Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) Multisite Resource and Coordinating Center
促进母亲和儿童心血管健康的早期干预 (ENRICH) 多站点资源和协调中心
基本信息
- 批准号:10924390
- 负责人:
- 金额:$ 12.3万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-05-05 至 2029-04-30
- 项目状态:未结题
- 来源:
- 关键词:AddressApplied ResearchCaringChildClinical TrialsCommunitiesDataDiscipline of NursingEarly InterventionEffectivenessEffectiveness of InterventionsEmerging TechnologiesEnrollmentEthnic OriginFamilyGenerationsGeographyHeterogeneityHome visitationImplementation readinessIndividualInfantInfrastructureInterventionKnowledgeLeadershipLife Cycle StagesMaternal MortalityMediatorMedicineMethodsModelingMorbidity - disease rateMothersOutcome AssessmentPoliciesProtocols documentationPublic HealthReduce health disparitiesResearchResearch DesignResearch PersonnelResourcesRiskRisk FactorsServicesSiteSocioeconomic StatusTestingTrainingTranslatingTranslationsUnited StatesWorkcardiovascular healthclinical centerdesignevidence basehealth disparityhealth equityhealth of the motherimprovedinnovationmHealthmaternal morbiditymortalitymultidisciplinaryprogramsracial health disparitysuccesstelehealth
项目摘要
Poor cardiovascular health (CVH) contributes to high levels of morbidity and mortality in the United States, with
profound health disparities by race/ethnicity, socioeconomic status, and geography. Sustained improvement in
CVH requires 2-generation strategies in settings where those at elevated risk for poor CVH already receive
care. Evidence-based home visiting (HV) provides an ideal setting to reduce health disparities, reduce
maternal morbidity, and promote CVH in infants and children in ways that can be continued across the life
course. Prior studies of CVH intervention effectiveness have not tested interventions across HV models,
incorporated emerging technologies such as mHealth and telehealth, combined HV with services in other
settings where mothers and children receive care, acknowledged mediators and moderators of effectiveness,
nor used individual and composite maternal and child CVH metrics to assess outcomes. The Early Intervention
to Promote Cardiovascular Health of Mothers and Children (ENRICH) program aims to address these
limitations. It will test a common implementation-ready intervention to promote maternal and child CVH and
reduce CVH disparities in the context of multiple evidence-based HV models. The success of ENRICH requires
a Resource and Coordinating Center (RCC) with sophisticated content and methods expertise and resources
to support study design and implementation of a common intervention and research protocol attuned to
heterogeneity in individual, family, and community context. The Johns Hopkins RCC multidisciplinary team
combines the expertise of the Home Visiting Applied Research Collaborative (HARC), the Johns Hopkins
Center for Clinical Trials and Evidence Synthesis (CCTES) and the Johns Hopkins Center for Health Equity.
This RCC team offers an unparalleled combination of a national HV platform, expertise in health equity, and
clinical trials infrastructure to create new management strategies, organization concepts and impactful
analyses to assure that ENRICH achieves its potential. Our RCC includes: (1) stakeholder-built HV Precision
Paradigm; (2) content expertise and leadership in HV and CVH; (3) state of the art methods to design and
implement a common protocol, analyze data, disseminate results, and translate for policy and practice (4)
advanced methods to assess “What works best, for whom, in which contexts, why and how?” and assess ideal
CVH metrics for both mothers and children; (5) tight linkage with HV and CVH stakeholders; and (6) expertise
in engaging and training Early Stage Investigators and HV staff professionals. The RCC will apply the
strengths of three JHU divisions (Public Health, Medicine and Nursing) to ENRICH to generate impactful
evidence on effectiveness of the ENRICH intervention and powerful data on generalizability to enhance
translation. The RCC will assure that ENRICH achieves its full potential and generates rigorous, innovative,
timely and actionable new knowledge to reduce maternal morbidity, promote CVH and reduce CVH disparities
in mothers and young children.
心血管健康状况差(CVH)是美国高发病率和高死亡率的原因,
按种族/民族、社会经济地位和地理位置划分的严重健康差距。持续改善
CVH需要2代策略,用于那些有较高CVH风险的人已经接受
关心。循证家访(HV)为缩小健康差距、减少
母体发病率,并促进婴儿和儿童的CVH,这种方式可以在一生中持续下去
当然了。先前关于CVH干预有效性的研究还没有在HV模型中测试干预措施,
整合了mHealth和远程医疗等新兴技术,将高压与其他
母亲和儿童得到照顾的环境,公认的调解人和有效性主持人,
也没有使用单独的和综合的母婴CVH指标来评估结果。早期干预
促进母亲和儿童心血管健康(ENRICH)计划旨在解决这些问题
限制。它将测试一项共同的、可实施的干预措施,以促进母婴CVH和
在多种循证HV模型的背景下减少CVH差异。丰富的成功需要
资源和协调中心(RCC),拥有复杂的内容和方法、专业知识和资源
支持共同干预和研究方案的设计和实施
个人、家庭和社区环境中的异质性。约翰霍普金斯RCC多学科团队
结合了家庭访问应用研究合作组织(HARC)、约翰·霍普金斯学会的专业知识
临床试验和证据合成中心(CCTES)和约翰霍普金斯健康公平中心。
这个RCC团队提供无与伦比的组合,包括国家HV平台、健康公平方面的专业知识以及
创建新的管理策略、组织理念和影响力的临床试验基础设施
分析以确保丰富发挥其潜力。我们的RCC包括:(1)利益相关者构建的高压精度
范例;(2)HV和CVH方面的内容专业知识和领导能力;(3)最先进的设计方法和
实施通用协议,分析数据,传播结果,并为政策和实践提供翻译(4)
先进的方法来评估“什么是最好的,对谁,在什么情况下,为什么和如何?”并评估理想
针对母亲和儿童的CVH指标;(5)与HV和CVH利益相关者的紧密联系;以及(6)专业知识
聘用和培训早期调查人员和高压工作人员专业人员。中国农业信贷银行将适用
JHU三个部门(公共卫生、医学和护理)的优势得到充实以产生影响
丰富干预措施有效性的证据和关于提高普适性的有力数据
翻译。RCC将确保丰富充分发挥其潜力,并产生严谨、创新
及时和可操作的新知识,以减少孕产妇发病率,促进CVH和减少CVH差距
在母亲和幼儿身上。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('LISA A COOPER', 18)}}的其他基金
Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) Multisite Resource and Coordinating Center
促进母亲和儿童心血管健康的早期干预 (ENRICH) 多站点资源和协调中心
- 批准号:
10427496 - 财政年份:2022
- 资助金额:
$ 12.3万 - 项目类别:
Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) Multisite Resource and Coordinating Center
促进母亲和儿童心血管健康的早期干预 (ENRICH) 多站点资源和协调中心
- 批准号:
10914336 - 财政年份:2022
- 资助金额:
$ 12.3万 - 项目类别:
Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) Multisite Resource and Coordinating Center
促进母亲和儿童心血管健康的早期干预 (ENRICH) 多站点资源和协调中心
- 批准号:
10685009 - 财政年份:2022
- 资助金额:
$ 12.3万 - 项目类别:
Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) Multisite Resource and Coordinating Center
促进母亲和儿童心血管健康的早期干预 (ENRICH) 多站点资源和协调中心
- 批准号:
10618345 - 财政年份:2022
- 资助金额:
$ 12.3万 - 项目类别:
The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE)
大西洋中部心脏代谢健康公平中心 (MACCHE)
- 批准号:
10892551 - 财政年份:2021
- 资助金额:
$ 12.3万 - 项目类别:
The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE)
大西洋中部心脏代谢健康公平中心 (MACCHE)
- 批准号:
10437334 - 财政年份:2021
- 资助金额:
$ 12.3万 - 项目类别:
The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE)
大西洋中部心脏代谢健康公平中心 (MACCHE)
- 批准号:
10494167 - 财政年份:2021
- 资助金额:
$ 12.3万 - 项目类别:
The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE) Diversity Supplement
中大西洋心脏代谢健康公平中心 (MACCHE) 多样性补充
- 批准号:
10852384 - 财政年份:2021
- 资助金额:
$ 12.3万 - 项目类别:
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