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UNCFSPNLMHBCU ACCESS 2007-2008LaHoma Smith Romocki, PhD, MPHDeborah Swain, PhDEagles e-Health ProjectNorth Carolina Central UniversityCompanyLOGO1

Eagles e-Health TeamNCCU FacultyLaHoma Smith Romocki, Ph.D.Deborah Swain, Ph.D.LaShawn Wordlaw-Stinson, Ph.D.Gabriel Peterson, Ph.D.Walter Charles, Ph.D.NCCU StudentsDerek Brinson, MISJamaal FisherKyannu FlaggSiobhan GreeneJasmine JacksonRichard LekwuwaNC Health Disparities InitiativeLinda KingDenise Belle2

Outline of Presentation1. Problem/Research Questions2. Project Description3. Project Implementation4. Evaluation5. Lessons Learned/Next Steps3

Overview of litydifferenceswhite/nonwhiteNorth Carolinahas high %of individualswith lowliteracy levelsIncreaseaccess tocomputersIncrease useHigher SESresults indifferencesinknowledgeNC Center forHealth Stats,2006NC IOMreport2007Healthy People2010 goalsViswanathet.al 20064

Eagles e-Health ProjectResearch QuestionsGiven differences in computer and literacy skills, Is there a knowledge gap about where to gofor on-line health information, such as NLM?Will training a wide range of NCCU campusand community-based partners begin toaddress the knowledge gap?To what extent will people use anddisseminate information within their personaland professional networks?5

Eagles e-Health project Project Goal and Objectives Narrow knowledge gap contributing to healthdisparities by increasing utilization of NLMresourcesTrain a multi-disciplinary team of students,faculty, and staff from academic and nonacademic unitsIntegrate content into basic Health & WellnesscoursesIntegrate content during Health & Wellnesscounseling sessions6

Eagles e-Health projectResearch ThesisWith introductory training, workers inschools, libraries and community healthcenters can lead information seekers toreliable, authoritative resources providedonline by the NLM.7

NCCURomockiSwainStinsonEaglese-HealthCore TeamPetersonBelleCharlesKing8

Eagles e-Health TeamCoreTeamHealthDispar.RomockiXSwainXWordlaw mpSkillsXXK gapXXXXXXXX9

Eagles e-Health Project Team Eight (8) undergraduate and graduatestudents across disciplines: Public Health EducationPsychologyLibrary and Information SciencesBiology Non-academic units Student Health ServicesEmployee Wellness Team (WAY)10

Eagles e-Health Team11

Eagles e-Health team12

Target Populations North Carolina Central University Campus Public Health Education Faculty/InstructorsNCCU Faculty – other academicdepartments/disciplinesStudents- Public Health Education undergrad courseOther students - undergraduates and graduates North Carolina Communities Health and Wellness Trust Fund partners (HWTF)Partners or collaborators of the HDI partnersOther community organizations13

Eagles e-Health ProjectCommunity PartnersPEACHTOPCATOldNorth HDI14

Eagles e-Health Partners ACCESS III of Lower Cape FearBuncombe County Medical SocietyCharlotte Communities of Shalom-ThomasboroChatham Hospital Immigrant Health InitiativeCleveland County Health DepartmentCornerstone MinistriesDare County Dept of HealthElizabeth City State University FoundationForsyth Medical CenterGBO Partnership for ChildrenGreene County Health CareHertford County Public Health Authority15

Eagles e-Health Partners Lincoln Community Health CenterNC Academy of Family PhysiciansNC Alliance for Athletics, Health, Physical EducationNC Agricultural and Technical State UniversityRoanoke Chowan Community Health CenterRobeson County Health DepartmentRural Health Group, IncStrengthening the Black Family, Inc.Wake County Health Services16

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Training and MaterialsDevelopment Oak Ridge Institute for Science and Education Skills-building - e-Health team Create Eagles e-Health Workbook Pilot sessions 8 students 4 faculty/staff/students 1 community volunteer18

ORISE Training19

Eagles Training WorkbookEAGLES E-HEALTHFinding Electronic Health ResourcesTraining Introduction to NLM20

Screen ShotsNLM 21

Training with Workbook22

On Campus at NCCU23

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Campus Workshops25

Community Workshops Central Region Feb 25, 2008 (4 counties) Eastern Region March 27, Snow Hill, NC (6 counties) Western Region March 31, Greensboro, NC (4 counties) Central Region April 16, Durham, NC (4 counties)26

Community Workshops27

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Community participants32

Participants’ observations “I didn’t know that I had all this informationat my fingertips.” It’s reliable information.” “ I had never heard of NLM.” You’re really WOW. And I really want toshare this with other people.” “I don’t get too excited about things and Igot excited about this.” “It was worth the 2 hr drive.”33

Evaluation of ProjectTrainCore Team ofStudentsFacultyEmployeesCB partnersConductWorkshopsHealth FacultyHEDU 1531classesCampussessionsStudent healthsessionsLocal wledge,experience,behavior,teaching,research34

Effect Evaluation Process Impact Outcome35

Evaluation Indicators Attitudes about using on-line information# of NCCU faculty, students, staff participating# of local and state organizations participating# HDI organization participating# of participants in training (total)# of sessions conducted% change in # who never used then shared% change in # who never changed behavior# students with NLM course content# participants able to navigate and access NLM36

Data Collection Methods Activity LogsInterest surveysQuestionnaires (pre & post tests)Semi-structured interviews (follow-up)Participant records (as a result of thefollow-up) Observation (monitoring online navigation) Proficiency tests37

Online Post and ProficiencyTests38

Evaluation Crosswalk The Evaluation Crosswalk “defines whatdata sources will be used to inform theevaluation question/meet the objective.” Columns1.Target Population2.Objective3.Data Collection Method(s) to support theObjective39

CrosswalkTARGETActivityLogPre &PostInterviewsRecordsCore TeamXPHE XCommunityXXOVERALLXXXXXX40

Eagles e-Health StatusJune, 2008 Eagles e-Health team and partners trainedHuman Subjects CertificationIRB approvalCompleted workshop design (3 pilot classes)Developed pre-test and (online) post-test andproficiency quizDelivered: 4 workshops for campus 4 workshops to communityData entry, cleaning41

Lessons Learned Involve administration officials early Begin process once notified of grant IRB, training, Human subjects certification,Recruiting participants, orientation of team Highlight importance beyond thoseinvolved in health and wellness Multidisciplinary approach is critical Use as a springboard for other activities42

Eagles e-Health Publications2007 - 2008 3 conference presentations American Society for Information Science andTechnology (ASIS&T) – October, 2007 E-Health – June 9-10 – Bethesda. MD American Library Association (ALA) – July, 2008 Planned papers and works in progress Refereed Research Paper – ALA Conf. (Accepted) Public Health Education journal article Campus/community research partnership Library Science journal article Information Science/Knowledge Management pub43

Eagles e-Health ProjectThank you for your support! UNCFSPNLMNC Central University administrationNC Health and Wellness Trust Fund HealthDisparities staffCommunity partnersFaculty, staff, students44

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NCCU Faculty LaHoma Smith Romocki, Ph.D. Deborah Swain, Ph.D. LaShawn Wordlaw-Stinson, Ph.D. Gabriel Peterson, Ph.D. Walter Charles, Ph.D. NCCU Students Derek Brinson, MIS Jamaal Fisher Kyannu Flagg Siobhan Greene Jasmine Jackson Richard Lekwuwa NC Health Disparities Initiative Linda King Denise Belle