Using Quality Preventing to Address Health Inequities

描述（由申请人提供）：有迹象表明，“优质养育”，特别是在幼儿期，可以减轻贫困对儿童的负面影响高达50%（摩根，2009年）。研究还表明，在行为矫正和生活方式改变中使用“同龄人”是非常有效的，“领导力”是家庭，社区，社会和组织成功的决定因素之一（Leithwood & Jantzi，2000）。为了有效地减少并最终消除差距，有证据表明，基于社区的前瞻性研究（CBPR）是一种科学调查方法，要求社区-受健康差距影响的社区-参与研究项目的每个阶段。这意味着社区代表将社区最重要的健康问题确定为研究的重点，与学术研究团队合作选择研究问题和方法，参与进行研究，并帮助解释和传播结果。Morehouse医学院（MSM）Satcher健康领导研究所（SHLI）利用CBPR评估，计划，设计和开发并试点测试使用“优质养育”作为一种策略，使父母能够领导他们0-5岁的孩子的发展。我们的建议是测试在何种程度上可以使用高质量的养育作为一种干预措施，以解决健康不平等的少数群体，主要是非洲裔美国人，在低社会经济社区。SHLI通过国家少数民族健康和健康差异研究所资助的名为“邻里健康儿童发展”（NHCD）的项目开展了CBPR I进程，该项目将优质养育确定为可用于减少肥胖、暴力和心理健康问题以及增加社会联系、支持、在同侪家长领导人的带领下，通过对话式学习过程，促进儿童和家庭的教育和心理健康。 相关性：社会经济地位低下或少数民族家庭所使用的大多数现有育儿教育课程都没有在母亲、父亲、兄弟姐妹、 照顾者和/或祖父母从这些弱势群体。与此高度相关的是利用优质养育和居住在社区的父母作为解决卫生不平等问题的“变革推动者”领导人。拟议的CBPR范式“利用优质育儿来解决健康不公平”促进社区赋权。

DESCRIPTION (provided by applicant): There is indication that "quality parenting", especially during early childhood, can mitigate up to 50% of the negative impacts of poverty on children (Morgan, 2009). Studies have also revealed that the use of 'peers' in behavior modification and life-style change is very effective and that "leadership" is one of the determining factors of success across families, neighborhoods, societies and organizations (Leithwood & Jantzi, 2000). To effectively reduce and ultimately eliminate disparities, evidence has shown that Community-Based Participatory Research (CBPR) is an approach to scientific investigation that calls for the community -the community affected by the health disparity- to be involved in every phase of the research project. This means that community representatives identify the community's most important health problems as the focus of the study, partner with the academic research team in choosing the research question and method, participate in conducting the study, and help interpret and disseminate the results. The Morehouse School of Medicine (MSM) Satcher Health Leadership Institute (SHLI) utilized CBPR to assess, plan, design, and develop and pilot-test the use of 'quality parenting' as a strategy that empowers parents to lead in the development of their children 0-5 years old. Our proposal is to test the extent to which quality parenting could be used as an intervention for addressing health inequities among minority groups, predominantly African Americans, in low socio-economic communities. The SHLI conducted a CBPR I process through a National Institute of Minority Health and Health Disparity funded project called the 'Neighborhood Healthy Child Development' {NHCD] that led to the identification of quality parenting as a priority condition tha can be used to reduce obesity, violence, and mental health problems, as well as increase social connection, support, education and mental well-being of children and families when led by peer-parent leaders through a conversational learning process. RELEVANCE: Most existing parenting education curricula being used by low socio-economic or ethnic minority families are not developed with active participation of mothers, fathers, siblings, caregivers and/or grandparents from these vulnerable populations. Highly relevant is using quality parenting and parents that reside in the communities as 'change agents' leaders for addressing health inequities. The proposed CBPR paradigm of 'Using Quality Parenting to Address Health inequities' promotes community empowerment.