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.

项目概要（摘要） 通过实施科学和培训实现孕产妇公平并改变健康状况 （AMETHIST@宾夕法尼亚大学） 美国国立卫生研究院 (NIH) 实施“人人孕产妇健康和妊娠成果愿景”(IMPROVE) 计划 旨在降低孕产妇死亡率，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存在严重差异。宾夕法尼亚大学（Penn） 建议创建“通过实施科学实现孕产妇公平和改变健康”和 培训 (AMETHIST@Penn) 实施科学中心以支持改进孕产妇健康研究 卓越中心 (CoE) 和其他 IMPROVE 研究人员，并与 NIH 科学家进行协​​调， 项目人员以及数据创新和协调中心。 AMETHIST@Penn 将由 MPI Meghan 领导 Lane Fall（医学博士、MSHP）和 Rebecca Hamm（医学博士、MSCE）在这方面带来了互补和必要的优势 实施科学（IS）和孕产妇健康。 Lane-Fall 博士是宾夕法尼亚大学实施中心的执行主任 伦纳德·戴维斯健康经济研究所科学中心 (PISCE@LDI)。她是一位国际化的 公认的急性护理 IS 专家，拥有独立的 IS 研究计划。她拥有 8 年的经验 合作者和顾问，为研究人员提供以下方面的建议：信息系统理论、模型和框架的选择，包括 那些专注于公平的人；实施规划和策略选择；实施结果选择； 跨多种类型和来源的数据集成；和先进的分析程序来阐明变化 机制。 Hamm 博士是一位母胎医学专家，在全国范围内享有盛誉。 产科和 IS 十字路口的研究员。他们将共同策划 AMETHIST@Penn 的工作， 领导一个由超过 45 名科学家和社区合作伙伴组成的跨学科、跨专业团队。这 AMETHIST@Penn Hub 将由五个核心组成，每个核心有两名联合领导和 2-4 名核心研究员： 1）行政、领导和评价； 2) 公平、社区和利益相关者的参与（ 股权咨询和监督委员会向调查人员提供建议并让调查人员负责将股权纳入 他们的研究）； 3) 设计、方法和分析（包括方法、公平和分析顾问小组） 临床子小组，以满足 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方面培养技能）； 5) 培训和 能力建设（以创新的学术界合作伙伴培训计划和全面的 为新的和已建立的研究人员提供指导研究经验）。除了建立和 管理该中心，研究目标包括对 IS 调查人员进行前瞻性混合方法研究， 社区合作伙伴和机构来描述基于项目的实施成功的预测因素 开展孕产妇保健信息系统研究的多层次障碍和促进因素。 AMETHIST@Penn 中心 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。