翻译；3)扩展目前获得资助的工作，使用基于计算机的决策支持工具，以改进对临床和社区环境中青少年关系虐待和相关健康风险的评估和干预。这个K24奖项的指导计划是制定一个统一的、有重点的培训活动计划，以培养年轻的研究人员为暴力预防和行为健康干预的科学做出有意义的贡献，以改善青少年的健康。K24奖励将确保获得扩展和系统化这些产品所需的时间和资源。应聘者将提供一项有组织的培训计划，主题是“量身定制干预措施以改善青少年健康”。培训的一个独特重点将是在社区环境中对未成年人，特别是弱势、服务不足的青年群体(如无家可归的青年、寄养系统中的青年或涉及少年司法的青年)进行研究。职业发展计划旨在加强候选人的以下方面：1)指导和领导；2)将与理解青少年奖励功能、决策和行为变化相关的发展神经科学研究整合到干预设计中；3)应用知识转化策略来实施和扩大有效、可持续的干预措施，并为青少年健康实践和政策提供信息；以及4)在为青少年患者服务的不同临床和社区环境中开发和实施计算机辅助决策支持工具的方法。候选人的研究目标是建立在现有实验研究的基础上，这些实验研究涉及临床和基于社区的干预措施，以解决青少年关系虐待及其健康后果(1R01HD064407)。这项K24将支持为一项干预研究收集试点数据，以测试创新的计算机辅助决策支持工具，以改进简短干预的交付，并在健康结果不佳的风险青少年中增加减少伤害策略的使用。

DESCRIPTION (provided by applicant): This K24 Mid-Career Research and Mentoring Program aims to provide the candidate with protected time from clinical and administrative responsibilities to conduct patient-oriented adolescent health and violence prevention research and to mentor health professional trainees (medical, nursing and public health students, residents, and fellows) and junior faculty in translational, patient-oriented adolescent health research. The candidate's community-partnered research program emphasizes innovative violence prevention and intervention development for clinical and community-based settings and working with vulnerable youth populations to reduce disparities in adolescent health. The objectives of this K24 application are to: 1) establish a research training and mentoring program that will prepare beginning scholars to become successful, independent patient-oriented investigators in adolescent health; 2) obtain additional individualized training in methods and techniques to enhance the candidate's current research program with an emphasis on developmental neuroscience and knowledge translation; 3) extend currently funded work using computer- based decision support tools to improve assessment and interventions for adolescent relationship abuse and associated health risks in clinical and community-based settings. The mentoring plan for this K24 award is to develop a unified, focused program of training activities to prepare young investigators to make meaningful contributions to the science of violence prevention and behavioral health interventions to improve adolescent health. The K24 award will secure the time and resources needed to expand and systematize these offerings. The candidate will provide a structured training program organized around the theme of "Tailoring Interventions to Improve Adolescent Health." A unique emphasis of the training will be on the conduct of research with minors, especially vulnerable, underserved youth populations (e.g., youth who are homeless, in the foster care system, or juvenile-justice involved) in community-based settings. The career development plan is designed to enhance the candidate's: 1) mentoring and leadership; 2) integration of developmental neuroscience research relevant to understanding adolescent reward functions, decision making, and behavior change into intervention design; 3) application of knowledge translation strategies to implement and scale-up effective, sustainable interventions and inform adolescent health practice and policy; and 4) approach to developing and implementing computer-assisted decision support tools within diverse clinical and community- based settings serving adolescent patients. The candidate's research goal is to build on existing experimental studies that involve clinical and community-based interventions to address adolescent relationship abuse and its health consequences (1R01HD064407). This K24 will support the collection of pilot data for an intervention study to test innovative computer-assisted decision support tools to improve the delivery of brief interventions and increase use of harm reduction strategies among adolescents at risk for poor health outcomes.