Training program addressing the multilevel factors that affect pregnancy-related and pregnancy-associated morbidity and mortality disparities

针对影响妊娠相关发病率和死亡率差异的多层次因素的培训计划

• 批准号: 10755553
• 负责人: Claire E Margerison
• 金额: $ 22.03万
• 依托单位: HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES
• 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/10755553
• 关键词: Active Learning; Address; Affect; Behavioral; Biological; Black race; Collaborations; Communities; Data; Development; Disparity; Environment; Environmental Risk Factor; Faculty; Family; Funding; Goals; Health; Health Sciences; Health system; Hispanic; Human; Inequity; Insurance Claim Review; Interdisciplinary Study; Intervention; Knowledge; Learning; Location; Maternal Health; Maternal health equity; Medicaid eligibility; Medicine; Mentors; Michigan; Morbidity - disease rate; Mothers; Patients; Phase; Policies; Population Analysis; Postdoctoral Fellow; Pregnancy; Provider; Quasi-experiment; Racial Equity; Research; Research Methodology; Research Personnel; Research Project Grants; Research Training; Role; Rural Community; Scientist; Source; Structure; Students; Suicide; System; Testing; Training; Training Programs; Training Support; Translating; United States National Institutes of Health; Universities; Work; cohort; college; community engaged research; community partnership; design; disparities in morbidity; disparity reduction; dissemination science; experience; health disparity; implementation science; indigenous community; interest; mHealth; mentoring community; mortality; mortality disparity; partner violence; randomized trial; recruit; rural setting; severe maternal morbidity; sociocultural determinant; structural determinants; substance use; synergism; training opportunity; trial design; urban setting

The Training Component will prepare scientists, including early-stage investigators and other junior scien- tists, students, and postdocs from under-represented backgrounds, to conduct research to that will help us un- derstand and address multilevel factors causing PRAMM disparities. As our projects address PRAMM disparities at the patient, community, provider, and systems levels, so too will our training program. The overall goal of the Center’s Training Component is to engage and prepare junior investigators, with a focus on early-stage investi- gators from backgrounds or identities currently underrepresented in the health sciences, to conduct research that addresses the biological, behavioral, environmental, and structural determinants of PRAMM and disparities. The Training Component will leverage the expertise and networks of Center investigators and community partners, who bring a broad range of expertise in community-engaged research methods, developing and testing multilevel interventions, dissemination and implementation science, analysis of population-level data, random- ized trial designs, factorial designs, quasi-experimental studies, and analysis of claims data. Center investigators also bring expertise on using mobile health to reduce disparities and substantive knowledge and experience testing interventions for understudied causes of PRAMM disparities, including partner violence, suicide, sub- stance use, and other co-occurring conditions. The College of Human Medicine at Michigan State University offers an ideal environment for this training program because of its emphasis on community-engagement and health disparities, its reach across multiple locations in Michigan (Flint, Grand Rapids, Lansing/East Lansing, and Northern Michigan) and its partnership with Henry Ford Health System in Southeast Michigan. We will pur- sue the following Specific Aims. 1. Engage and train Collaborating Scholars through one-on-one mentoring, hands-on experiential learning, and structured training, with a focus on early-stage and underrepresented investigators. 2. Provide opportunities for other early-stage and junior investigators, students, and postdocs to learn from participating in PRAMM disparities research by including them in Center projects. 3. Provide a set of didactic opportunities focused on understanding and addressing the multi-level de- terminants of PRAMM to the entire Research Community, i.e., Investigators, staff, Community Partners, Collaborating Scholars and other students, postdocs, new investigators, and interested stakeholders 4. Leverage an extensive network of existing training opportunities that include courses, seminars, and trainings from across the Michigan State University colleges in East Lansing and Flint, Michigan, other Com- munity Partner organizations, and other sources as appropriate

培训部分将培养科学家，包括早期调查人员和其他初级科学人员- 来自代表不足的背景的学者、学生和博士后，进行研究，以帮助我们- 了解并解决造成PRAMM差异的多层次因素。当我们的项目解决PRAMM差异时 在患者、社区、提供者和系统层面，我们的培训计划也将如此。该计划的总体目标 中心的培训部分是吸引和培养初级调查人员，重点是早期投资- 来自目前健康科学中代表性不足的背景或身份的鳄鱼，以进行研究 这解决了PRAMM和差异的生物、行为、环境和结构决定因素。 培训部分将利用中心调查人员和社区的专业知识和网络 合作伙伴，他们在社区参与的研究方法、开发和测试方面带来了广泛的专业知识 多层次干预、传播和实施科学、人口水平数据分析、随机-- 试验设计、析因设计、准实验研究和索赔数据分析。中心调查员 还带来使用移动医疗以减少差距的专业知识和经验 对未被充分研究的PRAMM差异的原因进行测试干预，包括伴侣暴力、自杀、亚 站姿的使用，以及其他共同发生的情况。密歇根州立大学人类医学院 为该培训计划提供了理想的环境，因为它强调社区参与和 健康差距，在密歇根州的多个地点(弗林特，大急流，兰辛/东兰辛， 和北密歇根)以及它与密歇根州东南部的亨利·福特医疗系统的合作伙伴关系。我们将会-- 诉求以下具体目标。 1.通过一对一辅导、亲身体验学习、 以及系统培训，重点是早期调查人员和任职人数不足的调查人员。 2.为其他早期和初级调查人员、学生和博士后提供学习机会 通过将它们纳入中心项目来参与PRAMM差异研究。 3.提供一系列讲授机会，侧重于理解和解决多层次的问题 PRAMM的终结者对整个研究社区，即调查人员、工作人员、社区合作伙伴、 合作学者和其他学生、博士后、新的研究人员和感兴趣的利益相关者 4.利用现有培训机会的广泛网络，包括课程、研讨会和 来自密歇根州东兰辛和弗林特的密歇根州立大学学院的培训- 社区伙伴组织，以及适当的其他来源