Delta Mississippi Center of Excellence in Maternal Health

三角洲密西西比孕产妇健康卓越中心

• 批准号: 10749763
• 负责人: Dr Beryl POLK
• 金额: $ 251.6万
• 依托单位: JACKSON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-17 至 2030-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10749763
• 关键词: Address; Affect; Caring; Centers of Research Excellence; Clinical; Collaborations; Communication; Communities; Community Health; Community Health Aides; Community Networks; Community Participation; Community Practice; Community Workers; Data; Dimensions; Disparity; Ensure; Environment; Ethnic Origin; Faculty; Family; Fostering; Goals; Health; Healthcare; Home visitation; Hospitals; Inequity; Infant Care; Internet; Intervention; Knowledge; Maternal Health; Maternal Mortality; Maternal health equity; Mental Health Services; Mentors; Mississippi; Mothers; Patient Participation; Patients; Personal Satisfaction; Population; Postdoctoral Fellow; Postpartum Period; Postpartum Women; Pregnancy; Pregnant Women; Process; Provider; Public Health; Public Health Schools; Race; Recording of previous events; Research; Research Personnel; Research Project Grants; Research Training; Resistance; Resources; Rights; Rural; Social Work; Testing; Training; Training Programs; Trust; United States; Universities; Voice; Woman; barrier to care; black women; clinical practice; community partnership; cultural competence; design; effectiveness evaluation; ethnic disparity; evidence base; experience; geographic disparity; health disparity; health inequalities; health literacy; implementation science; improved; innovation; maternal morbidity; maternal outcome; member; mortality; patient oriented; peer; postpartum health; preventable death; program dissemination; programs; public health relevance; racial disparity; research and development; research data dissemination; severe maternal morbidity; skills; socioeconomic disparity; structural determinants; success; training project

PROJECT SUMMARY: OVERALL Maternal mortality in the United States is higher than in peer nations and has not decreased since 1990. Beyond mortality, severe maternal mortality impacts far too many women. Not only are these high rates alarming, but notable racial/ethnic and socioeconomic disparities exist. These inequities are highly regional, with women living in the rural southeast part of the United States, including the Mississippi Delta, having the highest rates of maternal mortality and morbidity. Unfortunately, these disparities have proven to be stubbornly resistant to interventions, necessitating an innovative multifaceted approach focused on community practice, building trust, and prioritizing patient voices. To meet this need, this proposal aims to establish the JSU- Mississippi Delta Research Center of Excellence for Maternal Health with the goal of addressing preventable maternal mortality, decreasing severe maternal morbidity, and promoting maternal health equity in partnership with the Mississippi Delta community. This research center will conduct two multi-layered research projects. Research Project 1 will determine the effectiveness of an evidenced-based community health worker home visiting program grounded in extensive patient and community participation. Research Project 2 will evaluate the effectiveness of a multilevel and multisectoral communication and health literacy strategy to increase trust and engagement in postpartum healthcare among women in the Mississippi Delta, with a specific focus on Black women, their families, and their communities. These research projects both have the overarching goal of partnering with the community to determine and meet the needs of pregnant and postpartum women in the Mississippi Delta and address the disparities within maternity care. Supporting the goals of the research projects, an extensive research training program for early-stage investigators, utilizing community health partners, will address the interpersonal and structural factors that affect maternal outcomes. Our Community Partnership Component will ensure a successful, sustained, collaborative working environment throughout the center with the goal of establishing meaningful and equal community partnerships throughout the research development process and training. To achieve these objectives, we have brought together an experienced team with diverse expertise and perspectives, combining knowledge and resources from Jackson State University, the Mississippi State Department of Health, Six Dimensions (a Mississippi community-based public health consulting company), the Harvard TH Chan School of Public Health, and various community partners. By establishing an equal partnership with the community in all parts of the process – including integration with clinical practices and hospitals, connection with community resources, and regular input from patients – we envision that this research center will overcome structural and interpersonal barriers to high-quality, culturally competent maternal care and ultimately improve maternal morbidity and mortality for women residing in the Mississippi Delta. 1

项目概要：总体 美国的孕产妇死亡率高于其他国家，并且自 1990 年以来一直没有下降。 除了死亡率之外，严重的孕产妇死亡率还影响着太多的妇女。不仅是这些高利率 存在令人震惊但显着的种族/族裔和社会经济差异。这些不平等现象具有很强的地区性 生活在美国东南部农村地区（包括密西西比三角洲）的妇女 孕产妇死亡率和发病率最高。不幸的是，这些差异已被证明是顽固的 抵制干预措施，需要采取注重社区实践的创新多方面方法， 建立信任并优先考虑患者的声音。为了满足这一需要，本提案旨在建立 JSU- 密西西比三角洲孕产妇健康卓越研究中心的目标是解决 可预防的孕产妇死亡率、减少严重孕产妇发病率以及促进孕产妇健康公平 与密西西比三角洲社区的合作伙伴关系。该研究中心将进行两项多层次的研究 项目。研究项目 1 将确定循证社区卫生工作者的有效性 家访计划以患者和社区的广泛参与为基础。研究项目2将 评估多层次、多部门沟通和健康素养战略的有效性，以 提高密西西比三角洲地区妇女对产后保健的信任和参与度 特别关注黑人妇女、她们的家庭和社区。这些研究项目均具有 与社区合作的总体目标是确定和满足孕妇和儿童的需求 密西西比三角洲的产后妇女并解决产妇护理方面的差异。支持 研究项目的目标，为早期研究人员提供广泛的研究培训计划，利用 社区卫生合作伙伴将解决影响孕产妇结局的人际关系和结构因素。 我们的社区伙伴关系部分将确保成功、持续、协作的工作 整个中心的环境，旨在建立有意义和平等的社区伙伴关系 整个研究开发过程和培训。为了实现这些目标，我们带来了 汇集了一支经验丰富的团队，具有不同的专业知识和观点，结合了知识和资源 来自杰克逊州立大学、密西西比州卫生部、六维（密西西比州 社区公共卫生咨询公司）、哈佛大学陈曾熙公共卫生学院，以及 各种社区合作伙伴。通过与社会各界建立平等的伙伴关系 流程——包括与临床实践和医院的整合、与社区资源的连接，以及 患者的定期投入——我们预计该研究中心将克服结构和人际关系问题 消除获得高质量、文化上合格的孕产妇护理的障碍，并最终提高孕产妇发病率和 居住在密西西比三角洲的妇女死亡率。 1