Click to Connect: Improving Health Literacy through Internet Literacy

点击连接：通过互联网素养提高健康素养

• 批准号: 7435349
• 负责人: KASISOMAYAJULA VISWANATH
• 金额: $ 53.85万
• 依托单位: DANA-FARBER CANCER INST
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-15 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7435349
• 关键词: Address; Adult; Architecture; Attention; Behavior; Belief; Boston; Caring; Cities; Class; Communication; Computers; Condition; Control Groups; Data; Decision Making; Development; Disadvantaged; Documentation; Education; Exposure to; Funding; Future; Goals; Health; Health Communication; Healthy People 2010; Home environment; Improve Access; Individual; Inequality; Information Services; Information and Communication Theory; Internet; Intervention; Knowledge; Lead; Learning; Mass Media; Medical; Morbidity - disease rate; Movement; New England; Outcome; Outcome Measure; Participant; Patients; Personal Satisfaction; Process; Randomized; Recruitment Activity; Reporting; Research; Science; Score; Services; Social Class; Speed; Surveys; Technology; Telephone; Training; Underserved Population; Work; communication behavior; design; digital; expectation; health belief; health care service utilization; health literacy; improved; innovation; literacy; literate; medically underserved; member; mortality; racial and ethnic

DESCRIPTION (provided by applicant): Health Literacy is defined as the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions (US DHHS, 2000). Yet there is well-documented evidence for profound inequalities in the distribution of communications services, the digital divide, and advantages accruing from it thus threatening the normative goal of developing a health literate public. The research question guiding this project is: Does improving access to the Internet, and training in how to use the Internet for health information, among the socially disadvantaged lead to changes in health literacy, and secondarily in health knowledge and beliefs about health compared to a control group in usual care condition? We will recruit 258 subjects from adult education centers in Boston, the most diverse city in New England, and randomize them to either the intervention or control conditions. 129 subjects in the intervention group will be provided with free computers and high-speed Internet at home. They will also be provided with training on how to use computers and navigate the Internet, as well as a web portal that will help in the use of the Internet for one year. Intervention will occur in three waves with 43 subjects per wave per year. Baseline and post-Intervention data .will be gathered through a telephone survey of subjects in both groups and Internet and computer use will be tracked in the Intervention group. The data from this project will provide the necessary information to design future information architecture that can address health literacy and digital divide issues specific to the needs of the socially disadvantaged.

描述（由申请人提供）：健康素养被定义为个人有能力获取、处理和理解做出适当健康决策所需​​的基本健康信息和服务的程度（美国卫生和公众服务部，2000）。然而，有充分证据表明，通信服务分配、数字鸿沟及其带来的优势存在严重不平等，从而威胁到培养公众健康素养的规范目标。指导该项目的研究问题是：与其他群体相比，改善社会弱势群体的互联网接入以及如何使用互联网获取健康信息的培训是否会导致健康素养的变化，其次是健康知识和健康信念的变化。对照组处于平常护理状态？我们将从新英格兰最多元化的城市波士顿的成人教育中心招募 258 名受试者，并将他们随机分配到干预条件或控制条件下。干预组的129名受试者将在家中获得免费电脑和高速互联网。他们还将接受有关如何使用计算机和浏览互联网以及帮助他们使用互联网一年的门户网站的培训。干预将分三波进行，每年每波 43 名受试者。基线和干预后数据将通过对两组受试者的电话调查来收集，并将在干预组中跟踪互联网和计算机的使用情况。该项目的数据将为设计未来的信息架构提供必要的信息，该架构可以解决针对社会弱势群体需求的健康素养和数字鸿沟问题。