Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn)

通过实施科学和培训实现孕产妇公平并改变健康状况 (AMETHIST@Penn)

• 批准号: 10748593
• 负责人: Rebecca Feldman Hamm
• 金额: $ 274.97万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-15 至 2030-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10748593
• 关键词: Acceleration; Accountability; Address; Advisory Committees; Affect; Behavioral; Birth; Black race; Caring; Centers of Research Excellence; Childbirth; Clinical; Collaborations; Communication; Communities; Consultations; Country; Data; Discipline of obstetrics; Disparity; Equity; Evaluation; Funding; Future; Goals; Health; Hispanic; Income; Indigenous; Inequity; Institution; International; Knowledge; Latinx; Leadership; Location; Maps; Maternal Health; Maternal Mortality; Maternal health equity; Maternal-fetal medicine; Mentors; Methods; Minority Groups; Modeling; National Institute of Child Health and Human Development; Outcome; Patients; Pennsylvania; Perinatal Care; Persons; Policies; Pregnancy; Pregnancy Outcome; Prenatal care; Procedures; Process; Public Health; Research; Research Methodology; Research Personnel; Research Support; Resources; Risk Factors; Scientist; Services; Source; Specialist; Testing; Training; Training Programs; United States; United States National Institutes of Health; Universities; Vision; Woman; Work; acute care; advanced analytics; clinical care; clinical practice; data integration; design; effective intervention; experience; falls; future implementation; health disparity populations; health economics; implementation outcomes; implementation research; implementation science; implementation strategy; improved; innovation; insight; intersectionality; lens; marginalized community; marginalized population; maternal morbidity; next generation; postpartum care; programs; prospective; rural area; skill acquisition; skills; success; theories; transgender

PROJECT SUMMARY (ABSTRACT) Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn) The NIH Implementing a Maternal Health and PRegnancy Outcomes Vision for Everyone (IMPROVE) initiative aims to reduce maternal mortality, improve pregnancy, perinatal and postpartum care, and to address the factors that have led to severe disparities in outcomes for marginalized groups. The University of Pennsylvania (Penn) proposes creating the Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn) Implementation Science Hub to support IMPROVE Maternal Health Research Centers of Excellence (CoEs) and other IMPROVE investigators, and to coordinate with NIH Staff Scientists, Project Staff, and the Data Innovation and Coordinating Hub. AMETHIST@Penn will be led by MPIs Meghan Lane Fall, MD, MSHP, and Rebecca Hamm, MD, MSCE, who bring complementary and necessary strengths in implementation science (IS) and maternal health. Dr. Lane-Fall is Executive Director of the Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI). She is an internationally recognized acute care IS expert with an independent IS research program. She has 8 years of experience as a collaborator and consultant advising investigators on: selection of IS theories, models, and frameworks, including those focused on equity; implementation mapping and strategy selection; implementation outcome selection; data integration across multiple types and sources; and advanced analytic procedures to elucidate change mechanisms. Dr. Hamm is a maternal fetal medicine specialist who has established herself nationally as a researcher at the crossroads of obstetrics and IS. Together they will orchestrate the work of AMETHIST@Penn, leading an interdisciplinary, interprofessional group of more than 45 scientists and community partners. The AMETHIST@Penn Hub will comprise five Cores, each with two Co-Leads and 2-4 Core Investigators: 1) Administration, Leadership, and Evaluation; 2) Equity, Community and Stakeholder Engagement (with an Equity Advisory and Oversight Board to advise and hold investigators accountable for incorporating equity into their research); 3) Design, Methods, and Analysis (including a Consultant Panel with Methods, Equity, and Clinical subpanels to meet the anticipated consultation and technical assistance needs of the CoEs); 4) Policy, Dissemination, and Communication (with skills building in messaging and media training); and 5) Training and Capacity Building (featuring an innovative academic-community partner training program and a comprehensive mentored research experience for both new and established investigators). In addition to establishing and administering the Hub, a research aim includes prospective mixed methods research on IS investigators, community partners, and institutions to characterize predictors of project-based implementation success and multilevel barriers to and facilitators of the conduct of maternal health IS research. The AMETHIST@Penn hub will advance public health and maternal health equity by facilitating rigorous implementation research that centers the needs and perspectives of patients, communities, and health disparity populations.

项目摘要（摘要） 通过实施科学和培训来实现孕产妇公平并改变健康 （对武物@Penn） NIH实施孕产妇的健康和怀孕成果为每个人（改善）倡议提供了愿景 旨在减少孕产妇死亡，改善怀孕，围产期和产后护理，并解决这些因素 这导致边缘化群体的结果差异很大。宾夕法尼亚大学（宾夕法尼亚大学） 提议通过实施科学和 培训（对武物@Penn）实施科学枢纽，以支持改善孕产妇健康研究 卓越中心（COE）和其他改善研究人员，并与NIH员工科学家协调， 项目人员以及数据创新和协调中心。武物@Penn将由MPIS Meghan领导 医学博士Lane Fall，MSHP和MSCE丽贝卡·哈姆（Rebecca Hamm），他们带来了补充和必要的优势 实施科学（IS）和孕产妇健康。 Lane-Fall博士是宾夕法尼亚州实施的执行董事 伦纳德·戴维斯（Leonard Davis）卫生经济学研究所（PISCE@LDI）的科学中心。她是国际 公认的急诊护理是独立IS研究计划的专家。她有8年的经验 合作者兼顾问向调查人员提供建议：选择为理论，模型和框架，包括 那些专注于公平的人；实施映射和策略选择；实施结果选择； 跨多种类型和来源的数据集成；和高级分析程序以阐明变化 机制。 Hamm博士是孕产妇医学专家，他在全国范围内成为一个 妇产科和IS的十字路口的研究人员。他们将一起策划武物@Penn的工作， 领导一个跨学科的跨专业团体，由45多个科学家和社区伙伴组成。这 AmeThist@Penn Hub将包括五个核心，每个核心都有两个共同领导者和2-4个核心调查员： 1）行政，领导和评估； 2）公平，社区和利益相关者参与（有一个 股权咨询和监督委员会建议并要求调查人员责任将股权纳入 他们的研究）； 3）设计，方法和分析（包括具有方法，权益和公平性和的顾问面板 临床子计划满足COE的预期咨询和技术援助需求）； 4）政策， 传播和沟通（在消息传递和媒体培训中建立技能）； 5）培训和 能力建设（具有创新的学术社区合作伙伴培训计划和全面 为新研究人员和成熟的研究人员提供指导的研究经验）。除了建立和 管理集线器，研究目的包括对研究人员的前瞻性混合方法， 社区合作伙伴和机构，以表征基于项目实施成功的预测指标 孕产妇健康行为的多层次障碍和促进者是研究。对私有主义@Penn Hub 将通过促进严格的实施研究来促进公共卫生和孕产妇健康公平 以患者，社区和健康差异人群的需求和观点为中心。