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Overcoming Appointment Adherence Barriers Using Social Support

利用社会支持克服预约遵守障碍

基本信息

批准号：
9200046
负责人：
WILLIAM Z TAN
金额：
$ 39.81万
依托单位：
TRANSCENDENT INTERNATIONAL, LLC
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-02 至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9200046
关键词：
Accounting Address Adherence Administrator Appointment Behavior Behavioral Sciences Caring Childhood Clinic Clinical Cognition Communities Continuity of Patient Care Development Devices Electronic Mail Environmental Risk Factor Ethnography Evaluation Exhibits Face Family member Friends Generic Drugs Health Healthcare Healthcare Systems Incentives Individual Information Management Institution Interview Knowledge Language Light Limited English Proficiency Link Location Mechanics Methods Modality Nature Outcome Outcome Measure Patient Appointment Patients Persons Pharmaceutical Preparations Phase Plant Roots Population Population Heterogeneity Preventive care Process Quality of Care Regimen Resources Schedule Self Care Services Social support Structure System Target Populations Techniques Technology Testing Text Time Transportation Trust Universities Visit Voice Vulnerable Populations Work base behavior change behavioral impairment cognitive process cost demographics evidence base experience forgetting health disparity improved innovation insight interest low socioeconomic status next generation patient population peer support prevent prototype response satisfaction support network tailored messaging tool

项目摘要

DESCRIPTION (provided by applicant): Appointment non-attendance - or, "no shows" - is common across health institutions, hindering efficient functioning of healthcare systems and contributing to over $150 billion in annual costs. Further, appointment non-attendance is associated with poorer health outcomes, as patients forgo critical preventative care and fail to receive necessary treatment. Certain populations are more likely to engage in non-attendant behavior, including individuals with low socio-economic status and limited English proficiency. As these populations already experience health disparities, they have the greatest need for tools that can effectively help them address the environmental and personal barriers that hinder their ability to keep healthcare appointments. In light of these challenges, the current proposal outlines the development and evaluation of a comprehensive solution to address the numerous personal and environmental factors contributing to no-show behavior. By embedding evidence-based behavior change techniques within a social support structure, the system will deliver targeted, culturally appropriate message campaigns across interactive voice response (IVR), SMS/text message, and email modalities. The messages will offer educational information specific to the nature of the appointment, connection to relevant resources such as affordable local transportation services, and reminders for scheduled visit date, time, and location. Importantly, this system will also be rooted in a peer support network, providing additional personalized assistance to promote adherence and overcome attendance barriers. The resultant system will provide comprehensive support for the range of factors contributing to appointment non-adherence, leveraging external resources and known internal cognitive processes to facilitate patients' increased participation and understanding of their own health care needs.