Developing and Evaluating Online Education to Improve Older Adults' Health Inform

开发和评估在线教育以改善老年人的健康信息

• 批准号: 8029617
• 负责人: Arlene Fink
• 金额: $ 5.21万
• 依托单位: LANGLEY RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8029617
• 关键词: Developing; Evaluating; Online; Education; Improve

DESCRIPTION (provided by applicant): In 2009, over 60% of all seniors actively used the web, with the majority going online at least once a day. As the population ages, this use will increase markedly. Of current older users, about 66% go online for health information. The elderly need valid health information most urgently, but websites vary in quality, and finding accurate information can be daunting. A recent study found that older adults rely on search engines rather than on sites known to provide quality health information. This is problematic because search engines often contain links to misleading and costly health-related promotions. Research shows that three-quarters of health seekers do not consistently check the source and date of online health information. The goal of this study is to develop and evaluate a theory-based online educational program to teach older adults to improve their knowledge of and skills in identifying high quality health websites and their self-efficacy for communicating with their physicians. The program will be designed for current internet users who are 55 years of age and older in order to capture the "silver tsunami" of boomers whose internet use resembles that of people in their 30's. According to the AHRQ, "meeting patients' and caregivers' increased need for health information may improve communication between health care providers, patients, and their caregivers" and "enhance patients' abilities to self-manage chronic conditions and enhance their ability to follow treatment, medication, and monitoring regimens." This study aims to meet the needs of older adults, more than half of whom are likely to have or develop chronic illnesses such as hypertension, diabetes, or depression. It is consistent with the AHRQ's research area: to use health IT to improve decision making. It is intended to be a small, pilot health IT research project. Specifically, the study aims to: 1) Convene focus groups to identify older adults' preferences for online learning about health. Focus groups will be recruited from Wise & Healthy Aging, a multi-service, non-profit organization serving low-income seniors throughout L.A. County. Using the Health Belief Model as a framework, the groups will answer questions about their "perceived need for information," "potential barriers" to learning about and use of high quality sites and for using the internet to improve "self- efficacy" when communicating with physicians. 2) Develop an interactive online educational program to teach older adults to improve their knowledge and skills in identifying high quality health websites and their ability to communicate efficaciously with their physicians. The program will incorporate the health and information needs and preferences identified by the focus groups and will be grounded theories of health behavior and adult education. It will be interactive and self-paced. 3) Pilot tests the feasibility of the program with a sample of seniors. 4) Evaluate the outcomes of the new program compared to a comparable alternative. The outcomes to be studied include knowledge of and skill in identifying high quality health websites and self-efficacy in communicating with physicians. PUBLIC HEALTH RELEVANCE: This study aims to develop and evaluate a theory-based online educational program to teach older adults to improve their knowledge of and skills in identifying high quality health websites and their self-efficacy for communicating with their physicians.

描述（由申请人提供）：2009年，超过60％的老年人积极使用该网络，大多数人每天至少在上网一次。随着人口的年龄，这种使用将显着增加。在当前的老年用户中，约有66％的用户可以在线获取健康信息。老年人最紧急地需要有效的健康信息，但是网站的质量各不相同，找到准确的信息可能令人生畏。最近的一项研究发现，老年人依靠搜索引擎而不是已知提供优质健康信息的网站。这是有问题的，因为搜索引擎通常包含与误导性和昂贵与健康相关的促销的链接。研究表明，四分之三寻求健康的人并未始终如一地检查在线健康信息的来源和日期。这项研究的目的是开发和评估一项基于理论的在线教育计划，以教导老年人提高他们对识别高质量健康网站的知识和技能的知识及其与医师交流的自我效能。该计划将为55岁及以上的当前互联网用户设计，以捕获婴儿潮一代的“银海啸”，其互联网使用类似于30年代的人。根据AHRQ的说法，“与患者和护理人员满足健康信息的需求可能会改善医疗保健提供者，患者及其护理人员之间的沟通”，并“增强患者的自我管理慢性疾病的能力，并增强其遵循治疗，药物治疗和监测治疗方案的能力。”这项研究旨在满足老年人的需求，其中一半以上可能患有或发展慢性疾病，例如高血压，糖尿病或抑郁症。它与AHRQ的研究领域一致：使用健康IT来改善决策。它旨在是一个小型试点健康IT研究项目。具体而言，该研究的目的是：1）召集焦点小组确定老年人在线学习健康的偏好。焦点小组将从Wise＆Healthy Eming招募，这是一个多个服务，非营利组织，为洛杉矶县的低收入老年人提供服务。这些小组将使用健康信念模型作为框架，将回答有关他们“感知到的信息需求”，“潜在的障碍”，以学习和使用高质量站点，并使用互联网在与医生交流时提高“自我效能”。 2）制定一项互动的在线教育计划，以教老年人来提高他们的知识和技能，以识别高质量的健康网站及其与医生有效沟通的能力。该计划将结合焦点小组确定的健康和信息需求和偏好，并将成为健康行为和成人教育的理论。它将是互动的和自动进度的。 3）试点测试了该计划的可行性，并用大量老年人来测试。 4）与可比替代方案相比，评估新程序的结果。要研究的结果包括了解高质量健康网站的知识和技能，以及与医生沟通时的自我效能感。 公共卫生相关性：这项研究旨在开发和评估一项基于理论的在线教育计划，以教老年人，以提高他们对识别高质量健康网站的知识和技能，及其与医生进行交流的自我效能。