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Comparing the Educational Effectiveness of eHealth to Deliver Health Knowledge between Higher Literacy Users and Lower Literacy Users
Authors: Yah-Ling Hung
Abstract:eHealth is undoubtedly emerging as a promising vehicle to provide information for individual self-care management. However, the accessing ability, reading strategies and navigating behavior between higher literacy users and lower literacy users are significantly different. Yet, ways to tailor audiences’ health literacy and develop appropriate eHealth to feed their need become a big challenge. The purpose of this study is to compare the educational effectiveness of eHealth to deliver health knowledge between higher literacy users and lower literacy users, thus establishing useful design strategies of eHealth for users with different level of health literacy. The study was implemented in four stages, the first of which developed a website as the testing media to introduce health care knowledge relating to children’s allergy. Secondly, a reliability and validity test was conducted to make sure that all of the questions in the questionnaire were good indicators. Thirdly, a pre-post knowledge test was conducted with 66 participants, 33 users with higher literacy and 33 users with lower literacy respectively. Finally, a usability evaluation survey was undertaken to explore the criteria used by users with different levels of health literacy to evaluate eHealth. The results demonstrated that the eHealth Intervention in both groups had a positive outcome. There was no significant difference between the effectiveness of eHealth intervention between users with higher literacy and users with lower literacy. However, the average mean of lower literacy group was marginally higher than the average mean of higher literacy group. The findings also showed that the criteria used to evaluate eHealth could be analyzed in terms of the quality of information, appearance, appeal and interaction, but the users with lower literacy have different evaluation criteria from those with higher literacy. This is an interdisciplinary research which proposes the sequential key steps that incorporate the planning, developing and accessing issues that need to be considered when designing eHealth for patients with varying degrees of health literacy.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.2643925Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 516
 Kodagoda N & Wong W. (2008). Effects of Low & High Literacy on User Performance in Information Search and Retrieval, Proceedings of the 22nd annual conference of Interaction a specialist group of the BCS, 1:173-181.
 Summers K & Summers M. (2005), Reading and navigational strategies of Web users with lower literacy skills. Proceedings of the American Society for Information Science and Technology. 42 (1):1-17.
 Meyanathan S, Antje BB & Sanei L. (2012). C-Bulletins: Developing and Adapting Materials for Audiences with Lower Literacy Skills. Washington, DC: FHI 360/C-Change.
 Kodagoda N, Wong W & Kahan N. (2009). Identifying information seeking behaviors of low and high literacy users: combined cognitive task analysis. Published by the British Computer Society, Proceedings of the 9th International Conference on Naturalistic Decision Making, pp.347-352.
 Kodagoda N, Wong BL, Roone C & Khan N. (2012). Interactive visualization for low literacy users: from lessons learnt to design, Proceedings of the CHI 2012, 1159-1168.
 American Medical Association Foundation (2008) Health literacy (Internet). Boston, MA: The Foundation; 2008 Available:
 Yost KJ, Webster K, Baker DW, Choi SW, Bode RK& Hahn EA. (2009). Bilingual health literacy assessment using the Talking Touchscreen/la Pantalla Parlanchina: development and pilot testing. Patient Education and Counseling, 75 (3): 295–301.
 Rychetnik L, Frommer M, Hawe P & Shiell A. (2002). Criteria for evaluating evidence on public health interventions, Journal of Epidemiology and Community Health, 56: 119-127.
 Sheridan SL, Halpern, DJ & Viera AJ. (2011). Interventions for individuals with low health literacy: A systematic review. Journal of Health Communication: International Perspectives.16:30–54. Available at http://www.tandfonline.com/doi/pdf/10.1080/10810730.2011.604391
 Dansky H & Thompson D & Sanner T. (2006). A framework for evaluating eHealth research. Evaluation and Program Planning, Volume 29, Issue 4, Pages 397-404.Davies, A. & Newman, S. (2011). Evaluating telecare and telehealth interventions. WSD Action Network briefing paper, The Kings fund.
 Hsu CJ & Chang PC. (2007). Applying the graphical relational representation technique to represent healthcare web information: taking the query and representation of SARS web information as an example. The Journal of Taiwan Association for Medical Informatics,16 (3):21-34.
 Choi J & Bakken S. (2010). Web-based education for low-literate parents in Neonatal Intensive Care Unit: Development of a website and heuristic evaluation and usability testing, International Journal of Medical Informatics, 79 (8): 565-575.
 Hubley J & Copeman J. (2008). Practical health promotion. Polity Press.
 Kodagoda N, Wong BLW & Khan N. (2010). Information seeking behavior model as a theoretical lens: high and low literate users’ behavior process analyzed. ECCE, ACM Press (2010), 117-124.
 Houston TK, Robinson K, Berner E, Panjamapirom A, Fouad M & Partridge E. (2006). Bridging the digital divide: Feasibility of training community health advisors to use the Internet for health outreach, Proceedings of the 39th Annual Hawaii International Conference on System Sciences, 5, 88c, 2006.
 Summers K, Langford J, Wu J, Abela C & Souza R. (2006). Designing Web-based Forms for Users with Lower Literacy Skills, Proceedings of the American Society for Information Science and Technology, 43 (1), 1-12.