Usability and potential impact of a web-based literacy-oriented intervention for community-dwelling patients with complex care needs: a mixed methods case report.

Background: Community-dwelling patients with complex care needs (hereafter "patients") seek information to choose optimal care. However, patients with low ehealth literacy often have difficulty finding trustworthy, easy-to-understand information. Improving their ehealth literacy can lead to multiple...

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Publicado en:Journal of the Medical Library Association Vol. 114; no. 1; pp. 38 - 46
Autores principales: Pluye, Pierre, Granikov, Vera, Paquet, Virginie, Frati, Francesca, Balli, Fabio, Dai, Jiamin, El Sherif, Reem, Hong, Quan Nha, Grad, Roland M.
Formato: research tables/charts Journal Article
Publicado: University of Pittsburgh, University Library System Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
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      pub: University of Pittsburgh, University Library System
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        atl: Usability and potential impact of a web-based literacy-oriented intervention for community-dwelling patients with complex care needs: a mixed methods case report.
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        au:
          Pluye, Pierre
          Granikov, Vera
          Paquet, Virginie
          Frati, Francesca
          Balli, Fabio
          Dai, Jiamin
          El Sherif, Reem
          Hong, Quan Nha
          Grad, Roland M.
        affil: Department of Family Medicine, McGill University, Montréal, Canada
      sug:
        subj:
          Health Literacy Evaluation
          Internet-Based Intervention Evaluation
          Usability Study Evaluation
          Community Living
          Community Health Services
          Patients Psychosocial Factors
          Patient Attitudes Evaluation
          Human
          Male
          Female
          Middle Age
          Aged
          Quantitative Studies
          Qualitative Studies
          Descriptive Statistics
          Questionnaires
          Self Report
          Semi-Structured Interview
          Exploratory Research
          Content Analysis
          Educational Technology
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Community-dwelling patients with complex care needs (hereafter "patients") seek information to choose optimal care. However, patients with low ehealth literacy often have difficulty finding trustworthy, easy-to-understand information. Improving their ehealth literacy can lead to multiple positive health outcomes. This study aimed to describe patients' perceptions of the usability and potential impacts of a web-based, ehealth literacy--oriented intervention. Case Description: To support patients in finding, appraising, and using online health information (the three core principles of ehealth literacy) we developed the Online Health Information Aid (OHIA), which includes a website, an educational video, and a game. An evaluation was conducted with five patients who received the intervention. Preintervention (Day 1) and post-intervention (Day 30) data were collected. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis. Quantitative and qualitative results were compared in a joint display. Participants included three women and two men aged 46 to 71 years (mean age: 62) with two to 11 chronic health conditions (mean: 5) and two to 20 medications (mean: 10). Participants found the website usable (e.g., "good tool"). For the video, usability scores were high (67%-96%; mean: 79%) with positive comments (e.g., "good and helpful"). However, the game's usability was lower (40%-78%; mean: 60%), and comments were negative (e.g., "complex and not readable"). For three participants, ehealth literacy levels (n=2) and/or knowledge for appraising online health information (n=2) increased post-intervention. However, they did not perceive any impact of the intervention. Conclusion: These results suggest that the OHIA intervention, specifically the website and the video, is a promising approach to improving ehealth literacy among people with lower education, and a family income below or around the poverty line, including patients with complex care needs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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