Health For All: Advancing Library-Academic Medical Center Partnerships to Navigate Wellness and Scale Preventive Services Access (Admin Supplement)

人人享有健康：推进图书馆-学术医疗中心合作伙伴关系，以引导健康并扩大预防服务的使用范围（管理补充材料）

• 批准号: 10200395
• 负责人: MELISSA A. SIMON
• 金额: $ 11.03万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10200395
• 关键词: Academic Medical Centers; Advisory Committees; Cessation of life; Chicago; Communication; Communities; Computers; Consumption; Development; Disease; Focus Groups; Health; Health Personnel; Health Science Library; Health Sciences; Individual; Information Technology; Interview; Librarians; Libraries; Life Style; Medical; Modeling; Outcome; Patients; Preventive; Preventive Health Services; Preventive Medicine; Preventive screening; Preventive service; Primary Health Care; Process; Recommendation; Research; Resources; Scanning; Self Efficacy; Services; Social Work; Surveys; Terminology; Training Activity; Underserved Population; Universities; base; community organizations; design; digital; disability; empowered; evidence base; experience; health care service; health care service utilization; health disparity; implementation research; implementation science; improved; informant; prevent; programs; prototype; service providers; service utilization; tool; tool development; user centered design; web site

ABSTRACT Evidence-based preventive services have been shown to be effective in reducing death, disability, and disease by preventing and/or detecting illnesses and diseases in early stages that are responsive to treatment and lifestyle changes. The U.S. Preventive Services Task Force (USPSTF) develops recommendations that are made available to the public on its website and on apps to support clinicians in advising patients on preventive medicine services. However, few tools exist for scaling consumer access to crucial USPSTF information and for enhancing self-efficacy, activation, and connectivity of individuals to primary care. As underutilization of preventive health services is a contributing factor to health disparities, programs are warranted that reach underserved populations with accurate and accessible information about appropriate preventive services and how to access such services. Thus, leveraging Northwestern University’s strong health sciences library nested in a large academic medical center and a team with a proven track record of community engaged research and expertise in computer and information technology and implementation science, we propose to engage a user- centered design process to develop Navigating Wellness, a digital tool for librarians and library patrons that will augment USPSTF information to enhance the accessibility of up-to-date and tailored, preventive screening and wellness information to underserved populations. The Navigating Wellness tool seeks to empower library patrons to consume health information and utilize preventive health services, while equipping librarians with tools to support health information seeking within public libraries. Iterative prototype development will involve focus groups, an environmental scan of available community-based resources to enhance direct linkages to healthcare and social service providers, and key informant interviews among librarians to inform the development of a supplemental training module applicable across libraries, preventive medical terminology resources, and a portal for technical support that will connect public librarians with health science librarians at Northwestern. Following development of the tool, leveraging the Consolidated Framework for Implementation Research (CFIR), we will deploy the tool among 10 libraries to evaluate factors influencing implementation and healthcare utilization outcomes. Pre/post surveys among n=125 library patrons using the tool will assess outcomes related to preventive services utilization. A survey among n=50 librarians, community organization leaders, and stakeholders will identify factors influencing the implementation of the Navigating Wellness tool in library settings. Results will be used to develop a generalizable model for academic medical center – public library partnerships to sustain and disseminate the tool to other settings.

摘要 循证预防服务已被证明在减少死亡、残疾和疾病方面是有效的 通过预防和/或检测对治疗有反应的早期疾病， 生活方式的改变美国预防服务工作组（USPSTF）提出了以下建议： 在其网站和应用程序上向公众提供，以支持临床医生为患者提供预防性建议。 医药服务。然而，很少有工具可以扩展消费者对关键USPSTF信息的访问， 提高自我效能、积极性和个人与初级保健的联系。由于未充分利用 预防性卫生服务是造成健康差距的一个因素，因此有必要制定计划， 向得不到充分服务的人口提供关于适当预防服务的准确和可获得的信息， 如何获得这些服务。因此，利用西北大学强大的健康科学图书馆嵌套 在一个大型学术医疗中心和一个团队与社区参与研究的良好记录， 在计算机和信息技术和实施科学的专业知识，我们建议聘请用户- 以设计过程为中心，开发导航健康，图书馆员和图书馆读者的数字工具， 增加USPSTF信息，以提高最新和定制的预防性筛查的可及性， 健康信息服务不足的人群。导航健康工具旨在赋予图书馆读者 消费健康信息和利用预防性健康服务，同时为图书馆员提供工具， 支持在公共图书馆寻求健康信息。迭代原型开发将涉及到焦点 团体，对现有社区资源进行环境扫描，以加强与保健的直接联系 和社会服务提供者，以及图书馆员中的关键信息提供者访谈， 适用于各图书馆的补充培训模块、预防医学术语资源和门户网站 技术支持，将连接公共图书馆员与健康科学图书馆员在西北。以下 开发工具，利用实施研究综合框架（CFIR），我们将 在10个图书馆中部署该工具，以评估影响实施和医疗保健利用的因素 结果。使用该工具对n=125名图书馆读者进行的前/后调查将评估与以下方面相关的结果： 预防性服务利用率。在n=50名图书馆员、社区组织领导和 利益相关者将确定影响在图书馆环境中实施健康导航工具的因素。 研究结果将被用来开发一个可推广的模式，为学术医疗中心-公共图书馆的合作伙伴关系 维持并向其他环境传播该工具。