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Literacy & maternal health: defining obstacles to care

识字能力

基本信息

批准号：
8056653
负责人：
IAN Moore BENNETT
金额：
$ 13.26万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-17 至 2013-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8056653
关键词：
Address Adherence Adult Affect Applications Grants Area Birth Budgets Caring Case Management Case Manager Characteristics Child Childhood Clinical Trials Design Communities Consensus Data Education Effectiveness Elements Ethnic group Foundations Goals Head Start Program Health Health Services Health Status Home visitation Hospitals House Call Infant Infant Health Instruction Intervention Intervention Studies Intervention Trial Interview Knowledge Lead Link Low income Maternal Health Maternal and Child Health Measures Mediating Mediator of activation protein Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Modeling Mothers National Institute of Child Health and Human Development Nature Outcome Participant Patient Self-Report Patients Pilot Projects Population Postpartum Period Pregnancy Premature Birth Premature Infant Preventive Procedures Prospective Studies Protocols documentation Qualitative Methods Quality of Care Randomized Randomized Controlled Trials Recruitment Activity Research Research Design Research Personnel Research Training Risk Role Sampling Sampling Studies Series Services Severities Social Sciences Statistical Methods Structure Supplementation Surveys Testing Time Training Use Effectiveness Vaccination Variant Visit Woman Work base career cost design disability experience health care service utilization health literacy improved inner city interest literacy member novel patient oriented programs psychosocial research study satisfaction service utilization social success task analysis therapy design therapy development

项目摘要

DESCRIPTION (provided by applicant): This revised application for an NICHD Mentored Patient-Oriented Research Career Development Award (K23) seeks support to develop a program of research related to social factors contributing to disparities in maternal-child health. In particular, I am interested in identifying obstacles to preventive pediatric care for preterm infants related to maternal low literacy. While low literacy is common in populations with high rates of preterm birth and has been associated with poor care utilization in other settings little to nothing is known about the role of literacy in the utilization of pediatric care. This research is designed to lay the groundwork for a community based intervention to reduce obstacles to effective pediatric care utilization faced by women with low literacy. The proposed course of study includes: 1) an educational component, and 2) a research plan to be carried out through three linked studies. Study 1 is an analysis of a prospective study of low income, inner-city women following a preterm birth (< 35 weeks gestation; n=700). The goal of this study is to examine the association between maternal literacy and preventive pediatric care (well child visits and Up to Date vaccination status) as well as to assess potential mediators of this association. Study 2, with the same population, will utilize qualitative methods to clarify factors identified in Study 1 and uncover new obstacles to care from the perspective of the mothers. Study 3 utilizes the findings of the preceding work to develop a community based intervention to modify the obstacles identified in Studies 1 and 2. A home visiting model used widely to deliver services to low income women and their infants will be adapted to include health and literacy instruction to address the identified obstacles to pediatric care utilization. The educational component focuses on specific areas of advanced social science methodology, statistical methods, and the assessment of adult literacy, as well as the design of intervention trials, which are needed for the planned research studies and subsequent independent research career. This work will result in an R01 intervention study proposal to be submitted in the fourth year. The proposed research represents a unique opportunity to study the role of low literacy and pediatric care utilization in a setting in which the benefits of effective utilization are clear and well defined. The results of this work will also have important implications for understanding the role of literacy in health care utilization for the larger group of term infants.

描述（由申请人提供）：这一修订后的申请NICHD指导的以患者为导向的研究职业发展奖（K23）寻求支持，以制定一项与导致母婴健康差异的社会因素相关的研究计划。特别是，我感兴趣的是确定与母亲识字率低有关的早产儿预防性儿科护理的障碍。虽然低识字率在早产率高的人群中很常见，并且与其他环境中的护理利用率低下有关，但人们对识字在儿科护理利用率方面的作用知之甚少。这项研究旨在为基于社区的干预奠定基础，以减少低识字率妇女有效利用儿科护理的障碍。拟议的研究课程包括：1）教育部分，和2）通过三个相互关联的研究进行的研究计划。研究1是对低收入、市中心早产妇女（妊娠<35周; n = 700）的前瞻性研究的分析。本研究的目的是检查产妇识字率和预防性儿科护理（以及儿童访问和最新的疫苗接种状态）之间的关联，以及评估这种关联的潜在介质。研究2，与相同的人口，将利用定性方法来澄清研究1中确定的因素，并从母亲的角度发现新的障碍，照顾。研究3利用前面的工作的结果，开发一个基于社区的干预措施，以修改研究1和2中确定的障碍。将对广泛用于向低收入妇女及其婴儿提供服务的家访模式进行调整，以包括健康和识字指导，以解决已查明的儿科护理利用障碍。教育部分侧重于先进的社会科学方法、统计方法和成人识字率评估的具体领域，以及干预试验的设计，这是计划中的研究和随后的独立研究生涯所需的。这项工作将导致在第四年提交R01干预研究提案。拟议的研究代表了一个独特的机会，研究低识字率和儿科护理利用率的作用，在有效利用的好处是明确和明确的设置。这项工作的结果也将对了解识字在更大规模的足月婴儿群体的医疗保健利用中的作用产生重要影响。

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Student attitudes: potential barriers to implementing a community medicine field activity.

学生态度：实施社区医学现场活动的潜在障碍。

DOI：
发表时间：
2009
期刊：
Family medicine
影响因子：
1.9
作者：
Cronholm,PeterF;Margo,Katherine;Bazelon,Gillian;Bream,Kent;Bennett,IanM;Barg,FrancesK
通讯作者：
Barg,FrancesK

Perceptions of healthcare providers' communication skills: do they differ between urban and non-urban residents?

对医疗保健提供者沟通技巧的看法：城市居民和非城市居民之间有何不同？

DOI：
10.1016/j.healthplace.2007.10.010
发表时间：
2008
期刊：
Health & place
影响因子：
4.8
作者：
Wallace,LorraineS;DeVoe,JenniferE;Bennett,IanM;Roskos,StevenE;FryerJr,GeorgeE
通讯作者：
FryerJr,GeorgeE

Improving maternal care with a continuous quality improvement strategy: a report from the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network.

通过持续的质量改进策略改善孕产妇护理：通过持续改进技术（隐式）网络从干预措施中的报告，以最大程度地减少早产和低出生体重的婴儿。