Expanding the Family Check-Up in Early Childhood to Promote Cardiovascular Health of Mothers and Young Children (ENRICH)

扩大幼儿期家庭检查，促进母婴心血管健康 (ENRICH)

基本信息

批准号：
10622517
负责人：
Janet M Catov
金额：
$ 76.28万
依托单位：
MAGEE-WOMEN'S RES INST AND FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-16 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10622517
关键词：
3 year old Address Adherence Adolescent Age Area Biological Black race Blood Pressure Body mass index Breast Feeding Cardiac health Cardiovascular Diseases Cardiovascular system Caring Child Child Behavior Child Health Child Rearing Childhood Cholesterol Cities Color Communities Coupled Credentialing Data Development Diabetes Mellitus Diet Disparity Education Effectiveness Family Feedback Gestational Diabetes Glucose Goals Growth Health Health Benefit Health Promotion Health behavior Health education Healthcare Heart Home Blood Pressure Monitoring Home visitation Hybrids Hypertension Inequity Infant Intervention Life Style Low income Maintenance Managed Care Maternal Mortality Mental Depression Mental Health Modeling Mothers National Heart, Lung, and Blood Institute Neighborhoods Obesity Outcome Outcome Assessment Parents Personal Satisfaction Phase Physical activity Pilot Projects Postpartum Period Pregnancy Provider Randomized, Controlled Trials Research Resources Risk School-Age Population Self Care Site Sleep Smoking Social support Special Supplemental Nutrition Program for Women, Infants, and Children Testing Training Trust Weight Weight Gain Work Youth antisocial behavior behavioral health black women blood pressure control cardiovascular disorder risk cardiovascular health cardiovascular risk factor checkup examination critical period cultural competence diet and exercise digital early childhood effectiveness testing effectiveness/implementation design effectiveness/implementation hybrid empowerment evidence base feasibility testing flexibility follow-up health care availability health determinants health disparity health of the mother high risk implementation context improved individualized medicine information gathering innovation lower income families maternal depression maternal morbidity maternal outcome metropolitan mortality multi-site trial novel nutrition pilot trial pregnancy disorder pregnancy hypertension premature prenatal preservation programs racial disparity racial health disparity randomized trial randomized, clinical trials remote intervention severe maternal morbidity skills smoking cessation social social health determinants stress management substance use suicidal risk treatment effect treatment program treatment response trend

3 year old Address Adherence Adolescent Age Area Biological Black race Blood Pressure Body mass index Breast Feeding Cardiac health Cardiovascular Diseases Cardiovascular system Caring Child Child Behavior Child Health Child Rearing Childhood Cholesterol Cities Color Communities Coupled Credentialing Data Development Diabetes Mellitus Diet Disparity Education Effectiveness Family Feedback Gestational Diabetes Glucose Goals Growth Health Health Benefit Health Promotion Health behavior Health education Healthcare Heart Home Blood Pressure Monitoring Home visitation Hybrids Hypertension Inequity Infant Intervention Life Style Low income Maintenance Managed Care Maternal Mortality Mental Depression Mental Health Modeling Mothers National Heart, Lung, and Blood Institute Neighborhoods Obesity Outcome Outcome Assessment Parents Personal Satisfaction Phase Physical activity Pilot Projects Postpartum Period Pregnancy Provider Randomized, Controlled Trials Research Resources Risk School-Age Population Self Care Site Sleep Smoking Social support Special Supplemental Nutrition Program for Women, Infants, and Children Testing Training Trust Weight Weight Gain Work Youth antisocial behavior behavioral health black women blood pressure control cardiovascular disorder risk cardiovascular health cardiovascular risk factor checkup examination critical period cultural competence diet and exercise digital early childhood effectiveness testing effectiveness/implementation design effectiveness/implementation hybrid empowerment evidence base feasibility testing flexibility follow-up health care availability health determinants health disparity health of the mother high risk implementation context improved individualized medicine information gathering innovation lower income families maternal depression maternal morbidity maternal outcome metropolitan mortality multi-site trial novel nutrition pilot trial pregnancy disorder pregnancy hypertension premature prenatal preservation programs racial disparity racial health disparity randomized trial randomized, clinical trials remote intervention severe maternal morbidity skills smoking cessation social social health determinants stress management substance use suicidal risk treatment effect treatment program treatment response trend

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项目摘要

Project Summary This two-phased randomized controlled trial will examine the implementation and effectiveness of a cardiovascular health (CVH) intervention on postpartum mothers and young children through age 3. We will adapt a CVH intervention into an evidence-based home visiting program, Family Check-Up (FCU) to create FCU-Heart. Through a Type 1 hybrid effectiveness- implementation design, the first phase RCT pilot study will test the feasibility and effectiveness of FCU-Heart (FCU-Heart, n=100; FCU, n=50) (Aim 1a and 1b). A second goal of the hybrid study is to understand the reach, engagement, and context for implementation of FCU-Heart and gather information for development of the multi-center home visiting model trial. The second phase of our study will compare the FCU-Heart to standard FCU outcomes through a collaborative, multicenter randomized trial (Aims 2 and 3). Our FCU-Heart program is intended to improve the CVH of high-risk mothers (low-income with cardiovascular risk during pregnancy—hypertension, diabetes, obesity) compared to the traditional FCU and other home visiting programs by incorporating individualized, culturally competent interventions that target diet and exercise, blood pressure control, stress management and self-care, and smoking cessation. The intervention includes cardiovascular assessment and feedback, followed by a tailored treatment program delivered by family coaches in 3-4 week modules to establish goals and track progress. These sessions will work towards obtaining positive CVH outcomes and empowering mothers of infants to achieve their goals through education and a connection to resources which we hypothesize will also preserve child CVH. Primary analyses will assess the impact of FCU-Heart on maternal and child CVH outcomes at child ages 1, 2, and 3 years compared to FCU Alone. Further, based on the higher rates of CVH complications among Black women and children, we will examine the effects of FCU-Heart vs FCU alone on maternal and child CVH racial disparities at the 1-, 2-, and 3-year assessments (Aim 3). This application has the potential to improve the CVH trajectories of postpartum mothers and young children during a critical period of their development, providing long-lasting health benefits.

项目摘要这项两步的随机对照试验将检查实施和有效性对产后母亲和幼儿的心血管健康（CVH）干预直到3岁。我们将调整CVH干预措施家庭检查（FCU）创建FCU Heart。通过1型混合有效性 - 实施设计，第一阶段的RCT试点研究将测试可行性和有效性 fcu-heart（fcu-heart，n = 100; fcu，n = 50）（AIM 1A和1B）。混合动力的第二个目标研究是要了解实施FCU Heart的影响力，参与和背景并收集信息以开发多中心家庭访问模型试验。第二个我们研究的阶段将通过a比较FCU心脏与标准FCU结局协作，多中心随机试验（目标2和3）。我们的FCU Heart计划是针对的改善高风险母亲的CVH（低收入有心血管风险与传统的FCU和其他家庭相比，怀孕 - 高血压，糖尿病，肥胖）通过成立的个性化的，具有文化胜任的干预措施来访问计划饮食和运动，血压控制，压力管理和自我护理以及吸烟停止。干预措施包括心血管评估和反馈，然后是家庭教练在3-4周模块中提供的量身定制治疗计划以建立目标并跟踪进度。这些会议将致力于获得积极的CVH结果，并赋予婴儿母亲通过教育以及与我们假设的资源也将保留儿童CVH。主要分析将评估 FCU Heart对1、2和3岁儿童的孕产妇和儿童CVH结局的影响与仅FCU相比。此外，基于黑色的CVH并发症率较高妇女和儿童，我们将检查FCU-HEART与FCU对Mater和Mater的影响 1，2年和3年评估的儿童CVH种族差异（AIM 3）。该应用程序具有改善产后母亲和幼儿CVH轨迹的潜力他们发展的关键时期，为健康带来持久的益处。