Nundy Shantanu, Surati Mosmi, Nwadei Ifeoma, Singal Gaurav, Peek Monica E
University of Chicago Medical Center, Chicago, Illinois.
J Prim Care Community Health. 2012 Oct 1;3(4):289-94. doi: 10.1177/2150131911436011. Epub 2012 Feb 11.
The Internet is a promising medium for engaging the community in preventive care and health promotion, particularly among those who do not routinely access health care.
The authors pilot-tested a novel website that translates evidence-based preventive health guidelines into a patient health education tool. The web-based tool allows individuals to enter their health risk factors and receive a tailored checklist of recommended preventive health services based on up-to-date guidelines from the US Preventive Services Task Force and the Advisory Committee on Immunization Practices.
The authors conducted surveys and in-depth interviews among a purposive sample of adults from an urban African American community who pilot-tested the website in a standardized setting. Interviews were designed to assess the usability, navigability, and content of the website and capture patient perceptions about its educational value and usefulness. Each interview was audiotaped, transcribed, and examined using the constant comparative method.
Twenty-five participants piloted the tool: 96% found it easy to use and 64% reported learning something new. Many participants reported that, in addition to improving clinical preventive care (the intended purpose), the website could serve as a stand-alone tool to improve self-awareness and motivate behavior change.
A web-based tool designed to translate preventive health guidelines for the community may serve the dual purpose of improving the delivery of preventive health care and encouraging health promotion. The website developed here is publicly available for use by practitioners and the community.
互联网是促使社区参与预防保健和健康促进的一种很有前景的媒介,尤其是在那些不经常接受医疗保健的人群中。
作者对一个新型网站进行了试点测试,该网站将基于证据的预防健康指南转化为患者健康教育工具。这个基于网络的工具允许个人输入他们的健康风险因素,并根据美国预防服务工作组和免疫实践咨询委员会的最新指南,获得一份量身定制的推荐预防健康服务清单。
作者对来自城市非裔美国社区的成年人进行了有目的抽样调查和深入访谈,这些成年人在标准化环境中对该网站进行了试点测试。访谈旨在评估网站的可用性、可导航性和内容,并了解患者对其教育价值和有用性的看法。每次访谈都进行了录音、转录,并使用持续比较法进行分析。
25名参与者试用了该工具:96%的人认为它易于使用,64%的人表示学到了新东西。许多参与者报告说,除了改善临床预防保健(预期目的)外,该网站还可以作为一个独立工具,提高自我意识并促进行为改变。
一个旨在为社区翻译预防健康指南的基于网络的工具,可能具有改善预防保健服务和鼓励健康促进的双重作用。这里开发的网站可供从业者和社区公开使用。