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: 10524365
• 负责人: Charlotte Victoria Farewell
• 金额: $ 12.73万
• 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/10524365
• 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; Dose; Economic Factors; Emotional; Employee; Ensure; Evidence based intervention; First Pregnancy Trimester; Fostering; Goals; Growth; Health; Individual; Intervention; Interview; Life; Life Cycle Stages; Maintenance; Measurable; Mental Depression; Mental Health; Modality; Modeling; Mood Disorders; Mothers; National Institute on Minority Health and Health Disparities; Outcome; Perinatal; Personal Satisfaction; Phase; Plant Roots; 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; Structure; Students; Subgroup; Testing; Third Pregnancy Trimester; Time; Training; United States National Institutes of Health; advanced analytics; base; behavioral health; behavioral health intervention; career; career development; community setting; cost efficient; critical period; data integration; disadvantaged population; dissemination science; efficacy study; ethnic minority population; evidence base; exhaustion; experience; health equity; health inequalities; implementation science; improved; innovation; intergenerational; 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; 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 Farewell，博士，公共卫生硕士，是一位行为健康科学家，其总体职业目标是实施 在关键时期促进福祉计划，以减少围产期心理健康结果的不平等 她提出的研究题为“母亲优化资源”。 日常（更多）：缓冲资源匮乏的围产期人群的心理健康不平等，”与 NIMHD 的众多研究策略包括加强分析模型以确定关键时期 延展性，以减轻差异的代际传递，增进对多因素如何影响的理解 水平保护因素影响健康，并建立适应行为健康干预措施的科学。 候选人：Farewell 博士是科罗拉多大学社区和行为健康学助理教授 公共卫生学院拟议的职业发展计划包括四个培训目标： 1. 进步 2. 获得适应围产期心理健康相关研究的技能； 3、加强循证心理资本培训 干预措施；以及 4. 提高传播和实施科学以及整合护理的熟练程度。 研究：围产期情绪障碍很普遍。 能够获得并维持个人财产的个人 社会资源能够更好地满足转型过程中的需求 母性 心理资本干预（PCI）是促进心理健康的循证方法 适应多层次的 PCI，旨在促进整个资源的组合。 围产期可能是优化围产期福祉的重要但尚未充分探索的策略 目标 1 将调查心理资本的点估计和轨迹。 目标 2 将确定 300 名处于社会经济劣势的人在整个围产期的情况。 心理资本轨迹、社会资源和心理资本之间的横向和纵向关联 目标 3 将包括访谈、数据整合和迭代适应过程， 从而对社会经济处于不利地位的围产期人群进行多层次的 PCI。 总结：MORE的创新点有三点：1）多级防护星座识别 支持围产期心理健康的因素，2）生命历程视角和纵向模型的应用 调查关键的、可塑的时期的资源，以及 3) PCI 的调整，可以通过以下方式减少耻辱 提供不病态的支持，从而增加获得心理健康支持的机会，尽管其根源是社会性的。 必须解决经济因素，以消除健康不平等，并采取社会心理干预措施，以促进健康 更好地应对压力的资源可能是降低社会经济压力的具有成本效益和有效的策略 该奖项将为 R01 在特定期间实施更多措施提供初步数据。 关键时期针对特定亚群体，以减少健康不平等的代际传递。