Personal Health Libraries for Formerly Incarcerated Individuals

项目总结 从教养所出院的人的住院率和死亡率很高，特别是在 释放后的几周内。不成比例的贫穷和种族和少数民族群体，他们已经是一个 健康状况不佳的高危人群。返回社区的过渡带有额外的标记 难以驾驭医疗保健、社区矫正和社会服务系统以及结构 获得医疗保健、住房和就业的障碍。从教养所释放的个人 必须与许多提供商接触，这给组织和根据收到的信息采取行动带来了挑战 来自不同的组织。个人健康信息技术是尚未开发的资源，可以 改善从惩教到社区的过渡，降低健康风险。有迫切的需要 与以前被监禁的人合作开发个人健康信息技术并进行测试 它们在改善健康结果方面的有效性。使用这些技术，以前被监禁的人可以 组织、理解各种信息来源并采取行动，从而提高自我效能和 改善健康状况。然而，还没有一种个人健康信息技术旨在满足 这一群体的需求和喜好，这对它的接受和使用至关重要。长期目标是 通过使用个人健康信息，促进以前被监禁的人的健康 技术。这项提案的总体目标是与以下机构合作，制定和测试战略 以前被监禁的人，以增加对个人健康图书馆(PerHL)移动应用程序的接受和使用。 初步数据表明，使用参与式健康信息学方法让有病史的人参与进来 监禁的风险可以导致对卫生技术的接受和使用。我们研究的中心假设是 与以前被监禁的人合作开发和提炼PerHL将增加其 接受和使用。为了验证这一假设，我们提出了三个目标：(1)评估 为以前被监禁的个人开发和使用个人健康信息技术，(2) 为以前被监禁的个人开发和完善PerHL，以及(3)进行试点随机试验以测试 以前被监禁的人接受和使用PerHL。我们将利用专业知识和 过渡诊所网络的基础设施，这是一个为以前被监禁的人提供初级保健诊所的全国性网络 人员，以及由信息学家、临床提供者、以前被监禁的个人组成的多学科团队，以及 刑事司法领袖，为发展人权人权创造了最好的案例。这项研究代表了一种新的和 通过纳入参与式卫生信息学方法和国家，从根本上改变现状 将艺术信息学的工具融入到个人健康信息技术的开发和完善中，用于 最近从教养所释放的人。

PROJECT SUMMARY Individuals released from correctional facilities have high rates of hospitalization and death, especially in the weeks following release. Disproportionately poor and of racial and ethnic minority groups, they are already a high-risk group for poor health outcomes. The transition back to the community is marked with additional difficulties navigating the healthcare, community correctional, and social service systems and structural barriers to obtaining healthcare, housing, and employment. Individuals released from correctional facilities must engage with many providers, which presents challenges organizing and acting on information received from various organizations. Personal health information technologies are untapped resources which could improve the transition from corrections to the community and mitigate health risks. There is an urgent need to develop personal health information technologies in partnership with formerly incarcerated individuals and test their efficacy in improving health outcomes. Using these technologies, formerly incarcerated individuals could organize, understand and act on various sources of information, leading to improved self-efficacy and improved health outcomes. Yet, there has not been a personal health information technology designed to meet the needs and preferences of this population, which is critical for its acceptance and use. The long-term goal is to improve the health of formerly incarcerated people, facilitated by their use of personal health information technologies. The overall objective of this proposal is to develop and test strategies, in partnership with formerly incarcerated people, to increase acceptance and use of a personal health library (PerHL) mobile app. Preliminary data indicate that using a participatory health informatics approach to engage people with histories of incarceration can lead to acceptance and use of a health technology. The central hypothesis of our study is that developing and refining PerHL in partnership with formerly incarcerated people will increase its acceptance and use. To test this hypothesis, we propose three aims: (1) Assess the facilitators and barriers of the development and use of personal health information technology for formerly incarcerated individuals, (2) Develop and refine PerHL for formerly incarcerated individuals, and (3) Conduct a pilot randomized trial to test the acceptance and use of PerHL among formerly incarcerated individuals. We will leverage the expertise and infrastructure of Transitions Clinic Network, a national network of primary care clinics for formerly incarcerated people, and a multidisciplinary team of informaticists, clinical providers, formerly incarcerated individuals, and criminal justice leaders, creating a best-case scenario for developing PerHL. This study represents a new and substantial departure from the status quo by incorporating a participatory health informatics approach and state of the art informatics tools into the development and refinement of a personal health information technology for people recently released from correctional facilities.