CAREER DEVELOPMENT/TRAINING ACTIVITIES DURING PROPOSED AWARD This proposed career development award will provide the necessary training and protected time to successfully execute the proposed research projects and acquire new skills regarding multi-level modeling, survey development, analysis of health communication, health behavior, child adherence, and intervention development. No more than 25% effort each year will be devoted to clinical and teaching activities. Objective Responsible conduct of research Course (C); Presentation/Publication (P); Task (T) C/seminar: ethics grand rounds C: ethics in clinical science C: research ethics, biomedical science AIM 1 T: extract EHR data Clinical practice T: clean and perform descriptive analyses elements C: multi-level modeling (two courses) T: perform multi-level modeling analysis P: present findings/write manuscript on clinical practice elements AIM 2 T: recruit pediatricians and collect surveys Communication C: health survey research methods and T: analyze baseline pediatrician surveys content T: recruit participants, record visits, and collect baseline measures P: present findings, write/submit manuscripts on baseline communication data C/tutorial: Roter Interaction Analysis Training (Baltimore) T: code recordings and determine inter-rater reliability T: collect one-year follow-up measures/surveys T: clean and analyze data C: cross-cultural clinical research course P: present findings, write/submit manuscripts on one-year communication data AIM 3 C: clinical research courses (two courses) Pilot T: develop pilot intervention and submit protocol to IRB intervention T: recruit pediatricians, pilot intervention, and collect data T: clean and analyze data P: present findings, write/submit manuscript on pilot intervention Apply for R01 T: develop effectiveness intervention trial (grant application) Mentor(s) Flores (F) F F Barlow (B), F B, F F B, F B, F B, F, Wiebe (W) F,W B, F, W B, F, Roter (R), W B, F, R, W R F, R, W B, F, R, W B, F, R, W F B, F, R, W F B, F, R, W B, F, W B, F, R, W B, F, R, W B, F, W Year 1 Year 2 Year 3 Year 4 Year 5 Coursework. Ethics courses - See Training in the Responsible Conduct of Research (Section 5). Multilevel Modeling. University of Kansas. Five-day intensive training on designing multilevel studies and analyzing hierarchically-organized data, including estimating/interpreting random effects, multi-parameter tests, cross-level interactions, and modeling longitudinal data. Multilevel Models for Binary Responses. University of Bristolonline. Includes examining latent variables, random intercept/slopes, clustering effects. Health survey research course: Developing and Validating Measures in Clinical Research. UTSW. Survey design, development, and validation. Cross Cultural Clinical Research. UTSW. Strengthens skills in cross-cultural competencies necessary to design/implement research in diverse populations. Clinical-Trials Research: From Proposal to Implementation: UTSW. Topics include recruitment, monitoring patient safety, data collection, and analysis. Advanced Clinical Research Design & Analysis. Pre-specifying primary/secondary outcomes; surrogate measures; analysis of incomplete data; minimizing bias and flaws in study design. For more information on this timeline, please refer to Dr. Turer’s K23 grant application.