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

• Published in: American journal of health promotion Vol. 38; no. 7; pp. 992 - 1003
• Main Authors: Sundstrom, Beth, Hayes, Natalia, DuBose-Morris, Ragan, Dempsey, Angela, Guille, Constance, Montgomery, Kathleen, Richardson, Katherine, Lazenby, Gweneth B.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.09.2024; American Journal of Health Promotion
• Subjects: Clinical outcomes; Community health workers; Educational needs; Health care; Health care access; Health education; Health initiatives; Health promotion; Health services; Health status; Intervention; Libraries; Medical referrals; Prevention programs; Preventive medicine; Rural areas; Rural communities; Social services; Sociodemographics; Telemedicine; Usability; Women; health education; health promotion; rural health; telehealth
• ISSN: 0890-1171; 2168-6602; 2168-6602
• DOI: 10.1177/08901171241246316

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.