Adam Maya, McMahon Shannon A, Prober Charles, Bärnighausen Till
Stanford Center for Health Education, Stanford School of Medicine, Stanford University, Stanford, CA, United States.
Institute of Global Health, Heidelberg University, Heidelberg, Germany.
J Med Internet Res. 2019 Jan 30;21(1):e12128. doi: 10.2196/12128.
Drawing on 5 years of experience designing, producing, and disseminating video health education programs globally, we outline the process of creating accessible, engaging, and relevant video health education content using a community-based, human-centered design approach. We show that this approach can yield a new generation of interventions, which are better aligned with the needs and contexts of target communities. The participation of target communities and local stakeholders in the content production and design process fosters ownership of the content and increases the likelihood that the resulting intervention will resonate within its intended primary audience and be disseminated broadly. Ease of future adaptation for additional global audiences and modification of the content for multiple dissemination pathways are important early considerations to ensure scalability and long-term impact of the intervention. Recent advances in mobile technology can facilitate the dissemination of accessible, engaging health education at scale, thereby enhancing the potential impact of video-based educational tools. Accessible and engaging health education is a cornerstone of health behavior change. Especially in low- and middle-income countries, increasing access to effective health education can contribute to improved health outcomes. Prior research has identified several characteristics of effective health education interventions. These include the integration of pictures, narratives, and entertainment-education, in which the health messages that make up the educational content are embedded. However, the effectiveness and long-term impact of health messages ultimately depend on how well the end users can identify with the content that is presented. This identification, in turn, is a function of how well the messages correspond to user needs and wants and how this correspondence is communicated through the design characteristics of the health education intervention.
凭借在全球范围内设计、制作和传播视频健康教育项目的5年经验，我们概述了使用基于社区、以人为本的设计方法创建可访问、引人入胜且相关的视频健康教育内容的过程。我们表明，这种方法可以产生新一代干预措施，使其更好地符合目标社区的需求和背景。目标社区和当地利益相关者参与内容制作和设计过程，促进了对内容的所有权，并增加了最终干预措施在其预期主要受众中产生共鸣并广泛传播的可能性。为确保干预措施的可扩展性和长期影响，早期重要的考虑因素包括便于未来适应更多全球受众以及针对多种传播途径修改内容。移动技术的最新进展可以促进大规模传播可访问、引人入胜的健康教育，从而增强基于视频的教育工具的潜在影响。可访问且引人入胜的健康教育是健康行为改变的基石。特别是在低收入和中等收入国家，增加获得有效健康教育的机会有助于改善健康结果。先前的研究已经确定了有效健康教育干预措施的几个特征。这些特征包括图片、叙事和娱乐教育的整合，构成教育内容的健康信息就嵌入其中。然而，健康信息的有效性和长期影响最终取决于终端用户对所呈现内容的认同程度。反过来，这种认同又取决于信息与用户需求和愿望的契合程度，以及这种契合是如何通过健康教育干预措施的设计特征来传达的。
