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Personal Health Libraries for Formerly Incarcerated Individuals

曾被监禁人员的个人健康图书馆

基本信息

批准号：
10086564
负责人：
Karen H Wang
金额：
$ 37.28万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-10 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10086564
关键词：
Access to Information Address Back Cessation of life Chronic Clinic Clinical Communities Connecticut Constitutional Controlled Environment Criminal Justice Data Development Disease Management Electronic Health Record Employment Environment Food Access Foundations Funding Future General Population Goals Health Health Personnel Health Technology Health system Healthcare Hospitalization Housing Imprisonment Individual Infrastructure Insurance Interview Jail Lead Learning Libraries Medical Medication Management Minority Groups Modeling Nurses Outcome Paper Patients Personal Health Records Persons Pharmaceutical Preparations Population Primary Health Care Prisons Process Provider Public Health Informatics Randomized Recording of previous events Research Resources Risk Self Efficacy Social Work Source Structure System Technology Testing United States National Institutes of Health Vulnerable Populations Work barrier to care computerized data processing correctional system design ethnic minority population health care availability health care service health information technology healthcare community high risk high risk population hospitalization rates improved informant informatics tool low socioeconomic status medication compliance mobile application multidisciplinary multiple data sources patient portal preference primary care services racial and ethnic racial minority randomized trial recruit service organization service providers social social vulnerability standard of care

项目摘要

PROJECT SUMMARY Individuals released from correctional facilities have high rates of hospitalization and death, especially in the weeks following release. Disproportionately poor and of racial and ethnic minority groups, they are already a high-risk group for poor health outcomes. The transition back to the community is marked with additional difficulties navigating the healthcare, community correctional, and social service systems and structural barriers to obtaining healthcare, housing, and employment. Individuals released from correctional facilities must engage with many providers, which presents challenges organizing and acting on information received from various organizations. Personal health information technologies are untapped resources which could improve the transition from corrections to the community and mitigate health risks. There is an urgent need to develop personal health information technologies in partnership with formerly incarcerated individuals and test their efficacy in improving health outcomes. Using these technologies, formerly incarcerated individuals could organize, understand and act on various sources of information, leading to improved self-efficacy and improved health outcomes. Yet, there has not been a personal health information technology designed to meet the needs and preferences of this population, which is critical for its acceptance and use. The long-term goal is to improve the health of formerly incarcerated people, facilitated by their use of personal health information technologies. The overall objective of this proposal is to develop and test strategies, in partnership with formerly incarcerated people, to increase acceptance and use of a personal health library (PerHL) mobile app. Preliminary data indicate that using a participatory health informatics approach to engage people with histories of incarceration can lead to acceptance and use of a health technology. The central hypothesis of our study is that developing and refining PerHL in partnership with formerly incarcerated people will increase its acceptance and use. To test this hypothesis, we propose three aims: (1) Assess the facilitators and barriers of the development and use of personal health information technology for formerly incarcerated individuals, (2) Develop and refine PerHL for formerly incarcerated individuals, and (3) Conduct a pilot randomized trial to test the acceptance and use of PerHL among formerly incarcerated individuals. We will leverage the expertise and infrastructure of Transitions Clinic Network, a national network of primary care clinics for formerly incarcerated people, and a multidisciplinary team of informaticists, clinical providers, formerly incarcerated individuals, and criminal justice leaders, creating a best-case scenario for developing PerHL. This study represents a new and substantial departure from the status quo by incorporating a participatory health informatics approach and state of the art informatics tools into the development and refinement of a personal health information technology for people recently released from correctional facilities.

项目总结