Service Delivery Models to Reduce Maternal and Child Health Disparities

减少孕产妇和儿童健康差异的服务提供模式

• 批准号: 7891261
• 负责人: SHARON LANDESMAN RAMEY
• 金额: $ 50.09万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-25 至 2011-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7891261
• 关键词: Adopted; Adult; African American; Asthma; Attitude; Behavior; Belief; Birth; Birthing Centers; Breathing; Caring; Child; Child Development; Childhood; Cities; Clinical; Cognition; Collaborations; Commit; Communities; Community Services; Data; Data Set; Databases; Development; Developmental Delay Disorders; Dimensions; District of Columbia; Education; Ensure; Equilibrium; Evolution; Exposure to; Face; Family; Family health status; Fathers; Fostering; Funding; Future; Goals; Health; Health Policy; Health Promotion; Health education; Healthcare; Healthcare Systems; Healthy People 2010; Hypersensitivity; Individual; Infant Mortality; Information Systems; Interview; Knowledge; Language; Lead; Life Style; Low Birth Weight Infant; Low income; Maternal and Child Health; Mental Health; Mentors; Meta-Analysis; Methods; Midwifery; Mission; Modeling; Monitor; Mothers; Neighborhoods; Nurse Practitioners; Outcome; Overweight; Parenting behavior; Parents; Participant; Pathway interactions; Patient Self-Report; Patients; Perception; Personal Satisfaction; Phase; Plague; Policies; Poverty; Pregnancy; Pregnancy Interval; Pregnancy Outcome; Pregnant Women; Prenatal care; Prevention; Principal Investigator; Provider; Research; Research Personnel; Resources; Retrospective Studies; Risk; Risk Factors; Scientific Advances and Accomplishments; Scientist; Series; Services; Single Parent; Site; Social Health Services; Social Work; Solutions; Source; Stress; Substance abuse problem; System; Time; Translational Research; Trauma; Universities; Very Low Birth Weight Infant; Violence; Voice; Woman; Work; base; care systems; community based service; computerized; data sharing; design; early childhood; experience; fetal programming; health care service utilization; health disparity; high risk; improved; indexing; inner city; innovation; interest; maternal depression; maternal stress; premature; prenatal; prevent; programs; prospective; research study; resilience; respiratory; response; social; success; theories; tool

DESCRIPTION (provided by applicant): The District of Columbia has long had unacceptably poor pregnancy outcomes, as indexed very high rates of infant mortality, prematurity, low birth weight, and very low birth weight. Children in the District of Columbia are at elevated risk for respiratory problems (especially asthma), overweight, and developmental delays in language and cognition. For most families, health care and social services for families in the District of Columbia are fragmented, complicated, frequently changing, and not neighborhood-based. A notable exceptional is the Developing Families Center, a multi-service, highly innovative, and responsive form of care for pregnant women, children, and fathers. This application focuses on how to build research capacity and then conduct scientific inquiry about promising service delivery approaches to improve the heath and well-being of inner city, African American, predominately low income families. The specific aims are to: 1) expand and evaluate a community-university research partnership designed to advance knowledge about health of inner city families; 2) implement a computerized information system regarding prenatal, birth, post- partum, and pediatric care; social services and supports, and early child development; 3)refine, and develop innovative, valid methods to study health disparities; to incorporate local, cultural, and ethnic perspectives; 4) conduct a series of descriptive studies on health disparities topics of mutual interest -including Study 1 on neighborhood knowledge and perceptions related to the Developing Families Center, well-being of pregnant women and their families, and experiences with service delivery and Study 2 focused on the inter-pregnancy interval and factors associated with positive health and well-being indicators for mothers, fathers, and young children; 5) to disseminate research findings from our partnership and document the use of these findings; and 6) work with other innovative (non-conventional) community-based service providers to create a network for conducting multi-site research trials. Overall, we seek to create a partnership that will promote both receptivity to new knowledge (research findings) and innovation in community service delivery and research on service delivery.

描述（由申请人提供）：长期以来，哥伦比亚特区的妊娠结局令人难以接受，婴儿死亡率、早产率、低出生体重和低出生体重率都很高。哥伦比亚特区的儿童患呼吸系统疾病（尤其是哮喘）、超重以及语言和认知发育迟缓的风险较高。对大多数家庭来说，哥伦比亚特区家庭的医疗保健和社会服务是分散的、复杂的、经常变化的，而且不是以社区为基础的。一个值得注意的例外是发展中家庭中心，这是一个为孕妇、儿童和父亲提供多种服务、高度创新和反应灵敏的护理形式。本申请的重点是如何建立研究能力，然后对有希望的服务提供方法进行科学探究，以改善市中心、非裔美国人、主要是低收入家庭的健康和福祉。具体目标是：1)扩大和评估社区大学研究伙伴关系，旨在提高对市中心家庭健康的认识；2)实施产前、分娩、产后和儿科护理的计算机化信息系统；社会服务和支助，以及儿童早期发展；3)完善和发展创新、有效的方法来研究健康差异；结合地方、文化和种族的观点；4)对共同感兴趣的健康差异主题进行一系列描述性研究，包括研究1关于发展中家庭中心的邻里知识和观念，孕妇及其家庭的福祉，以及服务提供的经验，研究2侧重于怀孕间隔和与母亲，父亲和幼儿的积极健康和福祉指标相关的因素；5)传播我们合作的研究成果，并记录这些成果的使用情况；6)与其他创新的（非传统的）以社区为基础的服务提供商合作，创建一个进行多地点研究试验的网络。总的来说，我们寻求建立一种伙伴关系，既能促进对新知识（研究成果）的接受，也能促进社区服务提供和服务提供研究的创新。