ArticleWomen's health (London, England)
We care about Brooklyn: A remote precision support intervention designed to improve maternal health and well-being.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundBlack maternal mortality is an urgent public health crisis in the United States. Community-based interventions show promise in addressing this crisis but remain underutilized.
objectiveUsing New York City (NYC) as a case study, we describe a formative study of a comprehensive community health worker (CHW)-led intervention, We Care About Brooklyn (WeCAB), designed to address structural drivers of NYC's maternal health crisis: fragmented care and unmet health-related social needs (HRSNs), such as food insecurity and unstable housing.
designGuided by the transcreation framework, we conducted a community-engaged, mixed methods formative study to design an intervention prototype.
methodsWe conducted a document review (
resultsAnalysis elaborated on five central themes-trust and rapport building, frequency of patient engagement and critical time periods, system fragmentation and care coordination challenges, technology for care coordination, and provider and client expectations. These findings, along with the document review, results of the film analysis, and evidence-based intervention inputs, informed the design of a remote precision support intervention with two core activities: (1) a digital closed-loop care navigation platform (Unite Us
conclusionWeCAB was designed to enable CHWs to function as a human safety net and provide continuity of care in the context of a fragmented healthcare landscape. We propose that this approach fosters trust and patient empowerment, promoting physical and emotional well-being and engagement in care.
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