Improving the Quality of Prenatal Care for Low-Income, Urban, Black Women

提高低收入城市黑人妇女的产前护理质量

基本信息

批准号：
10539277
负责人：
Sharla Annette Smith
金额：
$ 14.04万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-12-10 至 2024-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10539277
关键词：
Address Adherence American College of Obstetricians and Gynecologists Area Aspirin Awareness Belief Biomedical Research Birth Black race Caring Childbirth Clinic Clinical Communities Consolidated Framework for Implementation Research Development Development Plans Disparity Dissemination and Implementation Dose Eclampsia Educational workshop Electronic Health Record Ensure Evidence based practice Evidence based treatment Faculty Focus Groups Foundations Funding Future Goals Guidelines Health Disparities Research High Risk Woman Hypertension Incidence Individual Intervention Interview K-Series Research Career Programs Kansas Knowledge Low income Maternal Mortality Mentors Mentorship Methodology Methods Nurse Practitioners Outcome Patients Perception Physician Assistants Pre-Eclampsia Pregnancy Prenatal care Prevention Prevention trial Process Proteinuria Provider Recommendation Research Research Personnel Research Project Grants Research Training Risk Factors Schedule Seizures Structure Time Training Translating University resources Wichita Woman black women care outcomes career career development clinical implementation contextual factors design disparity reduction early onset evidence base experience health care disparity health disparity implementation research implementation science implementation strategy improved innovation maternal morbidity maternal outcome medical schools outcome disparities preference pregnancy disorder prevent process improvement provider behavior provider-level barriers racial disparity research and development screening skills uptake

项目摘要

Project Summary/Abstract My long-term career goal is to become an independent leading scholar (with R01 funding) drawing on concepts and methods to improve prenatal care and maternal outcomes among Black women who are three times more likely than White women to die from preeclampsia, specifically early onset-preeclampsia (EOP), and other childbirth-related issues. Specifically, I desire to become a nationally recognized health disparities and implementation science researcher who: 1) identifies and disseminates implementation strategies to improve processes of prenatal care and 2) increases the uptake of evidence-based treatment to reduce disparities in maternal mortality faced by Black women. Training facilitated by this Mentored Career Development Award to Promote Faculty Diversity in Biomedical Research (K01) will provide me with the protected time to obtain the theoretical knowledge and methodological skills necessary to achieve my long-term career goal. My training goals will address the following content and methodological areas: 1) prenatal care treatment for preeclampsia, in general, 2) dissemination and implementation research, and 3) health disparities research. My mentors and I have developed a three- pronged strategy to achieve my career goals and ensure that my research training needs are met: 1) a strong, interdisciplinary team of mentors and collaborators who will guide my research and career development; 2) an innovative research project integrated with my training goals that is both scientifically relevant and rigorous in its design and methods; and 3) a schedule of didactic coursework, workshops, seminars, professional interactions, and shadowing in prenatal care clinics that build upon the existing resources of the University of Kansas School of Medicine-Wichita. My proposed research plan seeks to improve the processes of care for Black women by determining the barriers and facilitators to implementing evidence-based treatments to prevent preeclampsia, specifically EOP. The study's specific aims are to 1) examine the implementation of evidenced-based treatment with aspirin to reduce preeclampsia among high-risk women; 2) determine critical facilitators and barriers to aspirin implementation among providers; and 3) characterize patients' awareness and perceptions of preeclampsia and the use of aspirin for prevention. The proposed development plan will provide training, mentorship, and research experience that will strengthen the foundation for my career as an independent investigator committed to reducing health care disparities and improving birth outcomes for Black women.

项目概要/摘要我的长期职业目标是成为一名利用概念的独立领先学者（拥有R01资助）以及改善三倍黑人女性产前护理和产妇结局的方法比白人女性更有可能死于先兆子痫，特别是早发性先兆子痫（EOP）和其他与分娩相关的问题。具体来说，我希望成为全国公认的健康差异和实施科学研究人员：1）确定并传播实施策略以改进产前护理流程，2) 增加循证治疗的采用，以减少差异黑人妇女面临的孕产妇死亡率。该指导性职业发展奖促进的培训旨在促进生物医学领域的教师多样性研究（K01）将为我提供受保护的时间来获取理论知识和方法论实现我的长期职业目标所需的技能。我的培训目标将涉及以下内容和方法学领域：1）一般性先兆子痫的产前护理治疗，2）传播和实施研究，3) 健康差异研究。我和我的导师制定了一个三实现我的职业目标并确保满足我的研究培训需求的多管齐下的策略：1）强大的、由导师和合作者组成的跨学科团队将指导我的研究和职业发展； 2) 一个创新的研究项目与我的培训目标相结合，既具有科学相关性又严格其设计和方法； 3) 教学课程、讲习班、研讨会、专业课程的时间表建立在大学现有资源基础上的产前保健诊所的互动和跟踪堪萨斯医学院威奇托分校。我提出的研究计划旨在通过确定黑人女性的护理流程来改善黑人女性的护理流程。实施循证治疗预防先兆子痫（特别是 EOP）的障碍和促进因素。该研究的具体目标是 1) 检查阿司匹林循证治疗的实施情况减少高危女性的先兆子痫； 2) 确定阿司匹林的关键促进因素和障碍提供者之间的实施； 3) 描述患者对先兆子痫的认知和感知以及使用阿司匹林进行预防。拟议的发展计划将提供培训、指导和研究经验将为我作为独立研究者的职业生涯奠定基础致力于减少黑人妇女的医疗保健差距并改善出生结果。