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.

抽象的 事实证明，基于证据的预防服务可有效减少死亡、残疾和疾病 通过在早期阶段预防和/或检测对治疗有反应的疾病和疾病 生活方式的改变。美国预防服务工作组 (USPSTF) 制定的建议包括： 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，几乎没有工具可以帮助消费者获取关键的 USPSTF 信息并获取更多信息。 提高个人的自我效能、积极性以及与初级保健的联系。由于未充分利用 预防性卫生服务是造成健康差距的一个因素，因此有必要制定计划以达到 服务不足的人群获得有关适当预防服务的准确且易于获取的信息，以及 如何访问此类服务。因此，利用西北大学强大的健康科学图书馆嵌套 在一个大型学术医疗中心和一个拥有社区参与研究和良好记录的团队 计算机和信息技术以及实施科学方面的专业知识，我们建议聘请用户 以开发导航健康为中心的设计流程，这是一种为图书馆员和图书馆顾客提供的数字工具， 增强 USPSTF 信息，以提高最新和定制的预防性筛查和预防性筛查的可及性 向服务不足的人群提供健康信息。健康导航工具旨在增强图书馆顾客的能力 消费健康信息并利用预防性健康服务，同时为图书馆员配备工具 支持在公共图书馆内查找健康信息。迭代原型开发将涉及焦点 团体，对现有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，以及图书馆员之间的关键知情人访谈，为制定 适用于图书馆、预防性医学术语资源和门户的补充培训模块 寻求技术支持，将西北大学的公共图书馆员与健康科学图书馆员联系起来。下列的 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的因素 结果。使用该工具对 n=125 名图书馆顾客进行前/后调查，将评估与以下方面相关的结果： 预防性服务的利用。对 n=50 名图书馆员、社区组织领导人和 利益相关者将确定影响图书馆环境中健康导航工具实施的因素。 结果将用于开发学术医疗中心与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。