Auger Communications, Inc.
NIH Study



Small Business Innovations Research Grant

Small Business Innovation Research (SBIR)
Phase I Feasibility Study

Overview

In March 2008, the National Center for Minority Health and Health Disparities awarded a Small Business Innovation Research (SBIR) Phase I grant to Auger Communications, Inc. working in collaboration with the University of North Carolina's Center for Maternal & Infant Health.

AIMS
Through this pilot study, we wanted to: 

  1. Gain a better understanding of health professionals’ perceptions of the use of lay educators and group education approaches for prenatal education
  2. Develop a better understanding of system issues that facilitate or hinder implementing these service delivery strategies in healthcare systems that serve low-income and uninsured Latinas

Guided by a diverse and experienced advisory board, the study team achieved these aims through a series of key informant interviews with health care administrators (n=16) and a pilot electronic survey of health care professionals (n=104).


Click on links for more information

Background
Purpose of Study
Significance
Community Advisory Board

SBIR- What is it?

         TWS Research Team

Susan Auger, MSW
Principal Investigator 
Auger Communications, Inc., 
Durham, NC
 
Sarah Verbiest, DrPH, MSW, MPH
Co-Principal Investigator 

UNC Center for Maternal & Infant Health
Chapel Hill, NC

Co-Investigators
 

Beth Bordeaux, MSW 
GTM Evaluation & Planning Consultants
Apex, NC

Holly Ewell Lewis, MBA 
The Ewell Group
Durham, NC

Research Consultants
Diane Berry, PhD, CANP
UNC School of Nursing
Chapel Hill, NC
 
Melida Colindres, MPH 
Inter-Am English & Spanish Communications
Chapel Hill, NC


Pilot Study Results

For an overview of the survey findings, click on article:  Improving Prenatal Care for Hispanic Mothers: Health Professional Perspectives. Published in Streamline the Migrant Clinicians Network Newsletter 
         (July/August 2009)

Contact us to be notified when other journal articles are published.



Additional Funding Support




We'd like to thank the Institute for Social Innovation at Fielding University for their support of this research.
Susan Auger was awarded a doctoral student scholarship in January, 2009.

The Institute for Social Innovation supports projects that exemplify the following principles:
  • Knowledge that blends multidisciplinary theory and professional practice.
  • Action that leads to sustaining positive social change.
  • Collaboration that builds more effective organizations.
Pilot Study Details 
Teach-With-Stories: Lay Educator Prenatal Outreach Program for Hispanics
(Grant No. 1R43MD002713-01)

 

BACKGROUND 
Currently at 11 million, the number of Hispanic women in their childbearing years is projected to increase exponentially over the next several decades. The central role women have in Hispanic culture with respect to the health of their families, along with their high fertility rates, make reaching and engaging Hispanic women a critical strategy in efforts to reduce disparities and improve health outcomes for adults and children in these communities.

Quality prenatal care is designed to promote health and reduce risks for women, infants, and families before, during, and after pregnancy. This care is often the first introduction Hispanic families have to the American medical system and is also a place where disparities in care begin. Developing the healthcare system's capacity to provide quality, linguistically and culturally appropriate prenatal education and care is critical.

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PURPOSE OF STUDY
This exploratory study will determine the feasibility of developing a culture-centered prenatal education program for Hispanic women facilitated by lay health educators.

The program is based on the Teach-With-Stories (TWS) Method™ developed for empowerment-based group education used in conjunction with the De Madre a Madre/From Mother to Mother photonovels. These are an existing series of easy-to-read, bilingual, culturally appropriate photo-stories designed for prenatal education and literacy instruction.

Understanding the concerns, needs, beliefs, and perceptions of administrators and health professionals working in prenatal care programs is essential for designing a lay health educator prenatal education program that will be adopted into practice. The TWS study was designed to also help determine possible strategies to make the TWS prenatal education groups cost-effective and efficient to implement. 


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SIGNIFICANCE 
Positive, culturally sensitive experiences in prenatal care can have a long-term impact on the use of healthcare services by Hispanic women and their families.

An empowerment-based lay educator model designed to address system and provider needs unique to prenatal care could help generate cost-savings to the health care system, improve quality of care, and address the multiple needs of this growing population.

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Small Business Innovations Research (SBIR)- What is it? National Institutes of Health (NIH) sets aside funds for SBIR grants to stimulate and support small business research and development in partnership with research institutions.

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