eREACH - Expanding Research and Recruitment by Adults through Community Health workers that automating screenings and referrals plus improving communication and health information delivery

项目摘要 长期以来，服务不足的人群的健康差距导致更高的感染率，疾病， 老年人和少数民族的慢性病。没有转诊和与保健服务的联系， 在临床试验中，许多人，特别是老年非裔美国人/黑人（AA/B），不太可能 获得他们需要的医疗保健。 佛罗里达大学的国家认可的健康街计划的创建是为了直接回应 健康差距，并作为一个一站式门户网站，用于链接，参考和导航代表性不足 人口获得心理健康、医疗、精神病学和社会服务（例如，食品储藏室、工作和住房） 通过社区卫生工作者（CHW）。障碍（例如，广泛的CHW培训所需的时间， （如电话、传真等）意味着没有足够的社区成员（CM）进行和参加转介 预约（例如，27%的任命确认率）。移动的健康（mHealth）可以解决现有的障碍 创建一个可扩展的程序，以更好地利用CHW的时间。 Benten Technologies计划设计、开发和测试一个名为eREACH的移动健康平台， 支持健康街的社区卫生工作者提供电子筛查和转诊，以简短的形式提供教育， 在移动的电话或平板电脑上观看的动画电影，并利用虚拟代理来促进后续呼叫， 信息的传播。这些移动健康工具将使社区卫生工作者有时间培养与 CM，并在这样做的过程中，在临床医生-参与者关系中建立信任感。第一阶段SBIR 具体目的是（1）对60岁以上有糖尿病风险的AA/B患者进行形成性研究， 高血压和/或轻度认知障碍，与家庭成员和相关利益相关者一起确定 筛查和与护理联系的需求和要求;以及（2）对30个AA/B及其 家庭成员评估接受性和可行性。从长远来看，确定的个人数量， 转介，并与eREACH护理相关联，将支持解决各种健康问题所需的护理的连续性。 提高临床试验的参与率，并改善对 脆弱的老年人

PROJECT SUMMARY Longstanding health disparities in underserved populations result in higher infection rates, disease, and chronic conditions in older and minority populations. Without referral and linkage to healthcare services and clinical trials, many individuals, including older African Americans/Blacks (AA/Bs) in particular, are unlikely to receive the healthcare they need. The University of Florida’s nationally-recognized HealthStreet program was created to directly respond to health disparities and serve as a one-stop portal for linking, referring, and navigating under-represented populations to mental health, medical, psychiatric, and social services (e.g., food pantries, jobs, and housing) through the use of community health workers (CHWs). Barriers (e.g., time required for extensive CHW training, intakes, follow-up calls, etc.) mean not enough community members (CMs) make and attend referral appointments (e.g., 27% appointment confirmation rate). Mobile health (mHealth) can address existing barriers to create a scalable program to better utilize the CHW’s time. Benten Technologies proposes to design, develop and test a mHealth platform called eREACH that will support HealthStreet’s CHWs to provide e-screenings and referrals, deliver education in the form of short, animated movies viewable on a mobile phone or tablet, and utilize virtual agents to facilitate follow up calls and the dissemination of information. These mHealth tools will give the CHWs time to nurture a relationship with the CM and, in so doing, build a sense of trust in the clinician-participant relationship. The Phase 1 SBIR Specific Aims are to (1) Use formative research with AA/Bs over 60 years of age who are at-risk for diabetes, hypertension, and/or mild cognitive impairment with family members and relevant stakeholders to identify the needs and requirements for screenings and linkage to care; and (2) Pilot test eREACH with 30 AA/Bs and their family members to evaluate acceptance and feasibility. In the long term, the number of individuals identified, referred, and linked to care by eREACH will support the continuity of care needed to address various health issues for underserved populations, increase participation rates in clinical trials and improve outreach to vulnerable senior citizens.