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Principal Investigator: Leah Ren-Ai Koenig
Organization: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Fiscal Year: 2024
Award: $37,836
Funding agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development
Project Summary
This mentored Ruth L. Kirschstein National Research Service Award will provide the trainee, a PhD student in
epidemiology at UCSF, with the training necessary to become a researcher in sexual and reproductive health.
Her training goals for this fellowship are to gain expertise in health services research, bias analyses, and
methods to address missing data under the guidance of a team of expert mentors. This fellowship will provide
the applicant with the skills, content knowledge, and practical experience to launch an independent research
career focused on the evaluation of service delivery innovations in sexual and reproductive health.
Telehealth became a prominent method of sexual and reproductive health service delivery during the COVID-
19 pandemic. In telehealth services, patients are typically screened remotely, dispensed any medications by
mail, and followed subsequently to monitor for the occurrence of adverse events. Some research suggests that
telehealth patients may be less likely than those who receive in-person services to follow up with the telehealth
provider after medications are dispensed, and the outcomes of patients who do not complete follow-up are not
understood. The goal of this research is to evaluate the performance of telehealth protocols at identifying
adverse events. Building on the applicant’s prior work and current research position, this F-31 will involve
secondary analyses of data from a cohort study of patients who received telehealth sexual and reproductive
health services, to (Aim 1) estimate the incidence of adverse events among patients who do not return for
follow-up and (Aim 2) assess the timing and process of adverse events diagnoses after telehealth sexual and
reproductive health services. This evidence will allow telehealth sexual and reproductive health providers to
understand the risk of adverse events among their patients who do not return for follow-up and whether their
current follow-up protocols are optimal for the identification of adverse events. Knowledge gained from this
research will advance NICHD’s mission to ensure individuals are born healthy and wanted and that women are
not harmed by reproductive processes. The major strengths of this proposal are that it: (1) relies on a large
existing prospective dataset of US telehealth sexual and reproductive health patients, with which the applicant
already has experience; (2) uses rigorous methods for evaluating bias and addressing missing data; and (3)
tests clinically impactful hypotheses focusing on the timely and growing field of telehealth for sexual and
reproductive health. The proposed research and training will prepare the applicant for her future career as an
independent researcher focused on service delivery innovations in sexual and reproductive health care.
Terms: <Active Follow-up><Address><Adverse Experience><Adverse event><Blood Transfusion><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><California><Caring><Childbirth><Clinical><Clinical Protocols><Clinical Services><Cohort Studies><Concurrent Studies><Contraception><Contraceptive methods><Cost Savings><Data><Data Analyses><Data Analysis><Data Collection><Data Set><Data Sources><Development><Diagnosis><Doctor of Philosophy><Drugs><Electronic Health Record><Ensure><Epidemiology><Evaluation><Event><Fellowship><Fertility Control><Food and Drug Administration><Foundations><Future><Gestation><Goals><Health Care Providers><Health Personnel><Health Services><Health Services Evaluation><Health Services Research><Health Surveys><Health system><Healthcare><Healthcare Delivery><Healthcare Providers><Healthcare worker><Home><Hospital Admission><Hospitalization><Incidence><Incomplete Abortion><Incomplete spontaneous abortion><Individual><Inhibition of Fertilization><Investigators><Knowledge><Medical Care Research><Medication><Mentors><Methodology><Methods><Mission><Monitor><NICHD><NRSA><National Institute of Child Health and Human Development><National Institute of Children's Health and Human Development><National Research Service Awards><Outcome><Participant><Patient Outcomes Assessments><Patient Participation><Patient Reported Measures><Patient Reported Outcomes><Patient outcome><Patient-Centered Care><Patient-Centered Outcomes><Patient-Focused Outcomes><Patients><Performance><Persons><Ph D student><Ph D. student><Ph. D. student><Ph.D student><Ph.D.><Ph.D. student><PhD><PhD student><PhD. student><Pharmaceutical Preparations><Position><Positioning Attribute><Pregnancy><Probability><Process><Proliferating><Protocol><Protocols documentation><Provider><Reproductive Health><Reproductive Health Services><Reproductive Process><Research><Research Personnel><Researchers><Role><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Safety><Schedule><Sepsis><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Sexually Transmitted Diseases><Sexually Transmitted Disorder><Sexually Transmitted Infection><Statistical Methods><Survey Instrument><Surveys><Testing><Time><Training><USFDA><United Kingdom><United States><United States Food and Drug Administration><Venereal Diseases><Venereal Disorders><Venereal Infections><Woman><Work><abortion><active followup><adverse event monitoring><adverse event risk><blood infection><bloodstream infection><career><child birth><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><cost effective><cost effectiveness><data interpretation><data management><design><designing><developmental><doctoral student><drug/agent><efficacy study><electronic health care record><electronic health medical record><electronic health plan record><electronic health registry><electronic medical health record><epidemiologic><epidemiological><experience><follow up><follow-up><followed up><followup><health and care delivery><health care><health care delivery><health care personnel><health care worker><health delivery systems><health provider><health services delivery><health workforce><healthcare personnel><homes><improved><innovate><innovation><innovative><insight><medical personnel><patient centered><patient oriented><patient oriented outcomes><patient safety><patient screening><patient subclass><patient subcluster><patient subgroups><patient subpopulations><patient subsets><patient subtypes><prospective><remote screening><reproductive><safety study><secondary analysis><service delivery><services research><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><sexual and reproductive health><sexually acquired infection><skills><social role><statistic methods><telehealth><treatment provider>