Veterans preferences for exchanging information using VA HIT

退伍军人偏好使用 VA HIT 交换信息

• 批准号: 8604188
• 负责人: Jolie N. Haun
• 金额: --
• 依托单位: JAMES A. HALEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8604188
• 关键词: Address; Adoption; Advisory Committees; Biological Models; Caring; Chronic; Chronic Obstructive Airway Disease; Client satisfaction; Collaborations; Communication; Complement; Continuity of Patient Care; Data; Data Analyses; Data Collection; Decision Modeling; Development; Diabetes Mellitus; Electronics; Ensure; Female; Focus Groups; Foundations; Goals; Health; Health Resources; Healthcare; Hypertension; Individual; Informatics; Information Systems; Lead; Leadership; Learning; Methods; Minority; Mission; Modeling; Outcome; Patients; Process; Provider; Recommendation; Reporting; Research; Research Design; Research Personnel; Research Project Grants; Resources; Role; Sampling; Science; Self Care; Self Management; Services; Site; System; Taxonomy; Time; Veterans; Visual; base; data acquisition; design; digital; eHealth; experience; health administration; health information technology; holistic approach; implementation research; improved; mHealth; mobile application; models and simulation; operation; patient oriented; post-market; preference; prospective; prototype; response; simulation software; statistics; user-friendly; vision development

Background: The Veterans Health Administration (VHA) is committed to provide remote and timely health information technology (HIT) services to Veterans to improve patient engagement and their health outcomes. To support the VHA's mission, the eHealth QUERI also set forth a strategic goal to improve Veteran's access and meaningful use of HIT resources. To date, several patient-facing platforms, including mobile applications, tele- health, MyHealtheVet, kiosks, etc. have been implemented. However, with platforms continually expanding, VHA stakeholders recognize the need to develop a holistic Veteran- centered approach to creating useful and user-friendly HIT to ensure that Veterans are able to access and use these services with ease and continuity. Yet, though older Veterans with chronic conditions (e.g. high blood pressure, diabetes, COPD, etc.) represent the large portion of the VHA's HIT users, little is known about their preferences for accessing and using VHA HIT platforms. This study represents a unique opportunity to use participatory research to complement operational and QUERI efforts to support development of a VHA HIT systems that is synchronized, easy to use, and useful for targeted user groups, such as older Veterans with chronic co-morbid conditions. The proposed research aims are: (1) Develop a Digital Health Matrix Decision Model based on an Analytical Hierarchy Process with stakeholder input; (2) Explore older Veterans with chronic co-morbid conditions (n=40) preferences for using VHA HIT resources, at two VA facilities (Tampa & Bedford); (2.1) Develop visual modeling simulation prototypes of VHA HIT platform interfaces based on findings from Aims 1 and 2; and (3) Develop a Veteran-based visual modeling system using participatory methods with the same Veterans from Aim 2. Methods: The study will purposively sample older Veterans (n=40) with chronic co-morbid conditions who report using electronic resources and/or VA HIT to manage personal information. Females and minorities will be over-sampled to ensure representation. Mixed- methods will be used to conduct this prospective descriptive study design. Data collection methods include enhanced focus groups, using participatory methods, in which Veterans inform the development of visual modeling prototypes of patient-facing interfaces using simulation software based on their preferences for exchanging information using HIT. Data analysis will include thematic content analysis and descriptive statistics. Long-term Goals: Currently, operational stakeholders are re-organizing the Office of Informatics and Analytics (OIA) and developing an eHealth group to establish a national governance council to support this VHA HIT transformation. This proposed project is in direct alignment with these emerging operational activities within OIA. This project will lead to a line of implementation research related to enhancing communication through a Veteran-centered synchronized HIT resource system. Products will include Digital Health Matrix Decision Model of VHA HIT platforms, their features, and contexts for use; Veterans' reported preferences for exchanging information using HIT; and visual modeling prototypes of a synchronized HIT system. These products will lay the groundwork for operational efforts to increase Veterans' adoption and sustained meaningful use of VHA HIT.

背景：退伍军人健康管理局 (VHA) 致力于提供远程和 为退伍军人提供及时的健康信息技术 (HIT) 服务，以改善患者的状况 参与度及其健康结果。为了支持 VHA 的使命，eHealth QUERI 还制定了战略目标，以改善退伍军人对 HIT 的访问和有意义的使用 资源。迄今为止，一些面向患者的平台，包括移动应用程序、远程 health、MyHealtheVet、信息亭等已经实施。然而，有了平台 随着 VHA 利益相关者的不断扩张，VHA 利益相关者认识到需要培养一个全面的退伍军人 以创建有用且用户友好的 HIT 为中心的方法，以确保退伍军人能够 轻松且连续地访问和使用这些服务。然而，尽管老年退伍军人 慢性病（如高血压、糖尿病、慢性阻塞性肺病等）占很大一部分 对于部分 VHA 的 HIT 用户，我们对他们访问和访问的偏好知之甚少。 使用 VHA HIT 平台。这项研究提供了一个利用参与式方法的独特机会 研究以补充支持 VHA 开发的运营和 QUERI 工作 HIT 系统是同步的、易于使用且对目标用户组有用，例如 患有慢性共病的老年退伍军人。拟议的研究目标是：（1） 开发基于层次分析过程的数字健康矩阵决策模型 听取利益相关者的意见； (2) 探索患有慢性共病的老年退伍军人 (n=40) 在两个 VA 设施（坦帕和贝德福德）使用 VHA HIT 资源的偏好； (2.1) 开发基于VHA HIT平台界面的可视化建模仿真原型 目标 1 和 2 的调查结果； (3) 开发基于 Veteran 的视觉建模系统 与目标 2 相同的退伍军人参与的方法。 方法：该研究将有目的地对患有慢性共病的老年退伍军人（n=40）进行抽样 报告使用电子资源和/或 VA HIT 来管理个人信息的情况 信息。将对女性和少数族裔进行过度抽样，以确保代表性。混合- 将使用一些方法来进行这项前瞻性描述性研究设计。数据收集 方法包括使用参与式方法加强焦点小组，其中退伍军人 为面向患者界面的视觉建模原型的开发提供信息 模拟软件基于他们使用 HIT 交换信息的偏好。数据 分析将包括主题内容分析和描述性统计。 长期目标：目前，业务利益相关者正在重组办公室 信息学和分析 (OIA) 并发展电子医疗小组以建立国家 治理委员会支持 VHA HIT 转型。该拟议项目位于 与 OIA 内这些新兴业务活动直接保持一致。该项目将引领 一系列与通过以下方式加强沟通相关的实施研究 以老兵为中心的同步HIT资源系统。产品将包括数字健康 VHA HIT平台的矩阵决策模型、其特征和使用环境；退伍军人 报告使用 HIT 交换信息的偏好；和视觉建模原型 同步 HIT 系统。这些产品将为运营奠定基础 努力提高退伍军人对 VHA HIT 的采用和持续有意义的使用。

项目成果

A participatory approach to designing and enhancing integrated health information technology systems for veterans: protocol.

• DOI: 10.2196/resprot.3815
• 发表时间: 2015-02-27
• 期刊: JMIR research protocols
• 影响因子: 1.7
• 作者: Haun JN;Nazi KM;Chavez M;Lind JD;Antinori N;Gosline RM;Martin TL
• 通讯作者: Martin TL