Personal Health Libraries for Formerly Incarcerated Individuals

项目摘要 被监禁和以前被监禁的人是人际关系和结构性创伤的幸存者， 创伤事件和创伤后应激综合征的发生率升高。这些事件导致了 监禁往往包括人际暴力、极端压力和焦虑，以及体制和结构性的 暴力，包括无家可归和贫穷。此外，监禁本身的经验，与社会 隔离、恶劣的条件和暴露于身体暴力--可能是痛苦和创伤性的。初始数据 来自寻求开发和完善个人健康图书馆（PerHL）移动的应用程序的母项目证实， 在社区和惩教机构中有监禁史的人的经历是创伤性的 并影响人们对技术的看法和与技术的互动。因此，创伤知情护理原则 数字化设计应融入个人健康信息技术的设计， 监禁的历史。为了提高这项技术的可接受性，拟议的补充规定旨在 在PerHL移动的应用程序的开发中开发并整合创伤知情方法， 被监禁的人。本补编的具体目的是：（1）评估促进因素和障碍， 为以前被监禁的个人开发和使用个人健康信息技术， 创伤知情方法，（2）使用创伤知情方法开发和完善PerHL。女士 Amelea Lowery的长期职业目标是成为一名独立的研究人员， 通过使用数字健康工具获得创伤知情护理方面的不平等。某综合训练 该计划是与她的导师合作构建的：（1）扩大Lowery女士的研究专长， 包括通过创伤信息透镜开发和测试个人健康信息技术， 对于以前被监禁的个人，（2）获得定性和定量数据收集的技能， 分析，（3）获得使用个人健康信息技术进行心理健康支持的知识， 在弱势群体中的治疗，以及（4）进一步发展科学写作和研究技能 通过拟定赠款提案、编写和出版手稿以及研究进行传播 会议介绍。计划中的研究和培训活动建立在Lowery女士先前的研究基础上。 社区参与式研究培训的基础经验。通过完成研究， 在强有力的导师计划的支持下，Amelea Lowery女士将有能力达到 她的下一个培养目标是攻读博士学位。符合NLM的使命和 促进健康相关研究多样性的研究补充，指导，培训， 研究活动将为Lowery女士提供接受必要培训的机会，以促进她的成长 成为一名专注于创伤知情健康干预的独立调查员。

PROJECT SUMMARY Incarcerated and formerly incarcerated people are survivors of interpersonal and structural trauma and have elevated rates of traumatic events and post-traumatic stress syndrome. The events that have led up to incarceration often include interpersonal violence, extreme stress and anxiety, and institutional and structural violence, including homelessness and poverty. Furthermore, the incarceration experience itself–with social isolation, harsh conditions, and exposure to physical violence–can be painful and traumatic. The initial data from the parent project that seeks to develop and refine a personal health library (PerHL) mobile app confirms that experiences of people with a history of incarceration in community and correctional settings are traumatic and influence perceptions of and interactions with technology. Therefore, trauma-informed care principles of digital design should be integrated into the design of personal health information technology for people with a history of incarceration. To increase acceptability of this technology, the proposed supplement seeks to develop and integrate a trauma-informed approach in the development of the PerHL mobile app for formerly incarcerated persons. The specific aims of this supplement are to: (1) assess facilitators and barriers of the development and use of personal health information technology for formerly incarcerated individuals using a trauma-informed approach, and (2) to develop and refine the PerHL using a trauma-informed approach. Ms. Amelea Lowery's long-term career goal is to become an independent researcher with expertise in addressing inequities in access to trauma informed care through the use of digital health tools. A comprehensive training plan was constructed in collaboration with her mentors to: (1) expand Ms. Lowery's research expertise to include development and testing of personal health information technologies, through a trauma informed lens, for formerly incarcerated individuals, (2) acquire skills in qualitative and quantitative data collection and analysis, (3) gain knowledge in the use of personal health information technology for mental health support and treatment in vulnerable populations, and (4) further develop skills in scientific writing and research dissemination through grant proposal development, manuscript preparation and publication, and research conference presentations. The planned research and training activities builds upon Ms. Lowery's prior foundational experience in community-based participatory research training. By completing the research and training activities, supported by a robust mentorship plan, Ms. Amelea Lowery will be well-positioned to reach her next training goal of entering a doctoral program. Consistent with NLM's mission and the purpose of the Research Supplement to Promote Diversity in Health-Related Research, the mentorship, training, and research activities will provide Ms. Lowery the opportunity to receive the necessary training for her growth towards becoming an independent investigator focused on trauma-informed health interventions.