Health For All: Advancing Library-Academic Medical Center Partnerships to Navigate Wellness and Scale Preventive Services Access

人人享有健康：推进图书馆与学术医疗中心的合作伙伴关系，以引导健康并扩大预防服务的可及性

• 批准号: 9811716
• 负责人: MELISSA A. SIMON
• 金额: $ 14.55万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9811716
• 关键词: Academic Medical Centers; Advisory Committees; Age; Americas; Behavioral; Blood Pressure; Cessation of life; Chicago; Cholesterol; Clinical; Clinical Trials; Communication; Communities; Computers; Consumption; Decision Making; Development; Disease; Focus Groups; Funding; General Population; Health; Health Communication; Health Personnel; Health Science Library; Health Sciences; Health Services Accessibility; Individual; Information Services; Information Technology; Interview; Knowledge; Librarians; Libraries; Life Style; Linguistics; Malignant Neoplasms; Measures; Medical; Modeling; Outcome; Patients; Pharmaceutical Preparations; Population; Population Heterogeneity; Positioning Attribute; Poverty; Preventive; Preventive Health Services; Preventive Medicine; Preventive screening; Preventive service; Primary Health Care; Process; Provider; Public Health; Recommendation; Research; Resources; Risk Factors; Scanning; Self Efficacy; Services; Social Work; Structure; Surveys; Terminology; Testing; Training; Training Activity; Trust; Underserved Population; Universities; Vaccination; Work; barrier to care; base; care providers; community organizations; design; digital; disability; disorder risk; education resources; empowered; evidence base; evidence based guidelines; experience; gun violence; health care availability; health care service; health care service utilization; health disparity; health literacy; implementation research; implementation science; improved; informant; literacy; medically underserved population; prevent; programs; prototype; racial and ethnic; service providers; service utilization; sex; shared decision making; therapy design; tool; tool development; user centered design; web site

ABSTRACT Evidence-based preventive services have been shown to be effective in reducing death, disability, and disease by preventing and/or detecting illnesses and diseases in early stages that are responsive to treatment and lifestyle changes. The U.S. Preventive Services Task Force (USPSTF) develops recommendations that are made available to the public on its website and on apps to support clinicians in advising patients on preventive medicine services. However, few tools exist for scaling consumer access to crucial USPSTF information and for enhancing self-efficacy, activation, and connectivity of individuals to primary care. As underutilization of preventive health services is a contributing factor to health disparities, programs are warranted that reach underserved populations with accurate and accessible information about appropriate preventive services and how to access such services. Thus, leveraging Northwestern University’s strong health sciences library nested in a large academic medical center and a team with a proven track record of community engaged research and expertise in computer and information technology and implementation science, we propose to engage a user- centered design process to develop Navigating Wellness, a digital tool for librarians and library patrons that will augment USPSTF information to enhance the accessibility of up-to-date and tailored, preventive screening and wellness information to underserved populations. The Navigating Wellness tool seeks to empower library patrons to consume health information and utilize preventive health services, while equipping librarians with tools to support health information seeking within public libraries. Iterative prototype development will involve focus groups, an environmental scan of available community-based resources to enhance direct linkages to healthcare and social service providers, and key informant interviews among librarians to inform the development of a supplemental training module applicable across libraries, preventive medical terminology resources, and a portal for technical support that will connect public librarians with health science librarians at Northwestern. Following development of the tool, leveraging the Consolidated Framework for Implementation Research (CFIR), we will deploy the tool among 10 libraries to evaluate factors influencing implementation and healthcare utilization outcomes. Pre/post surveys among n=125 library patrons using the tool will assess outcomes related to preventive services utilization. A survey among n=50 librarians, community organization leaders, and stakeholders will identify factors influencing the implementation of the Navigating Wellness tool in library settings. Results will be used to develop a generalizable model for academic medical center – public library partnerships to sustain and disseminate the tool to other settings.

摘要 循证预防服务已被证明在减少死亡、残疾和疾病方面是有效的。 通过在早期阶段预防和/或检测疾病和疾病，对治疗和 生活方式的改变。美国预防服务工作组(USPSTF)制定了以下建议 在其网站和应用程序上向公众提供，以支持临床医生为患者提供预防建议 医药服务。然而，几乎没有工具可以扩展消费者对USPSTF关键信息的访问权限，并 增强个人对初级保健的自我效能感、激活度和连接性。由于未充分利用 预防性健康服务是造成健康差距的一个因素，有必要实施这些计划 向服务不足的人群提供关于适当预防服务的准确和可获得的信息 如何使用这些服务。因此，利用西北大学强大的健康科学图书馆嵌套 在大型学术医疗中心和团队中拥有经过证明的社区参与研究和 在计算机和信息技术以及实施科学方面的专业知识，我们建议让用户- 以设计流程为中心开发导航健康，这是一种为图书馆员和图书馆顾客提供的数字工具，将 增加USPSTF的信息，以加强最新和量身定做的预防性筛查和 向服务不足的人群提供健康信息。导航健康工具旨在增强图书馆读者的能力 消费卫生信息和利用预防性卫生服务，同时为图书馆员配备工具，以 支持在公共图书馆内查找卫生信息。迭代原型开发将涉及到重点 团体，对可用的社区资源进行环境扫描，以加强与医疗保健的直接联系 和社会服务提供者，以及对图书馆员进行的关键线人访谈，以了解 适用于图书馆、预防医学术语资源和门户网站的补充培训模块 寻求将西北大学公共图书馆员与健康科学图书馆员联系起来的技术支持。跟随 利用实施研究综合框架(CFIR)开发该工具，我们将 在10个图书馆中部署该工具，以评估影响实施和医疗保健利用率的因素 结果。使用该工具对n=125名图书馆顾客进行调查前/后调查将评估与以下方面有关的结果 预防性服务利用。对50名图书馆员、社区组织领导人和 利益攸关方将确定影响在图书馆环境中实施导航健康工具的因素。 研究结果将被用来开发一个学术医学中心-公共图书馆合作伙伴关系的通用模型 维持该工具并将其传播到其他环境。