Bridges to Health Information for Individuals with Serious Mental Illness

 描述(由申请人提供)： 精神健康桥梁项目将把现有的由NLM资助的精神健康(EMH)网络资源转变为针对严重精神病患者(SMI)的动态、互动、广泛的电子健康资源：(A)通过拟议的精神健康为我(EMH4Me)培训模块促进健康素养；(B)通过开发电子心理健康桥梁，为健康差距人群提供基本身体健康信息的理论驱动的桥梁；(C)接受用户体验设计和SMI个人所需的适应，以充分受益于丰富的数字媒体和互动的新兴创新；和(D)利用设备不可知性 旨在增强EMH资源套件在一系列设备上的可达性、可访问性和可用性。患有重度精神障碍的人平均比普通人群早死25年，并被国家精神卫生项目主任全国协会指定为健康差距人群。虽然互联网为支持以人为本的医疗保健提供了令人兴奋的机会，但基于网络的资源可能会传递新的障碍，从而导致SMI患者的健康差距更大。对于那些接触计算机的人来说，如果资源得到适当的设计和访问，移动设备可能会提供增强互联网访问的有希望的机会。具体目标包括：(1)利用用户体验设计为EMH重新设计提出战略性建议，包括eMH4Me培训模块和EMH Bridge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&lt；20)进行结构化、系统的审查，包括当前的EMH资源；使用SMI(n&lt；20)的两个用户重点小组，以确保选择适当的内容、复杂程度和技术；以及审查EMH网络分析数据过去12个月的情况。设计建议将包括EMH战略计划，以告知下一个项目阶段。(2)进行面对面可用性测试，开发全功能的eMH4Me和EMH Bridge原型。我们将在实验室或办公室环境中与患有SMI的个人(n=20)进行迭代、并行的会议。将在测试的基础上进行适当的修改，以最终确定原型。(3)对eMH4Me和EMH Bridge原型的可接受性和可行性进行远程测试，与有SMI的个人(n=100)进行为期两个月的资源访问，以评估满意度、有用性以及易用性和易用性。我们将通过电话采访这些用户中的一个有目的的子样本(n=20)来获得反馈；并评估使用指标。研究结果将为eMH4Me和EMH桥的改进提供参考。最终产品还将包括有效市场假说满意度调查和持续使用的质量指标简介。精神健康将得到长期合作伙伴的积极支持，并将成为全国致力于改善重度精神障碍患者健康状况的个人、组织和机构的重要资源。

 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.