Personal Health Libraries for People Returning From Incarceration: Protocol for a Qualitative Study.
Personal Health Libraries for People Returning From Incarceration: Protocol for a Qualitative Study.
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DOI：
10.2196/44748
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发表时间：
2023-05-03
影响因子：
1.7
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中科院分区：
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从监狱设施释放出来的人住院和死亡率很高，特别是在他们返回社区后的几周内。在这个过渡过程中，离开监禁的个人预计将与在独立、复杂系统中工作的多个提供者接触，包括医疗保健诊所、社会服务机构、社区组织以及缓刑和假释服务。这种导航往往因个人的身心健康、识字和流利程度以及社会经济地位而变得复杂。个人健康信息技术可以帮助人们获得和组织他们的健康信息，可以改善从监狱系统到社区的过渡，并在释放时减轻健康风险。然而，个人健康信息技术的设计并没有满足这一人群的需求和偏好，也没有测试其可接受性或使用性。我们研究的目的是开发一个移动的应用程序，为从监禁中返回的个人创建个人健康图书馆，以帮助从监狱环境过渡到社区生活。参与者是通过过渡诊所网络诊所接触和与司法相关组织的专业网络招募的。我们使用定性研究方法来评估促进者和障碍，开发和使用个人健康信息技术的个人从监禁返回。我们对刚从监狱设施释放的人（n=~20）和来自当地社区和参与返回社区成员过渡的监狱设施的提供者（n=~10）进行了单独访谈。我们使用严格的快速定性分析来生成专题输出，描述影响从监禁中返回的个人的个人健康信息技术的开发和使用的独特情况，并根据参与者的偏好和需求确定移动的应用程序的内容和功能。截至2023年2月，我们已经完成了27次定性访谈，对象是最近从监狱系统释放的个人（n=20）和支持社区各组织参与司法的个人的利益相关者（n=7）。我们预计，这项研究将描述人们从监狱和监狱过渡到社区环境的经历;描述重返社区后的信息、技术资源和需求;并为促进个人健康信息技术的参与创造潜在的途径。DERR1-10.2196/44748
Individuals released from carceral facilities have high rates of hospitalization and death, especially in the weeks immediately after their return to community settings. During this transitional process, individuals leaving incarceration are expected to engage with multiple providers working in separate, complex systems, including health care clinics, social service agencies, community-based organizations, and probation and parole services. This navigation is often complicated by individuals’ physical and mental health, literacy and fluency, and socioeconomic status. Personal health information technology, which can help people access and organize their health information, could improve the transition from carceral systems to the community and mitigate health risks upon release. Yet, personal health information technologies have not been designed to meet the needs and preferences of this population nor tested for acceptability or use. The objective of our study is to develop a mobile app to create personal health libraries for individuals returning from incarceration to help bridge the transition from carceral settings to community living. Participants were recruited through Transitions Clinic Network clinic encounters and professional networking with justice-involved organizations. We used qualitative research methods to assess the facilitators and barriers to developing and using personal health information technology for individuals returning from incarceration. We conducted individual interviews with people just released from carceral facilities (n=~20) and providers (n=~10) from the local community and carceral facilities involved with the transition for returning community members. We used rigorous rapid qualitative analysis to generate thematic output characterizing the unique circumstances impacting the development and use of personal health information technology for individuals returning from incarceration and to identify content and features for the mobile app based on the preferences and needs of our participants. As of February 2023, we have completed 27 qualitative interviews with individuals recently released from carceral systems (n=20) and stakeholders (n=7) who support justice-involved individuals from various organizations in the community. We anticipate that the study will characterize the experiences of people transitioning from prison and jails to community settings; describe the information, technology resources, and needs upon reentry to the community; and create potential pathways for fostering engagement with personal health information technology. DERR1-10.2196/44748