ELEVATE Center: Reduction of Maternal Morbidity from Substance Use Disorder in Utah

ELEVATE 中心：降低犹他州药物使用障碍导致的孕产妇发病率

• 批准号: 10748243
• 负责人: Torri D Metz
• 金额: $ 194.97万
• 依托单位: UNIVERSITY OF UTAH
• 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/10748243
• 关键词: Accidents; Accounting; Active Learning; Address; Adverse effects; Affect; Alaska Native; American Indians; Caring; Cessation of life; Clinic; Collaborations; Communities; Dependence; Discipline of obstetrics; Discrimination; Disparity; Drug usage; Educational Curriculum; Elements; Equity; Family; Glean; Goals; Healthcare; Individual; Infrastructure; Inpatients; Intervention; Interview; Leadership; Learning; Link; Location; Maternal Health; Maternal Mortality; Medical Care Team; Medicine; Mental disorders; Methods; Mission; Morbidity - disease rate; Mothers; Names; Native Americans; Outpatients; Overdose; Patient-Focused Outcomes; Perinatal; Perinatal Care; Persons; Pharmaceutical Preparations; Population; Populations at Risk; Postpartum Period; Pregnancy; Provider; Recovery; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Training; Review Committee; Role; Rural; Rural Community; Scientist; Substance Use Disorder; Suicide; System; Testing; Time; Trainers Training; Training; Tribes; Universities; Utah; Work; addiction; community engagement; community partnership; community setting; disparity reduction; effectiveness/implementation trial; experience; future implementation; health training; implementation science; improved outcome; informant; maternal morbidity; member; multidisciplinary; next generation; pregnancy associated death; pregnant; programs; response; rural setting; scale up; simulation; substance use; success; tool

PROJECT SUMMARY ELEVATE CENTER Accidental drug overdose and suicide were the leading causes of pregnancy-associated death in Utah from 2015-2020, accounting for nearly 40% of all pregnancy-associated deaths over that time period. At-risk populations, including those in rural settings and those who identify as American Indian or Alaska Native are disproportionately affected by maternal morbidity. We bring together a transdisciplinary team with expertise in obstetrics, addiction medicine, simulation training, experiential learning, bias and disparity reduction, community engagement and implementation science. Together, this collaborative team will establish the ELEVATE Maternal Health Center of Excellence. ELEVATE is named to encompass our mission to Expand our reach across Utah and the Mountain West, LEVerage existing infrastructure, And Treat pregnant and postpartum people with substance use disorder (SUD) who experience disparities to achieve Equity. In response to our community partners and needs of disproportionately affected populations, we propose three projects in years 1-5, which will be scaled up and implemented statewide and disseminated nationally in years 6 and 7. Project 1 (CEREMONY) will implement a culturally appropriate and multidisciplinary perinatal care clinic for individuals with SUD at Sacred Circle Clinic, which is a clinic serving Native mothers. Project 2 (INSPIRE) will develop, implement and test a modular learning intervention, anchored in simulation training, for interprofessional members of the healthcare team to reduce bias related to SUD in pregnancy. A robust train- the-trainer curriculum will allow us to implement the program across the state and reach rural communities. Project 3 (MEMORIES) will refine and test an expanded informant interview tool to ascertain community and systems contributions to maternal deaths, and the role of discrimination in deaths from SUD. The tool will then be disseminated nationally to Maternal Mortality Review Committees. Our ELEVATE Center aims are to: (1) provide integrated and efficient leadership of the three proposed projects, maximizing coordination with community partners and incorporating research training across all elements of the ELEVATE Center; (2) mature our existing community partnerships and statewide networks in order to facilitate future implementation science and effectiveness trials to reduce maternal morbidity and mortality in Utah, and (3) reduce maternal morbidity in Utah and nationally through implementation of community-driven interventions and training of health care practitioners. The ELEVATE Center will rigorously investigate and identify contributors to maternal morbidity and mortality from SUD with a focus on rural and Native populations. The multipronged approach of the ELEVATE Center will reduce maternal morbidity from substance use in Utah while training the next generation of scientists focused on morbidity reduction. Our efforts can ultimately be expanded nationally to address a leading cause of pregnancy-associated death in the U.S.

项目概要 电梯中心 意外药物过量和自杀是犹他州妊娠相关死亡的主要原因 2015-2020 年，占该时期所有妊娠相关死亡的近 40%。有风险 人口，包括农村地区的人口以及美洲印第安人或阿拉斯加原住民的人口 受孕产妇发病率的影响尤为严重。我们汇集了一支跨学科团队，拥有以下领域的专业知识 产科、成瘾医学、模拟训练、体验式学习、减少偏见和差异、 社区参与和实施科学。该协作团队将共同建立 提升卓越孕产妇保健中心。 ELEVATE 的命名体现了我们扩展业务的使命 我们的业务遍及犹他州和西部山区，利用现有基础设施，并治疗怀孕和 患有物质使用障碍 (SUD) 的产后人士在实现公平方面经历了差异。 为了满足我们的社区合作伙伴和不成比例受影响人群的需求，我们提出了三项建议 第 1-5 年的项目将在全州范围内扩大和实施，并在几年内在全国范围内传播 6 和 7. 项目 1（仪式）将实施适合文化的多学科围产期护理 圣环诊所 (Sacred Circle Clinic) 为 SUD 患者提供诊所，这是一家为土著母亲提供服务的诊所。项目2 (INSPIRE) 将开发、实施和测试以模拟培训为基础的模块化学习干预措施，以 医疗团队的跨专业成员，以减少与妊娠期 SUD 相关的偏见。坚固的列车—— 培训师课程将使我们能够在全州实施该计划并覆盖农村社区。 项目 3（MEMORIES）将完善和测试扩展的线人访谈工具，以确定社区和 系统对孕产妇死亡的贡献，以及歧视在 SUD 死亡中的作用。然后该工具将 向全国孕产妇死亡率审查委员会传播。 我们的 ELEVATE 中心的目标是：(1) 为拟议的三个项目提供综合、高效的领导 项目，最大限度地与社区合作伙伴协调，并将研究培训纳入所有领域 ELEVATE 中心的元素； (2) 成熟我们现有的社区合作伙伴关系和全州网络 为了促进未来实施科学和有效性试验，以降低孕产妇发病率和 犹他州的死亡率，以及 (3) 通过实施以下措施降低犹他州和全国的孕产妇发病率 社区驱动的干预措施和对卫生保健从业人员的培训。 ELEVATE 中心将严格调查并确定导致孕产妇发病和死亡的因素 来自 SUD，重点关注农村和原住民人口。 ELEVATE 中心的多管齐下方法 将减少犹他州因药物使用而导致的孕产妇发病率，同时培训下一代科学家 重点是减少发病率。我们的努力最终可以扩展到全国范围，以解决一个主要原因 美国与妊娠相关的死亡人数