JSU- Mississippi Delta Research Center of Excellence for Maternal Health

JSU-密西西比三角洲孕产妇健康卓越研究中心

• 批准号: 10749765
• 负责人: Mary D Shaw
• 金额: $ 87.88万
• 依托单位: JACKSON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-17 至 2030-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10749765
• 关键词: Access to Information; Address; Advocate; Affect; Back; Cardiovascular system; Caring; Centers of Research Excellence; Child Rearing; Clinical; Clinical Services; Communities; Community Health; Community Health Aides; Comprehension; Contraceptive Agents; Educational process of instructing; Effectiveness; Environment; Event; Family; Focus Groups; Health; Health Insurance; Health Personnel; Health Services; Health Services Accessibility; Health system; Healthcare; Healthcare Systems; Hospitals; Hypertension; Improve Access; Incidence; Infection; Insurance; Interpersonal Violence; Intervention; Licensing; Life; Maternal Health; Maternal Health Services; Maternal Mortality; Maternal health equity; Medical; Mental Health; Mission; Mississippi; Outcome; Parents; Patient Self-Report; Patients; Perception; Persons; Postpartum Period; Postpartum Women; Poverty; Preventive service; Process; Provider; Reproductive Health; Research; Research Activity; Research Personnel; Research Project Grants; Research Training; Risk; Self Efficacy; Services; Substance Use Disorder; System; Techniques; Text; Training Programs; Transportation; Trust; United States; Universities; Visit; Vocabulary; Woman; Writing; adverse maternal outcomes; barrier to care; black women; care coordination; community center; community engagement; cost; cultural competence; distrust; effectiveness evaluation; efficacy evaluation; empowerment; experience; health care availability; health care quality; health care service; health communication; health inequalities; health literacy; high risk; improved; low health literacy; maternal morbidity; maternal outcome; member; oral communication; post pregnancy; postpartum care; postpartum health; pregnancy related death; pregnant; public health relevance; racism; reproductive; satisfaction; service utilization; severe maternal morbidity; skills; structural determinants; therapy design

PROJECT SUMMARY: Research Project 2 - Empowering Women for Postpartum Care and Reproductive Health in the Mississippi Delta Maternal mortality and morbidity remain unacceptably high across the United States, and particularly in the Mississippi Delta, with Black women experiencing an elevated and unjust risk of loss of life and health. Evidence supports that engagement in healthcare across the pre- and postpartum continuum can reduce adverse maternal outcomes. However, barriers to engagement in maternal healthcare persist in the Mississippi Delta, despite many attempts to intervene. Legacies and current practices of structural and interpersonal racism have led to distrust of health advocates and healthcare providers among Black women and their families. Poverty, transportation, lack of health insurance, poor health literacy, and limited availability of healthcare also contribute to health inequities. To improve access to care and quality of healthcare services, these structural and interpersonal barriers must be acknowledged and addressed in a comprehensive manner. In this research project, we propose a multisectoral patient-clinical linkage intervention to increase comprehension, trust, and engagement in postpartum healthcare among parents in the Mississippi Delta, with a specific focus on Black women, their families, and their communities. The intervention will directly address structural and interpersonal barriers to engagement in postpartum healthcare through (a) improving health literacy and communication skills among community health workers and licensed clinicians (focusing on skills, written text and oral communication, tasks and activities for services utilization, and the environment for provision of health services); (b) community health worker care coordination to facilitate pre- and postpartum visits; and (c) employing strategies to increase insurance utilization postpartum and defray the costs of attending care. These interconnected research activities aim to reduce structural and interpersonal barriers to healthcare engagement, thereby empowering postpartum women to seek, advocate for, and receive the healthcare they deserve. This research project will implement and evaluate the proposed intervention through the following aims: (1) refine and implement the community-based patient-clinical linkage intervention and evaluate its effectiveness in increasing maternal health engagement in medical care; (2) evaluate the effectiveness of the community-based patient-clinical linkage intervention in improving health literacy and increasing trust; and (3) evaluate the effectiveness of the community-based patient-clinical linkage intervention in improving reproductive autonomy among postpartum parents in the Mississippi Delta. By providing concrete support to access information and care, we will connect parents at high risk for adverse maternal outcomes to quality preventive services. Ultimately, this research project will support the overall mission of the JSU- Mississippi Delta Research Center of Excellence for Maternal Health to empower women through increased trust and health literacy while reducing maternal morbidity and mortality in partnership with the Mississippi Delta community.

项目摘要：研究项目 2 - 赋予妇女产后护理和生殖能力 密西西比三角洲的健康状况 美国各地的孕产妇死亡率和发病率仍然高得令人无法接受，特别是在 密西西比三角洲，黑人妇女面临着较高且不公正的生命和健康损失风险。 有证据表明，在产前和产后连续过程中参与医疗保健可以减少 不良产妇结局。然而，参与孕产妇保健的障碍仍然存在 密西西比三角洲，尽管多次尝试干预。结构和结构的遗产和当前实践 人际种族主义导致黑人女性对健康倡导者和医疗保健提供者的不信任 和他们的家人。贫困、交通运输、缺乏健康保险、健康素养差以及可获得性有限 医疗保健的不足也会造成健康不平等。改善获得护理的机会和医疗保健质量 服务时，必须承认并解决这些结构性和人际障碍 综合方式。在这个研究项目中，我们提出了多部门患者与临床的联系 加强产后保健的理解、信任和参与 密西西比三角洲，特别关注黑人妇女、她们的家庭和社区。这 干预措施将直接解决参与产后保健的结构性和人际障碍 通过(a) 提高社区卫生工作者和有执照的卫生工作者的健康素养和沟通技巧 临床医生（重点关注技能、书面文字和口头交流、服务利用的任务和活动， 以及提供卫生服务的环境）； (b) 社区卫生工作者护理协调 促进产前和产后检查； (c) 采取策略提高产后保险利用率 并支付护理费用。这些相互关联的研究活动旨在减少结构性和 参与医疗保健的人际障碍，从而使产后妇女能够寻求、倡导 并获得他们应得的医疗保健。该研究项目将实施并评估拟议的 通过以下目标进行干预：（1）完善和实施以社区为基础的患者与临床的联系 干预并评估其在增加孕产妇保健参与医疗保健方面的有效性； (2) 评估基于社区的患者临床联动干预在改善健康方面的有效性 识字和增加信任； (3) 评估基于社区的患者与临床联系的有效性 密西西比三角洲产后父母提高生殖自主权的干预措施。经过 为获取信息和护理提供具体支持，我们将帮助处于不良风险高风险的父母建立联系 优质预防服务的孕产妇结局。最终，该研究项目将支持整体 JSU-密西西比三角洲孕产妇健康卓越研究中心的使命是赋权 提高妇女的信任度和健康素养，同时降低产妇发病率和死亡率 与密西西比三角洲社区的合作伙伴关系。