Overcoming Appointment Adherence Barriers Using Social Support

利用社会支持克服预约遵守障碍

基本信息

批准号：
9200046
负责人：
WILLIAM Z TAN
金额：
$ 39.81万
依托单位：
TRANSCENDENT INTERNATIONAL, LLC
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-02 至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9200046
关键词：
Accounting Address Adherence Administrator Appointment Behavior Behavioral Sciences Caring Childhood Clinic Clinical Cognition Communities Continuity of Patient Care Development Devices Electronic Mail Environmental Risk Factor Ethnography Evaluation Exhibits Face Family member Friends Generic Drugs Health Healthcare Healthcare Systems Incentives Individual Information Management Institution Interview Knowledge Language Light Limited English Proficiency Link Location Mechanics Methods Modality Nature Outcome Outcome Measure Patient Appointment Patients Persons Pharmaceutical Preparations Phase Plant Roots Population Population Heterogeneity Preventive care Process Quality of Care Regimen Resources Schedule Self Care Services Social support Structure System Target Populations Techniques Technology Testing Text Time Transportation Trust Universities Visit Voice Vulnerable Populations Work base behavior change behavioral impairment cognitive process cost demographics evidence base experience forgetting health disparity improved innovation insight interest low socioeconomic status next generation patient population peer support prevent prototype response satisfaction support network tailored messaging tool

项目摘要

DESCRIPTION (provided by applicant): Appointment non-attendance - or, "no shows" - is common across health institutions, hindering efficient functioning of healthcare systems and contributing to over $150 billion in annual costs. Further, appointment non-attendance is associated with poorer health outcomes, as patients forgo critical preventative care and fail to receive necessary treatment. Certain populations are more likely to engage in non-attendant behavior, including individuals with low socio-economic status and limited English proficiency. As these populations already experience health disparities, they have the greatest need for tools that can effectively help them address the environmental and personal barriers that hinder their ability to keep healthcare appointments. In light of these challenges, the current proposal outlines the development and evaluation of a comprehensive solution to address the numerous personal and environmental factors contributing to no-show behavior. By embedding evidence-based behavior change techniques within a social support structure, the system will deliver targeted, culturally appropriate message campaigns across interactive voice response (IVR), SMS/text message, and email modalities. The messages will offer educational information specific to the nature of the appointment, connection to relevant resources such as affordable local transportation services, and reminders for scheduled visit date, time, and location. Importantly, this system will also be rooted in a peer support network, providing additional personalized assistance to promote adherence and overcome attendance barriers. The resultant system will provide comprehensive support for the range of factors contributing to appointment non-adherence, leveraging external resources and known internal cognitive processes to facilitate patients' increased participation and understanding of their own health care needs.

描述（由应用程序提供）：在卫生机构中，预约非招募 - 或“否表现”很常见，阻碍了医疗保健系统的有效运作，并贡献了超过1500亿美元的年费。此外，由于患者忘记了关键的预防性护理，并且未能接受必要的治疗，因此任命非招募与健康结果较差有关。某些人群更有可能从事非属性行为，包括社会经济地位低下和英语水平有限的人。由于这些人群已经经历了健康分配，因此他们最需要有效地帮助他们解决环境和个人障碍的工具，从而阻碍了他们保持医疗保健任命的能力。鉴于这些挑战，当前的提案概述了一种综合解决方案的开发和评估，以解决导致不展示行为的众多个人和环境因素。通过将基于证据的行为变化技术嵌入社会支持结构中，该系统将在交互式语音响应（IVR），SMS/Text Message和电子邮件模式下发出针对性的，适当的文化信息运动。这些消息将提供特定于约会性质的教育信息，与相关资源的联系，例如负担得起的当地运输服务以及预定的访问日期，时间和位置。重要的是，该系统还将植根于同伴支持网络，提供其他个性化帮助，以促进依从性并克服出勤障碍。最终的系统将为有助于任命不遵守的因素，利用外部资源和已知的内部认知过程提供全面的支持，以促进患者增加参与和对自己的医疗保健需求的理解。