Designing a Virtual Learning Coach for Support of Digital Literacy of Senior Learners in Context of the Electronic Health Record. Design Considerations in the Epa-Coach Project

Buchem, Ilona; Gellner, Carolin

doi:10.21125/iceri.2020.1745

Cited by 3 publications

(5 citation statements)

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“…The evaluation began in June 2022 and ended in October 2022, resulting in 46 participants aged 65 to 88 years (average 73 years). Results from both studies were described in detail by Gellner and Buchem (2022) and Buchem et al (2023). Here we outline results relevant to the discussion about digital sovereignty.…”

Section: Resultsmentioning

confidence: 92%

“…PHR enables patients to choose whether to share or not to share their health data with healthcare stakeholders (Roehrs, 2017). By allowing patients to make decisions about their digital health records, PHR follows a patient-centric approach (Buchem et al, 2023). Key challenges in PHR adoption include concerns about privacy, security, insufficient measures for impaired people, usability issues, and unclear benefits (Segall et al, 2011;Taha et al, 2014;Roehrs, 2017;Poss-Doering et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Since older generations usually have less experience in using digital technologies, the introduction of the EHR/PHR has called for measures aimed at fostering digital literacy and the digital sovereignty of older adults. Ensuring that older adults are given an opportunity to acquire the competencies necessary for a self-determined use of PHR is important from a societal perspective (Gellner, Kaiser & Buchem, 2021; Buchem, Kauth, Kirschen & Katzer, 2023). The UN Sustainable Development Goals, especially Goal 3.8 "Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all" 2 are relevant for digital sovereignty in using PHR by older citizens.…”

Section: Introductionmentioning

confidence: 99%

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Digital Sovereignty of Older Citizens for a Self-Determined Use of Personal Health Records: E-Learning Design and Study Results from the EPA-Coach Project

Buchem,

Kauth,

Kirschen

et al. 2023

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Promoting digital literacy and digital sovereignty has become one of the key policies in Europe. Digital sovereignty has been defined as the ability to act and exercise freedom of choice in the digital world. While digital services and applications offer great opportunities for the older generations to live independently and communicate with family and friends, the digital sovereignty of citizens including older adults has become a concern of policy-makers. Hence fostering digital sovereignty has been seen as an important objective for a self-determined use of digital media including control over own data. This paper presents an approach to designing an e-learning application for senior learners, which is aimed at fostering the digital sovereignty of older citizens in using Personal Health Records (PHR) in Germany. This e-learning application, called ePA-Coach, is designed in a research project funded by the Federal German Ministry of Education and Research to offer an opportunity for citizens 65+ to acquire digital skills needed for the self-determined use of PHR. The paper presents the digital literacy framework for exercising digital sovereignty related to PHR, which was developed in the ePA-Coach project based on the European Digital Competence Framework. We describe how this framework was applied in the design of micro-learning units and combined with gamification techniques from the Octalysis framework. Finally, we outline results from two exploratory studies with older citizens which revealed strong preferences for design elements related to digital sovereignty such as choice and control of the learning progress.

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Section: Resultsmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Digital Sovereignty of Older Citizens for a Self-Determined Use of Personal Health Records: E-Learning Design and Study Results from the EPA-Coach Project

Buchem,

Kauth,

Kirschen

et al. 2023

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“…We used the results of our research to guide the development process and the design of the learning platform. The Octalysis framework served as the foundation for designing gami cation elements to motivate users and was adapted based on insights from previous user studies (40,41). This included the identi cation of motivational core drives for promoting adherence and active learning.…”

Section: Study Proceduresmentioning

confidence: 99%

“…The learning units were divided into three levels: "beginner", "advanced" and "expert". Each level addressed a different didactic concept (41). The content classi cation was based on complexity, as well as on the cognitive dimensions to be addressed (37).…”

Section: Study Proceduresmentioning

confidence: 99%

Evaluation of an E-learning Platform Promoting Electronic Personal Health Record Competence: A Pilot Study in Older Adults

Perotti,

Stamm,

Ferizaj

et al. 2024

Preprint

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Background Electronic personal health records (ePHRs) are an important component in the increasing digitalization of healthcare. Access barriers can arise, especially for older adults, with limited experience in using digital systems. The aim of the study was to evaluate the effects of using an interactive microlearning-based e-learning platform on older adults’ competencies in dealing with the ePHR. Methods To examine the effects of e-learning platform use on competencies, a pilot study was conducted with two study arms. One arm consisted of young-old adults (YOA) aged 50 to 64 years and the other of older adults (OA) aged 65 years and over. Both groups used the learning platform for one week. Participants’ ePHR knowledge (12-item questionnaire) and usage skills (completion time for three ePHR tasks) were measured pre- and post-intervention. The intention to use (ITU) the ePHR was surveyed using a Technology Usage Inventory subscale. The usability of the platform was assessed using the System Usability Scale. Results In terms of knowledge, the OA increased the median value from 7.00 to 9.00 (p = .019, r = .63) and the YOA increased the median value from 7.00 to 10.00 (p = .001, r = .86). In relation to skills, the OA decreased the median value from 746.50 to 539.00 seconds (p = .002, r = .82) and the YOA decreased the median value from 487.00 to 351.00 seconds (p = .012, r = .67). No significant difference was present between the groups in terms of knowledge (p = .125) and skill acquisition (p = .144). The median ITU score decreased from 282.00 to 262.00 (p = .038, r = .39) across the entire study population and remained unchanged within the groups. The usability received a mean score of 64.04 for all study participants. Conclusion OA and YOA benefited from the use of the learning platform by increasing their ePHR competence (knowledge and skill) with a consistently high ITU the ePHR. The pilot study provided insights into the feasibility of using e-learning to promote ePHR competence. However, the usability of the learning platform should be improved for large-scale studies in the future. Trial registration German Clinical Trials Register (registration number: DRKS00031730), registered on 20/04/2023 - prospectively registered.

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Towards an Adaptive Approach to a Personalised Design of Intelligent Learning Assistants (ILAs)

Schelter,

Veiel

2024

Lecture Notes in Networks and Systems

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Designing a Virtual Learning Coach for Support of Digital Literacy of Senior Learners in Context of the Electronic Health Record. Design Considerations in the Epa-Coach Project

Cited by 3 publications

References 2 publications

Digital Sovereignty of Older Citizens for a Self-Determined Use of Personal Health Records: E-Learning Design and Study Results from the EPA-Coach Project

Digital Sovereignty of Older Citizens for a Self-Determined Use of Personal Health Records: E-Learning Design and Study Results from the EPA-Coach Project

Evaluation of an E-learning Platform Promoting Electronic Personal Health Record Competence: A Pilot Study in Older Adults

Towards an Adaptive Approach to a Personalised Design of Intelligent Learning Assistants (ILAs)

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