Training program addressing the multilevel factors that affect pregnancy-related and pregnancy-associated morbidity and mortality disparities

针对影响妊娠相关发病率和死亡率差异的多层次因素的培训计划

• 批准号: 10755553
• 负责人: Claire E Margerison
• 金额: $ 22.03万
• 依托单位: HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES
• 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/10755553
• 关键词: Active Learning; Address; Affect; Behavioral; Biological; Black race; Collaborations; Communities; Data; Development; Disparity; Environment; Environmental Risk Factor; Faculty; Family; Funding; Goals; Health; Health Sciences; Health system; Hispanic; Human; Inequity; Insurance Claim Review; Interdisciplinary Study; Intervention; Knowledge; Learning; Location; Maternal Health; Maternal health equity; Medicaid eligibility; Medicine; Mentors; Michigan; Morbidity - disease rate; Mothers; Patients; Phase; Policies; Population Analysis; Postdoctoral Fellow; Pregnancy; Provider; Quasi-experiment; Racial Equity; Research; Research Methodology; Research Personnel; Research Project Grants; Research Training; Role; Rural Community; Scientist; Source; Structure; Students; Suicide; System; Testing; Training; Training Programs; Training Support; Translating; United States National Institutes of Health; Universities; Work; cohort; college; community engaged research; community partnership; design; disparities in morbidity; disparity reduction; dissemination science; experience; health disparity; implementation science; indigenous community; interest; mHealth; mentoring community; mortality; mortality disparity; partner violence; randomized trial; recruit; rural setting; severe maternal morbidity; sociocultural determinant; structural determinants; substance use; synergism; training opportunity; trial design; urban setting

The Training Component will prepare scientists, including early-stage investigators and other junior scien- tists, students, and postdocs from under-represented backgrounds, to conduct research to that will help us un- derstand and address multilevel factors causing PRAMM disparities. As our projects address PRAMM disparities at the patient, community, provider, and systems levels, so too will our training program. The overall goal of the Center’s Training Component is to engage and prepare junior investigators, with a focus on early-stage investi- gators from backgrounds or identities currently underrepresented in the health sciences, to conduct research that addresses the biological, behavioral, environmental, and structural determinants of PRAMM and disparities. The Training Component will leverage the expertise and networks of Center investigators and community partners, who bring a broad range of expertise in community-engaged research methods, developing and testing multilevel interventions, dissemination and implementation science, analysis of population-level data, random- ized trial designs, factorial designs, quasi-experimental studies, and analysis of claims data. Center investigators also bring expertise on using mobile health to reduce disparities and substantive knowledge and experience testing interventions for understudied causes of PRAMM disparities, including partner violence, suicide, sub- stance use, and other co-occurring conditions. The College of Human Medicine at Michigan State University offers an ideal environment for this training program because of its emphasis on community-engagement and health disparities, its reach across multiple locations in Michigan (Flint, Grand Rapids, Lansing/East Lansing, and Northern Michigan) and its partnership with Henry Ford Health System in Southeast Michigan. We will pur- sue the following Specific Aims. 1. Engage and train Collaborating Scholars through one-on-one mentoring, hands-on experiential learning, and structured training, with a focus on early-stage and underrepresented investigators. 2. Provide opportunities for other early-stage and junior investigators, students, and postdocs to learn from participating in PRAMM disparities research by including them in Center projects. 3. Provide a set of didactic opportunities focused on understanding and addressing the multi-level de- terminants of PRAMM to the entire Research Community, i.e., Investigators, staff, Community Partners, Collaborating Scholars and other students, postdocs, new investigators, and interested stakeholders 4. Leverage an extensive network of existing training opportunities that include courses, seminars, and trainings from across the Michigan State University colleges in East Lansing and Flint, Michigan, other Com- munity Partner organizations, and other sources as appropriate

培训部分将为科学家做好准备，包括早期研究人员和其他初级科学家 来自代表性不足的背景的科学家、学生和博士后进行研究，这将有助于我们 了解并解决导致 PRAMM 差异的多层次因素，因为我们的项目解决了 PRAMM 差异。 在患者、社区、提供者和系统层面，我们的培训计划的总体目标也是如此。 中心的培训部分是吸引和准备初级研究人员，重点是早期研究 来自目前健康科学领域代表性不足的背景或身份的鳄鱼进行研究 解决 PR​​AMM 和差异的生物、行为、环境和结构决定因素。 培训部分将利用中心研究人员和社区的专业知识和网络 合作伙伴，他们在社区参与的研究方法、开发和测试方面带来了广泛的专业知识 多层次干预、传播和实施科学、人口水平数据分析、随机- 标准化试验设计、析因设计、准实验研究以及索赔中心调查人员的分析。 还带来使用移动医疗减少差异的专业知识以及实质性知识和经验 测试干预措施以找出 PRAMM 差异的未充分研究的原因，包括伴侣暴力、自杀、亚健康 姿势使用和其他同时发生的情况。密歇根州立大学人类医学学院。 为该培训计划提供了理想的环境，因为它强调社区参与和 健康差异，其覆盖范围遍及密歇根州多个地点（弗林特、大急流城、兰辛/东兰辛、 和北密歇根州）及其与密歇根州东南部亨利·福特医疗系统的合作伙伴关系。 起诉以下具体目标。 1. 通过一对一指导、实践体验式学习来吸引和培训合作学者， 和结构化培训，重点关注早期和代表性不足的研究人员。 2.为其他早期和初级研究人员、学生和博士后提供学习的机会 通过将其纳入中心项目来参与 PRAMM 差异研究。 3. 提供一系列教学机会​​，重点关注理解和解决多层次的问题 PRAMM 对整个研究社区的终结者，即研究者、工作人员、社区合作伙伴、 合作学者和其他学生、博士后、新研究人员和感兴趣的利益相关者 4. 利用现有培训机会的广泛网络，包括课程、研讨会和 来自密歇根州东兰辛和弗林特的密歇根州立大学学院以及其他州的培训 unity 合作伙伴组织以及其他适当的来源