Mothers Optimizing Resources Everyday (MORE): Buffering mental health inequities in low-resourced perinatal populations

项目摘要 夏洛特告别，博士，公共卫生硕士是一个行为健康科学家，其首要的职业目标是实施 关键时期的健康促进计划，以减少围产期心理健康结果的不公平 低资源的人。她提出的这项研究题为“母亲优化资源”， 每天（更多）：缓冲低资源围产期人群的心理健康不平等，”与 许多NIMHD研究战略，包括加强分析模型，以确定关键时期， 可塑性，以减轻代际传递的差距，推进了解如何多， 水平的保护因素影响健康，并建立适应行为健康干预的科学。 候选人：告别博士是科罗拉多大学社区和行为健康助理教授 公共卫生学院。职业发展规划包括四个培训目标：1.提前 在潜在增长模型的专业知识; 2.获得适应围产期心理健康相关研究的技能， 解决卫生不公平问题的做法; 3.加强循证心理资本培训 干预;和4。提高传播和实施科学和综合护理的熟练程度。 研究：围产期情绪障碍很普遍。 能够获得和维护个人信息的个人 和社会资源更好地科普与过渡到 孕产 .心理资本干预（PCI）是一种基于证据的方法，可以促进心理健康。 健康和幸福。调整多层次的项目参与，以促进跨部门资源的组合， 围产期可以作为一个重要的，但未充分探索的战略，以优化围产期的福祉， 低资源社区。目标1将研究心理资本的点估计和轨迹 在整个围产期，300人经历社会经济不利。目标2将确定 心理资本轨迹、社会资源和 心理健康结果。目标3将包括访谈、数据整合和迭代适应过程， 导致对处于社会经济不利地位的围产期人群进行多水平PCI。 总结：MORE的创新点有三个：1）识别一个星座的多层次保护 支持围产期心理健康的因素，2）应用生命过程的观点和纵向建模 在关键的、可延展的时期调查资源，以及3）适应可能通过以下方式减少污名的PCI： 提供支持而不使其病态化，从而增加获得心理健康支持的机会。虽然根社会 必须解决经济因素，以消除卫生不平等，心理社会干预， 资源，以更好地科普压力可能是具有成本效益和有效的战略， 健康方面的不平等。该合同将为R 01提供初步数据，以便在特定的时间内实施MORE。 在关键时期，卫生保健部门应向特定的亚群体提供服务，以减少卫生不公平现象的代际传递。

Project Abstract Charlotte Farewell, PHD, MPH is a behavioral health scientist whose overarching career goal is to implement well-being promotion programs during critical periods to reduce inequities in perinatal mental health outcomes among low-resourced individuals. The research she proposes entitled, “Mothers Optimizing Resources Everyday (MORE): Buffering Mental Health Inequities in Low-resourced Perinatal Populations,” aligns with numerous NIMHD research strategies including strengthening analytical models to identify critical periods of malleability to mitigate the intergenerational transmission of disparities, advancing understanding of how multi- level protective factors impact health, and building the science of adapting behavioral health interventions. Candidate: Dr. Farewell is an Assistant Professor of Community and Behavioral Health at the Colorado School of Public Health. The proposed career development plan includes four training goals: 1. Advance expertise in latent growth modeling; 2. Gain skills in adaptation of perinatal mental health-related research and practice to address health inequities; 3. Enhance training in evidence-based psychological capital interventions; and 4. Increase proficiency in dissemination and implementation science and integration of care. Research: Perinatal mood disorders are prevalent. Individuals who are able to acquire and maintain personal and social resources are better situated to cope with the demands associated with the transition to motherhood . Psychological Capital Interventions (PCIs) are evidence-based approaches that promote mental health and well-being. Adaptation of a multi-level PCI that seeks to foster combinations of resources across the perinatal period may serve as an important yet underexplored strategy to optimize perinatal well-being among low-resourced communities. Aim 1 will investigate point-estimates and trajectories of psychological capital across the perinatal period in 300 individuals experiencing socioeconomic disadvantage. Aim 2 will identify cross-sectional and longitudinal associations between psychological capital trajectories, social resources and mental health outcomes. Aim 3 will consist of interviews, data integration, and an iterative adaptation process, resulting in a multi-level PCI for perinatal populations experiencing socioeconomic disadvantage. Summary: The innovation of MORE is threefold: 1) identification of a constellation of multi-level protective factors that support perinatal mental health, 2) application of a life course perspective and longitudinal modeling to investigate resources across critical, malleable periods, and 3) adaptation of PCIs that may reduce stigma by offering support without pathologizing, thus increasing access to mental health supports. Although the root social and economic factors must be addressed to eliminate health inequities, psychosocial interventions that bolster resources to better cope with stress may be cost-efficient and effective strategies to reduce socioeconomic inequities in health. This award will provide preliminary data for an R01 to implement MORE during specific critical periods to specific subgroups in order to reduce the intergenerational transmission of health inequities.