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.

项目概要 服务不足的人群长期存在的健康差异导致感染率、疾病和 老年人和少数民族人口的慢性病没有转诊和与医疗保健服务的联系。 临床试验中，许多人，特别是老年非裔美国人/黑人 (AA/B) 不太可能 获得他们所需的医疗保健。 佛罗里达大学全国认可的 HealthStreet 计划的创建是为了直接应对 健康差异，并作为链接、转介和导航代表性不足的一站式门户 人口心理健康、医疗、精神病学和社会服务（例如食品分发处、工作和住房） 通过利用社区卫生工作者 (CHW) 的障碍（例如，进行广泛的社区卫生工作者培训所需的时间， 接收、跟进电话等）意味着没有足够的社区成员 (CM) 进行和参加推荐 预约（例如，27% 的预约确认率）可以解决现有障碍。 创建一个可扩展的计划，以更好地利用 CHW 的时间。 Benten Technologies 提议设计、开发和测试名为 eREACH 的移动医疗平台，该平台将 支持 HealthStreet 的社区卫生工作者提供电子筛查和转介，以短期、 可在手机或平板电脑上观看动画电影，并利用虚拟代理来方便后续呼叫和 这些移动医疗工具将使社区卫生工作者有时间与他人建立关系。 CM 并以此建立对临床医生与参与者关系的信任感。 具体目标是 (1) 对 60 岁以上有糖尿病风险的 AA/B 进行形成性研究， 与家人和相关利益相关者一起确定高血压和/或轻度认知障碍 筛查和护理联系的需求和要求；以及 (2) 对 30 个 AA/B 及其相关的试点测试 eREACH 家庭成员评估接受度和可行性 从长远来看，确定的个人数量， 通过 eREACH 转介并与护理相关联，将支持解决各种健康问题所需的护理连续性 解决服务不足人群的问题，提高临床试验的参与率，并扩大服务范围 弱势老年人。