Addressing perinatal mood and anxiety disorders (PMADs) through a doula intervention
通过导乐干预解决围产期情绪和焦虑障碍 (PMAD)
基本信息
- 批准号:10861961
- 负责人:
- 金额:$ 17.19万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-03-01 至 2025-02-28
- 项目状态:未结题
- 来源:
- 关键词:AddressAnxiety DisordersAreaCenters for Population HealthChildbirthClientCompanionsComplicationDataEmotionalFamilyHealthHealth Care VisitHealthcareInfant HealthInterventionInterviewInvestigational TherapiesKnowledgeMaternal HealthMaternal and Child HealthMental HealthMental Health ServicesMethodsModelingMontanaMood DisordersOutcomeParticipantPerinatalPersonal SatisfactionPostpartum PeriodPregnancyProviderResearchRural PopulationSelf EfficacyStructureTestingTrainingWomen&aposs Healthcommunity based participatory researchexperienceimprovedindigenous communityintergenerationalmarginalized populationpeer supportphysical conditioningpostpartum healthprenatalsocialsubstance usesuicide rate
项目摘要
Perinatal mood and anxiety disorders (PMADs) have intergenerational negative impacts on the physical
and mental health of women and their families and are the most frequently experienced childbirth
complication. PMADs are particularly common in rural populations, who experience additional obstacles in
accessing maternal and child health (MCH) and mental health services. Doulas, non-medically trained
childbirth and postpartum companions, have been proposed as one way to address existing healthcare
gaps, and as a way to improve mental health outcomes, along with additional MCH outcomes such as
decreased substance use, increased prenatal and postpartum healthcare visit attendance, and
improvements in overall maternal physical wellbeing. The aims of this research are: 1) Explore the use of
doulas to improve self-efficacy and maternal mental health outcomes for rural populations; 2) Develop a
doula intervention to improve self-efficacy and maternal mental health in rural populations; and 3) Pilot a
doula-led intervention to improve self-efficacy and maternal mental health outcomes. Using the NIM....'s
experimental therapeutics approach, I will explore the underlying mechanism impacting these outcomes
by focusing on how doulas improve self-efficacy among their clients. Following Whitbeck's (2006) model
for adaptation of interventions, and community-based participatory research (CBPR) best practices, I will
use formative and exploratory research approaches to address knowledge gaps about the use of doulas
to improve PMADs and secondary maternal and infant health outcomes. Through this project we will first
collect primary qualitative data regarding the feasibility of using doulas to improve PMAD health outcomes
and will identify the needs and barriers in accessing mental health care, as well as social and emotional
support that could be addressed by doulas (N=40). The proposed research will then synthesize
quantitative data on the use of doulas and peer-support models with qualitative data collected from
semi-structured interviews to develop and test a doula-led intervention through adapting an existing
doula-training. A mixed-methods approach will be used to analyze findings from study participants (N=75)
and doulas and providers (N=20). This project will provide preliminary data for the cultural adaptation of
the intervention for use with other marginalized groups and rural populations, including Indigenous
communities, who experience heightened PMADs and other negative MCH outcomes.
围产期情绪和焦虑症(PMADs)对身体有代际的负面影响
妇女及其家庭的健康和心理健康,并且是最常经历分娩的
很复杂。PMADs在农村人口中特别常见,他们在
获得妇幼保健和精神卫生服务。杜拉,未经医学训练
分娩和产后陪伴已被提议作为解决现有医疗保健的一种方式
差距,并作为改善精神健康结果的一种方式,以及其他妇幼保健结果,如
减少药物使用,增加产前和产后保健就诊次数,以及
改善产妇的整体身体健康状况。本研究的目的是:1)探索使用
改善农村人口的自我效能感和孕产妇心理健康结果;2)制定
改善农村人群自我效能感和孕产妇心理健康的导乐干预;以及3)试点
达拉领导的干预措施,以提高自我效能和母亲的心理健康结果。用NIM...‘S
实验治疗学方法,我将探索影响这些结果的潜在机制
通过关注杜拉如何提高客户的自我效能感。遵循惠特贝克(2006)的模型
为了适应干预措施和基于社区的参与性研究(CBPR)的最佳做法,我将
使用形成性和探索性研究方法来解决有关使用Doulas的知识差距
改善PMADs和次级母婴健康结果。通过这个项目,我们将首先
收集有关使用DULA改善PMAD健康结果的可行性的初步定性数据
并将确定获得精神卫生保健的需求和障碍,以及社会和情感方面的需求和障碍
可以由杜拉斯解决的支持(N=40)。然后,拟议的研究将综合
关于使用杜拉斯和同行支助模式的定量数据,其中定性数据收集自
半结构化访谈,通过调整现有的
助产士--训练。将采用混合方法分析研究参与者(N=75)的研究结果。
杜拉和供应商(N=20)。该项目将为文化适应提供初步数据。
供其他边缘化群体和农村人口使用的干预措施,包括土著
社区,他们经历了PMADs增加和其他负面的妇幼保健结果。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Jessica Liddell其他文献
Jessica Liddell的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
相似海外基金
Using generative AI combined with immersive technology to treat anxiety disorders
利用生成式人工智能结合沉浸式技术治疗焦虑症
- 批准号:
10109165 - 财政年份:2024
- 资助金额:
$ 17.19万 - 项目类别:
Launchpad
Integration of stepped care for Perinatal Mood and Anxiety Disorders among Women Living with HIV in Kenya
肯尼亚艾滋病毒感染妇女围产期情绪和焦虑障碍的分级护理一体化
- 批准号:
10677075 - 财政年份:2023
- 资助金额:
$ 17.19万 - 项目类别:
Understanding the Effects of Adolescent Nicotine Exposure on Increased Risk for Mood and Anxiety Disorders: Bridging the Gap from Pre-Clinical to Clinical Investigations
了解青少年尼古丁暴露对情绪和焦虑障碍风险增加的影响:弥合临床前研究与临床研究之间的差距
- 批准号:
478121 - 财政年份:2023
- 资助金额:
$ 17.19万 - 项目类别:
Operating Grants
Evaluation of the effectiveness and implementation of online group cognitive behavioral therapy for perinatal women with anxiety disorders.
评估在线团体认知行为治疗对患有焦虑症的围产期妇女的有效性和实施情况。
- 批准号:
22KJ3164 - 财政年份:2023
- 资助金额:
$ 17.19万 - 项目类别:
Grant-in-Aid for JSPS Fellows
Investigating the error-related negativity and the balance N1 in children with anxiety disorders
调查焦虑症儿童的错误相关消极性和平衡 N1
- 批准号:
10685283 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别:
RESONY: Digital therapeutic to manage anxiety disorders
RESONY:管理焦虑症的数字疗法
- 批准号:
10042996 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别:
Grant for R&D
Augmenting the Efficacy of Benzodiazepine Taper with Telehealth-Delivered Cognitive Behavioral Therapy for Anxiety Disorders in Patients Using Prescription Opioids
通过远程医疗提供的认知行为疗法来增强苯二氮卓类药物逐渐减少的疗效,以治疗使用处方阿片类药物的焦虑症患者
- 批准号:
10705005 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别:
Developing an adjunctive mobile application for co-morbid substance use and anxiety disorders: comprehensive user experience testing of the Unwinding Anxiety application
开发针对共病药物使用和焦虑症的辅助移动应用程序:Unwinding Anxiety 应用程序的综合用户体验测试
- 批准号:
10597521 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别:
Investigating the role of neuroinflammation in environmental exposure-induced anxiety disorders
研究神经炎症在环境暴露诱发的焦虑症中的作用
- 批准号:
10573948 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别:
Augmenting the Efficacy of Benzodiazepine Taper with Telehealth-Delivered Cognitive Behavioral Therapy for Anxiety Disorders in Patients Using Prescription Opioids
通过远程医疗提供的认知行为疗法来增强苯二氮卓类药物逐渐减少的疗效,以治疗使用处方阿片类药物的焦虑症患者
- 批准号:
10355810 - 财政年份:2022
- 资助金额:
$ 17.19万 - 项目类别: