Mothers Optimizing Resources Everyday (MORE): Buffering mental health inequities in low-resourced perinatal populations

母亲每天优化资源（更多）：缓解资源匮乏的围产期人群的心理健康不平等

• 批准号: 10709536
• 负责人: Charlotte Victoria Farewell
• 金额: $ 12.67万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-23 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10709536
• 关键词: Address; Adherence; Adult; Anxiety; Anxiety Disorders; Award; Birth; Buffers; Capital; Caring; Child; Clinical; Colorado; Community Health; Coping Behavior; Data; Data Analytics; Depressive disorder; Development; Development Plans; Disparity; Dose; Economic Factors; Economically Deprived Population; Emotional; Employee; Evidence based intervention; First Pregnancy Trimester; Fostering; Goals; Growth; Health; Individual; Inequity; Intervention; Interview; Life; Life Cycle Stages; Maintenance; Measurable; Mental Depression; Mental Health; Mental health promotion; Modality; Modeling; Mood Disorders; Mothers; National Institute on Minority Health and Health Disparities; Outcome; Perinatal; Personal Satisfaction; Phase; Population; Postpartum Period; Pregnancy; Prevention; Process; Psychological adjustment; Public Health Schools; Reporting; Research; Resource-limited setting; Resources; Role; Science; Scientist; Self Efficacy; Social support; Socioeconomic Status; Stress; Stress and Coping; Structure; Students; Subgroup; Testing; Third Pregnancy Trimester; Time; Training; United States National Institutes of Health; advanced analytics; behavioral health; behavioral health intervention; career; career development; community setting; coping; cost efficient; critical period; data integration; disparity reduction; dissemination science; efficacy study; ethnic minority population; evidence base; exhaustion; experience; health equity; health inequalities; implementation science; improved; innovation; intergenerational; longitudinal analysis; low socioeconomic status; motherhood; optimism; perceived stress; perinatal intervention; perinatal mental health; perinatal period; peripartum depression; pregnant; prenatal; professor; programs; protective factors; prototype; psychologic; psychosocial; racial minority population; resilience; satisfaction; skills; social; social capital; social factors; social stigma; socioeconomic disadvantage; socioeconomic disparity; transmission process

Project Abstract Charlotte Farewell, PHD, MPH is a behavioral health scientist whose overarching career goal is to implement well-being promotion programs during critical periods to reduce inequities in perinatal mental health outcomes among low-resourced individuals. The research she proposes entitled, “Mothers Optimizing Resources Everyday (MORE): Buffering Mental Health Inequities in Low-resourced Perinatal Populations,” aligns with numerous NIMHD research strategies including strengthening analytical models to identify critical periods of malleability to mitigate the intergenerational transmission of disparities, advancing understanding of how multi- level protective factors impact health, and building the science of adapting behavioral health interventions. Candidate: Dr. Farewell is an Assistant Professor of Community and Behavioral Health at the Colorado School of Public Health. The proposed career development plan includes four training goals: 1. Advance expertise in latent growth modeling; 2. Gain skills in adaptation of perinatal mental health-related research and practice to address health inequities; 3. Enhance training in evidence-based psychological capital interventions; and 4. Increase proficiency in dissemination and implementation science and integration of care. Research: Perinatal mood disorders are prevalent. Individuals who are able to acquire and maintain personal and social resources are better situated to cope with the demands associated with the transition to motherhood . Psychological Capital Interventions (PCIs) are evidence-based approaches that promote mental health and well-being. Adaptation of a multi-level PCI that seeks to foster combinations of resources across the perinatal period may serve as an important yet underexplored strategy to optimize perinatal well-being among low-resourced communities. Aim 1 will investigate point-estimates and trajectories of psychological capital across the perinatal period in 300 individuals experiencing socioeconomic disadvantage. Aim 2 will identify cross-sectional and longitudinal associations between psychological capital trajectories, social resources and mental health outcomes. Aim 3 will consist of interviews, data integration, and an iterative adaptation process, resulting in a multi-level PCI for perinatal populations experiencing socioeconomic disadvantage. Summary: The innovation of MORE is threefold: 1) identification of a constellation of multi-level protective factors that support perinatal mental health, 2) application of a life course perspective and longitudinal modeling to investigate resources across critical, malleable periods, and 3) adaptation of PCIs that may reduce stigma by offering support without pathologizing, thus increasing access to mental health supports. Although the root social and economic factors must be addressed to eliminate health inequities, psychosocial interventions that bolster resources to better cope with stress may be cost-efficient and effective strategies to reduce socioeconomic inequities in health. This award will provide preliminary data for an R01 to implement MORE during specific critical periods to specific subgroups in order to reduce the intergenerational transmission of health inequities.

项目摘要 Charlotte Geelwell，PhD，MPH是一位行为健康科学家，其总体职业目标是实施 在关键时期内促进计划，以减少围产期心理健康成果的不平等现象 在低资源的个人中。她提出的研究标题为“母亲优化资源 每天（更多）：缓冲低资源围产期人群中的心理健康不平等，” 许多NIMHD研究策略，包括加强分析模型，以确定关键时期 锻造性减轻分布的代际传输，促进对多种多样的理解 受保护因素影响健康，并建立适应行为健康干预措施的科学。 候选人：Farewell博士是科罗拉多州社区和行为健康的助理教授 公共卫生学院。拟议的职业发展计划包括四个培训目标：1。 潜在增长建模方面的专业知识； 2。提高适应围产期心理健康相关研究的技能 练习解决健康不平等； 3。增强基于证据的心理资本的培训 干预措施；和4。提高对传播和实施科学以及护理整合的熟练程度。 研究：围产期情绪障碍很普遍。 能够获取和维护个人的个人 和社会资源更好地适应与向过渡相关的要求 孕产 。心理资本干预措施（PCI）是促进精神的循证方法 健康与福祉。适应多层PCI，该PCI试图促进整个资源的组合 围产期可能是一项重要但不充分的策略，以优化围产期幸福感 低资源的社区。 AIM 1将调查心理资本的点估计和轨迹 在整个围产期中，有300名患有社会经济障碍的人。 AIM 2将确定 心理资本轨迹，社会资源与 心理健康结果。 AIM 3将包括访谈，数据集成和迭代适应过程， 导致围产期人群的多级PCI经历了社会经济障碍。 摘要：更多的创新是三重：1）识别多级保护的星座 支持围产期心理健康的因素，2）应用生活课程的应用和纵向建模 调查跨关键，可延展时期的资源，以及3）适应PCI的PCI，以减少污名化 提供支持而无需病理学，从而增加获得心理健康支持的机会。虽然根源的社会 必须解决经济因素，以消除健康不平等，社会心理干预措施 更好地应对压力的资源可能是成本效益有效的策略，以减少社会经济 健康不平等。该奖项将为R01提供初步数据，以在特定的情况下实施更多 特定亚组的关键时期是为了减少健康不平等的代际传播。