New directions in eHealth communication: Opportunities and challenges

Kreps, Gary L.; Neuhauser, Linda

doi:10.1016/j.pec.2010.01.013

Cited by 451 publications

(333 citation statements)

References 64 publications

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“…The broad range of applications include not only online information websites, but also interactive electronic records in various languages, health decision support programs, mobile health, and online communities that the individuals can access. An increasing body of knowledge is based in the dynamic research, showing how online sources of health information have and can be adapted to cultures, language and to groups with a particular status in society [25]. While there is concern regarding the "digital divide" great potential exists for promoting functional health literacy [44], interactive, and even critical health literacy.…”

Section: The Contribution Of Health Literacy To Digital Health Servicmentioning

confidence: 99%

“…On the one hand, there is an increasing body of knowledge that suggests online sources of health information have and can be adapted to cultures, language and to groups with a particular status in society [25]. Additionally, a recent systematic review of 74 studies, suggests five relevant areas of future inquiry include: online health related content; features of eHealth services; interventions to improve eHealth literacy; health literacy measurement tools; and online health information seeking behavior [23].…”

Section: The Contribution Of Health Literacy To Digital Health Servicmentioning

confidence: 99%

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Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

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Abstract. International and cultural perspectives of health literacy help deepen the understanding of the global context within which health literacy plays an important role. Throughout this article, we explore the significance of health literacy initiatives, interventions, practices, and research for addressing health challenges on a variety of levels in the international and global context. More specifically, the notion of health literacy as a dynamic construct is introduced, after which we examine health literacy throughout the life course, emphasizing the impact of health literacy among children and the elderly in their families and in the community. Cultural norms and family interpersonal relations, and values influence health literacy and need to be considered when closing the health literacy disparities. Global trends of migration and immigration bring to the forefront the need for unravelling the complexity of health systems, for which health literacy plays a central role; health literacy initiatives address cultural differences between providers and patients to help narrow the communication gap. The importance of cultural competency among health care providers exemplifies how capacity building in health literacy is critical for maximizing the benefits to the public of the health care system. Health literacy provides a conceptual foundation for community participatory research, involving members of the public to take part in the planning, execution and evaluation of health education interventions. Selected case studies and picture boxes from around the globe, exemplify aforementioned topics of interest. Practical recommendations for policy makers, practitioners and research are offered based on the studies conducted in the international context.

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Section: The Contribution Of Health Literacy To Digital Health Servicmentioning

confidence: 99%

Section: The Contribution Of Health Literacy To Digital Health Servicmentioning

confidence: 99%

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

View full text Add to dashboard Cite

show abstract

“…Additionally, a recent paper assessing participants' use of a web-based smoking cessation tool found that increased use of interactive website features and more frequent use of the website contributed to sustained smoking cessation [34]. Increased interactivity may play a key role in using the Internet to improve decision-making outcomes [20], such as expanding the use of a values clarification tool or expanding opportunities for patients to provide feedback throughout the website [44], such as brief quizzes about PCa facts.…”

Section: Original Researchmentioning

confidence: 99%

Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Tomko

Davis

Ludin

et al. 2014

Behav. Med. Pract. Policy Res.

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Informed decision-making tools are recommended for men considering prostate cancer screening. We evaluated the extent to which use of an interactive, web-based decision aid was associated with decisional and screening outcomes. Participants (N=253) were 57 (7.0)years old and completed telephone interviews at baseline, 1month, and 13months post-baseline. Tracking software captured minutes spent on the website (median=33.9), sections viewed (median=4.0/5.0), testimonials viewed (median=4.0/6.0), and values clarification tool (VCT) use (77.3%). In multivariable analyses, all four website use variables were positively associated with increased knowledge (p's<0.05). Complete VCT use and number of informational sections were positively associated with greater decisional satisfaction (p's<0.05). Decisional conflict and screening behavior were not associated with measures of website use. Increased use of informational content and interactive elements were related to improved knowledge and satisfaction. Methods to increase utilization of interactive website components may improve informed decision-making outcomes.

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“…Health-literacy appropriate MedSheets hold promise for improving communication to patients, but ultimately a multifaceted approach is needed. System redesign to coordinate physician and pharmacist counseling with print materials, and even incorporate promising electronic methods [33][34][35] that hard wire health communication, might be needed for certain classes of high-risk medications. However, such redesign takes significant time, effort, and commitment from both systems and physicians.…”

Section: Discussionmentioning

confidence: 99%

Improving Patient Knowledge and Safe Use of Opioids: A Randomized Controlled Trial

McCarthy

Wolf

McConnell

et al. 2015

Academic Emergency Medicine

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Objectives: The use of opioid analgesics in the United States has significantly increased in recent years. However, there is minimal consensus on what discharge counseling should accompany these high-risk prescriptions and large variations in what is done in practice. The objective of this study was to evaluate the effect of a dual-modality (written and spoken) literacy-appropriate educational strategy on patients' knowledge of and safe use of opioid analgesics.Methods: This was a prospective, randomized controlled trial. Consecutive discharged patients at an urban academic ED (>88,000 visits) with new prescriptions for hydrocodone-acetaminophen were enrolled. Patients were randomized to receive either usual care or the educational intervention. The educational intervention was a one-page information sheet about hydrocodone-acetaminophen, which was both given to the patients and read aloud by the research assistant (nonblinded). Follow-up phone calls were conducted 4 to 7 days after the visit to assess patient knowledge about the medication and self-report of activities associated with safety of use (e.g., double-dipping with acetaminophen, storage, use with alcohol or while driving).Results: A total of 274 patients were enrolled; 210 completed follow-up (110 usual care and 100 intervention). No significant differences in baseline characteristics emerged between the study arms; 42% were male, and 51% were white, with a median age of 43 years. Half of patients had non-back pain orthopedic injuries (49.5%). On follow-up, overall knowledge was poor, with only 28% able to name both active ingredients in the medication. The intervention group had better knowledge of precautions related to taking additional acetaminophen (usual care 18.2%, 95% confidence interval [CI] = 10.9% to 25.5% vs. intervention 38%, 95% CI = 28.3% to 47.7%; difference = 27.6, 95% CI of difference = 21.5 to 33.7) and knowledge of side effects (usual care median = 1, interquartile range [IQR] 0 to 2 vs. intervention median = 2, IQR = 1 to 2; p < 0.0001). Additionally, those who received the intervention were less likely to have reported driving within 6 hours after taking hydrocodone (usual care 13.6%, 95% CI = 7.2% to 20% vs. intervention 3%, 95% CI = -0.3% to 6.3%; difference = 10.6, 95% CI of difference = 3.4 to 17.9). There was no difference between groups related to knowledge about drinking alcohol while taking hydrocodone (overall 18.1%) or knowledge that the opioid could be addictive (overall 72.4%).Conclusions: This simple strategy improved several, but not all, aspects of patient knowledge and resulted in fewer patients in the intervention arm driving while taking hydrocodone. Integration of a patient education document into conversations about opioids holds promise for improving patient knowledge about these high-risk medications.ACADEMIC EMERGENCY MEDICINE 2015;22:331-339

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New directions in eHealth communication: Opportunities and challenges

Cited by 451 publications

References 64 publications

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Improving Patient Knowledge and Safe Use of Opioids: A Randomized Controlled Trial

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