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与老年人及其照护者分享基于证据的健康信息的知识转化策略:一种人物角色-场景方法的研究结果。

Knowledge translation strategies for sharing evidence-based health information with older adults and their caregivers: findings from a persona-scenario method.

机构信息

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.

出版信息

BMC Geriatr. 2021 Nov 23;21(1):665. doi: 10.1186/s12877-021-02588-x.

Abstract

BACKGROUND

By understanding the information seeking behaviors of older adults, we can better develop or iterate effective information technologies, such as the McMaster Optimal Aging Portal, that provide evidence-based health information to the public. This paper reports health-related information seeking and searching behaviours and provides strategies for effective knowledge translation (KT) to increase awareness and use of reliable health information.

METHODS

We conducted a qualitative study with eighteen older adults using the persona-scenario method, whereby participants created personas and scenarios describing older adults seeking health information. Scenarios were analyzed using a two-phase inductive qualitative approach, with the personas as context. From the findings related to pathways of engaging with health information, we identified targeted KT strategies to raise awareness and uptake of evidence-based information resources.

RESULTS

Twelve women and six men, 60 to 81 years of age, participated. In pairs, they created twelve personas that captured rural and urban, male and female, and immigrant perspectives. Some scenarios described older adults who did not engage directly with technology, but rather accessed information indirectly through other sources or preferred nondigital modes of delivery. Two major themes regarding KT considerations were identified: connecting to information via other people and personal venues (people included healthcare professionals, librarians, and personal networks; personal venues included clinics, libraries, pharmacies, and community gatherings); and health information delivery formats, (e.g., printed and multimedia formats for web-based resources). For each theme, and any identified subthemes, corresponding sets of suggested KT strategies are presented.

CONCLUSIONS

Our findings underline the importance of people, venues, and formats in the actions of older adults seeking trusted health information and highlight the need for enhanced KT strategies to share information across personal and professional networks of older adults. KT strategies that could be employed by organizations or communities sharing evidence-based, reliable health information include combinations of educational outreach and materials, decision support tools, small group sessions, publicity campaigns, champions/opinion leaders, and conferences.

摘要

背景

通过了解老年人的信息寻求行为,我们可以更好地开发或迭代有效的信息技术,例如麦克马斯特优化老龄化门户,为公众提供基于证据的健康信息。本文报告了与健康相关的信息寻求和搜索行为,并提供了有效的知识转化(KT)策略,以提高对可靠健康信息的认识和使用。

方法

我们采用角色-情景方法对 18 名老年人进行了定性研究,参与者创建了角色和情景来描述老年人寻求健康信息的行为。使用两阶段归纳定性方法对情景进行分析,角色作为情境。从与参与健康信息相关的途径中,我们确定了有针对性的 KT 策略,以提高对循证信息资源的认识和采用率。

结果

12 名女性和 6 名男性,年龄在 60 到 81 岁之间,参与了研究。他们两人一组创建了 12 个角色,捕捉了农村和城市、男性和女性以及移民的观点。有些情景描述了老年人没有直接使用技术,而是通过其他来源或偏好的非数字传递方式间接获取信息。确定了两个关于 KT 考虑因素的主要主题:通过其他人(包括医疗保健专业人员、图书馆员和个人网络)和个人场所(包括诊所、图书馆、药房和社区聚会)与信息连接;以及健康信息传递格式(例如,基于网络的资源的印刷和多媒体格式)。对于每个主题,以及任何确定的子主题,都提出了相应的一组建议的 KT 策略。

结论

我们的研究结果强调了在老年人寻求可信健康信息时,人与场所的重要性,并强调需要增强 KT 策略,以便在老年人的个人和专业网络中共享信息。可以由组织或社区采用的 KT 策略包括教育推广和材料、决策支持工具、小组会议、宣传活动、拥护者/意见领袖和会议的组合。

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