Houston expert: Three steps community organizations can take to close the digital divide

Guest column

In times of crisis, communities are disproportionately affected and access to tech is limited. Here's what one organization is doing to bridge that gap. Photo courtesy of Medley Inc.

The pandemic has had a devastating impact on low-income communities. On top of job losses and a greater risk of exposure to COVID-19, people in disadvantaged neighborhoods face another significant hurdle: access to technology.

In communities like Houston's Fifth Ward, owning a device with internet access can be an almost insurmountable challenge, as residents are 53 percent more likely to lack access to basic technology than the greater Houston area.

Technology has the power to help level playing fields, providing information and resources and even programming and socialization to all who have access, but for communities where the median household income is roughly $18,308, or less than half of Houston's median income, organizations must bridge the gap and support residents' access to and adoption of technology.

Here are three steps the Julia C. Hester House, a community center serving the greater Fifth Ward in Houston, has taken in order to provide successful virtual programming and services to ensure that everyone from children to seniors can benefit.

Provide greater access

The first barrier disadvantaged communities face is access: both to devices and to the internet. A 2019 study from the Pew Research Center found that nearly half of low-income adults lack a computer, and a majority are not tablet owners. However, many residents have access to landlines and smartphones, offering a starting point for virtual engagement. Community centers can start with partnerships with tech companies to help bridge the gap by securing and distributing tablets and internet-ready devices to provide an initial step toward connectivity.

On top of low device adoption rates, the recurring cost of home broadband internet creates another hurdle. When the City of Houston used a portion of CARES act funds to provide one-year internet vouchers to 5,000 low-income households, Hester House worked to spread the news quickly to the Fifth Ward. Hester House also recently partnered with the Fifth Ward Redevelopment Corporation, which has taken on a leadership role in this regard, to get internet service into the homes of local seniors and families with young children. Public-private partnerships and policies that provide free or low-cost internet services across communities can enhance connectivity and improve outcomes for families and neighborhoods.

About 4 percent of Fifth Ward residents possess a college degree, and while that's not required to browse the web, it suggests a lack of exposure to technology, particularly among seniors who came of age before widespread adoption of the internet.Beyond securing greater access to broadband, new approaches to providing computer training and teaching tech fundamentals such as how to access and participate in Zoom meetings go a long way toward increasing new technology adoption rates. Zoom program participants may be reticent at first, but practice and support offer opportunities for greater community adoption.

Innovate program models

As internet, hardware and software access has increased in the community, the next step requires adjusting programming to meet new virtual parameters. Hester House moved many of their programs online and developed new programs to replace what was offered in person prior to the pandemic. Shifts to virtual programming can include virtual tutoring and youth classes, mental and social support programming, exercise and activity based video programming and purely social engagements such as group dinners and games.

The acclimation to virtual programming at Hester House has been a challenge, particularly for youth, however program managers continue to make adjustments to program models to strengthen engagement. Recurring programs that make use of music, guest speakers and pre-planned topics of conversation can help strengthen engagement and encourage participant retention, providing more shared experiences that uplift communities.

Measure and iterate results

As virtual programming continues to grow and find its cadence, program managers must continue to survey participants and make adjustments. Understanding the experiences and needs of participants will help guide planning and execution of changes that ensure participants will not only come back but will bring friends. Utilizing appreciative inquiry to improve programming benefits attendees and ensures that mission-oriented goals are met with regard to service to the community. For example, recent virtual gardening and food preservation classes, aimed at teaching healthy food growth and storage practices, has been so popular that the Hester House is assessing ways to expand the program and dive more deeply into specific topics.

Feedback from the community through surveys and qualitative data collection through individual interviews offer the space to understand the experience from members of the community, allowing organizations to focus on testing and iterating new approaches to foster successful engagement, continuing to meet the needs of the community.

It's no surprise that during difficult times, there's an even greater squeeze on nonprofits serving at-risk communities, which is why Hester House launched its Technology and Innovation Access Campaign in December. Campaign goals include funding long-term internet access, computer training, tech education classes and support, real-time tech support, helping residents navigate online applications for local, state, and national resources, and more. Community centers are focused on a successful continuation of service in these changing times, and the steps above offer a model for technology innovation for other organizations looking to provide continuity of service in difficult times.

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Lis Harper is a strategist and account executive at Houston-based Medley Inc.

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Rice University lands $18M to revolutionize lymphatic disease detection

fresh funding

An arm of the U.S. Department of Health and Human Services has awarded $18 million to scientists at Rice University for research that has the potential to revolutionize how lymphatic diseases are detected and help increase survivability.

The lymphatic system is the network of vessels all over the body that help eliminate waste, absorb fat and maintain fluid balance. Diseases in this system are often difficult to detect early due to the small size of the vessels and the invasiveness of biopsy testing. Though survival rates of lymph disease have skyrocketed in the United States over the last five years, it still claims around 200,000 people in the country annually.

Early detection of complex lymphatic anomalies (CLAs) and lymphedema is essential in increasing successful treatment rates. That’s where Rice University’s SynthX Center, directed by Han Xiao and Lei Li, an assistant professor of electrical and computer engineering, comes in.

Aided by researchers from Texas Children’s Hospital, Baylor College of Medicine, the University of Texas at Dallas and the University of Texas Southwestern Medical Center, the center is pioneering two technologies: the Visual Imaging System for Tracing and Analyzing Lymphatics with Photoacoustics (VISTA-LYMPH) and Digital Plasmonic Nanobubble Detection for Protein (DIAMOND-P).

Simply put, VISTA-LYMPH uses photoacoustic tomography (PAT), a combination of light and sound, to more accurately map the tiny vessels of the lymphatic system. The process is more effective than diagnostic tools that use only light or sound, independent of one another. The research award is through the Advanced Research Projects Agency for Health (ARPA-H) Lymphatic Imaging, Genomics and pHenotyping Technologies (LIGHT) program, part of the U.S. HHS, which saw the potential of VISTA-LYMPH in animal tests that produced finely detailed diagnostic maps.

“Thanks to ARPA-H’s award, we will build the most advanced PAT system to image the body’s lymphatic network with unprecedented resolution and speed, enabling earlier and more accurate diagnosis,” Li said in a news release.

Meanwhile, DIAMOND-P could replace the older, less exact immunoassay. It uses laser-heated vapors of plasmonic nanoparticles to detect viruses without having to separate or amplify, and at room temperature, greatly simplifying the process. This is an important part of greater diagnosis because even with VISTA-LYMPH’s greater imaging accuracy, many lymphatic diseases still do not appear. Detecting biological markers is still necessary.

According to Rice, the efforts will help address lymphatic disorders, including Gorham-Stout disease, kaposiform lymphangiomatosis and generalized lymphatic anomaly. They also could help manage conditions associated with lymphatic dysfunction, including cancer metastasis, cardiovascular disease and neurodegeneration.

“By validating VISTA-LYMPH and DIAMOND-P in both preclinical and clinical settings, the team aims to establish a comprehensive diagnostic pipeline for lymphatic diseases and potentially beyond,” Xiao added in the release.

The ARPA-H award funds the project for up to five years.

Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.

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