Parkview Hospital Inc

SUICIDE PREVENTION NAVIGATORS COORDINATING CARE FOR SUICIDAL CRISIS AND DOMESTIC VIOLENCE VICTIMS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

** AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** VEGGIE RX TO HEAL ENHANCEMENT

PARKVIEW HEALTH, A NOT-FOR-PROFIT COMMUNITY-BASED HEALTH SYSTEM WHOSE MISSION IS TO CREATE A HEALTHIER COMMUNITY, WILL LANCH A 3-YEAR GUSNIP PRESCRIPTION PROGRAM CALLED VEGGIE RX TO HEAL. BUILDING UPON ITS SIX-PLUS YEAR EFFORT TO INCREASE HEALTHY FOOD ACCESS IN ALLEN COUNTY, INDIANA, THE VEGGIE RX TO HEAL PROGRAM COMES TO THE AID OF OUR COMMUNITY'S MOST VULNERABLE PATIENTS AT RISK FOR DIET-RELATED DISEASE AND FOOD INSECURITY.THE VEGGIE RX PROGRAM WILL BE AVAILABLE TO RESIDENTS OF ALLEN COUNTY, INDIANA, TO SERVE ADULTS WHO HAVE A DIAGNOSIS OF PRE-DIABETES OR DIABETES, CARDIAC DISEASES AND AT-RISK PREGNANT WOMEN. ALLEN COUNTY IS IN NORTHEAST INDIANA AND HAS A POPULATION OF 375,351, WHICH INCLUDES FORT WAYNE - THE STATE'S SECOND-LARGEST CITY - WITH A POPULATION OF 267,633. ALLEN COUNTY IS INDIANA'S THIRD MOST POPULATED COUNTY AND THE STATE'S LARGEST COUNTY IN SQUARE MILES.PARKVIEW'S COMMUNITY HEALTH SERVICE LINE WILL MANAGE THE VEGGIE RX PROGRAM, WHICH WILL ENGAGE 850PARTICIPANTS THROUGHOUT THE THREE-YEAR GRANT CYCLE (250 YEAR ONE; 275 YEAR TWO; 325 YEAR THREE). PROVIDER ORGANIZATIONS WILL REFER ELIGIBLE INDIVIDUALS TO PARTICIPATE IN THE VEGGIE RX PROGRAM BY SCREENING FOR FOOD INSECURITY USING THE TWO-QUESTION HUNGER VITAL SIGNS TOOL, OR BY REFERRING INDIVIDUALS WITH MEDICAID OR ARE UNINSURED WITH PREDIABETES, DIABETES, CARDIAC DISEASES OR WOMEN WITH AN AT-RISK PREGNANCY. PARTICIPANTS WILL BE REQUIRED TO ATTEND TWO EDUCATION CLASSES PLUS TWO PHONE OR VIRTUAL CONSULTS OVER THEIR SIX-MONTH ACTIVE PROGRAM ENROLLMENT TO RECEIVE THEIR VOUCHERS FOR FRESH FRUITS AND VEGETABLES. CLIENTS WILL RECEIVE $50/MONTH IN PRODUCE VOUCHERS FOR SIX MONTHS OF THEIR RESPECTIVE PROGRAM PHASE.RECOGNIZING THE GROWING INEQUITY IN HEALTHY FOOD ACCESS AND COMPROMISED HEALTH AMONG THE MEDICALLY UNDERSERVED, PARKVIEW WILL PARTNER WITH THE FOLLOWING ORGANIZATIONS FOR THIS PROGRAM:- ORGANIZATIONS THAT WILL ACCEPT VEGGIE RX VOUCHERS - HEAL FARM MARKETS (TWO LOCATIONS), JOHNNIE MAE FARM, FORT WAYNE FARMERS MARKET, SAVE-A-LOT GROCERY STORES- ORGANIZATIONS THAT WILL MAKE REFERRALS TO THE VEGGIE RX PROGRAM, PRESCRIBE VOUCHERS - PARKVIEW PHYSICIANS GROUP, ALLIANCE HEALTH CENTERS, PARKVIEW HEART INSTITUTE, PARKVIEW WOMEN'S AND CHILDREN'S, PARKVIEW ENDOCRINE/DIABETES STRATEGY- ORGANIZATIONS THAT WILL CONNECT VEGGIE RX PROGRAM TO THE COMMUNITY - NORTHEAST INDIANA LOCAL FOOD NETWORK, TRANSCULTURAL NURSING SOCIETY, CENTER FOR NONVIOLENCE, PARKVIEW GREENHOUSE, HEALTHVISIONS MIDWEST, PURDUE EXTENSION AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION.

HEALTHY DIGITAL HABITS IN PARENTS OF INFANTS - PROJECT SUMMARY HEALTHY PARENT-CHILD INTERACTIONS ARE CRITICAL FOR CHILDREN’S WELL-BEING AND DEVELOPMENT. IN INFANCY, PARENT SENSITIVITY (E.G., RESPONSIVENESS) IS LINKED TO PARENT-INFANT ATTACHMENT SECURITY AND EMOTIONAL CO-REGULATION, WHICH LAY THE FOUNDATION FOR MENTAL HEALTH, ACADEMIC PERFORMANCE, AND RELATIONSHIP QUALITY OVER TIME. THEREFORE, PROMOTING HIGH-QUALITY PARENT-INFANT INTERACTIONS HAS THE POTENTIAL TO IMPROVE CHILDREN’S HEALTHY HABITS ACROSS THEIR LIFE. THE CAREGIVING ENVIRONMENT HAS CHANGED AS PARENTS HAVE INTEGRATED SMARTPHONES INTO THEIR LIVES. THE VAST MAJORITY OF ADULTS OWN A SMARTPHONE, AND MANY REPORT DEVICE USE IN THE PRESENCE OF THEIR CHILDREN (E.G., DURING PLAYTIME, MEALTIME, BEDTIME). ADDITIONALLY, PARENT PHONE USE HAS BEEN NEGATIVELY ASSOCIATED WITH PARENT-CHILD INTERACTIONS AND RESPONSIVENESS; PHONE USE IS LIKELY ALSO INDIRECTLY ASSOCIATED WITH PARENT RESPONSIVENESS VIA IMPACTS ON PARENT SLEEP, MOOD, AND STRESS. WITH THE PREVALENCE OF PARENT PHONE USE AND POTENTIAL FOR THIS PHONE USE TO IMPACT PARENTING, PARENT-CHILD RELATIONSHIPS, AND INFANT AND CHILD HEALTH AND WELL-BEING, INTERVENTIONS ARE NEEDED TO PROMOTE HEALTHY DIGITAL HABITS IN PARENTS. THE PROPOSED STUDY WILL PROVIDE THE INFORMATION NECESSARY TO UNDERSTAND THE PHONE USE OF PARENTS OF INFANTS AND PARENT PERSPECTIVES ON STRATEGIES TO DEVELOP HEALTHIER DIGITAL HABITS. THIS WILL SUPPORT THE DEVELOPMENT OF DATA- AND PARENT-INFORMED PROGRAMMING TO ASSIST PARENTS OF INFANTS IN ORDER TO FOSTER HEALTHY CAREGIVING FOR INFANTS. THIS WILL BE ACCOMPLISHED THROUGH A LONGITUDINAL, MIXED METHOD STUDY OF 250 PARENTS OF INFANTS. THE STUDY WILL CONSIST OF THREE WAVES: WAVE 1 WHERE PARENTS COMPLETE A BASELINE SURVEY AND THEN 8 CONSECUTIVE DAYS OF NIGHTLY SURVEYS (WHILE THEIR PHONE USE IS ALSO TRACKED VIA AN APP); WAVE 2 WHERE PARENTS COMPLETE A FOLLOW-UP SURVEY AND A SUBSAMPLE COMPLETE INTERVIEWS; AND WAVE 3 WHERE WE DEVELOP PROGRAMMING AND THEN A SUBSAMPLE OF PARENTS PARTICIPATE IN FOCUS GROUPS TO PROVIDE FEEDBACK ON THE PROGRAMMING. SPECIFIC AIMS INCLUDE: (AIM 1) (A) TO IDENTIFY PROFILES OF PARENT PHONE USE USING MOBILE DEVICE-BASED SENSING AND (B) TO EXAMINE ASSOCIATIONS WITH PARENT MENTAL HEALTH; (AIM 2) TO EXAMINE PARENTS’ PERCEPTIONS OF (A) THEIR PHONE USE, (B) POTENTIAL IMPACTS ON THEMSELVES AND THEIR INFANT, AND (C) STRATEGIES FOR AND BARRIERS TO DEVELOPING HEALTHIER DIGITAL HABITS; (AIM 3) TO DEVELOP FEASIBLE AND PARENT-ACCEPTED COMMUNITY PROGRAMMING FOR PARENTS OF INFANTS ON HEALTHY PHONE HABITS, BASED ON THE INFORMATION OBTAINED IN AIMS 1 AND 2. WE TARGET FAMILIES OF INFANTS DUE TO THE NEED TO BEGIN HEALTHY HABITS EARLY IN LIFE. ULTIMATELY, WE WILL USE THE RESULTS FROM THIS RESEARCH TO SUPPORT FUTURE TRIALS OF THE PROGRAM AND ITS EFFECTIVENESS AT CREATING HEALTHIER PHONE HABITS IN PARENTS AND HEALTHY HABITS IN CHILDREN. IF SUCCESSFUL, THIS RESEARCH WILL LEAD TO A PROGRAM THAT WILL BE IMPLEMENTED IN THE COMMUNITY, WHICH HAS THE POTENTIAL TO BUILD HEALTHIER PARENT-CHILD RELATIONSHIPS AND HEALTHIER CHILD DEVELOPMENT.

PEER PLUS: A CLIENT-CENTERED DIGITAL INTERVENTION FOR ADDRESSING THE NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER - PROJECT SUMMARY/ABSTRACT OVER THE PAST THREE DECADES, SUBSTANCE USE DISORDER (SUD) HAS EMERGED AS A MAJOR PUBLIC HEALTH CRISIS. MORE THAN 70% OF OVERDOSE DEATHS IN THE U.S. INVOLVE A SYNTHETIC OPIOID, WHICH MAKES SUCCESSFUL TREATMENT CRITICAL TO THOSE WITH SUD. HOWEVER, THE RELAPSE RATE IS ESTIMATED AT 40-60%, AND THOSE WITH SUD ARE ALSO AT RISK FOR LONG-TERM MEDICAL ISSUES. THUS, SUDS ARE OFTEN CHRONIC CONDITIONS THAT REQUIRE EARLY AND CONSISTENT ENGAGEMENT IN TREATMENT TO ACHIEVE LONG-TERM RECOVERY. ONE EFFECTIVE METHOD OF ENGAGEMENT THAT HEALTH CARE SYSTEMS HAVE IMPLEMENTED IS MATCHING RECOVEREES WITH PEER RECOVERY COACHES (PRCS) TO HELP NAVIGATE THEM THROUGH TREATMENT. THESE AT-ELBOW SUPPORT COACHES PROVIDE CONSISTENT, NON-JUDGMENTAL COMMUNICATION AND REFERRAL TO VARIOUS TREATMENT AND WRAPAROUND SERVICES, INCLUDING MEDICATION ASSISTED THERAPY (MAT), WHICH IS CONSIDERED THE MOST EFFECTIVE TREATMENT FOR OPIOID USE DISORDER. IN THIS PROJECT, WE PROPOSE A RANDOMIZED CONTROLLED TRIAL TO EVALUATE A NOVEL TECHNOLOGY TOOL: PEER PLUS (PEOPLE LEVERAGING URGENT SUPPORT). PEER PLUS IS A STANDALONE, HIPAA-COMPLIANT MOBILE APP THAT FACILITATES AND TRACKS SECURE COMMUNICATION BETWEEN PRCS AND THEIR CLIENTS, REFERRALS TO COMMUNITY RESOURCES, AND OTHER RECOVERY ACTIVITIES. THE COMPANION WEBSITE ALLOWS A TEAM OF PRCS TO COLLECTIVELY MANAGE A POOL OF CLIENTS, OFFERING MORE COMPREHENSIVE COVERAGE. WE EXPECT THIS POINT-OF-CARE APP TO ENHANCE COMMUNICATION BETWEEN RECOVEREES AND THEIR PRCS AND IMPROVE SELF-REPORTED RECOVERY OUTCOMES. ADDITIONALLY, PEER PLUS WILL PROVIDE A SOURCE OF DATA TO HELP CAPTURE THE CARE COORDINATION EFFORTS ASSOCIATED WITH PEER COACHING. THROUGH OUR STRATEGIC CLINICAL TRIAL AND DISSEMINATION PLAN, WE ANTICIPATE THIS INTERVENTION TO BE SCALED FOR SUPPORT OF RECOVERY ACROSS DIFFERENT TYPES OF COMMUNITY PARTNERS WITH EVENTUAL EXTENSION TO PRCS SUPPORTING OTHER TYPES OF MENTAL HEALTH CRISES (E.G., POST-SUICIDE ATTEMPT). IMPLEMENTATION SCIENCE CONSTRUCTS INFUSED WITH USER-CENTERED DESIGN STRATEGIES WILL BE USED TO SCAFFOLD OUR PEER PLUS EVALUATION AND IMPLEMENTATION TOOLKIT DEVELOPMENT IN THE FIRST PHASE OF THIS PROJECT (R21), WHICH WILL PROVIDE A CRITICAL FOUNDATION FOR THE RANDOMIZED CONTROLLED TRIAL AND SECOND SITE PILOT PROPOSED IN THE SECOND PHASE (R33). BECAUSE BOTH THE APP AND COMPANION WEBSITE ARE NOT TIED TO ANY SPECIFIC ORGANIZATION AND THE MODULAR SOFTWARE IS ADAPTABLE, THIS WILL BE A LOW-COST, EASILY- IMPLEMENTABLE OPTION FOR ANY GROUP THAT OFFERS PEER RECOVERY SUPPORT SERVICES.

PEER PLUS: A CLIENT-CENTERED DIGITAL INTERVENTION FOR ADDRESSING THE NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER - PROJECT SUMMARY/ABSTRACT OVER THE PAST THREE DECADES, SUBSTANCE USE DISORDER (SUD) HAS EMERGED AS A MAJOR PUBLIC HEALTH CRISIS. MORE THAN 70% OF OVERDOSE DEATHS IN THE U.S. INVOLVE A SYNTHETIC OPIOID, WHICH MAKES SUCCESSFUL TREATMENT CRITICAL TO THOSE WITH SUD. HOWEVER, THE RELAPSE RATE IS ESTIMATED AT 40-60%, AND THOSE WITH SUD ARE ALSO AT RISK FOR LONG-TERM MEDICAL ISSUES. THUS, SUDS ARE OFTEN CHRONIC CONDITIONS THAT REQUIRE EARLY AND CONSISTENT ENGAGEMENT IN TREATMENT TO ACHIEVE LONG-TERM RECOVERY. ONE EFFECTIVE METHOD OF ENGAGEMENT THAT HEALTH CARE SYSTEMS HAVE IMPLEMENTED IS MATCHING RECOVEREES WITH PEER RECOVERY COACHES (PRCS) TO HELP NAVIGATE THEM THROUGH TREATMENT. THESE AT-ELBOW SUPPORT COACHES PROVIDE CONSISTENT, NON-JUDGMENTAL COMMUNICATION AND REFERRAL TO VARIOUS TREATMENT AND WRAPAROUND SERVICES, INCLUDING MEDICATION ASSISTED THERAPY (MAT), WHICH IS CONSIDERED THE MOST EFFECTIVE TREATMENT FOR OPIOID USE DISORDER. IN THIS PROJECT, WE PROPOSE A RANDOMIZED CONTROLLED TRIAL TO EVALUATE A NOVEL TECHNOLOGY TOOL: PEER PLUS (PEOPLE LEVERAGING URGENT SUPPORT). PEER PLUS IS A STANDALONE, HIPAA-COMPLIANT MOBILE APP THAT FACILITATES AND TRACKS SECURE COMMUNICATION BETWEEN PRCS AND THEIR CLIENTS, REFERRALS TO COMMUNITY RESOURCES, AND OTHER RECOVERY ACTIVITIES. THE COMPANION WEBSITE ALLOWS A TEAM OF PRCS TO COLLECTIVELY MANAGE A POOL OF CLIENTS, OFFERING MORE COMPREHENSIVE COVERAGE. WE EXPECT THIS POINT-OF-CARE APP TO ENHANCE COMMUNICATION BETWEEN RECOVEREES AND THEIR PRCS AND IMPROVE SELF-REPORTED RECOVERY OUTCOMES. ADDITIONALLY, PEER PLUS WILL PROVIDE A SOURCE OF DATA TO HELP CAPTURE THE CARE COORDINATION EFFORTS ASSOCIATED WITH PEER COACHING. THROUGH OUR STRATEGIC CLINICAL TRIAL AND DISSEMINATION PLAN, WE ANTICIPATE THIS INTERVENTION TO BE SCALED FOR SUPPORT OF RECOVERY ACROSS DIFFERENT TYPES OF COMMUNITY PARTNERS WITH EVENTUAL EXTENSION TO PRCS SUPPORTING OTHER TYPES OF MENTAL HEALTH CRISES (E.G., POST-SUICIDE ATTEMPT). IMPLEMENTATION SCIENCE CONSTRUCTS INFUSED WITH USER-CENTERED DESIGN STRATEGIES WILL BE USED TO SCAFFOLD OUR PEER PLUS EVALUATION AND IMPLEMENTATION TOOLKIT DEVELOPMENT IN THE FIRST PHASE OF THIS PROJECT (R21), WHICH WILL PROVIDE A CRITICAL FOUNDATION FOR THE RANDOMIZED CONTROLLED TRIAL AND SECOND SITE PILOT PROPOSED IN THE SECOND PHASE (R33). BECAUSE BOTH THE APP AND COMPANION WEBSITE ARE NOT TIED TO ANY SPECIFIC ORGANIZATION AND THE MODULAR SOFTWARE IS ADAPTABLE, THIS WILL BE A LOW-COST, EASILY- IMPLEMENTABLE OPTION FOR ANY GROUP THAT OFFERS PEER RECOVERY SUPPORT SERVICES.

CRII: HCC: ADVANCING TRAUMA-INFORMED CARE IN AI-DRIVEN MENTAL HEALTH CHATBOTS -THE USE OF ARTIFICIAL INTELLIGENCE (AI)-BASED CONVERSATIONAL AGENTS, OR CHATBOTS, IS A PROMISING WAY TO MAKE MENTAL HEALTH SUPPORT MORE READILY AVAILABLE TO PEOPLE WHO NEED IT. HOWEVER, THE AI MODELS DESIGNED TO GENERATE CONVERSATION WITH USERS CAN MAKE MISTAKES, AND THUS NEED TO BE DESIGNED TO MINIMIZE THE RISK OF GIVING INCORRECT ADVICE, OR USING LANGUAGE THAT MIGHT HARM VULNERABLE PEOPLE WITH MENTAL HEALTH NEEDS. THIS PROJECT'S GOAL IS TO USE TRAUMA-INFORMED CARE (TIC) PRINCIPLES IN THE DESIGN OF MENTAL HEALTH CHATBOTS TO REDUCE THOSE RISKS. TIC IS AN IMPORTANT APPROACH IN MENTAL HEALTH SUPPORT THAT PRIORITIZES PATIENT SAFETY, TRUST, PEER SUPPORT, COLLABORATION, EMPOWERMENT, AND CULTURAL/HISTORICAL SENSITIVITY, HOLDING PROVIDERS AND HEALTHCARE ORGANIZATIONS ACCOUNTABLE DURING PATIENT CARE. THIS PROJECT WILL USE TIC PRINCIPLES, ALONG WITH GUIDANCE FROM BOTH MENTAL HEALTH PROVIDERS AND CHATBOT USERS, TO ASSESS EXISTING CHATBOTS FOR MENTAL HEALTH SUPPORT AS WELL AS HOW THEY FIT INTO MENTAL HEALTH PRACTICE. THE TEAM WILL DEVELOP GUIDELINES THAT EMBODY THE TIC FRAMEWORK IN CHATBOTS TO PRIORITIZE USER SAFETY, EMPOWERMENT, AND WELLBEING, AS WELL AS GIVING MORE GENERAL INSIGHT INTO THE APPLICATION OF TIC PRINCIPLES IN HEALTHCARE TECHNOLOGIES. BY ESTABLISHING ACCOUNTABLE DESIGN PRACTICES FOR AI-DRIVEN MENTAL HEALTH CHATBOTS, THIS PROJECT SEEKS TO IMPROVE CARE QUALITY, USER EXPERIENCES, AND SCIENTIFIC PROGRESS IN THE FIELD. WHILE THE APPLICATION OF AI-BASED CHATBOTS HAS SIGNIFICANTLY INCREASED IN HEALTH DOMAIN, THERE IS NO SPECIFIC REGULATION AND ACCOUNTABILITY FOR THESE PLATFORMS TO ENSURE TIC PRINCIPLES ARE INCORPORATED. THE PROJECT AIMS TO ASSESS HUMAN-CHATBOT INTERACTIONS THROUGH THE LENS OF TRAUMA-INFORMED CARE, EMPLOYING A COMPREHENSIVE MIXED-METHODS APPROACH THAT TRIANGULATES DATA FROM USER SURVEYS, SEMI-STRUCTURED INTERVIEWS, AND INTERACTIVE GROUP SESSIONS WITH PROVIDERS. THIS PROJECT HAS THREE PRIMARY OBJECTIVES. FIRST, THE TEAM WILL SYSTEMATICALLY EXPLORE USER PERCEPTIONS OF MENTAL HEALTH CHATBOTS THROUGH SURVEYS AND SEMI-STRUCTURED INTERVIEWS, SHEDDING LIGHT ON USER ENGAGEMENT, EXPECTATIONS, SATISFACTIONS, AND CONCERNS WHILE SEEKING SUPPORT. SECOND, THE TEAM WILL ENGAGE MULTIDISCIPLINARY MENTAL HEALTH PROFESSIONALS IN INTERACTIVE GROUP SESSIONS WITH EXISTING MENTAL HEALTH CHATBOTS, CHARACTERIZING INTERACTIONS FROM A TRAUMA-INFORMED CARE PERSPECTIVE AND FOSTERING SHARED RECOMMENDATIONS FOR CHATBOT DESIGN. THIRD, THE TEAM WILL DEVELOP GUIDELINES FOR HUMAN-CHATBOT INTERACTION STRATEGIES, ROOTED IN HUMAN-CENTERED DESIGN METHODS AND TIC PRINCIPLES, WITH THE AIM OF ESTABLISHING A FOUNDATION FOR ACCOUNTABLE AND SAFE AI AND CHATBOT USAGE IN THE DOMAIN OF MENTAL HEALTH. BY DISSEMINATING FINDINGS WITHIN SCIENTIFIC COMMUNITIES, THE RESEARCH TEAM AIMS TO RAISE AWARENESS ABOUT THE IMPORTANCE OF TRANSLATING INSIGHTS BETWEEN COMPUTING AND CLINICAL RESEARCH. THIS AWARD REFLECTS NSF'S STATUTORY MISSION AND HAS BEEN DEEMED WORTHY OF SUPPORT THROUGH EVALUATION USING THE FOUNDATION'S INTELLECTUAL MERIT AND BROADER IMPACTS REVIEW CRITERIA.- SUBAWARDS ARE NOT PLANNED FOR THIS AWARD.

FARM TO SCHOOL GRANT PROGRAM