Core F: Community Engagement Core

核心 F：社区参与核心

• 批准号: 8927929
• 负责人: Philip M Brown
• 金额: $ 0.81万
• 依托单位: NORTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-12 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8927929
• 关键词: Accounting; Advisory Committees; Advocacy; Affect; Area; Attention; Back; Birth Rate; Child; Child Development; Clinic; Cohort Studies; Collaborations; Communication; Communication Research; Communities; Community Health; Community Health Centers; Development; Discipline of obstetrics; Early Intervention; Environmental Health; Environmental Pollution; Epidemic; Epidemiology; Ethics; Exposure to; Family; Focus Groups; Foundations; Funding; Hazardous Chemicals; Hazardous Waste Sites; Health; Health Care Costs; Health Promotion; Healthcare; Intervention; Investigation; Knowledge; Learning; Live Birth; Malawi; Marshal; Methods; Mission; Modeling; Needs Assessment; Nursing Staff; Participant; Pathway interactions; Pregnant Women; Premature Birth; Premature Infant; Prevention; Prevention education; Process; Provider; Public Health; Puerto Rico; Reporting; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Proposals; Research Training; Resource Development; Resources; Risk; Sampling; Services; Site; Social Work; Solvents; Training; Trust; Woman; Women' s Group; Work; base; cohort; community based participatory research; community organizations; early childhood; experience; human subject; improved; innovation; interest; intervention program; landfill; meetings; phthalates; prevent; remediation; social; stem; superfund site; systems research

PROJECT SUMMARY In Puerto Rico, the preterm birth rate is 17.7% of live births. At 50% above the U.S. average, it is the highest rate of any U.S. jurisdiction, below only Malawi (18.1%) globally. Puerto Rico also has 16 active Superfund sites and 200+ hazardous waste sites. Our investigations suggest that the increase in preterm birth rates in Puerto Rico cannot be explained by changes in obstetric practices and that there is sufficient evidence that exposure to hazardous chemicals contributes to preterm birth. Risk of exposure to contamination is high as many of these sites are unlined landfills that overlie karst aquifers. These aquifers present highly susceptible pathways for exposure to contamination and in fact there is extensive evidence of groundwater contamination. Established in 2010, the Puerto Rico Testsite for Exploring Contamination Threats Center (PROTECT) uses a holistic system of research, training and stakeholder engagement to study the fate, transport, exposure, health impact and remediation of contaminants, with particular attention to chlorinated solvents and phthalates commonly found at Superfund sites, as both suspect and model agents in the high preterm birth rates in Puerto Rico. PROTECT's new Community Engagement Core (Core F) will leverage the infrastructure and relationships developed in the center's first three years of funding through the Human Subjects and Sampling Core (Core C) and its research projects to serve as the main vehicle for interaction with community stakeholders in Puerto Rico. PROTECT's approach emphasizes bidirectional engagement with two groups of stakeholders: 1) women participating in the PROTECT study cohort (480 women as of March 2013); and 2) the broader group of residents in the areas where PROTECT's groundwater study is being conducted. Core C has established strong relationships with study participants as well as with service providers and a wide range of relevant community social actors, including staff and clinicians at community health centers and private clinics, social work and nursing staff, and community groups. Building on this foundation, Core F will develop a strong bidirectional communication strategy that will emphasize report-back of research findings to stakeholders, informed by stakeholders' priorities, needs and concerns. Core F will also focus on capacity-building for participants and their community organizations, and the development of resources for early childhood development through intervention supports for preterm children born to the participants. Core F activities will help provide appropriate ethical communication to participants via an innovative report-back process, enable participants to be more fully included in the research process, improve study recruitment and retention rates, offer lay perspectives and information, build capacity of participants and their community organizations, and lay the groundwork for additional community-based participatory research proposals.

项目摘要 在波多黎各，早产率占活产的17.7%。比美国平均水平高出50%，是最高的 美国司法管辖区的比例，全球仅低于马拉维（18.1%）。波多黎各也有16个活跃的超级基金 200多个危险废物处理场。我们的调查表明， 波多黎各的死亡不能用产科做法的变化来解释，有足够的证据表明， 接触危险化学品会导致早产。暴露于污染的风险很高， 其中许多地点是覆盖在岩溶含水层上的无衬垃圾填埋场。这些含水层极易受到 事实上，有大量证据表明地下水受到污染。 波多黎各污染威胁探测中心（COST）试验场成立于2010年， 研究、培训和利益攸关方参与的整体系统，以研究 污染物的影响和补救，特别关注氯化溶剂和邻苯二甲酸酯 通常发现在超级基金的网站，作为嫌疑人和模型代理人在高 波多黎各的早产率 瑞可 CIMT的新社区参与核心（核心F）将利用基础设施和关系 在该中心通过人类受试者和采样核心（核心C）资助的前三年中开发的 及其研究项目，作为与波多黎各社区利益攸关方互动的主要工具 瑞可联合国贸易和发展会议的方法强调与两类利益相关者的双向接触：1）妇女 参与PROTECT研究队列（截至2013年3月有480名女性）;和2）更广泛的群体 在该地区的居民，CITMT的地下水研究正在进行。核心C已经建立 与研究参与者以及服务提供者建立了牢固的关系， 社区社会行动者，包括社区卫生中心和私人诊所的工作人员和临床医生， 工作和护理人员以及社区团体。在此基础上，Core F将开发强大的 双向沟通战略，强调向利益攸关方报告研究结果， 了解利益攸关方的优先事项、需求和关切。核心F还将侧重于能力建设， 参与者及其社区组织，以及开发幼儿资源 通过干预支持参与者所生早产儿的发展。F核心活动将 通过创新的报告反馈流程，帮助向参与者提供适当的道德沟通， 参与者更充分地参与研究过程，提高研究招募和保留率， 提供非专业观点和信息，培养参与者及其社区组织的能力， 为其他基于社区的参与性研究提案奠定基础。