Promoting Health Literacy and Improved Self-Care Management of Incarcerated Populations Using Secure Tablet Technology

使用安全平板电脑技术提高被监禁者的健康素养并改善自我护理管理

• 批准号: 9761566
• 负责人: J AARON JOHNSON
• 金额: $ 9.38万
• 依托单位: AUGUSTA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-07 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9761566
• 关键词: Chronic; Communicable Diseases; Communities; Comorbidity; County; Criminal Justice; Decision Making; Development; Education; Educational Curriculum; Eligibility Determination; Emergency department visit; Emergency medical service; Frequencies; Funding; Goals; Health; Health Care Costs; Health Insurance; Health Personnel; Health Promotion; Health Resources; Health Status; Healthcare; Hospitalization; Imprisonment; Incidence; Individual; Information Resources; Information Services; Insurance Coverage; Jail; Justice; Knowledge; Libraries; Measures; Medical; Medicine; Mental Health; Mission; Needs Assessment; Outcome; Outcome Study; Pacific Northwest; Participant; Pharmaceutical Preparations; Pilot Projects; Population; Prevention strategy; Preventive care; Prisons; Public Health; Quality of life; Research; Safety; Sampling; Secure; Self Care; Sexually Transmitted Diseases; Site; Substance Use Disorder; Surveys; System; Tablets; Technology; Training; Training Activity; Visit; Work; base; cost; design; health disparity; health literacy; health service use; improved; literacy; mortality risk; programs; recidivism; skills; therapy design; treatment program

PROJECT SUMMARY/ABSTRACT The justice-involved population is a high-needs, health disparity population.1 Individuals released from jails and prisons have a disproportionately high incidence of chronic health conditions, infectious diseases, sexually transmitted infections, substance use disorders, and medical and mental health co-morbidity.2 Since 70 to 90 percent of individuals released from jails and prisons have no health insurance, they are frequent users of high-cost local emergency medical services.3 Lack of health insurance coverage and lack of continuity of health care in the community upon release are associated with increased rates of recidivism, high health care costs, poor health outcomes and a 12-fold increase in the risk of death in the first two weeks after release.4 Poor health within the justice-involved population is a public health issue, a public safety issue and costly for taxpayers. The current project aims to engage justice-involved individuals with health information to enhance their knowledge and use of health services and resources. In this way, the project will empower participants toward improved health literacy, health insurance literacy, self-care management skills, health care decision- making and overall quality of life. The proposed project will make health-related modules available to justice- involved individuals incarcerated in 4 participating correctional facilities. The modules will be deployed using an existing, secure, tablet-based education system. The project has 4 specific aims: 1) Conduct a health needs assessment using the secure tablet platform to determine the health coverage eligibility status and special health information needs of justice involved individuals preparing for reentry into the community; 2) Deliver the health information curricula and training modules through the secure tablet platform; 3) Using pre- and post-training surveys, measure the impact of health information training on the level of health literacy and confidence to improve self-care management skills of incarcerated individuals preparing for reentry into the community; 4) Follow a sample of participants for 6 months after release from incarceration to collect post-release outcomes including: eligibility and status of health care coverage; frequency of visits to a health care provider; frequency of emergency room visits and/or hospitalizations; level of involvement in treatment programs for chronic health conditions, mental health or substance use disorder; level of compliance with medications; and frequency of return to incarceration. Positive results from this project could improve post-release outcomes for study participants, and facilitate the expansion of such programs throughout the criminal justice system.

项目总结/文摘