Using Innovative Communication Technology to Improve the Health of Young African

利用创新通信技术改善非洲年轻人的健康

基本信息

批准号：
8509787
负责人：
BRIAN William JACK
金额：
$ 47.53万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-12 至 2017-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8509787
关键词：
Address Advocate African African American Age Area Birth Caring Centers for Disease Control and Prevention (U.S.)Clinical Communication Communities Computers Control Groups Counseling Devices Dose-Rate Effectiveness Goals Guidelines Hand Health Health Communication Health Planning Health Promotion Health Status Health Technology Healthcare Hearing Information Systems Institutes Internet Intervention Lead Low Birth Weight Infant Measurement Measures Medical Methods Modeling Morbidity - disease rate Newborn Infant Outcome Participant Patients Policy Research Population Preconception Care Pregnancy Premature Birth Premature Infant Provider Randomized Controlled Trials Readiness Recruitment Activity Reproductive Health Research Risk Risk Assessment Risk Factors Simulate Social Marketing Staging Stress System Technology Telephone Testing Translating Update Woman Work Writing arm base community setting cost effective intervention evidence base experience group intervention health disparity health information technology health literacy high risk improved innovation minority health mortality novel patient oriented pregnant programs response satisfaction secondary outcome syntax therapy design user-friendly young woman

项目摘要

DESCRIPTION (provided by applicant): Despite over thirty years of research and policy work, Black women are approximately twice as likely to deliver a preterm infant as white women. The current project is part of a new effort to focus on engaging young women before they become pregnant - a concept called preconception care. Simply, healthy women are more likely to have healthy babies. Intervention. This study is the first to examine the effectiveness of an innovative health communication system (Gabby) that provides preconception health care across 12 domains of health and utilizes advanced capabilities to remain current through story-telling functionality, and scales the intervention to a large number of women via its social marketing applications. Methods: A two-armed randomized controlled trial of African American women ages 18-25 recruited through community-based organizations. Both groups will undergo a comprehensive preconception health risk assessment. The intervention group will then receive the Gabby intervention. The control group will be sent a list of health risks generated by the health risk assessment. Outcomes: At twelve months, we will measure improvement in health risks. Secondary outcomes include measurement of usage rates, dose of exposure, attrition, patient and health worker and subject satisfaction, number of women with a personalized health plan, and timeliness of response. Sub analyses include the impact of perceived societal stress and health literacy on outcomes. Significance: The potential to create a low-cost, user-friendly, culturally competent, evidence-based, scalable intervention that is continuously refreshed (via the story telling function) and can be used across a range of health care, educational and community settings to improve the health of young African American women.

描述（由申请人提供）：尽管研究和政策工作超过30年，但黑人妇女提供早产婴儿的可能性是白人妇女的两倍。当前的项目是一项新的努力的一部分，旨在在年轻女性怀孕之前与年轻妇女联系 - 这一概念称为孕前护理。简而言之，健康的女性更有可能有健康的婴儿。干涉。这项研究是第一个研究创新的有效性的研究卫生通信系统（GABBY），可在12个健康领域提供预选的医疗保健，并利用高级能力通过讲故事的功能保持最新，并通过其社交营销应用将干预范围扩展到大量女性。方法：通过社区组织招募的18-25岁的非裔美国妇女的两臂随机对照试验。这两个小组将接受全面的先入健康风险评估。然后，干预小组将接受GABBY干预。对照组将获得健康风险评估产生的健康风险清单。结果：在十二个月的时间里，我们将衡量健康风险的改善。次要结果包括测量使用率，接触剂量，流失量，患者和卫生工作者以及受试者满意度，具有个性化健康计划的妇女人数以及及时的响应性。子分析包括感知到的社会压力和健康素养对结果的影响。意义：创建低成本，用户友好，具有文化能力，基于循证的，可扩展的干预措施的潜力，该干预措施不断刷新（通过讲故事的功能），并可以在各种医疗保健，教育和社区环境中使用，以改善非裔美国妇女的健康状况。