Improving the Quality of Prenatal Care for Low-Income, Urban, Black Women

提高低收入城市黑人妇女的产前护理质量

• 批准号: 10065518
• 负责人: Sharla Annette Smith
• 金额: $ 14.01万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-12-10 至 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10065518
• 关键词: Address; Adherence; American College of Obstetricians and Gynecologists; Area; Aspirin; Awareness; Belief; Biomedical Research; Birth; Caring; Childbirth; Clinic; Clinical; Communities; Consolidated Framework for Implementation Research; Development; Development Plans; Dose; Eclampsia; Educational workshop; Electronic Health Record; Ensure; Evidence based practice; Evidence based treatment; Faculty; Focus Groups; Foundations; Funding; Future; Goals; Guidelines; High Risk Woman; Hypertension; Incidence; Individual; Intervention; Interview; K-Series Research Career Programs; Kansas; Knowledge; Low income; Maternal Mortality; Mentors; Mentorship; Methodology; Methods; Nurse Practitioners; Outcome; Patients; Perception; Physician Assistants; Pre-Eclampsia; Pregnancy; Prenatal care; Prevention; Prevention trial; Process; Proteinuria; Provider; Research; Research Personnel; Research Project Grants; Research Training; Risk Factors; Schedule; Seizures; Structure; Time; Training; Translating; University resources; Wichita; Woman; base; black women; care outcomes; career; career development; clinical implementation; contextual factors; design; disparity reduction; dissemination research; early onset; evidence base; experience; health care disparity; health disparity; implementation research; implementation science; implementation strategy; improved; innovation; maternal morbidity; maternal outcome; medical schools; preference; pregnancy disorder; prevent; provider behavior; provider-level barriers; racial disparity; research and development; screening; skills; uptake

Project Summary/Abstract My long-term career goal is to become an independent leading scholar (with R01 funding) drawing on concepts and methods to improve prenatal care and maternal outcomes among Black women who are three times more likely than White women to die from preeclampsia, specifically early onset-preeclampsia (EOP), and other childbirth-related issues. Specifically, I desire to become a nationally recognized health disparities and implementation science researcher who: 1) identifies and disseminates implementation strategies to improve processes of prenatal care and 2) increases the uptake of evidence-based treatment to reduce disparities in maternal mortality faced by Black women. Training facilitated by this Mentored Career Development Award to Promote Faculty Diversity in Biomedical Research (K01) will provide me with the protected time to obtain the theoretical knowledge and methodological skills necessary to achieve my long-term career goal. My training goals will address the following content and methodological areas: 1) prenatal care treatment for preeclampsia, in general, 2) dissemination and implementation research, and 3) health disparities research. My mentors and I have developed a three- pronged strategy to achieve my career goals and ensure that my research training needs are met: 1) a strong, interdisciplinary team of mentors and collaborators who will guide my research and career development; 2) an innovative research project integrated with my training goals that is both scientifically relevant and rigorous in its design and methods; and 3) a schedule of didactic coursework, workshops, seminars, professional interactions, and shadowing in prenatal care clinics that build upon the existing resources of the University of Kansas School of Medicine-Wichita. My proposed research plan seeks to improve the processes of care for Black women by determining the barriers and facilitators to implementing evidence-based treatments to prevent preeclampsia, specifically EOP. The study's specific aims are to 1) examine the implementation of evidenced-based treatment with aspirin to reduce preeclampsia among high-risk women; 2) determine critical facilitators and barriers to aspirin implementation among providers; and 3) characterize patients' awareness and perceptions of preeclampsia and the use of aspirin for prevention. The proposed development plan will provide training, mentorship, and research experience that will strengthen the foundation for my career as an independent investigator committed to reducing health care disparities and improving birth outcomes for Black women.

项目总结/摘要 我的长期职业目标是成为一名独立的领先学者（R 01资助）， 以及改善黑人妇女产前护理和孕产妇结局的方法， 比白色妇女更可能死于先兆子痫，特别是早发型先兆子痫（EOP）， 与生育有关的问题。具体来说，我希望成为一个全国公认的健康差距， 执行科学研究人员：1）确定和传播执行战略， 2）增加循证治疗的采用，以减少 黑人妇女面临的产妇死亡率。 通过这个指导职业发展奖促进培训，以促进生物医学教师的多样性 研究（K 01）将为我提供受保护的时间来获得理论知识和方法论 实现长期职业目标所需的技能。我的培训目标将涉及以下内容， 方法领域：1）一般而言，先兆子痫的产前护理治疗，2）传播和 实施研究; 3）健康差异研究。我和我的导师制定了一个三- 实现我的职业目标并确保我的研究培训需求得到满足的多管齐下的策略：1）强大的， 由导师和合作者组成的跨学科团队，他们将指导我的研究和职业发展; 2） 创新的研究项目与我的培训目标相结合，既科学相关，又严格， 它的设计和方法;和3）教学课程，讲习班，研讨会，专业 互动，并在产前护理诊所，建立在大学的现有资源阴影 堪萨斯医学院-威奇托。 我提出的研究计划旨在通过确定黑人妇女的护理过程， 实施循证治疗以预防先兆子痫的障碍和促进因素，特别是EOP。 这项研究的具体目的是：1）检查阿司匹林循证治疗的实施情况， 减少高危妇女的先兆子痫; 2）确定阿司匹林的关键促进因素和障碍 提供者之间的实施;和3）描述患者对先兆子痫的认识和看法 以及使用阿司匹林进行预防。拟议的发展计划将提供培训，指导， 研究经验，这将加强我作为一个独立调查员的职业生涯的基础 致力于减少医疗保健差距，改善黑人妇女的生育结果。