Collaborative IVR Platform for Multilingual Patient Outreach and Education

用于多语言患者推广和教育的协作 IVR 平台

• 批准号: 7885030
• 负责人: WILLIAM Z TAN
• 金额: $ 85.67万
• 依托单位: TRANSCENDENT INTERNATIONAL, LLC
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-22 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7885030
• 关键词: ARHGEF5 gene; Address; Adopted; Adoption; Appointment; Asian Americans; Award; Belief; Benchmarking; Caring; Case Study; Chronic; Chronic Disease; Client; Clinical; Collaborations; Communication; Communities; Community Health; Community Healthcare; Complex; Development; Diabetes Mellitus; Education; Education Projects; Education and Outreach; Effectiveness; Evaluation; Expeditions; Feedback; Funding; Grant; Guidelines; Health; Health Educators; Health Personnel; Health Professional; Health Services Accessibility; Health education; Healthcare; Hour; Housing; Improve Access; Individual; Information Management; Institution; Internet; Intervention; Knowledge; Libraries; Life; Marketing; Medical; Methods; Michigan; Monitor; New York; New York City; Online Systems; Outcome; Pamphlets; Participant; Patient Education; Patients; Persons; Phase; Pilot Projects; Population; Preventive; Printing; Process; Provider; Public Health Education; Quality Control; Randomized Controlled Trials; Research; Research Infrastructure; Research Personnel; Resource Sharing; Resources; Role; Running; Sampling; Secure; Series; Services; Solutions; Surveys; System; Technology; Telephone; Testing; Time; Underserved Population; Universities; Voice; base; cohort; commercialization; community based participatory research; community intervention; compliance behavior; cost; design; diabetes education; diabetes management; experience; functional health literacy; improved; influenza virus vaccine; innovation; intervention program; medical schools; meetings; novel strategies; outreach; patient oriented; phase 1 study; programs; prototype; response; role model; user-friendly

DESCRIPTION (provided by applicant): The objective of this Fast Track project is to develop an interactive voice response (IVR) application that will resolve three obstacles hindering the widespread adoption of telephone-based interventions in the healthcare arena. First, the process of creating an IVR campaign is labor-intensive, time-consuming and cost-prohibitive. Second, the collaborative aspect of IVR campaign development is not enabled by currently available IVR systems in which no clear guidelines or resources exist to assist healthcare workers in designing and implementing such campaigns. Third, there is a lack of dedicated IVR systems for use in healthcare, as existing proprietary IVR systems are designed primarily for corporate clients and are thus inadequate for adaptation to health outreach campaigns. Numerous studies have shown that IVR is a particularly effective means of communicating health information to patients with limited English proficiency (LEP) and low functional health literacy (FHL). This project will create a system that is tailored to the needs of healthcare personnel and will significantly reduce the time, cost, and labor requirements of adapting IVR technology to outreach campaigns. Phase I research will evaluate the efficacy and adoptability of a set of sample messages with LEP patients and providers and determine the optimal features of the proposed IVR system. During Phase II, a fully- functional prototype of the IVR system will be developed and evaluated via a pilot study with clinicians and researchers who are experienced in IVR health interventions. Finally, a randomized control trial will be conducted in conjunction with a diabetes management program at a leading New York-based medical institution. Clinical outcomes and qualitative feedback from providers and patients will be assessed according to pre-determined benchmarks. PUBLIC HEALTH RELEVANCE: Interactive Voice Response (IVR) technology offers tremendous potential to enhance public health education efforts and to facilitate enhanced patient communications among populations with limited English proficiency (LEP) and/or low functional health literacy. The proposed VoiceReach++ System, a user-friendly, web-based, automated message-delivery application, will harness health educators' expertise in conducting outreach campaigns, reduce time and costs associated with telephone-based communications, and develop a body of quality-controlled voice messages for dissemination into the community. The multilingual, culturally-appropriate telephone messages housed in the VoiceReach++ System's collaborative clearinghouse will serve to increase LEP patients' health knowledge, appointment attendance, and treatment compliance, improving individuals' ability to manage chronic disease, engage in preventive care practices, and improve overall health outcomes.

描述（由申请人提供）：这个快速项目的目的是开发一个交互式语音响应（IVR）应用程序，该应用程序将解决三个障碍，阻碍了医疗保健领域中基于电话的干预措施的广泛采用。首先，创建IVR运动的过程是劳动密集型，耗时且成本良好的过程。其次，当前可用的IVR系统无法实现IVR广告系列开发的协作方面，在该系统中，没有明确的准则或资源来帮助医疗保健工作者设计和实施此类活动。第三，由于现有的专有IVR系统主要是为企业客户设计的，因此缺乏用于医疗保健的专用IVR系统，因此无法适应健康外展活动。许多研究表明，IVR是将健康信息传达给有限的英语水平（LEP）和低功能健康素养（FHL）的患者的特别有效手段。该项目将创建一个针对医疗保健人员需求量身定制的系统，并将大大减少适应IVR技术来推广活动的时间，成本和人工要求。第一阶段的研究将评估与LEP患者和提供者的一组样本消息的功效和采用性，并确定所提出的IVR系统的最佳特征。在II阶段期间，将通过与IVR健康干预措施经验丰富的临床医生和研究人员进行试点研究开发和评估IVR系统的全功能原型。最后，将与位于纽约领先的医疗机构的糖尿病管理计划一起进行随机控制试验。提供者和患者的临床结果和定性反馈将根据预定的基准进行评估。公共卫生相关性：互动语音反应（IVR）技术为增强公共卫生教育工作的巨大潜力提供了巨大的潜力，并促进了英语能力有限（LEP）和/或功能健康素养低的人群之间的患者沟通。拟议的VoicerEach ++系统是一种用户友好的，基于网络的，自动的消息传递应用程序，将利用健康教育工作者在开展外展活动，减少与基于电话的通信相关的时间和成本方面的专业知识，并开发一系列质量控制的语音信息，以将其传播到社区中。 VoiceReach ++系统中包含的多语言，具有文化符合文化的电话消息将有助于提高LEP患者的健康知识，任命出勤和治疗依从性，提高个人管理慢性病，从事预防性护理实践的能力，并提高整体健康状况。