Managing Environmental Risks in Pregnancy

管理怀孕期间的环境风险

• 批准号: 7156130
• 负责人: LISA A MCELANEY
• 金额: $ 12.6万
• 依托单位: VIDA HEALTH COMMUNICATIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2007-12-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7156130
• 关键词: DVD /CD ROM; Internet; clinical research; disease /disorder prevention /control; education evaluation /planning; educational resource design /development; educationally disadvantaged; embryo /fetus toxicology; environmental contamination; environmental exposure; environmental toxicology; ethnic group; focus groups; health care personnel education; health education; human pregnant subject; human subject; information dissemination; library; pregnancy disorder; teratogens; toxin; training; urban area; women' s health

DESCRIPTION (provided by applicant): Environmental toxicants are increasingly linked to adverse birth outcomes such as low birth weight, preterm birth, birth defects and developmental delays. Inner-city populations are at high risk for adverse birth outcomes and also are more likely to be exposed to environmental toxicants. The Institute of Medicine and the National Environmental Education and Training Foundation recommend the integration of environmental health concepts into all levels of medical and nursing education. In the proposed SBIR project, Vida Health Communications, Inc. will produce, evaluate and distribute a multimedia package called "Managing Environmental Risks in Pregnancy". Drawing on the proven and specific advantages of DVD and web technologies, the media programs will teach about the health advantages of screening, assessing and mitigating potential exposure to known and suspected teratogens and environmental toxicants that pose a risk to the developing fetus. The package of educational visual media, web and print resources will consist of (1) training programs for prenatal health care providers who serve pregnant women who live in urban settings, (2) educational programs for pregnant women who live in urban settings, many of whom have low literacy and/or are of minority ethnicity, and (3) an electronic library of materials for providers to print and distribute to patients. In Phase I, the producers will develop both the patient education and clinical training curricula and produce prototypes of the media, which will then be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data. This project will advance the environmental health training of prenatal care providers serving women at risk for exposure to substances that can harm their developing fetus. It will also provide much needed education, at appropriate literacy levels, for at-risk women about ways that they can reduce fetal exposure to environmental hazards. Relevance to Public Health: We are just beginning to recognize the scope of teratogens that pregnant women may be exposed to living in urban environments. Given the rapid development of a fetus, especially in the early months of pregnancy, avoidance of exposure is at present the most effective way to mitigate potential harm. This research will contribute to knowledge of how prenatal care providers can interest, inform and motivate pregnant women who likely bear the greatest risk of exposure, so they can protect the fetus and improve the chance of giving birth to a healthy, normal infant.

描述（由申请人提供）：环境毒物越来越多地与不良的出生结果有关，例如低出生体重，早产，出生缺陷和发育延迟。城市内部人口面临不良出生结果的高风险，并且更有可能暴露于环境毒性。医学研究所和国家环境教育与培训基金会建议将环境健康概念整合到所有级别的医学和护理教育中。在拟议的SBIR项目中，VIDA Health Communications，Inc。将生产，评估和分发称为“管理怀孕环境风险”的多媒体软件包。媒体计划利用DVD和Web技术的经过验证和特定的优势，将教授有关筛查，评估和减轻潜在暴露于已知和可疑的Teratogen和环境毒物的潜在暴露的健康优势，这些毒性和环境有毒物质对发展中的胎儿构成风险。教育视觉媒体，网络和印刷资源的包装将包括（1）为居住在城市环境中的孕妇提供服务的培训计划，（2）为居住在城市环境中的孕妇的教育计划，其中许多人的识字率低和/或具有少数族裔族裔，以及（3）材料材料材料供其材料供材料供应和分配患者的材料。在第一阶段，生产者将开发患者的教育和临床培训课程，并生产媒体的原型，然后使用代表目标受众的焦点小组对其进行评估。评估人员将使用有据可查的定性技术来分析焦点组数据。该项目将推进对有可能损害其发育中胎儿的物质风险的妇女的产前护理提供者的环境健康培训。它还将在适当的识字水平上为高危妇女提供急需的教育，以减少胎儿暴露于环境危害的方式。与公共卫生有关：我们才刚刚开始认识到孕妇可能接触到城市环境中的Teratogens的范围。鉴于胎儿的快速发展，尤其是在怀孕的早期，避免暴露是减轻潜在伤害的最有效方法。这项研究将有助于了解产前护理提供者如何感兴趣，为可能承担最大暴露风险的孕妇的兴趣和激励，以便他们可以保护胎儿并增加生育健康，正常婴儿的机会。