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Brooklyn Digital Community Care Intervention to Address Unmet Social Needs and Optimize Engagement in Maternal Health Care

Award Number: R21NR020706
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Abstract Central Brooklyn is the epicenter of the maternal health crisis in New York City. The highest rates of severe maternal morbidity (SMM), considered “near misses” to maternal death, are found in Black immigrant women, who are concentrated in Central Brooklyn. This situation reflects a history of systemic racism and neglect. Women who lack adequate care throughout pregnancy and post-partum are at higher risk of SMM and death. To address this public health crisis, we will test the preliminary efficacy and acceptability of novel intervention prototype called We Care About Brooklyn (WeCAB), which integrates principles of an evidence-based community-centered care model and employs community health workers (CHWs) to connect with and support families while leveraging a digital social determinants of health (SDOH) screening and closed-loop referral system. We hypothesize that comprehensively addressing SDOH (basic survival needs such as food security, decent housing, and childcare) will reduce barriers to healthcare utilization and improve engagement in care throughout pregnancy and the post-partum period. We propose a mixed-methods study design with the following specific aims: 1) tailor the existing digital SDOH screening tool for Central Brooklyn and build clinician, client and community stakeholder fit to inform the CHW intervention training protocol; 2) conduct a pilot RCT of WeCAB in the Central Brooklyn maternal population to measure acceptability and preliminary efficacy of the system; and 3) identify barriers and facilitators to the adoption and integration of our intervention prototype into routine maternal care through key informant interviews and a post-intervention survey. WeCAB has the long-term potential to improve health during and after pregnancy in America’s historically marginalized maternal populations who experience a disproportionate burden of adverse health outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $158,352 )
2023	2023	THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK	450 CLARKSON AVE	BROOKLYN	NY	11203	KINGS	USA	Nursing Research	001	2	7/13/2023	NON-COMPETING CONTINUATION	$158,352
2023	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	450 CLARKSON AVE	BROOKLYN	NY	11203	KINGS	USA	Nursing Research	000	1	10/13/2022	NEW	$0
														Subtotal = $158,352

Issue Date FY: 2022 ( Subtotal = $280,885 )
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	450 CLARKSON AVE	BROOKLYN	NY	11203	KINGS	USA	Nursing Research	000	1	9/22/2022	NEW	$280,885
														Subtotal = $280,885

Grand Total All Awards = $439,237

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Brooklyn Digital Community Care Intervention to Address Unmet Social Needs and Optimize Engagement in Maternal Health Care

Award Number: R21NR020706

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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