Using Quality Preventing to Address Health Inequities

描述（由申请人提供）：有迹象表明，“高质量的养育”，特别是在幼儿时期，可以减轻多达50%的贫困对儿童的负面影响（Morgan, 2009）。研究还表明，在行为矫正和生活方式改变中使用“同伴”是非常有效的，“领导力”是家庭、社区、社会和组织成功的决定性因素之一（Leithwood & Jantzi, 2000）。为了有效减少并最终消除差距，有证据表明，基于社区的参与式研究（CBPR）是一种科学调查方法，它要求社区——受健康差距影响的社区——参与研究项目的每个阶段。这意味着社区代表将社区最重要的健康问题确定为研究的重点，与学术研究团队合作选择研究问题和方法，参与开展研究，并帮助解释和传播研究结果。莫尔豪斯医学院（MSM）的Satcher健康领导力研究所（SHLI）利用CBPR来评估、计划、设计、开发和试点测试“优质育儿”的使用，作为一种策略，使父母能够领导0-5岁孩子的发展。我们的建议是测试高质量的养育在多大程度上可以作为一种干预措施，用于解决社会经济地位较低的少数群体（主要是非裔美国人）之间的健康不平等问题。该研究所通过一个由国家少数民族健康和健康差距研究所资助的名为“社区健康儿童发展”的项目开展了一项CBPR I进程，该项目确定了高质量的养育是一个优先条件，可用于减少肥胖、暴力和精神健康问题，以及增加社会联系、支持、儿童和家庭的教育和心理健康，当由同侪家长领导通过对话学习过程。

DESCRIPTION (provided by applicant): There is indication that "quality parenting", especially during early childhood, can mitigate up to 50% of the negative impacts of poverty on children (Morgan, 2009). Studies have also revealed that the use of 'peers' in behavior modification and life-style change is very effective and that "leadership" is one of the determining factors of success across families, neighborhoods, societies and organizations (Leithwood & Jantzi, 2000). To effectively reduce and ultimately eliminate disparities, evidence has shown that Community-Based Participatory Research (CBPR) is an approach to scientific investigation that calls for the community -the community affected by the health disparity- to be involved in every phase of the research project. This means that community representatives identify the community's most important health problems as the focus of the study, partner with the academic research team in choosing the research question and method, participate in conducting the study, and help interpret and disseminate the results. The Morehouse School of Medicine (MSM) Satcher Health Leadership Institute (SHLI) utilized CBPR to assess, plan, design, and develop and pilot-test the use of 'quality parenting' as a strategy that empowers parents to lead in the development of their children 0-5 years old. Our proposal is to test the extent to which quality parenting could be used as an intervention for addressing health inequities among minority groups, predominantly African Americans, in low socio-economic communities. The SHLI conducted a CBPR I process through a National Institute of Minority Health and Health Disparity funded project called the 'Neighborhood Healthy Child Development' {NHCD] that led to the identification of quality parenting as a priority condition tha can be used to reduce obesity, violence, and mental health problems, as well as increase social connection, support, education and mental well-being of children and families when led by peer-parent leaders through a conversational learning process. RELEVANCE: Most existing parenting education curricula being used by low socio-economic or ethnic minority families are not developed with active participation of mothers, fathers, siblings, caregivers and/or grandparents from these vulnerable populations. Highly relevant is using quality parenting and parents that reside in the communities as 'change agents' leaders for addressing health inequities. The proposed CBPR paradigm of 'Using Quality Parenting to Address Health inequities' promotes community empowerment.