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Evaluating the WISE (Women in the South-East) Telehealth Network: A Model of Healthcare and Health Promotion at Rural
Beth Sundstrom1, Natalia Hayes2, Ragan DuBose-Morris3
1Department of Communication, College of Charleston, Charleston, SC, USA.
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.
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