Developing Community-Responsive mHealth and AI/ML: Understanding Perspectives of Hispanic Community Members in Washington State

开发社区响应型移动医疗和人工智能/机器学习：了解华盛顿州西班牙裔社区成员的观点

• 批准号: 10598360
• 负责人: Mary L. Disis
• 金额: $ 30.42万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2023-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10598360
• 关键词: Artificial Intelligence; Attention; Chronic; Clinical; Clinical and Translational Science Awards; Communities; Community Developments; Coupled; Development; Discrimination; Education; Ensure; Ethics; Event; Face; Feedback; Focus Groups; Fostering; Future; Geography; Goals; Health; Health Personnel; Health Technology; Healthcare; Hispanic; Individual; Informatics; Infrastructure; Institutes; Institutional Racism; Internet; Language; Life; Machine Learning; Methods; Mobile Health Application; Participant; Patients; Persons; Population; Positioning Attribute; Predictive Analytics; Preventive; Process; Registries; Research; Research Personnel; Resources; Risk; Rural; Symptoms; Technology; Time; Translational Research; Universities; Visual Aid; Washington; Work; barrier to care; base; community center; community engaged research; community engagement; community setting; cost; digital health; evidence base; experience; handheld mobile device; health application; health care availability; health care delivery; health care model; health communication; health disparity; health equity; health inequalities; hispanic community; improved; mHealth; marginalized community; member; mortality; multidisciplinary; patient population; prototype; recruit; rural area; sensor; social culture; technology development; tool; translational health science; translational scientist; urban area; wearable sensor technology

Mobile health applications (mHealth) and digital health sensors coupled with artificial intelligence and machine learning (AI/ML) have the potential to become breakthrough technologies and support a holistic, preventive model of healthcare. These technologies allow individuals to integrate their daily life activities with healthcare delivery and are especially promising for patients living with 1 or more chronic conditions. mHealth technologies are key to reaching populations who rely on mobile devices for internet access. They also have the potential to reduce health inequities for those who face barriers to healthcare access because of cost, geography, language, or systemic racism. However, if these technologies are developed without appropriately incorporating the values of those intended to benefit from them, they risk exacerbating rather than alleviating health disparities by amplifying existing structural assumptions in healthcare, resulting in technologies that are unusable, unresponsive, or otherwise not appropriate for the sociocultural context in which people live. Researchers developing mHealth and AI/ML technologies need a robust evidence base about community values to inform technology development, including which health conditions are highest priority and tools to support embedding community values throughout research. This project will build on longstanding relationships that the University of Washington Institute of Translational Health Sciences (ITHS) has developed with Hispanic communities across Washington State. We will examine ethical questions about the potential benefits and burdens of mHealth and AI/ML from the perspective of Hispanic-identifying community members and produce a prototype translational resource for mHealth and AI/ML research and application development. This supplement brings together 2 key goals for ITHS: (1) integrating community stakeholders at all stages of translational research, and (2) developing accessible methods, tools, and education for informatics and machine learning. To advance these goals, we aim to: (1) develop community-facing materials conveying key features of potential mHealth applications; (2) describe perspectives of Hispanic-identifying community members in Washington State about the use of mHealth and AI/ML; and (3) produce a prototype translational resource to guide mHealth and AI/ML researchers in development of community-responsive technologies. This resource can be refined by future research teams, both within the Clinical and Translational Science Award (CTSA) consortium and beyond, and can be used to guide future work across patient populations and clinical scenarios.

移动健康应用程序（MHealth）和数字健康传感器以及人工智能和机器 学习（AI/ML）有可能成为突破性技术并支持整体，预防性 医疗保健模型。这些技术允许个人将日常生活活动与医疗保健相结合 分娩，对于患有1个或更多慢性疾病的患者特别有前途。 MHealth 技术是依靠移动设备访问互联网访问的人群的关键。他们也有 由于成本，面对医疗保健障碍的人，减少健康不平等的潜力 地理，语言或系统性种族主义。但是，如果这些技术是没有适当的 纳入旨在从中受益的人的价值，他们有可能加剧而不是减轻 通过扩大医疗保健中现有的结构性假设来实现健康差异，从而导致技术 不可用，无反应或以其他方式不适合人们生活的社会文化背景。 开发MHealth和AI/ML技术的研究人员需要关于社区的强大证据 为技术开发提供信息的价值，包括哪些健康状况是优先级和工具 支持整个研究中嵌入社区价值观。 该项目将建立在华盛顿大学转化学院的长期关系的基础上 健康科学（ITHS）已与华盛顿州的西班牙裔社区发展。我们将检查 关于MHealth的潜在利益和AI/ML的潜在利益和负担的道德问题 西班牙裔识别社区成员，并为MHealth和 AI/ML研究和应用开发。这种补充剂汇集了ITH的2个关键目标： （1）在翻译研究的各个阶段整合社区利益相关者，以及（2）开发可访问的 用于信息学和机器学习的方法，工具和教育。为了促进这些目标，我们的目标是： （1）开发面向社区的材料，以传达潜在的MHealth应用程序的关键特征； （2）描述 华盛顿州西班牙裔识别社区成员的观点关于使用MHealth和 ai/ml; （3）生产原型翻译资源，以指导MHealth和AI/ML研究人员 开发社区响应技术。未来的研究团队可以完善​​此资源， 在临床和转化科学奖（CTSA）财团及其他地区中，可以用来习惯 指导患者人群和临床方案的未来工作。