Puerto Rico ranks among the highest premature birth (PTB) rates in the United States, with 11.4 percent (2016). In absence of specific causes of PTB, research shows that adequate and comprehensive preconception health together with timely and full prenatal care—paired with education and individual responsibility for reproductive life—can yield a decrease in the PTB rate and improve pregnancy outcomes. The aim of this project is to build on Tier I and Tier II efforts and the established partnership to further develop the comparative effectiveness research (CER) question into a scientifically rigorous and sound proposal adjoined to a strong patient engagement plan. The CER question aims to weigh the comparative benefit of four different kinds of prenatal care: standard prenatal care, standard prenatal care with training in shared decision-making skills, group prenatal care, and community support group prenatal care. Following its establishment and growth, we will strengthen the multi-stakeholder partnership by incorporating new members through quarterly meetings, providing timely training in patient-centered outcomes research (PCOR), and developing a plan to explore funding opportunities for CER proposals. The success of this project will be the completion of a scientifically sound and solid CER proposal, the development of full-scale scientific PCOR proposals on behalf of members of our partnership, and a plan to continue attracting state regional and national stakeholder organizations through the coordination of core and supporting activities. The leadership team, composed of patients, physicians, and researchers, will steer and manage the project to accomplish proposed outcomes.
*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.