Brusk John J, Bensley Robert J
School of Interdisciplinary Health Programs, Western Michigan University, Kalamazoo, MI, United States.
JMIR Form Res. 2023 Mar 2;7:e38667. doi: 10.2196/38667.
In response to the COVID-19 pandemic, Wichealth launched 4 information resources on the site's user landing dashboard page. These resources were used consistently during the period in which they were available (April 1, 2020, through October 31, 2021); however, only 9% (n=50,888) of Wichealth users eligible for inclusion in the study accessed at least one resource. User engagement with emergency response resources within the context of a web-based health educational tool has not been well investigated due to a paucity of opportunities and a lack of the ability to evaluate relevant users at scale.
This investigation was carried out to understand if user characteristics and behaviors measured by the Wichealth web-based education system are associated with a participant's motivation, or lack thereof, to engage with the added COVID-19 resources.
Sociodemographic characteristics were gathered from Wichealth users with at least one lesson completed and a complete user profile to identify which factors increase the likelihood of user access of any of the Wichealth COVID-19 response resources during the 19-month period between April 1, 2020, and October 31, 2021. A logistic regression analysis was conducted to determine the relative importance of all factors on the likelihood of a user accessing the COVID-19 resources.
A total of 50,888 unique Wichealth users included in the study accessed the COVID-19 response resources 66,849 times during the time period. During the same period, 510,939 unique Wichealth users completed at least one lesson about how to engage in healthy behaviors with respect to parent-child feeding but did not access any COVID-19 resources. Therefore, only 9% of Wichealth users who completed a lesson during the time when COVID-19 response resources were available accessed any of the information in those resources. Users of the Spanish language Wichealth version, older users, those less educated, and users with prior Wichealth lesson engagement demonstrated the greatest likelihood of COVID-19 resource use.
This investigation presents findings that demonstrate significant differences between Wichealth users that opted to access COVID-19-specific resources and those who chose not to during their web-based educational session. Reaching users of a web-based educational system with supplemental information may require multiple strategies to increase coverage and ensure the widest possible distribution.
为应对新冠疫情，Wichealth在该网站的用户登录仪表盘页面推出了4种信息资源。在这些资源可用期间（2020年4月1日至2021年10月31日），它们被持续使用；然而，在符合纳入研究条件的Wichealth用户中，只有9%（n = 50,888）的用户访问了至少一种资源。由于缺乏机会以及缺乏大规模评估相关用户的能力，在基于网络的健康教育工具背景下，用户对应急响应资源的参与度尚未得到充分研究。
进行这项调查是为了了解Wichealth基于网络的教育系统所测量的用户特征和行为是否与参与者参与新增的新冠疫情资源的动机（或缺乏动机）相关。
从至少完成一门课程且拥有完整用户资料的Wichealth用户那里收集社会人口学特征，以确定在2020年4月1日至2021年10月31日这19个月期间，哪些因素会增加用户访问Wichealth任何新冠疫情应对资源的可能性。进行逻辑回归分析以确定所有因素对用户访问新冠疫情资源可能性的相对重要性。
该研究共纳入50,888名不同的Wichealth用户，他们在这段时间内访问新冠疫情应对资源达66,849次。在同一时期，有510,939名不同的Wichealth用户完成了至少一门关于亲子喂养健康行为的课程，但未访问任何新冠疫情资源。因此，在新冠疫情应对资源可用期间完成课程的Wichealth用户中，只有9%的用户访问了这些资源中的任何信息。使用西班牙语版Wichealth的用户、年龄较大的用户、受教育程度较低的用户以及之前参与过Wichealth课程的用户使用新冠疫情资源的可能性最大。
这项调查的结果表明，在基于网络的教育课程中，选择访问特定新冠疫情资源的Wichealth用户与选择不访问的用户之间存在显著差异。向基于网络的教育系统用户提供补充信息可能需要多种策略来扩大覆盖范围并确保尽可能广泛的传播。
