将产科护理和WIC整合在改善怀孕期间计划入学方面进行比较的模型:随机对照试验的协议
Kirstie M Herb Neff1,2, Kelsey Brandt3, Alex R Chang4,5
1Department of Population Health Sciences, Geisinger College of Health Sciences, Danville, PA, USA. kmherbneff1@geisinger.edu.
将临床护理与WIC和注册饮食师/营养师 (RDN) 服务等营养计划相结合,可以改善孕妇的健康公平. 这项研究评估了模型,以促进注册至关重要的营养支持计划,以获得更好的母婴健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康 孕产妇健康
背景情况:
- 低收入的农村孕妇面临更高的不良怀孕和未来心血管结果的风险.
- 只有不到一半的有资格的妇女参加了妇女,婴儿和儿童 (WIC) 计划.
- 现有的医疗保健模式不能充分整合社会护理,如营养援助.
研究的目的:
- 评估将临床护理与社会护理服务相结合的有效性,以推进健康公平.
- 评估提高孕妇在WIC计划中的入学率和获得注册营养师 (RDN) 服务的策略.
- 通过直接将产科护理患者与营养支持计划联系起来,减少健康差异.
主要方法:
- 一项实用性随机对照试验,涉及240名低收入,农村孕妇患者.
- 四个研究部门:临床,临床-WIC,临床-RDN和临床-WIC-RDN,使用电子推.
- 主要结局:6个月后WIC入学;次要结局:WIC保留,行为变化,粮食安全和健康结果.
主要成果:
- (结果尚未提供,因为研究正在进行/招聘)
- 该研究将提供关于综合护理模式对WIC入学和留学影响的数据.
- 实施结果如可接受性,适当性和可行性将从工作人员的角度进行评估.
结论:
- 结果将为整合临床和社会护理的系统模型提供信息,以改善高风险人群的健康公平.
- 研究结果将指导实施策略,以增加怀孕期间参与未充分利用的营养计划.
- 这项研究旨在通过改善对基本营养资源的获取来加强母亲和儿童的健康.
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