OurChild: A Health IT Solution to Reduce Minority Health Disparities

OurChild：减少少数族裔健康差异的健康 IT 解决方案

基本信息

批准号：
10355466
负责人：
Simona Kwon
金额：
$ 70.44万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-02-17 至 2024-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10355466
关键词：
6 year old Address Adolescent Psychiatry Adoption Adult Age Caring Child Child Mental Health Child Psychiatry Child Rearing Childhood Chinese Chinese American Chinese population Clinic Clinical Clinical Services Cohort Studies Communities Community Health Systems Community Services Consolidated Framework for Implementation Research Consultations Data Data Reporting Development Digital Libraries Early identification Effectiveness Electronic Health Record Evaluation Family Family health status Focus Groups Goals Health Health Disparities Research Health Resources Health Services Accessibility Healthcare Home Immigrant Immigrant community Immigrant family Impairment Improve Access Incubators Individual Knowledge Language Libraries Life Limited English Proficiency Link Mental Health Mental Health Services Mental disorders Metadata Methodology Methods National Institute on Minority Health and Health Disparities New York City Outcome Parents Performance Population Poverty Prevalence Provider Reach Effectiveness Adoption Implementation and Maintenance Reduce health disparities Research Resources Self Efficacy Testing Time Translating cohort design design-build-test developmental disease digital digital health early childhood evidence base health care availability health disparity health disparity populations health knowledge health literacy high school human centered design improved innovation insight iterative design mHealth minority health disparity patient health information patient portal post implementation prototype response safety net smartphone Application social stigma tool usability

6 year old Address Adolescent Psychiatry Adoption Adult Age Caring Child Child Mental Health Child Psychiatry Child Rearing Childhood Chinese Chinese American Chinese population Clinic Clinical Clinical Services Cohort Studies Communities Community Health Systems Community Services Consolidated Framework for Implementation Research Consultations Data Data Reporting Development Digital Libraries Early identification Effectiveness Electronic Health Record Evaluation Family Family health status Focus Groups Goals Health Health Disparities Research Health Resources Health Services Accessibility Healthcare Home Immigrant Immigrant community Immigrant family Impairment Improve Access Incubators Individual Knowledge Language Libraries Life Limited English Proficiency Link Mental Health Mental Health Services Mental disorders Metadata Methodology Methods National Institute on Minority Health and Health Disparities New York City Outcome Parents Performance Population Poverty Prevalence Provider Reach Effectiveness Adoption Implementation and Maintenance Reduce health disparities Research Resources Self Efficacy Testing Time Translating cohort design design-build-test developmental disease digital digital health early childhood evidence base health care availability health disparity health disparity populations health knowledge health literacy high school human centered design improved innovation insight iterative design mHealth minority health disparity patient health information patient portal post implementation prototype response safety net smartphone Application social stigma tool usability

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项目摘要

Project Summary/Abstract Mental health and developmental disorders begin early in life, are prevalent, impairing, and predict mental health and health challenges in later childhood and in adulthood. One in nine preschoolers has an impairing mental health disorder, yet less than 15% receive any treatment. In immigrant communities, the disparity between mental health needs and care is greater because of cultural and language barriers, limited mental health literacy, and decreased use of health IT solutions, like Electronic Health Record (EHR) patient portals. Chinese American immigrant families are a fast-growing immigrant group with unmet early childhood mental health needs. We propose to design, build, and implement OurChild, an integrated mHealth/EHR solution to increase access to early childhood mental health knowledge and mental health services and resources for Chinese American children ages 2-6 years old and their parents in Sunset Park, Brooklyn. Our proposal unites our longstanding partnership with the Chinese American community in Sunset Park and the safety-net clinics serving it with our team's 1) clinical and scientific expertise in health disparities, participatory research and early childhood mental health and 2) the digital health/health IT expertise of the WonderLab, a digital incubator in the NYU Langone Department of Child and Adolescent Psychiatry. Our goal is to reduce health disparities by explicitly designing a digital solution that facilitates connection and bidirectional exchange of information across the cultural, contextual, language, and setting differences that are key barriers to early childhood mental health knowledge and access to care for this immigrant population. Our first aim is to iteratively design, build, and test OurChild. To do this we will 1) collaborate with our family, clinical, and community stakeholders to conduct an early childhood mental health context/needs analysis and participatory design and discovery activities; 2) use these insights to adapt and user-test iterative prototypes; 3) evaluate the usability and acceptability of a beta version of OurChild in a mixed-methods pilot with 20 Chinese American parents and their 2- to 6-year-old children who receive care at the Sunset Park 7th Avenue Family Health Center; and 4) optimize the design, features, and performance to create OurChild 1.0.Our second aim it to evaluate the Reach, Effectiveness, Adoption, and Implementation of OurChild 1.0 with a 6- month longitudinal implementation cohort study with 200 parent/child dyads. We will use a mixed-methods approach using metadata collected with the OurChild app, parent-reported data from the app, EHR data, and post-implementation focus groups with providers to determine whether use of Our Child increases referrals of young children for a mental health consultation or evaluation (Primary Aim). Our secondary aims will examine whether use of OurChild 1) increases parent self-efficacy; 2) parent–provider engagement; and 3) linkage with community early childhood resources. Both OurChild and our digital methodology will be designed to be scaled to other Chinese populations and efficiently adapted for other health disparity populations.

项目摘要/摘要心理健康和发育障碍在生命的早期开始，普遍存在，损害并预测心理童年和成年期的健康与健康挑战。九分之一的学龄前儿童有障碍精神健康障碍，但不到15％接受任何治疗。在移民社区中，差距由于文化和语言障碍，精神障碍，精神障碍，精神障碍有限健康素养以及改善健康IT解决方案的使用，例如电子健康记录（EHR）患者门户。华裔移民家庭是一个快速增长的移民群体健康需求。我们建议设计，建造和实施我们的孩子，这是一种集成的MHealth/EHR解决方案增加获得儿童幼儿心理健康知识和心理健康服务的机会以及 2-6岁的中国美国儿童的资源和他们在日落公园的父母布鲁克林。我们的提案单位在日落中与华裔美国人社区的长期合作伙伴关系 Park和安全网诊所与我们团队的1）健康分配方面的临床和科学专业知识，参与研究和幼儿心理健康以及2）数字健康/健康IT专家 Nyu Langone儿童和青少年精神病学系的数字孵化器Wonderlab。我们的目标是通过明确设计促进连接和的数字解决方案来减少健康分布跨文化，上下文，语言和设置差异的双向信息交换儿童早期心理健康知识的关键障碍和为这一移民人群提供护理。我们的第一个目的是迭代设计，构建和测试我们的孩子。为此，我们将1）与家人合作，临床和社区利益相关者进行幼儿心理健康环境/需求分析和参与设计和发现活动； 2）使用这些见解来适应和用户测试的迭代原型； 3）在混合方法飞行员中评估beta版本的可用性和可接受性美国华裔父母及其2至6岁的孩子，他们在日落公园第七大道受到照顾家庭健康中心； 4）优化设计，功能和性能以创建我们的孩子1.0。第二个目的是评估我们的孩子1.0的覆盖范围，有效性，采用和实施6-- 一个月的纵向实施队列研究，有200个父/儿童二元组。我们将使用混合方法使用使用URCHILD应用收集的元数据，来自应用程序的数据，EHR数据和实施后焦点小组与提供者确定我们的孩子的使用是否会增加推荐幼儿进行心理健康咨询或评估（主要目的）。我们的次要目标将检查是否使用我们的孩子1）增加父母的自我效能感； 2）父母 - 培训者的参与； 3）与社区幼儿资源。我们的孩子和我们的数字方法都将被设计为缩放对于其他中国人群，并有效地适用于其他健康差异人群。