Health literacy and computer-assisted instruction: usability and patient preference.

The authors investigated the feasibility of using computer-assisted instruction in patients of varying literacy levels by examining patients' preferences for learning and their ability to use 2 computer-based educational programs. A total of 263 participants 50-74 years of age with varying health li...

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Published in:Journal of Health Communication Vol. 20; no. 4; pp. 491 - 499
Main Authors: Duren-Winfield, Vanessa, Onsomu, Elijah O, Case, Douglas L, Pignone, Michael, Miller Jr, David, Miller, David Jr
Format: research randomized controlled trial Journal Article
Published: Taylor & Francis Ltd Apr2015
Online Access:View this record in EBSCOhost
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      dt: Apr2015
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      pub: Taylor & Francis Ltd
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        atl: Health literacy and computer-assisted instruction: usability and patient preference.
      aug:
        au:
          Duren-Winfield, Vanessa
          Onsomu, Elijah O
          Case, Douglas L
          Pignone, Michael
          Miller Jr, David
          Miller, David Jr
      sug:
        subj:
          Computer-Assisted Instruction
          Health Education Methods
          Information Literacy
          Patient Satisfaction Statistics and Numerical Data
          User-Computer Interface
          Health Literacy
          Aged
          Colorectal Neoplasms
          Early Detection of Cancer
          Pilot Studies
          Female
          Human
          Internet
          Male
          Middle Age
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The authors investigated the feasibility of using computer-assisted instruction in patients of varying literacy levels by examining patients' preferences for learning and their ability to use 2 computer-based educational programs. A total of 263 participants 50-74 years of age with varying health literacy levels interacted with 1 of 2 educational computer programs as part of a randomized trial of a colorectal cancer screening decision aid. A baseline and postprogram evaluation survey were completed. More than half (56%) of the participants had limited health literacy. Regardless of literacy level, doctors were the most commonly used source of medical information-used frequently by 85% of limited and adequate literacy patients. In multivariate logistic regression, only those with health insurance (OR = 2.35, p = .06) and computer use experience (OR = 0.39, p = .03) predicted the ability to complete the programs without assistance compared with those without health insurance or prior computer use, respectively. Although patients with limited health literacy had less computer experience, the majority completed the programs without any assistance and stated that they learned more than they would have from a brochure. Future research should investigate ways that computer-assisted instruction can be incorporated in medical care to enhance patient understanding.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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