Miasano: Mobile Health App for Improved Evidence-Based Rehabilitation Outcomes and Multi-Lingual Clinical Interactions

Miasano：移动健康应用程序可改善循证康复结果和多语言临床交互

• 批准号: 10601742
• 负责人: David A Boone
• 金额: $ 25.88万
• 依托单位: ORTHOCARE INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-25 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10601742
• 关键词: Address; Attention; Caring; Cellular Phone; Clinic; Clinical; Clinical Trials; Collection; Communication; Comprehension; Computer software; Development; Engineering; English Language; Ensure; Environment; Evidence based practice; Feedback; Foundations; Health; Health Personnel; Health Status; Healthcare; Healthcare Systems; Hearing; Hispanic; Individual; Language; Latino; Measurable; Measures; Medical; Methods; Minority Groups; Mobile Health Application; Morale; Multilingualism; National Institute on Minority Health and Health Disparities; Oral; Orthotic Devices; Outcome; Outcome Measure; Patient Care; Patient Outcomes Assessments; Patients; Persons; Phase; Physical Rehabilitation; Population; Preparation; Process; Provider; Reading; Reduce health disparities; Rehabilitation Outcome; Rehabilitation therapy; Research; Risk; Small Business Innovation Research Grant; Software Engineering; Speech; Systems Integration; Tablets; Technology; Testing; Text; Validation; Work; clinical care; clinically relevant; digital; empowered; ethnic minority; ethnic minority population; evidence base; experience; handheld mobile device; health assessment; health communication; health disparity; health literacy; illiteracy; improved; innovation; insight; literacy; literate; meetings; patient population; phrases; physical therapist; prosthesis wearer; racial and ethnic; racial minority; research clinical testing; research study; response; skills; social culture; success; usability; visual control

PROJECT SUMMARY This SBIR Phase I project will create a proof-of-concept app for improving clinical interactions and use of evidence-based practice between patients and clinicians who may have different preferred languages. We call our proposed app Miasano (derived from the phrase “My Health” in the Esperanto Universal Language). The primary problem that our app addresses is that patient-reported outcome measures (PROMs) are collected less often in racial/ethnic minorities. Providers may not ask patients to complete PROMs due to language barriers. For example, the patient would not be able to comprehend a PROM in English and the provider may not be able to effectively communicate with the patient about the results. Because of the language barrier, patients may be hesitant or simply unable to express their health concerns or status. Many medical clinics can offer interpreters to assist with language barriers, but this creates a reliance on interpreter availability. When an interpreter is present, there is a possibility that the busy interpreter creates unintentional bias when interpreting PROM questions or relaying provider messages to the patient. These patient populations experience poorer health outcomes. This leads to health disparities because their health needs are not being properly evaluated or understood and evidence-based clinical care cannot take place. Further, Miasano provides the opportunity to be more inclusive in research studies by including PROMs in different languages. Individuals with different racial/ethnic backgrounds would be more easily included to participate in scientific research that uses PROMs. Therefore, the disparity in research inclusion would be reduced and could be ultimately eliminated through better representation in clinical trials and increased applicability of the research results. Our Miasano app solution to these problems combines several unique features: User Appropriate Language Switching which allows direct and instantaneous communication of health outcomes and status between two different languages, providing health assessment in the patient’s preferred language and interpretation of results in the health care provider’s preferred language, all in the same app; Text-to-Speech Accessibility and use of visual controls on the mobile device which enhances accessibility to the persons who might have some level of illiteracy and who prefer to communicate orally. The PROMs queries can be dictated by the mobile device and the user can respond by tapping on the screen. The health care provider receives the same complete assessment as if the patient had been able to read; and Defining Medical Terms with pop-up windows that display common language descriptions is important as medical terms may not be familiar even to those who are quite literate. The key differentiator of Miasano from current ad hoc clinical methods is empowering the patient who prefers a language other than English to communicate their health needs and to be confident when conveying important health information.

项目摘要 这个SBIR I期项目将创建一个概念验证应用程序，用于改善临床互动和使用 可能具有不同首选语言的患者和临床医生之间的循证实践。我们打电话 我们提出的应用程序Miasano（用Esperanto通用语言源自“我的健康”一词）。 我们的应用程序地址的主要问题是收集患者报告的结果指标（PROM） 在种族/族裔少数民族中少的时间。提供者不得要求患者由于语言而完成舞会 障碍。例如，患者无法理解英语的舞会，提供者可以 无法与患者有效沟通有关结果。由于语言障碍， 患者可能犹豫或根本无法表达其健康问题或状况。许多医疗诊所可以 提供口译员来协助语言障碍，但这提醒了口译员的可用性。当 出现口译员，繁忙的口译员在解释时会产生无意的偏见 舞会问题或向患者传达提供商的消息。这些患者人群的经历较差 健康结果。这会导致健康差异，因为他们的健康需求未得到正确评估 或理解和基于证据的临床护理。此外，Miasano提供了机会 通过在研究中包括不同语言的舞会来更具包容性。有不同的人 种族/族裔背景将更容易包括在使用舞会的科学研究中。 因此，研究包容的差异将减少，最终可以通过 better representation in clinical trials and increased applicability of the research results.我们的Miasano应用程序 解决这些问题的解决方案结合了几个独特的功能：用户适当的语言切换 允许直接和瞬时地沟通健康结果和状态 语言，以患者的首选语言提供健康评估，并解释结果 医疗保健提供者的首选语言，全部在同一应用中；文本到语音的可访问性和视觉的使用 移动设备上的控件，可增强可能具有一定程度的人的可访问性 文盲，谁更喜欢口头交流。舞会查询可以由移动设备和 用户可以通过在屏幕上敲击来做出响应。卫生保健提供者获得相同的完整 评估，好像患者能够阅读；并用弹出窗口定义医学术语 显示常见语言描述很重要，因为即使是那些医学术语，也可能不熟悉 很有识字。 The key differentiator of Miasano from current ad hoc clinical methods is empowering the 喜欢英语以外的其他语言来传达其健康需求的患者，并在 传达重要的健康信息。