A Multi-channel Web Platform to Provide Holistic Care to Underserved Consumers

为服务不足的消费者提供全面护理的多渠道网络平台

• 批准号: 8727313
• 负责人: WILLIAM Z TAN
• 金额: $ 40万
• 依托单位: TRANSCENDENT INTERNATIONAL, LLC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-11 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8727313
• 关键词: Access to Information; Accounting; Address; Anxiety; Appointment; Asian Americans; Attitude; Belief; Caliber; Caring; Centers for Disease Control and Prevention (U.S.); Client; Clinical Services; Communication; Communities; Community Health Services; Community Services; Comorbidity; Computerized Medical Record; Counseling; Data; Decision Making; Development; Educational Curriculum; Effectiveness; Electronic Mail; Evaluation; Expeditions; Face; Failure; Goals; Health; Health Campaign; Health Personnel; Health Services; Health behavior; Health system; Healthcare; Healthcare Industry; Housing; Individual; Institution; Internet; Intervention; Knowledge; Language; Libraries; Linguistics; Medical; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Modeling; Monitor; Nature; New York; Online Systems; Outcome; Participant; Patients; Personal Satisfaction; Phase; Population Heterogeneity; Prevalence; Process; Provider; Psyche structure; Quality of Care; Quality of life; Randomized Controlled Trials; Recommendation; Research; Resources; Series; Social Health Services; Social Work; Social support; Solutions; System; Technology; Testing; Text; Training; Underserved Population; Vendor; Voice; base; care delivery; cohesion; community setting; design; empowered; experience; health disparity; health knowledge; health literacy; improved; information gathering; innovation; interest; knowledge base; literacy; mental health organization; outreach; peer; physical conditioning; prevent; programs; response; social

DESCRIPTION (provided by applicant): Significant obstacles exist in care delivery that prevents meaningful utilization of mental health services by consumers who experience health disparities. Specifically, individuals facing isolation due to linguistic, literacy, or cultural bariers often face challenges in procuring mental health care. These challenges are in part due to the medical and mental systems' present lack of integration and failure to take into account the importance of social cohesion when delivering care. Addressing these gaps in the healthcare industry, the objective of this proposal is to create a dynamic communication platform that uses multi-channel message delivery to (i) provide culturally competent, language-concordant mental health content to consumers facing health disparities; (ii) empower providers to integrate medical and mental health care, both through shared message delivery and integration with electronic medical record (EMR) systems; and (iii) strengthen social cohesion by connecting isolated clients not only to physical and mental health message campaigns but also to community resources and peer supports critical to augmenting social well-being. The goal of Phase I is to create a series of depression and anxiety Messages and to assess whether they influence health knowledge and attitudinal change among mental health consumer participants and the suitability of the proposed technology for mental health and social service sectors. During Phase II, we will build the fully functional web-based communication platform, which will include a peer counseling function and integration with EMR systems. We will populate the integrated system with several hundred mental health and social support audio, text, and email messages in English, Spanish, and Mandarin. The project will culminate in two six-month summative evaluations with institutional and community service providers to assess the effectiveness of the proposed technology in increasing access to information about mental health and social supports, improving service and clinical outcomes, and enhancing quality of care and social cohesion for consumers who face disparities in access to mental health services.

描述（由申请人提供）：在提供护理方面存在重大障碍，阻碍了经历健康差异的消费者有意义地利用心理健康服务。具体而言，由于语言、文化或文化障碍而面临孤立的个人往往在获得精神卫生保健方面面临挑战。这些挑战的部分原因是医疗和心理系统目前缺乏一体化，在提供护理时没有考虑到社会凝聚力的重要性。为了解决医疗保健行业的这些差距，该提案的目标是创建一个动态的沟通平台，该平台使用多渠道消息传递来（i）向面临健康差异的消费者提供文化上有能力、语言一致的心理健康内容;（ii）使提供者能够通过共享消息传递和与电子病历（EMR）系统集成来整合医疗和心理健康护理;以及（iii）加强社会凝聚力，不仅将孤立的服务对象与身心健康宣传活动联系起来，而且还将其与社区资源和对增进社会福祉至关重要的同伴支持联系起来。第一阶段的目标是创建一系列抑郁和焦虑信息，并评估它们是否影响心理健康消费者参与者的健康知识和态度变化，以及拟议技术对心理健康和社会服务部门的适用性。在第二阶段，我们将建立一个功能齐全的基于网络的交流平台，其中将包括一个同侪咨询功能和整合电子病历系统。我们将用数百个心理健康和社会支持音频、文本和电子邮件信息（英语、西班牙语和普通话）填充集成系统。该项目最终将与机构和社区服务提供者进行两次为期六个月的总结性评估，以评估拟议技术在增加获得有关心理健康和社会支持的信息，改善服务和临床结果以及提高护理质量和社会凝聚力方面的有效性。