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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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Using Community-Based Participatory Research to Design a Patient and Practitioner-Centered Group Prenatal Care Model
Lauren Lessard1, Christy Oberholtzer1, Amber Shaver1
1California State University Fresno, Fresno, CA, USA.
Health Promotion Practice
|June 6, 2022
Summary
Community partners developed an innovative group prenatal care (GPNC) program to address high infant mortality and preterm birth rates among vulnerable women. This community-based participatory research (CBPR) model improved maternal and infant health outcomes.
Area of Science:
- Public Health
- Community-Based Participatory Research (CBPR)
- Maternal-Child Health
Background:
- Disproportionately high rates of infant mortality and preterm birth affect women of color and those in poverty in Fresno County, California.
- Key predictors of poor birth outcomes include social isolation, stress, and inaccessible or unsatisfactory prenatal care.
- Existing prenatal care models may not adequately address the unique needs of at-risk populations.
Purpose of the Study:
- To address disparities in maternal and infant health outcomes through a community-driven approach.
- To develop and implement a modified group prenatal care (GPNC) model tailored to the needs of vulnerable women in Fresno County.
- To utilize the PRECEDE-PROCEED framework to guide community-based participatory research (CBPR) efforts.
Main Methods:
- A community-based participatory research (CBPR) project was coordinated with local residents and academic partners.
- The PRECEDE-PROCEED framework guided the CBPR process.
- A modified group prenatal care (GPNC) model, the Glow! Group Prenatal Care Program (Glow! Program), was developed and implemented.
Main Results:
- The Glow! Program, a modified GPNC model, was created in response to identified community needs.
- Extensive stakeholder participation ensured the model addressed the priorities of community members, agencies, and providers.
- The CBPR process facilitated the development of a flexible, community-responsive healthcare intervention.
Conclusions:
- Community-based participatory research (CBPR) is essential for designing effective healthcare interventions that meet the needs of at-risk populations.
- Group prenatal care (GPNC) offers a promising model for improving maternal and infant health outcomes.
- Healthcare interventions require flexibility and community engagement throughout their design, implementation, and evaluation phases to achieve optimal results.
Keywords:
community interventioncommunity-based participatory researchhealth researchmaternal and infant healthminority healthprogram planning and evaluationsocial determinants of healthMore Related Videos
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