Project 3: Building Community Resillience through Disaster Mobile Health

项目 3：通过灾难移动医疗增强社区复原力

基本信息

批准号：
8895456
负责人：
MAUREEN Y. LICHTVELD
金额：
$ 0.85万
依托单位：
TULANE UNIVERSITY OF LOUISIANA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-05-01 至 2016-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8895456
关键词：
Address Adherence Adverse event Affect Age Area Behavior Birth Caring Cellular Phone Child Child health care Clinic Communication Communities Community Health Community Health Education Disasters Economically Deprived Population Effectiveness Environment Environmental Exposure Environmental Health Environmental Risk Factor Ethnic group Goals Health Health Personnel Health Technology Health system Healthcare Hurricane Individual Infant Infant Care Information Technology Intervention Lead Life Living Costs Louisiana Low income Maternal and Child Health Measurable Medical Mexico Minority Monitor Nurses Nutritionist Oils Outcome Participant Patients Population Postpartum Period Postpartum Women Pregnancy Pregnant Women Prenatal care Provider Public Health Quality of life Readiness Recovery Reproductive Health Research Risk Role Solutions System Target Populations Technology Time Training Trust Underserved Population Visit Woman Women&apos s Health base cost effectiveness cultural competence design empowered gulf coast health care delivery health disparity high risk improved innovation mHealth novel prenatal programs reproductive resilience response risk perception routine care standard of care stressor treatment adherence

项目摘要

The proposed project aims to characterize WIC participants in the Greater New Orleans area, including the Parishes of Orleans, Jefferson, St. Bernard, Plaquemines, Lafourche, and Terrebonne, all of which experienced adverse environmental consequences following the Gulf of Mexico Oil Spill. These areas include a broad spectrum of economically disadvantaged and minority populations with historic health disparities. The overarching goal of the proposed project is to strengthen community resilience of vulnerable pregnant women and non-pregnant women of reproductive age by integrating community health workers as disaster interventionists and simple cellular and telephone technology as a viable and sustainable component of the health system, especially WIC Clinics. This CBPR project is explicitly designed to address community resiliency and assess the effectiveness of integrating the use of cell-phones into a WIC Community Health Education Program to improve pregnancy and post-partum outcomes among an under-served population through the following specific aims, 1) Develop a community-driven disaster mobile health platform to improve community resilience targeting selected Women Infants and Children (WIC) programs serving pregnant women and those of reproductive age 2) Train WIC-affiliated community health workers to serve as disaster interventionists with special curricular emphasis on maternal and child health, environmental health, risk communication, disaster preparedness, response, and recovery, cultural competence , and mobile health technology 3) Determine the impact of a community asset-driven health system integrating community health workers as disaster interventionists and tailored Information Technology (IT) to achieve sustained community resiliency 4) Examine the effect of the interactive capabilities of the disaster mobile health platform on just-in-case and just-in-time risk communication and community risk perception

拟议项目旨在描述大新奥尔良地区 WIC 参与者的特征，包括奥尔良教区、杰斐逊教区、圣伯纳德教区、普拉克明教区、拉福什教区和特雷博讷教区，所有这些教区在墨西哥湾漏油事件后都经历了不利的环境后果。这些地区包括广泛的经济弱势群体和具有历史性健康差距的少数群体。拟议项目的总体目标是通过将社区卫生工作者纳入灾害干预人员并将简单的蜂窝和电话技术作为卫生系统的可行和可持续组成部分，特别是WIC 诊所。该 CBPR 项目明确旨在解决社区弹性问题，并评估将手机的使用纳入 WIC 社区健康教育计划的有效性，以通过以下具体目标改善服务不足人群的怀孕和产后结局： 1) 开发一个社区驱动的灾难移动医疗平台，以提高社区的复原力，针对为孕妇和育龄妇女服务的选定女婴和儿童 (WIC) 项目 2) 培训 WIC 附属的社区卫生工作者作为灾害干预人员，特别强调孕产妇和儿童健康、环境健康、风险沟通、备灾、响应和恢复、文化能力和移动卫生技术 3) 确定社区资产驱动型卫生系统的影响，将社区卫生工作者作为灾害干预人员并结合定制信息技术 (IT)，以实现持续的社区复原力 4）检验灾害移动医疗平台的交互能力对以防万一、及时的风险沟通和社区风险感知的影响