Evaluating the WISE (Women in the South-East) Telehealth Network: A Model of Healthcare and Health Promotion at Rural Libraries.

Autor:	Sundstrom B; Department of Communication, College of Charleston, Charleston, SC, USA., Hayes N; WISE Telehealth Network, Charleston County Public Library (CCPL) System, North Charleston, SC, USA., DuBose-Morris R; Center for Telehealth, Medical University of South Carolina, Charleston, SC, USA., Dempsey A; Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA., Guille C; Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA.; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Montgomery K; WISE Telehealth Network, Charleston County Public Library (CCPL) System, North Charleston, SC, USA., Richardson K; Regional Medical Director for the Lowcountry, SC Department of Health and Environmental Control (SC DHEC), North Charleston, SC, USA., Lazenby GB; Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA.
Jazyk:	angličtina
Zdroj:	American journal of health promotion : AJHP [Am J Health Promot] 2024 Sep; Vol. 38 (7), pp. 992-1003. Date of Electronic Publication: 2024 Apr 09.
DOI:	10.1177/08901171241246316
Abstrakt:	Purpose: The purpose of this study was to evaluate the effectiveness of the WISE (Women in the South-East) Telehealth Network. Design: A follow-up survey design was used to determine the impact of the program on access to healthcare. Setting: WISE provided preventive care to women and gender expansive people at local libraries and the Mobile Library in the rural South Carolina Lowcountry. Subjects: In 1 year (February 2021-2022), WISE reached 523 individuals with 151 agreeing to participate in the study. Most participants identified as white (66%) or Black (22%). Intervention: A Community Health Worker provided health education, connection to telehealth services, referrals, and connected individuals with community and social services. Measures: The Telehealth Usability Questionnaire (TUQ), changes in knowledge, satisfaction with WISE, Acceptability of Intervention measure (AIM), and sociodemographic characteristics. Results: Participants with a high telehealth usability score were significantly more likely to be under the age of 35 (OR 4.60 [95% CI 1.21-17.52]), married (OR 10.00 [95% CI 2.19-45.64]), or white (OR 4.00 [95% CI 1.06-15.08]). The intervention earned a high acceptability score 4.46 (± .61)/5.0 by helping participants obtain necessary medical care and resources, as well as meeting their educational needs. Conclusion: This study offers practical suggestions to expand the use of telehealth initiatives to improve health outcomes by engaging libraries in rural communities. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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