The applicant is requesting five years of funding through the Mentored Career Development Award (K01) program to establish an independent program of substance abuse research focused on improving the identification and intervention for substance abuse, intimate partner violence (IPV) and co-occurring affective disorders (AD) in early intervention settings. The applicant?s strong background of academic, research and nurse clinical training in substance abuse, violence, family health, and health services research provides an excellent foundation for this work. The proposed training goals provide additional instruction and mentoring in 1) the complex linkage between ATOD, IPV, and AD and engagement and treatment strategies for early preventive intervention, 2) longitudinal data analysis and modeling techniques, 3) cultural issues and health disparities that complicate early intervention efforts among diverse populations, and 4) training in the ethical conduct of research. This training will prepare the applicant to pursue a research career in prevention science targeting substance abuse among women of childbearing age. In Phase I secondary data analysis will be conducted on longitudinal data provided by two large samples of postpartum women to examine the role of ATOD, IPV and AD on engagement and participation with an early intervention: home visitation. Subgroup analyses based on age, race/ethnicity and combinations of ATOD, IPV and AD will be examined. In Phase II, existing protocols for provider education and training in assessment including instrumentation, interpretation, and triage will be critically examined in two model programs. Phase III will use findings from Phases I and II as well as mentoring from experts in specific content areas to inform the development of strategies and preliminary protocols to strengthen early preventive interventions addressing these specific issues and to pilot test these protocols. Phase III will identify characteristics that impact implementation at the provider, family, and program level and will generate preliminary data to inform research and program development. The data will form the basis for a R01 application to prospectively test the effectiveness of strategies designed to improve provider education and practice related to ATOD, IPV, and AD among women of childbearing age.
| Kim, Hyoun K; Pears, Katherine C; Fisher, Philip A et al. (2010) Trajectories of maternal harsh parenting in the first 3 years of life. Child Abuse Negl 34:897-906 |
| Connelly, Cynthia D; Baker-Ericzen, Mary J; Hazen, Andrea L et al. (2010) A model for maternal depression. J Womens Health (Larchmt) 19:1747-57 |
| Hazen, Andrea L; Connelly, Cynthia D; Roesch, Scott C et al. (2009) Child maltreatment profiles and adjustment problems in high-risk adolescents. J Interpers Violence 24:361-78 |
| Zirkle, Dorothy; Williams, Kara; Herzog, Kari et al. (2008) Incorporating the experiences of youth with traumatic injury into the training of health professionals. Am J Prev Med 34:S62-6 |
| Hazen, Andrea L; Connelly, Cynthia D; Soriano, Fernando I et al. (2008) Intimate partner violence and psychological functioning in Latina women. Health Care Women Int 29:282-99 |
| Hazen, Andrea L; Connelly, Cynthia D; Edleson, Jeffrey L et al. (2007) Assessment of Intimate Partner Violence by Child Welfare Services. Child Youth Serv Rev 29:490-500 |
| Connelly, Cynthia D; Baker, Mary J; Hazen, Andrea L et al. (2007) Pediatric health care providers'self-reported practices in recognizing and treating maternal depression. Pediatr Nurs 33:165-72, 127 |
| Connelly, Cynthia D; Hazen, Andrea L; Coben, Jeffrey H et al. (2006) Persistence of intimate partner violence among families referred to child welfare. J Interpers Violence 21:774-97 |
| Hazen, Andrea L; Connelly, Cynthia D; Kelleher, Kelly J et al. (2006) Female caregivers' experiences with intimate partner violence and behavior problems in children investigated as victims of maltreatment. Pediatrics 117:99-109 |
| Connelly, Cynthia D; Newton, Rae R; Aarons, Gregory A (2005) A psychometric examination of English and Spanish versions of the Revised Conflict Tactics Scales. J Interpers Violence 20:1560-79 |
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