A scoping review of the use of visual aids in health education materials for persons with low-literacy levels

Mbanda, Njabulo; Dada, Shakila; Bastable, Kirsty; Gimbler-Berglund, Ingalill; Ralf, W Schlosser

doi:10.1016/j.pec.2020.11.034

Cited by 59 publications

(41 citation statements)

References 99 publications

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“…Advertising rarely appeared among the websites presented in this review. The use of visual aids improves the health literacy outcome [ 50 ]. Videos are the most effective audio-visual aids [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

A Review of Web-Based Nutrition Information in Spanish for Cancer Patients and Survivors

et al. 2022

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Nutrition education resources are of interest for cancer patients and survivors throughout the cancer continuum. We examined the web-based nutrition information in Spanish for cancer patients and survivors provided by national cancer organizations (NCOs). The Guide to Internet Resources for Cancer and the membership list of the Union for International Cancer Control were searched to identify the NCOs. The International Patients Decisions Aid Standards (IPDAS) was used to describe the quality of the available information. We identified 20 NCOs that provided nutrition information aimed at a general audience on their websites. Web-based resources of nine NCOs were selected for presentation in this review. Website scores ranged between 20 and 24 in the IPDAS scale (maximum score = 31). The selected NCOs offered reliable and safe information. Healthy eating information for cancer patients and management of side-effects was provided by all websites. Information was more limited for cancer survivors. We recommend that NCOs increase the possibilities for personalized recommendations and interaction with the content by including instrumental tools on their websites.

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Section: Discussionmentioning

confidence: 99%

A Review of Web-Based Nutrition Information in Spanish for Cancer Patients and Survivors

et al. 2022

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“…How health information is communicated (e.g., using universal health literacy precautions in providing health information) 36 is not only important to help patients understand their disease but is also crucial in dismantling paternalism in doctor–patient relationships 37,38 . Universal health literacy precautions include breaking down information and instructions into small steps, assessing comprehension through teach‐back cycle and use of visual aids 36,39 . Information tailored to the patient's health literacy needs is more likely to be translated into positive health behaviours 37,40 …”

Section: Discussionmentioning

confidence: 99%

“…37,38 Universal health literacy precautions include breaking down information and instructions into small steps, assessing comprehension through teach-back cycle and use of visual aids. 36,39 Information tailored to the patient's health literacy needs is more likely to be translated into positive health behaviours. 37,40 Knowledge and illness experiences from family, close friends and stories shared via social media were trusted informal sources of information among participants in this study.…”

Section: Communication and Understanding How People Process Health In...mentioning

confidence: 99%

Insights into how Malaysian adults with limited health literacy self‐manage and live with asthma: A Photovoice qualitative study

Salim

Young

Lee

et al. 2021

Health Expectations

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Background: Adjusting to life with a chronic condition is challenging, especially for people with limited health literacy, which is associated with low compliance with self-management activities and poor clinical outcomes.Objective: We explored how people with limited health literacy understand asthma and undertake self-management practices.Design: We adapted the arts-based qualitative methodology Photovoice. Setting and Participants:We sampled ethnically diverse adults with asthma and limited health literacy from four primary healthcare clinics in Malaysia. After a semistructured in-depth interview, a subset of participants took part in the Photovoice component in which participants undertook a 2-week photo-taking activity and subsequent photo-interview. Interviews, conducted in participants' preferred language, were audio-recorded, transcribed verbatim, translated and analysed thematically. We used the Sorensen's framework (Domains: access, understand, appraise, apply) to describe participants' experience of living with asthma, what they understood about asthma and how they decided on self-management practices.Results: Twenty-six participants provided interviews; eight completed the Photovoice activities. Participants with limited health literacy used various sources to access information about asthma and self-management. Doctor-patient communication had a pivotal role in helping patients understand asthma. The lack of appraisal skills was significant and experiential knowledge influenced how they applied information. Self-management decisions were influenced by sociocultural norms/ practices, stigmatizing experiences, and available social support.

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“…Using a video in the recruitment process can be an advantage specifically for these vulnerable groups of participants that are important to include in trials but may prefer video material to the written material. Low literacy affects around 750 million adults worldwide and can limit a person’s ability to acquire key information and process and recall complex information [ 36 ]. A recent review of the use of visual aids in health education materials for persons with low literacy levels supports the use of videos as they find that pictograms and videos were the most effective visual aids [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Low literacy affects around 750 million adults worldwide and can limit a person’s ability to acquire key information and process and recall complex information [ 36 ]. A recent review of the use of visual aids in health education materials for persons with low literacy levels supports the use of videos as they find that pictograms and videos were the most effective visual aids [ 36 ]. However, the review also highlighted large gaps in the research base and acknowledge that what works well for persons with low literacy may not work for everyone.…”

Section: Discussionmentioning

confidence: 99%

What do parents think of using informational videos to support recruitment for parenting trials? A qualitative study

Pontoppidan

Blower

Solvang

et al. 2021

Trials

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Background Lower than expected recruitment and retention rates are common challenges in parenting trials—particularly for community-based trials targeting parents of young children that rely on face-to-face recruitment by frontline workers. Recruitment requires parental informed consent, yet information sheets have been criticized for being lengthy and complex, and particularly challenging for parents with low literacy. Recent innovations include ‘talking head’ information videos. This paper aims to explore parent perceptions of using a ‘talking head’ video to support informed consent, recruitment, and retention procedures in parenting trials. Methods We conducted semi-structured interviews with a sample of 24 mothers recruited after their final follow-ups in two different parenting trials in Denmark. Before consenting to participate in the trials, parents were invited to view a video of a member of the study team giving information about the study, and again before the interviews for the current study. The audio data was transcribed and thematic analysis was conducted. Results We identified three overarching themes: (1) general impression of the video, (2) thoughts on participation in research, and (3) recruitment and retention. Participants were generally positive in their appraisal of the two talking head informational videos. We found that participants felt that a mix of paper-based and video-based sources of information would enable them to make an informed choice about whether to participate in a research study. We also found that a professionally produced video featuring a key member of the study team produced a feeling of commitment to the study that could impact retention rates. Conclusions Informational videos are acceptable to parents; however, co-production or participant/patient involvement in the development of such videos is recommended. Informational videos may not increase recruitment but have the potential for improving retention. Key design recommendations are to ensure a ‘professional’ look to the video, to supplement videos with paper-based information, to keep the length to < 3 min, and for the ‘talking head’ part to feature a key member of the study team.

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A scoping review of the use of visual aids in health education materials for persons with low-literacy levels

Abstract: This is the accepted version of a paper published in Patient Education and Counseling. This paper has been peer-reviewed but does not include the final publisher proof-corrections or journal pagination.

Cited by 59 publications

References 99 publications

A Review of Web-Based Nutrition Information in Spanish for Cancer Patients and Survivors

A Review of Web-Based Nutrition Information in Spanish for Cancer Patients and Survivors

Insights into how Malaysian adults with limited health literacy self‐manage and live with asthma: A Photovoice qualitative study

What do parents think of using informational videos to support recruitment for parenting trials? A qualitative study

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