Bridges to Health Information for Individuals with Serious Mental Illness

为患有严重精神疾病的个人提供健康信息的桥梁

• 批准号: 9341377
• 负责人: ELAINE R MARTIN
• 金额: $ 9.69万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9341377
• 关键词: Adverse effects; Alcohol consumption; Antipsychotic Agents; Architecture; Cellular Phone; Characteristics; Chronic Disease; Complex; Computers; Country; Data Analytics; Development; Devices; Disabled Persons; Ensure; Environment; Feedback; Feeling; Focus Groups; Funding; Future; General Population; Goals; Health; Health Resources; Healthcare; Individual; Information Resources; Institution; Internet; Laboratories; Learning; Libraries; Massachusetts; Mental Health; Modification; Obesity; Outcome; Persons; Pharmaceutical Preparations; Phase; Population; Preventive healthcare; Process; Recommendation; Reporting; Resources; Risk; Risk Factors; Side; Smoking; Strategic Planning; Structure; Surveys; Tablet Computer; Technology; Telephone Interviews; Testing; Training Activity; University resources; Vulnerable Populations; World Health Organization; base; design; digital media; eHealth; experience; handheld mobile device; health disparity; health literacy; improved; innovation; laptop; medical schools; mental state; modifiable risk; nutrition; online resource; person centered; physical conditioning; physical inactivity; programs; prototype; satisfaction; severe mental illness; skills; systematic review; theories; usability

 DESCRIPTION (provided by applicant): The eMental Health Bridges Project will transform the existing NLM-funded eMental Health (eMH) web- based resource of the UMMS Lamar Soutter Library into a dynamic, interactive, wide-reaching eHealth resource for individuals with serious mental illness (SMI) that: (a) promotes health literacy through the proposed eMental Health for Me (eMH4me) training module; (b) serves as a theory-driven bridge to essential physical health information for this health disparity population via the development of eMental Health Bridges; (c) embraces user experience design and the accommodations required for individuals with SMI to benefit fully from emerging innovations in rich digital media and interactivity; and (d) exploits device agnostic design to enhance the reach, accessibility and usability of the eMH suite of resources across a range of devices. Individuals with SMI die 25 years earlier, on average, than the general population and are designated a health disparity population by the National Association of State Mental Health Program Directors. While the Internet provides exciting opportunities to support person-centered health care, web-based resources may convey new barriers and, consequently, contribute to even greater health disparities for individuals with SMI. For those with limited access to computers, mobile devices may provide promising opportunities to enhance Internet access, if resources are appropriately designed and accessible. Specific Aims include: (1) Employ user experience design to make strategic recommendations for eMH redesign including the eMH4me training module and the eMH Bridges component prototypes. We will conduct structured, systematic reviews by experts and users of existing eHealth information resources (n < 20) including the current eMH resource; two focus groups of users with SMI (n < 20) to ensure the selection of appropriate content, level of complexity, and technology; and a review of eMH web analytics data from the previous 12 months. Design recommendations will comprise the eMH Strategic Plan to inform next project phases. (2) Conduct in-person usability testing to develop the fully functional eMH4me and eMH Bridges prototypes. We will conduct iterative, side-by-side sessions with individuals with SMI in the laboratory or office environment (n = 20). Appropriate modifications will be made, based on testing, to finalize the prototypes. (3) Conduct remote testing of the acceptability and feasibilit of the eMH4me and eMH Bridges prototypes with individuals with SMI (n = 100) with access to the resources for two months, to assess satisfaction, usefulness, and ease of use and learning. We will obtain feedback via telephone interviews with a purposive subsample of these users (n = 20); and evaluate usage metrics. Findings will inform refinements to eMH4me and eMH Bridges. Final products will also include the eMH Satisfaction Survey and Quality Metrics Profile for ongoing use. eMental Health will be actively sustained by long-standing partners, and will be an essential resource to individuals, organizations and institutions across the country committed to improving health outcomes for individuals with SMI.

 描述（由申请人提供）： 电子精神健康桥梁项目将把现有的由国家精神医学研究所资助的、位于UMMS Lamar Soutter图书馆的电子精神健康网络资源转变为一个面向严重精神疾病患者的动态、互动、广泛的电子健康资源，该资源将：（a）通过拟议的“我的电子精神健康”培训模块促进健康知识普及;（B）通过开发电子心理健康桥梁，为这一健康差距人口提供基本身体健康信息的理论驱动桥梁;（c）第（1）款包括用户体验设计和适应需要的个人与SMI充分受益于新兴的创新丰富的数字媒体互动性;以及（d）利用设备不可知性 设计，以提高跨一系列设备的eMH资源套件的覆盖范围、可访问性和可用性。重度精神障碍患者平均比普通人群早死25年，被国家精神卫生项目主任协会指定为健康差异人群。虽然互联网提供了令人兴奋的机会，以支持以人为本的医疗保健，基于网络的资源可能会传递新的障碍，因此，有助于更大的健康差距与SMI的个人。对于那些接触计算机有限的人来说，如果资源设计得当且易于获取，移动的设备可能为加强互联网接入提供有希望的机会。具体目标包括：（1）采用用户体验设计，为eMH重新设计提供战略建议，包括eMH 4 me培训模块和eMH Bridges组件原型。我们将由专家和用户对现有的电子健康信息资源（n < 20）进行结构化、系统化的审查，包括当前的电子健康信息资源;两个重点小组的SMI用户（n < 20），以确保选择适当的内容、复杂程度和技术;并审查过去12个月的电子健康信息网络分析数据。设计建议将包括eMH战略计划，以通知下一个项目阶段。(2)进行现场可用性测试，以开发功能齐全的eMH 4 me和eMH桥接器原型。我们将在实验室或办公室环境中与患有SMI的个体进行迭代的并排会话（n = 20）。将根据测试进行适当修改，以最终确定原型。(3)对eMH 4 me和eMH桥接器原型的可接受性和可行性进行远程测试，其中SMI患者（n = 100）可访问资源两个月，以评估满意度、有用性以及易用性和学习性。我们将通过电话采访这些用户的有目的的子样本（n = 20）获得反馈;并评估使用指标。研究结果将为eMH 4 me和eMH桥接器的改进提供信息。最终产品还将包括eMH满意度调查和质量评估档案，供持续使用。eMental Health将由长期合作伙伴积极维持，并将成为全国致力于改善SMI患者健康状况的个人、组织和机构的重要资源。