Pregnancy Risk Assessment Monitoring System (PRAMS)

妊娠风险评估监测系统（PRAMS）

• 批准号: 9402419
• 负责人: Sharon Fleischfresser
• 金额: $ 1.22万
• 依托单位: WISCONSIN DEPARTMENT OF HEALTH SERVICES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-12-30 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9402419
• 关键词: Pregnancy; Risk; Assessment; Monitoring; System

Project Summary/Abstract The Wisconsin Department of Health Services (DHS), Division of Public Health (DPH) is applying to the Centers for Disease Control and Prevention (CDC) for the Pregnancy Risk Assessment Monitoring System (PRAMS) Funding Opportunity Announcement Number: RFP- DP-16-001, U01, Component A: Core Funding. PRAMS is an ongoing survey, conducted by the CDC and state health departments, of mothers who recently had a live birth. PRAMS is an essential tool in maternal and child health program and policy development, monitoring, and evaluation and is a key source of information on disparities in birth outcomes and their risk factors. This third cycle of funding will allow Wisconsin PRAMS to continue and meet the objectives below and investigate Wisconsin's racial and ethnic disparities during the project period May 1, 2016 – April 30, 2021. The objectives of Wisconsin PRAMS are as follows: (1) to understand better how behaviors, attitudes, and experiences before, during, and immediately after pregnancy relate to and influence maternal and infant outcomes; (2) to collect population-based data of high quality not found in other data sources; and (3) to translate results into information for planning and evaluating public health programs and policy. Wisconsin PRAMS conducts a survey of a random sample of mothers (stratified by race/ethnicity and geography) who have had a recent live birth. The survey asks about maternal experiences and perspectives related to their social and economic conditions, health behaviors, health conditions, and health care before, during, and shortly after pregnancy. The first funding cycle, 2006 – 2011, was primarily focused on the design of operating procedures, research, and protocol, including the sample methodology. The second cycle, 2011 – 2016, focused on maintaining data collection procedures and improving response rates, expanding the non-Hispanic black oversample in several counties in collaboration with the Wisconsin Partnership Program's Lifecourse Initiative for Healthy Families (LIHF) in order to enhance our ability to investigate disparities, and increasing dissemination of data for program planning. Results from the PRAMS survey provided compelling, stark, and unique evidence of major racial and ethnic disparities in social determinants of health, preconception health, health behaviors, pregnancy intention, stress, postpartum depression, and safe sleep practices. In this third cycle, 2016 – 2021, WI PRAMS, in partnership with LIHF, will expand its oversample to an additional key county and to non-Hispanic whites in these key counties to increase power to detect differences by race/ethnicity and geography and to provide communities with county- specific information to drive and evaluate local-level strategic prevention efforts. WI PRAMS will also explore innovative data collection methods and means of improving response rates; pursue new and enhance existing partnerships for supplemental funding and bringing data to meaningful action; and implement a Data to Action plan that is informed by partners, tailored to intended audiences, disseminated through appropriate channels, and leads to improved health outcomes for women, infants, children, and ultimately entire families.

项目概要/摘要 威斯康星州卫生服务部 (DHS) 公共卫生司 (DPH) 向疾病控制和预防中心 (CDC) 申请怀孕风险 评估监控系统（PRAMS）资助机会公告编号：RFP- DP-16-001，U01，A 部分：核心资金。 PRAMS 是一项持续进行的调查，由 疾病预防控制中心和州卫生部门，针对最近活产的母亲。 PRAMS 是一个 孕产妇和儿童健康计划和政策制定、监测和监测的重要工具 评估，是有关出生结果差异及其风险的重要信息来源 因素。第三轮融资将使威斯康星州 PRAMS 能够继续并满足 以下目标并在项目期间调查威斯康星州的种族和民族差异 期间2016年5月1日至2021年4月30日。 威斯康星州 PRAMS 的目标如下：(1) 更好地了解行为、 怀孕前、怀孕期间和怀孕后立即的态度和经历与 影响孕产妇和婴儿的结局； (2) 收集基于人群的高质量数据 在其他数据源中找到； (3) 将结果转化为用于规划和实施的信息 评估公共卫生计划和政策。威斯康星州 PRAMS 进行了一项调查 最近有过生育史的母亲的随机样本（按种族/民族和地理位置分层） 活产。该调查询问了母亲的经历和与其社会相关的观点 以及之前、期间、期间的经济状况、健康行为、健康状况和医疗保健 以及怀孕后不久。第一个资助周期，2006 年至 2011 年，主要侧重于 操作程序、研究和协议的设计，包括样本方法。这 第二个周期，2011 – 2016 年，重点是维护数据收集程序并改进 响应率，扩大了几个县的非西班牙裔黑人过度采样 与威斯康星州合作伙伴计划的健康家庭生命历程倡议合作 （LIHF）以增强我们调查差异的能力，并增加传播 计划规划的数据。 PRAMS 调查的结果令人信服、鲜明且 健康社会决定因素中存在重大种族和民族差异的独特证据， 孕前健康、健康行为、怀孕意愿、压力、产后抑郁、 和安全的睡眠习惯。 在 2016 年至 2021 年的第三个周期中，WI PRAMS 将与 LIHF 合作扩大其过采样范围 向额外的关键县和这些关键县的非西班牙裔白人增加权力 发现种族/族裔和地理差异，并为社区提供县级 推动和评估地方战略预防工作的具体信息。 WI 婴儿车将 还探索创新的数据收集方法和提高答复率的手段；追求 建立新的伙伴关系并加强现有的伙伴关系，以提供补充资金和将数据提供给 有意义的行动；并实施由合作伙伴告知、量身定制的“数据到行动”计划 目标受众，通过适当的渠道传播，并改善健康状况 妇女、婴儿、儿童以及最终整个家庭的结果。