Tailoring Clinical Interventions for Adolescent Relationship Abuse

描述（由申请人提供）：这项K24中期职业研究和指导计划旨在为候选人提供免受临床和行政责任的保护时间，以开展面向患者的青少年健康和暴力预防研究，并指导健康专业学员（医学，护理和公共卫生学生，住院医生和研究员）和初级教师进行转化，面向患者的青少年健康研究。该候选人的社区合作研究方案强调在临床和社区环境中创新暴力预防和干预发展，并与弱势青年群体合作，以减少青少年健康方面的差距。这个K24应用程序的目标是：1)建立一个研究培训和指导计划，将初学者准备成为青少年健康领域成功的、独立的、以患者为导向的研究者；2)在方法和技术方面获得额外的个性化培训，以加强候选人目前的研究计划，重点是发展神经科学和知识转化；3)扩大目前资助的工作，使用基于计算机的决策支持工具，以改进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措施。K24奖的指导计划是制定一个统一的、重点突出的培训活动方案，使青年调查人员做好准备，为预防暴力科学和行为健康干预作出有意义的贡献，以改善青少年健康。K24合同将确保扩展和系统化这些产品所需的时间和资源。候选人将围绕“调整干预措施以改善青少年健康”这一主题提供有组织的培训方案。培训的一个独特重点将是在社区环境中对未成年人进行研究，特别是易受伤害、得不到充分服务的青年人口（例如无家可归的青年、寄养系统中的青年或涉及少年司法的青年）。职业发展计划旨在提高候选人的以下能力：1)指导和领导能力；2)将与理解青少年奖励功能、决策和行为改变相关的发育神经科学研究整合到干预设计中；3)运用知识转化战略实施和扩大有效、可持续的干预措施，为青少年健康实践和政策提供信息；4)在不同的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，为青少年患者服务。该候选人的研究目标是建立在现有实验研究的基础上，这些研究涉及临床和社区干预，以解决青少年关系虐待及其健康后果（1R01HD064407）。该K24将支持收集一项干预研究的试点数据，以测试创新的计算机辅助决策支持工具，以改进简短干预措施的提供，并在面临不良健康结果风险的青少年中更多地使用减少伤害战略。

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.