Knowledge and Usage of Lactation using Education and Advice from Support Network (KULEA-NET)
Knowledge and Usage of Lactation using Education and Advice from Support Network (KULEA-NET)
批准号:
10484245
负责人:
W. DOUGLAS EVANS
金额:
$91.58万
依托单位国家:
美国
项目类别:
财政年份:
2022
资助国家:
美国
项目状态:
已结题
起止时间:
2022-09-25 至 2024-06-30
关键词:
AddressAdoptionAfrican AmericanAfrican American populationAsthmaAwarenessBehaviorBlack AmericanBreast FeedingCardiovascular DiseasesCellular PhoneChildChronic DiseaseCommunicationCommunication ToolsCommunitiesComplexConsumptionDataDevelopmentDiabetes MellitusEducationEthnic OriginExclusive BreastfeedingFailureFamily memberFeasibility StudiesFeedbackFoodFosteringHealthHospitalsHuman MilkIncidenceIndividualInfantInfant HealthInterventionKnowledgeKnowledge acquisitionLactationLearningLifeLocationMaternal HealthMedicalMorbidity - disease rateMothersObesityOutcomeOwnershipParticipantPhasePilot ProjectsPrecede-Proceed ModelPrincipal InvestigatorRandomized Controlled TrialsResearchSelf EfficacySiteSmall Business Innovation Research GrantSocial DesirabilitySocial MarketingSpousesSudden infant death syndromeSystemTarget PopulationsTechnologyTestingText MessagingTimeUniversitiesWashingtonWomanWorkWorkplaceasynchronous communicationbasebehavior changeblack womenbreast pumpcostdigitalevidence baseexperiencefamily supportfeedinggrasphealth disparityhigh riskimprovedinnovationinterestmHealthmobile applicationmortalitynutritiononline communitypeerpilot testprototyperole modelsatisfactionskillssocialsocial normsupport networkusability
中文摘要
项目摘要/摘要
未按建议的6个月时间开始母乳喂养(BF)和纯母乳喂养(EBF);
可能导致母亲及其婴儿的长期发病率。非裔美国人/黑人(AA/B)
在美国所有种族中,最低的BF启动率和EBF比率。AA/B婴儿有
死亡率高得不成比例,儿童哮喘和婴儿猝死的发生率也很高
死亡综合征(SID),而AA/B母亲患慢性疾病的风险很高,如肥胖、糖尿病和
心血管疾病。这些健康差距使美国花费了超过91亿美元的医疗费用
每年,但可以通过提高EBF利率来减少。然而,AA/B女性在多个方面遇到障碍
水平到开始、持续BF和维持EBF(通过停止BF或引入补充剂
BF和其他食物)。A/B的智能手机拥有率和数字内容消费率较高
对于女性,拟议的mHealth干预措施有很大潜力增加BF的启动和维持EBF
在AA/B女性中使用,并已在之前完成的
可行性研究。建议的SBIR直接第二阶段应用、哺乳知识和用法
来自支持网络的教育和建议(Kulea-Net)解决了对循证医学的未得到满足的需求
移动APP,提供全面的高炉支持,解决相互关联和复杂的高炉障碍
AA/B级母亲的经历跨越了社会生态层面。
Kulea-Net将提供全面的BF支持,以培养和支持AA/B妇女在BF开始和
EBF,并包括以下创新特征:a)促进社会营销和健康品牌
EBF作为一种社会可取的行为;b)微型学习教育内容,以改善获得
与EBF相关的知识和技能;c)支持利用异步的网络通信工具
沟通,允许母亲与她的BF支持者、同龄人和哺乳专业人员进行沟通
支持;d)情景感知交付框架,将利用用户信息,如日期
交付、喂食和尿布日志数据以及位置变量,以提供及时的反馈、内容和指导;
E)一个虚拟社区支助网络,将AA/B母亲及其配偶/家庭聚集在一起
成员,并培养一个相互支持的社区。
我们假设Kulea-Net将提高知识、BF自我效能和对BF的意图,并最终
在AA/B母亲中,在6个月时实现更高的BF启动率、BF持续时间和EBF比率,因此,
改善孕产妇和婴儿的健康状况。
英文摘要
PROJECT SUMMARY/ABSTRACT
Failure to initiate breastfeeding (BF) and exclusively breastfeed (EBF) for the recommended 6-month duration,
can result in long-term morbidity among both mothers and their infants. African Americans/Blacks (AA/B) have
the lowest BF initiation and EBF rates among all racial ethnicities in the US. AA/B infants have
disproportionately high rates of mortality, and children have a high incidence of asthma and sudden infant
death syndrome (SIDS) while AA/B mothers are at high risk for chronic illnesses like obesity, diabetes, and
cardiovascular diseases. These health disparities cost the US more than $9.1 billion in medical treatment
annually but can be reduced by increasing EBF rates. However, AA/B women experience barriers on multiple
levels to initiating, continuing BF, and maintaining EBF (either by discontinuing BF or introducing supplements
BF with other foods). With high rates of smartphone ownership and consumption of digital content in AA/B
women, the proposed mHealth intervention has great potential to increase BF initiation and maintain EBF
among AA/B women and has demonstrated feasibility (user satisfaction and use) in our prior completed
feasibility study. The proposed SBIR Direct Phase II application, Knowledge and Usage of Lactation using
Education and Advice from Support Network (KULEA-NET) addresses an unmet need for an evidence-based
mobile app, providing comprehensive BF support and addresses the interrelated and complex BF barriers
AA/B mothers experience across the socio-ecological layers.
KULEA-NET will provide comprehensive BF support to nurture and support AA/B women in BF initiation and
EBF, and include the following innovative features: a) Social marketing and health branding to promote
EBF as a socially desirable behavior; b) Micro-learning educational content to improve the acquisition of
knowledge and skills related to EBF; c) Support network communication tools leveraging asynchronous
communication that allow mothers to communicate with her BF supporters, peers, and lactation professional
supports; d) Context-aware delivery framework that will capitalize on user information such as date of
delivery, feeding and diaper log data, and location variables to provide timely feedback, content, and guidance;
and e) a Virtual community support network bringing together AA/B mothers and their spouse/family
members, and fostering a community of mutual support.
We hypothesize that KULEA-NET will improve knowledge, BF self-efficacy, and intentions to BF, and ultimately
achieve increased BF initiation, BF duration, and EBF rates at 6 months among AA/B mothers and, as a result,
improved maternal and infant health outcomes.
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科研奖励(0)
会议论文
Knowledge and Usage of Lactation using Education and Advice from Support Network (KULEA-NET)
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依托单位:
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海外基金