a Center for Healthful Behavior Change, Division of Health and Behavior, Department of Population Health , NYU School of Medicine.
b Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
Health Commun. 2019 May;34(5):567-575. doi: 10.1080/10410236.2018.1423865. Epub 2018 Jan 17.
Blacks are at greater risk for lower sleep quality and higher risk for obstructive sleep apnea (OSA) than other racial groups. In this study, we summarize the development of a tailored website including visuals, key messages, and video narratives, to promote awareness about sleep apnea among community-dwelling blacks. We utilized mixed methods, including in-depth interviews, usability-testing procedures, and brief surveys (n = 9, 55% female, 100% black, average age 38.5 years). Themes from the qualitative analysis illuminated varied knowledge regarding OSA symptoms and prevalent self-reported experience with sleep disturbance and OSA symptoms (e.g., snoring). On a scale from 1 (not at all) to 5 (very high), participants provided favorable ratings of website usefulness (mean = 4.9), user friendliness (mean = 4.9) and attractiveness (mean = 4.3). Our findings suggest although tailored health communication has potential for serving as a tool for advancing health equity, usability-testing of health materials is critical to ensure that culturally and linguistically tailored messages are acceptable and actionable in the intended population.
黑人比其他种族群体更容易出现睡眠质量差和阻塞性睡眠呼吸暂停(OSA)的风险更高。在这项研究中,我们总结了一个定制网站的开发,包括视觉效果、关键信息和视频叙述,以提高社区黑人对睡眠呼吸暂停的认识。我们采用了混合方法,包括深入访谈、可用性测试程序和简短调查(n=9,55%为女性,100%为黑人,平均年龄 38.5 岁)。定性分析的主题阐明了有关 OSA 症状的不同知识,以及普遍存在的睡眠障碍和 OSA 症状(例如,打鼾)的自我报告经验。在 1(一点也不)到 5(非常高)的量表上,参与者对网站的有用性(平均值=4.9)、用户友好性(平均值=4.9)和吸引力(平均值=4.3)给予了好评。我们的研究结果表明,尽管定制化健康传播有可能成为促进健康公平的工具,但对健康材料进行可用性测试对于确保文化和语言上定制化的信息在目标人群中是可接受和可操作的至关重要。