[K23] Application Digital Accessibility and Primary Care Teamwork to Increase WIC Engagement with Data Coordination (ADAPT WIC Coordination)

Ente: Eunice Kennedy Shriver National Institute of Child Health and Human Development

Scadenza: 2030-08-31

Importo max: $165,672

Paese: US

Descrizione

PROJECT SUMMARY/ABSTRACT Dr. Chidiogo Anyigbo is a general pediatrician and physician-scientist whose training and research to date have focused on the interplay of stress, social determinants of health, and the well-being of children. Her long-term career goal is to become an independently funded physician-investigator who develops interventions to improve how the health system, community, and caregivers collaborate to address health-related social needs and mitigate their effects on infant development. Food insecurity is a toxic stressor that increases caregiver strain and undermines how caregivers meet the needs of infants during a critical period of development. Food insecurity during infancy has been associated with behavioral maladjustment during infancy and increased risk of mental health disorders later in childhood. The Special Supplemental Nutrition Program for Women Infants and Children – WIC, is the third largest public nutrition assistance program in the United States. WIC is an evidence-based program that reduces food insecurity, helps caregivers meet basic needs, and provides social support, all which assist caregivers in fostering their child’s behavioral functioning. Pediatric primary care settings screen for food insecurity and refer families to resources such as WIC to address food insecurity. Despite referrals, less than 50% of eligible participants are enrolled in WIC. With improved coordination and data sharing between WIC and pediatric primary care, we can reduce the barriers families face enrolling in and accessing WIC, thereby reducing food insecurity’s toxic effects. This proposal includes comprehensive training and mentorship to equip Dr. Anyigbo with skills in: (1) human-centered design for intervention development, (2) multi-system interoperability and collaboration, and (3) pragmatic trial design and execution. Her training is in step with the following aims: (1) Create an augmented data-sharing coordination process streamlining clinical data transfer between pediatric primary care and WIC, facilitating referrals for addressing food insecurity and (2) Through a two-arm pilot trial, determine the feasibility and acceptability of streamlined WIC referrals (intervention) vs. usual care in addressing food insecurity during infancy, enrolling 48 caregiver-infant WIC-eligible dyads at age 0-1 months with follow-up at 30 days, age 6 months, and age 15 months. These career goals and training objectives align with the research priority of the NICHD Child Development and Behavior Branch related to “pediatric primary care, behavioral pediatrics, and health promotion.” The work completed during the K23 period will directly inform an R01 application conducting a larger randomized control trial evaluating the efficacy and impact of primary care delivery practice changes on infant well-being in households experiencing food insecurity. Cincinnati Children's Hospital Medical Center (CCHMC) is internationally recognized for exceptiona Istituzione: CINCINNATI CHILDRENS HOSP MED CTR PI: Chidiogo Anyigbo Progetto: 1K23HD120663-01A1

Settori: Eunice Kennedy Shriver National Institute of Child Health and Human Development

Vai al bando originale

Registrati gratis su Bandolo per trovare bandi compatibili con la tua azienda.