The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE) Diversity Supplement

受资助家长助学金摘要。该提案是对的一个子项目的补充 “大西洋中部心脏代谢健康公平中心”(NIMHD 5P50MD017348-02；MPI：Cooper and Crews 降低母婴心脏代谢风险的健康指导计划 参加早期家访服务“(MPI：Bower/Bennett)。黑人和拉丁裔妇女 肥胖的患病率最高。1怀孕时肥胖的女性 妊娠期糖尿病、高血压疾病和急性心血管事件的高风险 在分娩和分娩期间，与正常体重的女性相比。 2，3 生活方式干预 解决怀孕期间的肥胖问题有可能打破肥胖和 黑人和拉丁裔妇女及其后代的心脏代谢性疾病(CMD) 有效性的证据，很少有生活方式干预在黑人或拉丁裔中进行测试 孕妇或在以社区为基础的环境中实施，在那里许多高危 孕妇和产后妇女获得安全网服务。早期家访是一种 以证据为基础的公共卫生服务战略在所有50个州都找到了，目标是服务于高 风险社区应对健康的不利社会决定因素。家庭访客提供健康 教育，促进积极的育儿和早期学习，并将家庭与有需要的人联系起来 社区资源。5这是一种混合的第一类有效性--实施随机对照 H42/H4U-HV，一种基于证据的远程交付方案的有效性比较试验 孕期/产后健康指导干预，纳入家访与 360例孕妇产后体重滞留的常规家访服务 产后妇女。我们将评估干预措施的实施情况，以使 保持与家访的融合。H42/H4U-HV，专为黑人、拉丁裔、西班牙语定制 对妇女说话，并将其纳入早期家访计划，有可能促进 健康的生活方式，消除肥胖、不良妊娠结局、 年轻的高危黑人和拉丁裔孕妇和产后的长期CMD 和他们的婴儿。我们的目标不仅是确定H42/H4U-HV的有效性，而且还 了解实施干预措施以促进可持续性的因素，进一步 从证据转化为实践的途径，并促进更大的后续公开 对健康的影响6

Summary of the Funded Parent Grant. This proposal is a supplement to a sub-project of “The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE)” (NIMHD 5P50MD017348-02; MPI: Cooper and Crews) entitled “Effectiveness of an evidence-based health coaching program for reducing cardiometabolic risk among women and infants enrolled in early home visiting services” (MPI: Bower/Bennett). Black and Latinx women have the highest prevalence of obesity.1 Women entering pregnancy with obesity have an excess risk of gestational diabetes, hypertensive disorders, and acute cardiovascular event during labor and delivery, compared to normal weight women. 2,3 Lifestyle interventions addressing obesity in pregnancy have the potential to break the cycle of obesity and cardiometabolic disease (CMD) for Black and Latinx women and their offspring.4 Despite evidence of effectiveness, few lifestyle interventions have been tested among Black or Latinx pregnant women or been implemented in community-based settings, where many high risk pregnant and postpartum women access safety-net services. Early home visiting (HV) is an evidence-based public health service strategy found in all 50 states that targets services to high- risk communities to address adverse social determinants of health. Home visitors provide health education, promote positive parenting and early learning, and link families with needed community resources.5 This is a hybrid type 1 effectiveness-implementation randomized control trial comparing the effectiveness of H42/H4U- HV, a remotely delivered evidence-based pregnancy/postpartum health coaching intervention, integrated into home visiting compared with usual home visiting services in reducing postpartum weight retention among 360 pregnant and postpartum women. We will evaluate the implementation of the intervention to enable and sustain integration into home visiting. H42/H4U-HV, which is tailored for Black, Latinx, Spanish speaking women and implemented into early home visiting programs has potential to promote healthy lifestyle behaviors and eliminate disparities in obesity, adverse pregnancy outcomes, and long-term CMD among young high-risk Black and Latinx pregnant and postpartum women and their infants. We aim to only establish the effectiveness of H42/H4U-HV but also understand the factors that enable intervention implementation to inform sustainability, further the pathway from evidence translation into practice, and facilitate greater subsequent public health impact.6