Toward Eliminating Disparities in Meternal and Child Health Populations

消除孕产妇和儿童健康人群的差异

• 批准号: 8500604
• 负责人: Hamisu Salihu
• 金额: $ 32.36万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-25 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8500604
• 关键词: Accounting; Achievement; Address; Adopted; Adoption; Applications Grants; Area; Capital; Child health care; Communities; Community Health; Cost Analysis; Costs and Benefits; Data; Data Analyses; Development; Economically Deprived Population; Economics; Ensure; Environment; Evaluation; Evaluation Studies; Evidence based intervention; Florida; Focus Groups; Foundations; Goals; Grant; Health; Health Priorities; Healthy People 2020; Hearing; Hybrids; Infant; Infant Health; Intercept; Intervention; Intervention Studies; Interview; Lead; Life Cycle Stages; Life Expectancy; Logic; Longevity; Manuals; Maps; Maternal Health; Maternal and Child Health; Measures; Methodology; Methods; Modeling; Modification; Mothers; Needs Assessment; Neighborhoods; Phase; Pilot Projects; Plant Roots; Population; Principal Investigator; Problem Solving; Process; Program Sustainability; Protocols documentation; Qualitative Evaluations; Quality of life; Quantitative Evaluations; Recording of previous events; Research; Research Infrastructure; Safety; Services; Solid; Structure; System; Testing; Training; Translations; United States; Universities; Voice; Vulnerable Populations; base; community based participatory research; cost; economic cost; economic evaluation; health disparity; health related quality of life; improved; indexing; innovation; instrument; medically underserved; member; next generation; novel; programs; skills; social capital; success; theories; therapy design; therapy development

DESCRIPTION (provided by applicant): Racial disparities in maternal and child health (MCH) populations are the most strikingly persistent in the United States, representing one of the compelling reasons Healthy People 2020 made MCH a priority issue of national importance. Since the root causes of MCH disparities are multi-factorial, community-based participatory research (CBPR) offers a unique opportunity to address effectively MCH disparity issues because of its emphasis on the utility of ecological perspectives that take into account the multiple determinants of health. This strategy synchs with the multi-dimensional and multi-domain approach inherent in the Life Course Perspective (LCP) theory that is the dominant paradigm in disparity research within the MCH population. Using LCP as theoretical framework and CBPR as strategy, MCH disparity issues in Central Tampa (Florida) neighborhoods will be addressed in this project taking advantage of our solid and fruitful community-university partnership that is characterized by a growing social capital, a strong presence in the community, and visible achievements in improving maternal and child health within the community. Accordingly, community needs assessment and asset mapping will be conducted using focus groups, intercept interviews and secondary data that encompass qualitative, quantitative and economic; data. With input from other community partners, the community advisory board (CAB) will apply proven strategies to select the MCH priority took; as well as the evidence-based intervention to be adopted. The pilot intervention will be implemented using efficient recruitment and retention strategies as well as innovative approaches that enhance fidelity and acceptability. A realistic and scientifically rigorous evaluation plan to ensure reliale and valid assessment of feasibility, acceptability and sustainability potential across socio-cultural, strategic and economic domains is proposed. The incorporation of economic data and cost analysis in our proposal is novel and will address persistent needs in the community for affordable interventions. The training of community members in the application of cheap and easy to use GIS-rapid needs assessment hybrid in intercept interviews is innovative and will potentially contribute to community capital and sustainability. RELEVANCE: This project utilizes a community-based participatory research approach to select and address a disparity issue of concern to the community within the maternal and child health populations in a socio-economically disadvantaged setting. We believe that through the various phases outlined in the proposal, the community will apply an appropriate and efficient strategy that will lead to successful implementation and evaluation of the selected intervention that holds promise of reducing the wide disparity in this vulnerable population.

描述（由申请人提供）：母亲和儿童健康（MCH）人口的种族差异是美国最引人注目的持久性，这是2020年健康人2020年的令人信服的理由之一，这使得MCH成为了国家重要性的优先问题。由于MCH差异的根本原因是多因素的，因此基于社区的参与研究（CBPR）为有效地解决MCH差异问题提供了独特的机会，因为它强调了生态观点的实用性，这些视角考虑到了健康的多重决定因素。该策略与生命课程视角（LCP）理论固有的多维和多域方法同步，该理论是MCH人群中差异研究的主要范式。将LCP用作理论框架和CBPR作为策略，该项目将在坦帕市中心（佛罗里达州）社区中的MCH差异问题利用我们坚实而富有成果的社区 - 大学合作伙伴关系，其特征是社会资本不断增长，在社会资本中的强大存在，在社区，以及在改善社区内的孕产妇和儿童健康方面的可见成就。因此，将使用焦点小组，拦截访谈和涉及定性，定量和经济的辅助数据进行社区需求评估和资产映射；数据。通过其他社区合作伙伴的意见，社区顾问委员会（CAB）将采用验证的策略来选择MCH优先级；以及要通过的基于证据的干预措施。试点干预将使用有效的招聘和保留策略以及增强忠诚度和可接受性的创新方法来实施。提出了一项现实和科学严格的评估计划，以确保对社会文化，战略和经济领域的可行性，可接受性和可持续性潜力的有效评估。将经济数据和成本分析纳入我们的提案是新颖的，它将解决社区中负担得起的干预措施的持续需求。培训社区成员在廉价且易于使用的GIS-RAPID需求评估混合动力时的培训是创新的，并且有可能为社区资本和可持续性做出贡献。 相关性：该项目利用一种基于社区的参与性研究方法来选择和解决在社会经济处于弱势群体中的母亲和儿童健康人群中社区关注的差异问题。我们认为，通过提案中概述的各个阶段，社区将采用适当有效的策略，从而成功实施和评估所选干预措施，该干预措施有望减少这个脆弱人群的广泛差异。