eREACH - Expanding Research and Recruitment by Adults through Community Health workers that automating screenings and referrals plus improving communication and health information delivery

eREACH - 通过社区卫生工作者扩大成人研究和招募，实现筛查和转诊自动化，并改善沟通和健康信息传递

• 批准号: 10384548
• 负责人: Tony Xuyen Ma
• 金额: $ 45.62万
• 依托单位: BENTEN TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10384548
• 关键词: Address; Adult; African American; African American population; Age-Years; Appointment; Artificial Intelligence; Biomedical Research; Black American; Capital Financing; Car Phone; Caring; Cellular Phone; Chronic; Clinical Research; Clinical Trials; Communication; Communities; Community Health Aides; Community Health Education; Computer software; Consumption; Continuity of Patient Care; Dementia; Diabetes Mellitus; Disease; Education; Educational Materials; Effectiveness; Elderly; Enrollment; Face; Family member; Florida; Food; Health; Health Personnel; Health Services; Health Services Accessibility; Healthcare; Healthcare Systems; Housing; Hypertension; Improve Access; Individual; Information Dissemination; Intake; Intervention; Lead; Link; Machine Learning; Medical; Mental Health; Minority Groups; Names; Natural Language Processing; Occupations; Older Population; Outcome; Paper; Participant; Phase; Population; Process; Psychiatric Social Work; Public Health; Research; Resources; Risk; Services; Small Business Innovation Research Grant; Tablets; Technology; Testing; Text Messaging; Time; Training; Trust; Underrepresented Populations; Underserved Population; United States; United States Agency for Healthcare Research and Quality; Universities; Work; base; care systems; dashboard; dementia risk; design; diabetes risk; digital; distrust; follow-up; handheld mobile device; health care service; health disparity; high risk; improved; infection rate; innovation; mHealth; member; mild cognitive impairment; movie; novel; outreach; pilot test; programs; racial discrimination; recruit; screening; social health determinants; speech recognition; tool; usability; virtual; willingness

PROJECT SUMMARY Longstanding health disparities in underserved populations result in higher infection rates, disease, and chronic conditions in older and minority populations. Without referral and linkage to healthcare services and clinical trials, many individuals, including older African Americans/Blacks (AA/Bs) in particular, are unlikely to receive the healthcare they need. The University of Florida’s nationally-recognized HealthStreet program was created to directly respond to health disparities and serve as a one-stop portal for linking, referring, and navigating under-represented populations to mental health, medical, psychiatric, and social services (e.g., food pantries, jobs, and housing) through the use of community health workers (CHWs). Barriers (e.g., time required for extensive CHW training, intakes, follow-up calls, etc.) mean not enough community members (CMs) make and attend referral appointments (e.g., 27% appointment confirmation rate). Mobile health (mHealth) can address existing barriers to create a scalable program to better utilize the CHW’s time. Benten Technologies proposes to design, develop and test a mHealth platform called eREACH that will support HealthStreet’s CHWs to provide e-screenings and referrals, deliver education in the form of short, animated movies viewable on a mobile phone or tablet, and utilize virtual agents to facilitate follow up calls and the dissemination of information. These mHealth tools will give the CHWs time to nurture a relationship with the CM and, in so doing, build a sense of trust in the clinician-participant relationship. The Phase 1 SBIR Specific Aims are to (1) Use formative research with AA/Bs over 60 years of age who are at-risk for diabetes, hypertension, and/or mild cognitive impairment with family members and relevant stakeholders to identify the needs and requirements for screenings and linkage to care; and (2) Pilot test eREACH with 30 AA/Bs and their family members to evaluate acceptance and feasibility. In the long term, the number of individuals identified, referred, and linked to care by eREACH will support the continuity of care needed to address various health issues for underserved populations, increase participation rates in clinical trials and improve outreach to vulnerable senior citizens.

项目摘要 在服务不足的人群中长期存在健康差异会导致感染率，疾病和 老年和少数族裔的慢性病。没有转介和与医疗服务的联系， 临床试验，尤其是包括非裔美国人/黑人（AA/BS）在内的许多人不太可能 接受他们需要的医疗保健。 佛罗里达大学的全国认可的健康街计划是为了直接回应的 健康分布并用作链接，参考和导航代表性不足的一站式门户 心理健康，医学，精神病和社会服务的人群（例如，食品餐厅，工作和住房） 通过使用社区卫生工作者（CHW）。障碍（例如，大量CHW培训所需的时间， 进气口，后续电话等）意味着没有足够的社区成员（CMS）进行和参加推荐 约会（例如，任命确认率为27％）。移动健康（MHealth）可以解决现有的障碍 创建一个可扩展程序以更好地利用CHW的时间。 Benten Technologies建议设计，开发和测试称为EREACH的MHealth平台 支持HealthStreet的CHW提供电子筛查和推荐，以简短的形式提供教育 动画电影可以在手机或平板电脑上查看，并利用虚拟代理来促进后续呼叫和 信息传播。这些MHealth工具将为CHW提供时间来护理与 CM以及这样做，建立了对临床参与关系的信任感。 1阶段SBIR 具体目的是（1）使用60岁以上的AA/BS进行形成性研究，这些年龄较高的糖尿病患者， 与家人和相关利益相关者的高血压和/或轻度认知障碍，以确定 筛查和链接的需求和要求； （2）使用30个aa/bs的试点测试及其 家庭成员评估接受和可行性。从长远来看，确定的个人人数， 转介，并与EREACH的护理联系起来，将支持解决各种健康所需的护理连续性 服务不足人群的问题，提高临床试验中的参与率并改善宣传 脆弱的老年人。