The CORAL Community Core

CORAL 社区核心

• 批准号: 10755460
• 负责人: Natalie Dolores Hernandez
• 金额: $ 38.6万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 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/10755460
• 关键词: Accountability; Achievement; Acute; Address; Affect; Agreement; Anxiety Disorders; Area; Birth; Black race; Cessation of life; Child Health; Childbirth; Clinical; Collaborations; Communication; Communities; Complex; Country; Development; Equity; Family; Family health status; Goals; Healthcare; Inequity; Infant; Infrastructure; Intervention; Investigation; Investments; Justice; Knowledge; Laws; Learning; Life Cycle Stages; Low income; Maintenance; Maternal Health; Maternal Mortality; Medical; Mental Health; Methods; Modeling; Mothers; Outcome; Overdose; Pathway interactions; Perinatal; Persons; Policies; Policy Maker; Population; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Women; Pregnancy; Pregnancy Complications; Pregnant Women; Process; Public Health; Research; Research Personnel; Research Project Grants; Review Committee; Scientist; Social Policies; Substance Use Disorder; Techniques; Training; Translations; Trust; Underrepresented Minority; Voice; Woman; Work; behavioral health; behavioral health intervention; black women; community engagement; community organizations; community partnership; coral; depressive symptoms; empowerment; ethnic minority; experience; health inequalities; improved; innovation; intergenerational; maternal morbidity; maternal risk; member; minority communities; minority investigator; novel; physical conditioning; pregnancy related death; prevent; racial disparity; racial minority; reproductive; response; social; social determinants; structural determinants; substance misuse

CORAL COMMUNITY PARTNERSHIP CORE - ABSTRACT Maternal behavioral health conditions, including substance use disorders, affect 1 in 5 pregnant/postpartum women and are one of the leading causes of pregnancy-related death. In the US, where population-wide maternal mortality is higher than that in similar nations, Black women are three times more likely to die from a pregnancy-related cause than White counterparts. Multiple factors, including multilayered structural and social determinants affecting the complex physical, mental, and behavioral health milieu, contribute to this racial disparity. Thus, maternal behavioral health represents one important area for investigation and innovation to improve lifecourse and intergenerational outcomes for Black women and birthing people. To date, predominant approaches to addressing Black maternal behavioral health have not appropriately and rigorously engaged community stakeholders. In many instances, proposed solutions have perpetuated medical/academic mistrust and have failed to create sustainable, equitable change. Experts agree that the lived experiences and cultural knowledge of Black birthing people, and community bodies who serve them, are integral in identifying effective public health solutions. We posit that, to drastically reduce pregnancy-related and pregnancy-associated maternal deaths among Black women with behavioral health conditions, community voices must be prioritized and amplified. To this end, the Community Partnership Core (CPC) will lead the creation, cultivation, and maintenance of a cooperative and equitable partnership between the Center to Advance Reproductive Justice and Behavioral Health among Black pregnant/postpartum women (CORAL) and all relevant community partners at each stage of the research process, from conceptualization to wide dissemination and translation for varied audiences. Using and expanding upon established reproductive justice, research justice, and community engagement frameworks, and leveraging a trans-disciplinary team of research and community partners we will: (1) Develop an effective CPC Community Accountability Board (CAB); (2) Engage communities to develop a CPC Community Accountability Board Research Agenda to advance Black Maternal Behavioral Health; (3) Develop infrastructure to support the achievement of the CPC CAB Research Agenda, and CORAL projects more broadly; and (4) Apply innovative methods to disseminate and implement CORAL research learnings with community members, partner organizations, and policymakers utilizing culturally- rooted approaches. We anticipate that, through our intentionally constructed research team, community partnerships, and leveraging of our existing state-and-nationwide capacity, we will be able to support the implementation of sustainable maternal behavioral health interventions to improve maternal health outcomes. Working in partnership with communities, and those who serve Black pregnant and postpartum women, the CPC's work has the potential activate the power of communities and inform policies and practices for practitioners, researchers, policy makers, and activists so that Black mothers not just survive but thrive.

珊瑚社区伙伴关系核心 - 摘要 孕产妇的行为健康状况，包括药物使用障碍，影响5分之1的怀孕/产后 妇女是与怀孕有关的主要原因之一。在整个人口的美国 孕产妇的死亡率高于类似国家的死亡率，黑人妇女死亡的可能性高三倍 与怀孕相关的原因比白人同行。多种因素，包括多层结构和社会 影响复杂的身体，精神和行为健康环境的决定因素有助于这种种族 差距。因此，孕产妇的行为健康是调查和创新的一个重要领域 改善黑人妇女和分娩人的生命和代际成果。迄今为止，主要 解决黑人孕产妇行为健康的方法尚未适当，严格地参与 社区利益相关者。在许多情况下，拟议的解决方案使医学/学术不信任持续了 并且未能创造可持续，公平的变化。专家同意，生活经验和文化 了解黑人分娩的人和为他们服务的社区团体，在确定有效的方面是不可或缺的 公共卫生解决方案。我们认为这要大幅度降低与妊娠相关并相关的妊娠 具有行为健康状况的黑人妇女的孕产妇死亡，必须优先考虑社区声音 并放大。为此，社区伙伴关系核心（CPC）将领导创造，耕种和 维持中心之间的合作和公平合作伙伴关系，以提高生殖司法 黑人孕妇/产后妇女（珊​​瑚）和所有相关社区的行为健康 研究过程的每个阶段的伙伴，从概念化到广泛的传播和翻译 对于不同的受众。在既定的生殖司法，研究司法和 社区参与框架，并利用跨学科研究和社区团队 合作伙伴我们将：（1）开发有效的CPC社区问责委员会（CAB）； （2）参与 建立CPC社区问责制研究议程的社区以推动黑人母亲 行为健康； （3）开发基础设施以支持CPC CAB研究议程的实现， 和珊瑚项目更广泛； （4）应用创新方法传播和实施珊瑚 与社区成员，合作伙伴组织和政策制定者一起研究的研究，利用文化 扎根的方法。我们预计，通过有意建造的研究团队，社区 合作伙伴关系以及利用我们现有的国家和国际能力，我们将能够支持 实施可持续的孕产妇行为健康干预措施，以改善孕产妇的健康结果。 与社区以及为黑人怀孕和产后妇女服务的人合作， CPC的工作有可能激活社区的力量，并为政策和实践提供信息 从业者，研究人员，政策制定者和活动家，使黑人母亲不仅生存，而且蓬勃发展。