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Topic of Interest: Implicit Bias Among Nurse Practitioners working with Postpartum Depression cases

Study Aim: To explore trends in diagnosis and treatment recommendations for Postpartum Depression by NPs

Health Condition: Postpartum Depression

Community: birthing people in the US, current professional diagnosis of postpartum depression, current care under an NP, birthing age, etc.

Potential Partners: Black Maternal Health Caucus, U.S. Centers for Medicare & Medicaid Services, state health departments, hospitals (with and without DEIA-related initiatives)

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Topic: A proposal for maternal health information, community-based health promotion services

Health condition: prenatal care screening and related maternal mortality cases.

Quality of life issue: pregnancy-related maternal morbidity and disabilities.

Health behavior: adherence to prenatal screening.

Environmental condition directly related to health issue: Maternity care desert.

Proposal aim:

Identify gaps and address these gaps

Decrease maternal morbidity and mortality

Community partnerships:

1. Hospitals,

2. Clinics,

3. Private practice providers,

4. Birth centers,

5. Louisiana health department,

6. LaPQC (Louisiana Perinatal Quality Collaborative) agency.

7. HHS- funding agency

Target population:

AA women or lower SES aged 16-42 in Louisiana

type 2 = developing intervention,

type 3 = disseminating strategies

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Community health issue: Mental health in at-risk youth

Health behavior: increasing mental health services, which are culturally sensitive

Environmental conditions: issues with accessibility

Other conditions: cultural norms and stigma

Priority population: South Asian youth (13-21) in Dallas, Texas

Proposal aim:

1. advance research on mental health specific to this population

2. identify barriers

3. increase mental health advocacy and initiatives specific to the population needs

Community partnership: local faith based organizations, YMCA, outpatient clinics

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a) Community health issue:

Increase moderate physical activity and decrease food insecurity of women with gestational diabetes using Food Is Medicine & Rx for Physical Activity

b) Community of interest

pregnant adolescent Latinas in clinical settings in Austin, Texas

c). Potential community partners

Planned Parenthood

WIC clinics

pregnant adolescent Latina women in Austin, Texas

Central Texas Food Bank

Austin Parks & Recreation Community Centers

Study aim brainstorm:

1) assess F/V intake

2) assess type and amount of PA

3) provide access to affordable F/V options and PA

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Health Condition: Type 2 Diabetes

QOL: Difficulty engaging in physical activity/exercise, reliant on glucose monitoring and insulin injections

Health Behavior: consuming high carbohydrate meals; lack of 150 mins/wk of physical activity

Environmental Conditions: Lack of family education on disease; availability to fast food restaurants

COI/ Priority Population: Hispanic population in 45–64-year-olds in Houston East End

Aim Ideas:

1. Assess knowledge and awareness of low carbohydrate meals among adults living with type 2 diabetes in the East End.

2. Reduce the average HbA1c by 1% among adult living with type 2 diabetes in Houston East End

3. To increase family knowledge and awareness to support family members diabetic friendly diet.

Community Partners:

Community Clinics:

Legacy Community Health

BakerRipley East End

YMCA

Local store-Fiesta/HEB

Local restaurant-Arandas; Ninfas

LULAC

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a) public health topic of interest

lung cancer - lack of screening

b) community of interest

Harris Health System Clinics/population served by this health system

c) priority population

Spanish-speaking patients

d) Aims

to understand the reasons why eligible individuals do not get screened for lung cancer

Potential community partners for your planning group

resource group:

investigators from MD Anderson

implementer group:

clinic staff at Harris Health System

priority population:

Spanish-speaking patients eligible for lung cancer screening

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Proposal Type: Testing a specific community-driven process for addressing an environmental change

a) Health condition: Infant Sleep-Related Death (SUID)

Quality of life issues: infant mortality and parental mental health (i.e., grief, depression)

Health behavior: Adherence to the American Academy of Pediatrics safe sleep practices (AAP recommends all babies sleep on their back, on a flat, firm, separate sleep surface such as play yard or crib, and to keep the baby’s sleep space free of blankets, bumpers, toys or other objects.)

Environmental conditions directly related to health issues: lack of access to approved safe sleep surfaces like a crib

b) Community/Priority Population: Broward County, Florida; Parents of Children under the age of 1.

c) Study Aim Idea:

Aim 1 - To assess the process of safe sleep crib distribution for low-income parents to decrease rates of infant sleep-related deaths

Aim 2 - To study wether access to crib increase parental adherence to safe sleep practices

d) Community partners for your planning group:

• Parents of Infants (PP)

• OBGYN/Pediatricians (AI)

• Birthing Hospital Representatives (AI)

• Federally qualified health centers (AI)

• WIC offices (R)

• Baby & Me Business Owners (R)

• Parenting Program Leaders (R)

• Daycare Center Directors (AI)

• Grassroot Organizations: Broward Healthy Start Coalition, Healthy Mothers Healthy Babies, Children Services Council, and Broward County Health Department (R)

R= Resource Group

AI = Potential adopter/implementer group

PP = Priority population group/their advocates

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a.) Health condition: congenital syphilis

Quality of life issues: Poor mental health (i.e., anxiety, depression), poor physical health leading to pregnancy-related complications, and increased economic burden.

Health behavior: factors such as not obtaining timely prenatal screening during the first and third trimesters and at delivery, engaging in high-risk sexual behaviors (i.e., multiple sexual partners, little or no condom use).

Environmental conditions directly related to health issues: decreased access to healthcare services, trained healthcare professionals, or contraceptives

b.) Community of interest; Religious affiliations (i.e., Church) and community centers familiar to Hispanic populations

c.) Priority population; pregnant Hispanic mothers ages 18-35 years old residing in Houston, Texas

d) Preliminary ideas for community health promotion proposal aims:

Aim 1: Determine the pregnant Hispanic women's knowledge and awareness of congenital syphilis and necessary prenatal syphilis care/screening tests required during pregnancy after providing syphilis education at a local church or community center.

Aim 2: Assist pregnant Hispanic women and their families in scheduling timely prenatal syphilis screening tests.

Aim 3: Measuring, analyzing, and interpreting the number of pregnant Hispanic women who successfully received syphilis screening and treatment services.

e) Community partners for your planning group:

Healthcare facilities and healthcare professionals

Academic and Research Institutions

Texas Department of State Health Services

National-level Funding Agencies - Centers for Disease Control and Prevention

National Coalition of STD Directors and Fetal Infant Morbidity Review Board

Faith-based institutions (Churches) and religious leaders/pastors

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Health Condition: Breast Cancer

· Quality of life issues: Address Breast Cancer Disparities in Black Women, addressing non-medical drivers to health – social determinants of health.

· Health behavior: mammography screenings, treatment, supportive services and care

· Environmental conditions directly related to health issues: decreased access to care due to multi-barriers to care.

Priority population: Black community in Harris County, Texas

Preliminary proposal aims:

Aim 1: Coalition Building to Address Health Disparities and Advance Equity in Black Breast Cancer Disparities

Aim 2: To accelerate progress and align goals in Black breast cancer.

Community partners for your planning group:

Backbone Role:

·       SurviveHER: Breast cancer non-profit

·       The Rose: Screening

·       Texas Southern Breast Cancer Prevention Program: Academic

·       The Fountain of Praise: Faith-Based

·       MD Anderson: Academic and Research

·       Harris Health: Safety Net

·       Community Health Choice or Legacy: FQHC

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Health behavior: Increased engagement with a primary care provider for treatment initiation or management of Hepatitis C (HCV) infection

Community of interest: Persons with HCV being released from incarceration in Los Angeles County (LAC) jails

Potential community partners: FQHC clinics and LAC community hospitals/clinics

Preliminary ideas for study aims: 1) Assess persistent gaps preventing post-incarceration linkage to care in LAC for HCV treatment among patients; 2) Assess knowledge among LAC providers for HCV treatment procedures

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A) Health Condition: Childhood Obesity

QOLI: Decreased quality of life and decreased health complication risk as an adult

Health Behavior: Unhealthy eating

Environmental Conditions: Interpersonal factors (low parental monitoring on children)

B) COI: Low-socioeconomic status San Antonio areas

C) Priority Population: Hispanics school-aged children ages 5-18

D) Aims:

#1 - Assess school-aged children awareness of healthy eating components daily intake

#2 Assess the current school programs progress on childhood obesity in school districts in San Antonio

#3 Advocate for additional school-based programs including meal planning at low costs to families

E) Community Partners:

Parents of Children & School Teachers - PP

School Districts (Northeast, Northside) - AI

Funding Agencies (San Antonio Food Bank, Grants) - RG

City of San Antonio, Bexar County District - AI

Healthy Kids, YMCA - AI

UT Health Physicians, University Hospital - RG

Farmers Markets - RG

School Health Advisory Board - PP (thanks Ashley!)

PP - Priority Population Advocate

AI - Adopter & Implementer

RG - Resource Group