A Development and Implementation of a Preconception Counseling Program for Black Women and Men in the Southeastern United States: A Pilot Protocol.

Autor:	Hernandez-Green N; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Haiman M; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA.; University of Texas at Austin, Steve Hicks School of Social Work, Austin, TX, USA., McDonald A; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Rollins L; Morehouse School of Medicine, Department of Community Health and Preventive Medicine, Atlanta, GA, USA.; National African American Child & Family Research Center, Atlanta, GA, USA., Franklin CG; Morehouse School of Medicine, Department of Obstetrics and Gynecology, Atlanta, GA, USA., Farinu OTO; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Clarke L; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Huebshmann A; University of Colorado Anschutz Medical Campus, School of Medicine, Department of Medicine, Division of General Internal Medicine Aurora, CO, USA.; University of Colorado Anschutz Medical Campus, School of Medicine, Ludeman Family Center for Women's Health Research, Aurora, CO, USA.; University of Colorado Anschutz Medical Campus, School of Medicine, Adult & Child Center for Outcomes Research & Delivery Science, Aurora, CO, USA., Fort M; Colorado School of Public Health, Department of Health Systems, Management & Policy, Aurora, CO, USA., Chandler R; Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA., Brocke P; Morehouse School of Medicine, Atlanta, GA, USA., McLaurin-Glass D; Center for Family and Community Wellness, Alpharetta, GA, USA., Harris E; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Berry K; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Suarez A; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA., Williams T; Morehouse School of Medicine, Center for Maternal Health Equity, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	MedRxiv : the preprint server for health sciences [medRxiv] 2024 Apr 22. Date of Electronic Publication: 2024 Apr 22.
DOI:	10.1101/2024.04.22.24306171
Abstrakt:	Introduction: Racial/ethnic disparities in maternal mortality rates represent one of the most significant areas of disparities amongst all conventional population perinatal health measures in the U.S. The alarming trends and persistent disparities of outcomes by race/ethnicity and geographic location reinforce the need to focus on ensuring quality and safety of maternity care for all women. Despite complex multilevel factors impacting maternal mortality and morbidity, there are evidence-based interventions that, when facilitated consistently and properly, are known to improve the health of mothers before, during and after pregnancy. The objective of this project is to test implementation of pre-conception counseling with father involvement in community-based settings to improve cardiovascular health outcomes before and during pregnancy in southeastern United States. Methods and Analysis: This study has two components: a comprehensive needs and assets assessment and a small-scale pilot study. We will conduct a community informed needs and assets assessment with our diverse stakeholders to identify opportunities and barriers to preconception counseling as well as develop a stakeholder-informed implementation plan. Next, we will use the implementation plan to pilot preconception counseling with father involvement in community-based settings. Finally, we will critically assess the context, identify potential barriers and facilitators, and iteratively adapt the way preconception counseling can be implemented in diverse settings. Results of this research will support future research focused on identifying barriers and opportunities for scalable and sustainable public health approaches to implementing evidence-based strategies that reduce maternal morbidity and mortality in the southeastern United States' vulnerable communities. Discussion: Findings will demonstrate that preconception counseling can be implemented in community health settings in the southeastern United States. Furthermore, this study will build the capacity of community-based organizations in addressing the preconception health of their clients. We plan for this pilot to inform a larger scaled-up clinical trial across community health settings in multiple southeastern states. Competing Interests: Conflict of Interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu