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Developing an engagement intervention for Black and Latino caregivers to improve children’s receipt of mental health services after sexual abuse.

Award Number: K23MD016171
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 06/10/2022
PERIOD OF PERFORMANCE END DATE: 02/28/2027

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Developing an engagement intervention for Black and Latino caregivers to improve children’s receipt of mental health services after sexual abuse. - This application for a K23 Mentored Patient-Oriented Research Career Development Award aims to support the career development of Dr. Hiu-fai Fong, a child abuse pediatrician at Boston Children’s Hospital and Harvard Medical School, in becoming an independent investigator whose work improves mental health care and outcomes for families affected by child abuse. Dr. Fong proposes to develop and pilot test a novel engagement intervention for Black and Latino caregivers of sexually abused children to address the significant prevalence of unmet mental health need for these children. Black and Latino children are more likely to experience sexual abuse but less likely to initiate mental health services than children of other races and ethnicities. Engagement interventions, in which child-serving professionals (e.g., social workers) work with caregivers to increase children’s receipt of mental health services, represent a promising approach to address unmet mental health need but have not been well studied with Black and Latino caregivers of sexually abused children. This K23 project seeks to develop a novel engagement intervention for this new population of caregivers that integrates components from two evidence-based interventions (McKay’s engagement intervention and the DECIDE intervention). Engagement interventions, tailored to the unique needs and challenges of Black and Latino families, are more likely to be effective than general interventions. The research will use principles of community based participatory research and a systematic process of cultural adaptation to develop the engagement intervention over three Aims. Aim 1 will use in-depth interviews with Black and Latino caregivers of sexually abused children to identify sociocultural perceptions about child sexual abuse and mental health care seeking. Aim 2 will use focus groups to elicit feedback from social workers that serve Black and Latino caregivers of sexually abused children and input from a community advisory board to culturally and contextually adapt intervention components. Aim 3 will pilot test the new engagement intervention for feasibility and acceptability with Black and Latino caregivers of sexually abused children. This research will lead to the development of a new engagement intervention ready for large-scale testing as a strategy to reduce racial and ethnic disparities in mental health care after sexual abuse. Dr. Fong has assembled a highly experienced mentorship team, including Dr. Margarita Alegria (intervention development for multicultural populations), Dr. Megan Bair-Merritt (trauma-focused research), and Dr. Michael Lindsey (treatment engagement for minority families) to guide her through a rigorous training plan to gain expertise in: 1) behavioral intervention development; 2) sociocultural and ethical issues in trauma-focused research; and 3) clinical trial methodology for behavioral interventions. Dr. Fong will leverage the unique resources available at Boston Children’s Hospital (a leading pediatric healthcare and research institution, and a specialty referral center for child sexual abuse) and the broader Harvard community (Harvard Medical School, Harvard T.H. Chan School of Public Health, Harvard Catalyst) to carry out her research and career development plan. The K23 award will prepare Dr. Fong to tackle the substantial challenges of disparities in mental health care for abused children and their families as a future independent researcher.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $167,940 )
2026	2026	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	000	5	6/16/2026	NON-COMPETING CONTINUATION	$167,940
														Subtotal = $167,940

Issue Date FY: 2025 ( Subtotal = $166,649 )
2025	2025	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	001	4	8/12/2025	NON-COMPETING CONTINUATION	$15,503
2025	2025	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	000	4	2/18/2025	NON-COMPETING CONTINUATION	$151,146
														Subtotal = $166,649

Issue Date FY: 2024 ( Subtotal = $167,940 )
2024	2024	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	001	3	6/2/2024	NON-COMPETING CONTINUATION	$16,794
2024	2024	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	000	3	2/15/2024	NON-COMPETING CONTINUATION	$151,146
														Subtotal = $167,940

Issue Date FY: 2023 ( Subtotal = $167,762 )
2023	2023	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	000	2	3/1/2023	NON-COMPETING CONTINUATION	$167,762
														Subtotal = $167,762

Issue Date FY: 2022 ( Subtotal = $167,700 )
2022	2022	CHILDREN'S HOSPITAL CORPORATION, THE	300 LONGWOOD AVE	BOSTON	MA	02115	SUFFOLK	USA	Minority Health and Health Disparities Research	000	1	6/10/2022	NEW	$167,700
														Subtotal = $167,700

Grand Total All Awards = $837,991

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Developing an engagement intervention for Black and Latino caregivers to improve children’s receipt of mental health services after sexual abuse.

Award Number: K23MD016171

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 06/10/2022

PERIOD OF PERFORMANCE END DATE: 02/28/2027

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