Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS): Category B[Existing

简介（由申请人提供）：俄克拉荷马州妊娠风险评估监测系统（PRAMS）项目摘要：长期目标俄克拉荷马州妊娠风险评估监测系统（PRAMS）为各种妇幼健康（MCH）问题提供数据。这项研究的目的是降低产妇和婴儿的发病率和死亡率。PRAMS可以通过提供持续的、全州范围的孕前、怀孕和产后的具体数据来实现这一目标。没有其他全国性的研究关注怀孕和产后经历，这使得PRAMS成为该州独特和必要的数据来源。俄克拉何马州PRAMS项目的具体目标是提供俄克拉何马州卫生部妇幼保健优先事项的高质量、全州范围、基于人口的监测数据。这些优先事项是：降低婴儿死亡率；改善妇幼保健人口获得综合保健服务的机会；减少妇幼保健人群中的烟草使用流行率；降低妇幼保健人群的肥胖患病率；改善育龄男女的孕前保健；减少意外怀孕；改善婴儿的安全睡眠习惯。监控整个州在这些优先事项上的行为和结果将使项目和机构能够为有需要的人群提供有针对性的干预措施。研究设计与方法PRAMS在分娩后2至6个月与新妈妈联系。样本取自俄克拉荷马州的活产登记处。PRAMS项目采用混合模式监视系统，这意味着应答者将被发送多达三个邮件调查包，然后对未应答者进行电话联系。俄克拉何马州按出生体重分层，过度抽样低出生体重（少于2500克）和高出生体重（约4000克）的婴儿。为了将数据加权到年度出生队列，所有阶层的回复率必须达到65%。邮包包括PRAMS问卷和回邮信封、知情同意书、资源目录、奖励（仅限邮件1）和奖励表（列出母亲可以选择完成调查的几个项目）。电话回答者还可以选择各种奖励。激励和奖励是为了最大限度地提高研究的参与度。目前，俄克拉荷马州PRAMS的总体响应率为70%，所有地层均达到65%的门槛。

DESCRIPTION (provided by applicant): Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS) Project Abstract: Long Term Objectives The Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS) provides data for a variety of maternal and child health (MCH) issues. The goal of the study is to reduce the prevalence of maternal and infant morbidity and mortality. PRAMS can accomplish this by providing on-going, statewide preconception, pregnancy, and postpartum specific data. No other statewide study focuses on the pregnancy and postpartum experience, making PRAMS a unique and necessary data source for the state. Specific Aims The specific aims of the Oklahoma PRAMS Project are to provide quality, statewide, population- based surveillance data on the Oklahoma State Department of Health's MCH priorities. Those priorities are: reduce infant mortality; improve access to comprehensive health services for the MCH population; reduce the prevalence of tobacco use among the MCH population; reduce the prevalence of obesity among the MCH population; improve preconception health for females and males of reproductive age; reduce unwanted, unplanned pregnancies; and improve infant safe sleep practices. Monitoring behaviors and outcomes across the state on these priorities will enable programs and agencies to provide targeted interventions to populations of need. Research Design and Methods PRAMS contacts new mothers two to six months after delivering a live birth. The sample is drawn from the Oklahoma live birth registry. The PRAMS Project utilizes a mixed mode surveillance system, meaning respondents are sent up to three mail survey packets, followed by telephone contact for nonrespondents. Oklahoma stratifies by birth weight, oversampling low birth weight (less than 2,500 grams) and high birth weight infants (> 4,000 grams). A response rate of 65% in all strata is required in order to weight the data to the annual birth cohort. Mail packets consist of the PRAMS questionnaire and return envelope, an informed consent sheet, a resource directory, an incentive (Mail 1 only), and a reward sheet (listing several items mothers may choose from for completing the survey). Telephone respondents are also offered a choice of rewards. Incentives and rewards are used in an effort to maximize participation in the study. Currently, Oklahoma PRAMS has an overall response rate of 70% and all strata meet the 65% threshold.