The US is poised to catalyze much needed and unprecedented improvements in MCH outcomes and systems performance. Doing so requires capacity building to ensure the effective use of existing MCH measures and data and an evolution in MCH measurement and data systems to assess monitor and improve MCH programs policies and services and advance research to fill knowledge gaps.
Goals and objectives:
Goal #1: Establish and activate sustainable interdisciplinary Research Network of MCH measurement experts including formation and engagement of an Advisory Committee measurement and methods Technical Working Groups (TWGs) design forums and an annual meeting (Objectives 1-3). Goal #2: Formulate a national research agenda (Objective 2.4) mapped to MCH health measures current and needed; develop and maintain measures compendium (Objective 2.1-2.2); gather input from MCH field and experts on priorities needs (Objective 2.3). Goal #3: Foster collaboration among MCH Network: identify and link funding sources potential partners and needs/gaps resulting in proposal submission (Objectives 3.1-3.3); conduct feasibility analyses for new priority measures (Objective 3.4). Goal #4: Translate and disseminate Network Products:
Gather MCH field information on needs best approaches for translating MRN findings (Objective 4.1); disseminate products through MRN webbased portal (Objective 4.2); conduct webinars national presentations (Objective 4.3); facilitate dissemination of MRN products through Network and partner communication platforms (Objective 4.4); coordinate production of peer-review publications (Objective 4.5). Proposed activities and target populations:
The CAHMI will use a four-part mixed methods approach: (1) outreach recruitment and engagement processes (develop and evolve the network); (2) input processes using key informant interviews focus groups online surveys and collective impact processes to gather information on priority issues needs state of MCH measurement field; (3) production processes to create the projects' deliverables (see products below); (4) dissemination processes to advance the MCH measurement field through webinars presentations peer-reviewed papers and other communication vehicles. Audiences for this work include MCH researchers program evaluators program and policy leaders payers and health systems families advocates consumers system improvement organizations public and private funders. Coordination:
The MCH-MRN establishes an interdisciplinary and cross-sector network of experts and MCH program policy consumer and service leaders at the national state and local levels to formulate an agenda and set priorities for advancing MCH measurement resources and innovation. Tiered engagement options ensure meaningful coordination to advance Network priorities and goals. Products:
Active sustainable MCH measurement engagement platform with infrastructure to fast-track measure development and stakeholder input; measures compendium; evolving Agenda; TWG products; increased collaboration support platform to coordinate funding proposals and partnerships; feasibility study results for priority measures; MRN web-based portal webinars presentations peer-reviewed papers and other dissemination products. Evaluation:
Mixed methods approach to monitor the number types and roles of members engaged in the Network; development of committees/work groups; participation in interviews focus groups surveys design calls annual meetings; completion of tasks/deliverables: compendium Agenda TWG products MRN Portal identification of gaps priorities state of the field feasibility study proposal submission dissemination products.
Bethell CD, Gombojav N, Whitaker RC. Family resilience and connection promote flourishing among US children, even amid adversity. Health Aff (Millwood). 2019 May;38(5):729-737. DOI:10.1377/hlthaff.2018.05425 May 2019 Health Aff (Millwood)
Bethell CD, Jones J, Gombojav N, Linkenbach J, Sege R. Positive childhood experiences and adult mental and relational health in a statewide sample: associations across Adverse Childhood Experiences levels. JAMA Pediatr. 2019 Sep 9:e193007. DOI:10.1001/jamapediatrics.2019.3007 September 2019 JAMA Pediatr
Whitaker RC, Dearth-Wesley T, Herman AN, Oakes JM, Owens JA. A quasi-experimental study of the impact of school start time changes on adolescents' mood, self-regulation, safety, and health. Sleep Health. 2019 Oct;5(5):466-469. DOI:10.1016/j.sleh.2019.06.011 October 2019
Bardach NS, Neel C, Kleinman LC, McCulloch CE, Thombley R, Zima BT, Grupp-Phelan J, Coker TR, Cabana MD. Depression, Anxiety, and Emergency Department Use for Asthma. Pediatrics. 2019 Oct;144(4). DOI:10.1542/peds.2019-0856 October 2019
Hohl BC, Kondo MC, Kajeepeta S, MacDonald JM, Theall KP, Zimmerman MA, Branas CC. Creating Safe And Healthy Neighborhoods With Place-Based Violence Interventions. Health Aff (Millwood). 2019 Oct; 38(10):1687-1694. DOI:10.1377/hlthaff.2019.00707 October 2019 Health Aff (Millwood)
Shenkman E, Tomar S, Manning D, Davis D, Sun Y, Amundson CW, Mistry K. Feasibility and usability of measuring receipt of sealants in 2 states. J Am Dent Assoc. 2019 Oct; 150(10):839-845. DOI:10.1016/j.adaj.2019.05.022 October 2019 J Am Dent Assoc
Whitaker RC, Herman AN, Dearth-Wesley T, Hubbell K, Huff R, Heneghan LJ, Rowe PC. The association of fatigue with dispositional mindfulness: relationships by levels of depressive symptoms, sleep quality, childhood adversity, and chronic medical conditions. Prev Med. 2019 Dec;129:105873. DOI:10.1016/j.ypmed.2019.105873 December 2019 10.1016/j.ypmed.2019.105873 Prev Med
Collins JW, Rankin KM, Desisto C, David RJ. Early and Late Preterm Birth Rates Among US-Born Urban Women: The Effect of Men's Lifelong Class Status. Matern Child Health J. 2019 Dec; 23(12):1621-1626. DOI:10.1007/s10995-019-02816-2 December 2019 Matern Child Health J
Blackwell, CK, Wakschlag, LS, Gershon RC, Cella D. (April 2018). Measurement Framework for the Environmental Influences on Child Health Outcomes Research Program. Pediatrics, 30(2); 276-284. April 2018
Child and Adolescent Health Measurement Initiative. (October 2017). Fact Sheet: A National Agenda to Address Adverse Childhood Experiences. Adapted from: Prioritizing Possibilities for Child and Family Health: An Agenda to Address Adverse Childhood Experiences and Foster the Social and Emotional Roots of Well-being in Pediatrics. Bethell, C.D., Solloway, M.R., Guinosso, S., Hassink, S., Srivastav, A., Ford, D., & Simpson, L.A. Academic Pediatrics, (17)7, S36-S50. October 2017
Halfon, N, Larson, K, Son, J, Lu, M, & Bethell, C. (September 2017). Income Inequality and the Differential Effect of Adverse Childhood Experiences in US Children. Academic Pediatrics, 17(7), S70-S78. September 2017
Bethell, CD, Solloway, MR, Guinosso, S, Hassink, S, Srvastav, A, Ford, D, & Simpson, LA. (September 2017). Prioritizing Possibilities for Child and Family Health: An Agenda to Address Adverse Childhood Experiences and Foster the Social and Emotional Roots of Well-being in Pediatrics. Academic Pediatrics, (17)7, S36-S50. September 2017
Soleimanpour, S, Geierstanger, S, & Brindis, CD. (September 2017). Adverse Childhood Experiences and Resilience: Addressing the Unique Needs of Adolescents. Academic Pediatrics, 17(7), S108-S114. September 2017
Bethell, CD, Carle, A, Hudziak, J, Gombojav, N, Powers, K, Wade, R, & Braveman, P. (September 2017). Methods to Assess Adverse Childhood Experiences of Children and Families: Toward Approaches to Promote Child Well-being in Policy and Practice. Academic Pediatrics, 17(7), S51-S69. September 2017
Srivastav, A, Fairbrother, G, & Simpson, LA. (September 2017). Addressing Adverse Childhood Experiences Through the Affordable Care Act: Promising Advances and Missed Opportunities. Academic Pediatrics, 17(7), S136-S143. September 2017
Sege, RD & Harper Browne, C. (September 2017). Responding to ACEs with HOPE: Health Outcomes from Positive Experiences. Academic Pediatrics, 17(7), S79-S85. September 2017
Bruner, C. (September 2017). ACE, Place, Race, and Poverty: Building Hope for Children. Academic Pediatrics, 17(7), S123-S129. September 2017