Improving the Quality of Prenatal Care for Low-Income, Urban, Black Women

项目摘要/摘要 我的长期职业目标是成为一名独立的领先学者(由R01资助)，利用概念 以及在黑人妇女中改善产前护理和产妇结局的方法 比白人妇女更有可能死于先兆子痫，特别是早发性先兆子痫(EOP)和其他 与分娩有关的问题。具体地说，我渴望成为全国公认的健康差距和 实施科学研究人员：1)确定和传播实施战略，以改进 产前护理过程和2)增加循证治疗的接受，以减少 黑人妇女面临的孕产妇死亡率。 由该指导职业发展奖推动的培训，以促进生物医学教师的多样性 研究(K01)将为我提供获得理论知识和方法的保护时间 具备实现我长期职业目标所需的技能。我的培训目标将涉及以下内容和 方法领域：1)先兆子痫的产前护理治疗，一般，2)传播和 实施研究；3)健康差距研究。我和我的导师们制定了三个- 实现我的职业目标并确保我的研究培训需求得到满足的战略：1)强大的， 由指导我的研究和职业发展的导师和合作者组成的跨学科团队；2)和 与我的培训目标相结合的创新研究项目，既具有科学相关性，又具有严谨的 它的设计和方法；以及3)教学课程、研讨会、研讨会、专业人员的时间表 建立在加州大学现有资源基础上的产前护理诊所的相互作用和阴影 堪萨斯医学院-威奇托。 我提出的研究计划旨在通过确定 实施循证治疗以预防先兆子痫，特别是EOP的障碍和促进者。 这项研究的具体目的是：1)检查阿司匹林循证治疗的实施情况 减少高危妇女的子痫前期；2)确定阿司匹林的关键促进剂和障碍 在提供者中实施；以及3)描述患者对先兆子痫的认识和看法 以及使用阿司匹林进行预防。拟议的发展计划将提供培训、指导和 研究经验将为我作为独立调查员的职业生涯奠定坚实的基础 致力于减少黑人妇女的医疗保健差距和改善生育结果。

Project Summary/Abstract My long-term career goal is to become an independent leading scholar (with R01 funding) drawing on concepts and methods to improve prenatal care and maternal outcomes among Black women who are three times more likely than White women to die from preeclampsia, specifically early onset-preeclampsia (EOP), and other childbirth-related issues. Specifically, I desire to become a nationally recognized health disparities and implementation science researcher who: 1) identifies and disseminates implementation strategies to improve processes of prenatal care and 2) increases the uptake of evidence-based treatment to reduce disparities in maternal mortality faced by Black women. Training facilitated by this Mentored Career Development Award to Promote Faculty Diversity in Biomedical Research (K01) will provide me with the protected time to obtain the theoretical knowledge and methodological skills necessary to achieve my long-term career goal. My training goals will address the following content and methodological areas: 1) prenatal care treatment for preeclampsia, in general, 2) dissemination and implementation research, and 3) health disparities research. My mentors and I have developed a three- pronged strategy to achieve my career goals and ensure that my research training needs are met: 1) a strong, interdisciplinary team of mentors and collaborators who will guide my research and career development; 2) an innovative research project integrated with my training goals that is both scientifically relevant and rigorous in its design and methods; and 3) a schedule of didactic coursework, workshops, seminars, professional interactions, and shadowing in prenatal care clinics that build upon the existing resources of the University of Kansas School of Medicine-Wichita. My proposed research plan seeks to improve the processes of care for Black women by determining the barriers and facilitators to implementing evidence-based treatments to prevent preeclampsia, specifically EOP. The study's specific aims are to 1) examine the implementation of evidenced-based treatment with aspirin to reduce preeclampsia among high-risk women; 2) determine critical facilitators and barriers to aspirin implementation among providers; and 3) characterize patients' awareness and perceptions of preeclampsia and the use of aspirin for prevention. The proposed development plan will provide training, mentorship, and research experience that will strengthen the foundation for my career as an independent investigator committed to reducing health care disparities and improving birth outcomes for Black women.