Views of People With High and Low Levels of Health Literacy About a Digital Intervention to Promote Physical Activity for Diabetes: A Qualitative Study in Five Countries
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| Titel: | Views of People With High and Low Levels of Health Literacy About a Digital Intervention to Promote Physical Activity for Diabetes: A Qualitative Study in Five Countries |
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| Autoren: | Alison Rowsell, Ingrid Muller, Elizabeth Murray, Paul Little, Christopher D Byrne, Kristin Ganahl, Gabriele Müller, Sarah Gibney, Courtney R Lyles, Antonia Lucas, Don Nutbeam, Lucy Yardley |
| Quelle: | J Med Internet Res Journal of Medical Internet Research, vol 17, iss 10 Journal of Medical Internet Research |
| Verlagsinformationen: | JMIR Publications Inc., 2015. |
| Publikationsjahr: | 2015 |
| Schlagwörter: | Adult, Male, and promotion of well-being, digital intervention, physical activity, Health Promotion, Motor Activity, Medical and Health Sciences, Early Intervention (Education), 03 medical and health sciences, 0302 clinical medicine, 7.1 Individual care needs, Clinical Research, Health Services and Systems, Information and Computing Sciences, Health Sciences, Behavioral and Social Science, Diabetes Mellitus, Health services and systems, Early Intervention, Educational, Humans, Educational, 10. No inequality, Metabolic and endocrine, Qualitative Research, Aged, Original Paper, diabetes, Prevention, 4. Education, Early Intervention, Psychology and Cognitive Sciences, Middle Aged, Prevention of disease and conditions, Health Literacy, 3. Good health, Good Health and Well Being, Diabetes Mellitus, Type 2, Health Literacy/standards, qualitative, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Female, Public Health, Management of diseases and conditions, health literacy, Type 2, Medical Informatics |
| Beschreibung: | Low health literacy is associated with poor health-related knowledge, illness self-management, health service use, health, and survival, and thus addressing issues related to low health literacy has been highlighted as a pressing international priority.To explore views of a digital health promotion intervention designed to be accessible to people with lower levels of health literacy, in particular examining reactions to the interactive and audiovisual elements of the intervention.Qualitative think-aloud interviews were carried out with 65 adults with type 2 diabetes in the UK, Ireland, USA, Germany, and Austria, with purposive sampling to ensure representation of people with lower levels of health literacy. Inductive thematic analysis was used to identify common themes. We then systematically compared views in subgroups based on country, health literacy level, age, gender, and time since diagnosis.Most participants from the chosen countries expressed positive views of most elements and features of the intervention. Some interactive and audiovisual elements required modification to increase their usability and perceived credibility and relevance. There were some differences in views based on age and gender, but very few differences relating to health literacy level or time since diagnosis.In general, participants found the intervention content and format accessible, appropriate, engaging, and motivating. Digital interventions can and should be designed to be accessible and engaging for people with a wide range of health literacy levels. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | text |
| Sprache: | English |
| ISSN: | 1438-8871 |
| DOI: | 10.2196/jmir.4999 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/26459743 https://pubmed.ncbi.nlm.nih.gov/26459743/ https://www.ncbi.nlm.nih.gov/pubmed/26459743 https://www.jmir.org/2015/10/e230 https://research-information.bris.ac.uk/en/publications/views-of-people-with-high-and-low-levels-of-health-literacy-about https://eprints.soton.ac.uk/383427/ https://escholarship.org/uc/item/6fw8v67k https://escholarship.org/uc/item/6fw8v67k https://eprints.soton.ac.uk/383427/ |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/ (http://creativecommons.org/licenses/by/2.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
| Dokumentencode: | edsair.doi.dedup.....14ac4d5965a092d7f9279acc2ed9c3b1 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Low health literacy is associated with poor health-related knowledge, illness self-management, health service use, health, and survival, and thus addressing issues related to low health literacy has been highlighted as a pressing international priority.To explore views of a digital health promotion intervention designed to be accessible to people with lower levels of health literacy, in particular examining reactions to the interactive and audiovisual elements of the intervention.Qualitative think-aloud interviews were carried out with 65 adults with type 2 diabetes in the UK, Ireland, USA, Germany, and Austria, with purposive sampling to ensure representation of people with lower levels of health literacy. Inductive thematic analysis was used to identify common themes. We then systematically compared views in subgroups based on country, health literacy level, age, gender, and time since diagnosis.Most participants from the chosen countries expressed positive views of most elements and features of the intervention. Some interactive and audiovisual elements required modification to increase their usability and perceived credibility and relevance. There were some differences in views based on age and gender, but very few differences relating to health literacy level or time since diagnosis.In general, participants found the intervention content and format accessible, appropriate, engaging, and motivating. Digital interventions can and should be designed to be accessible and engaging for people with a wide range of health literacy levels. |
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| ISSN: | 14388871 |
| DOI: | 10.2196/jmir.4999 |