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: 10021032
• 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/10021032
• 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