Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia.
Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
J Med Internet Res. 2024 Aug 7;26:e49453. doi: 10.2196/49453.
Adolescence is a key developmental period that affects lifelong health and is impacted by adolescents regularly engaging with digital health information. Adolescents need digital health literacy (DHL) to effectively evaluate the quality and credibility of such information, and to navigate an increasingly complex digital health environment. Few educational resources exist to improve DHL, and few have involved adolescents during design. The co-design approach may hold utility through developing interventions with participants as design partners.
This project aimed to explore the co-design approach in developing an educational resource to improve adolescents' DHL.
Adolescents (12-17 years old) attended 4 interactive co-design workshops (June 2021-April 2022). Participant perspectives were gathered on DHL and the design of educational resources to improve it. Data generated were analyzed through content analysis to inform educational resource development.
In total, 27 participants from diverse backgrounds attended the workshops. Insight was gained into participants' relationship with digital health information, including acceptance of its benefits and relevance, coupled with awareness of misinformation issues, revealing areas of DHL need. Participants provided suggestions for educational resource development that incorporated the most useful aspects of digital formats to develop skills across these domains. The following 4 themes were derived from participant perspectives: ease of access to digital health information, personal and social factors that impacted use, impacts of the plethora of digital information, and anonymity offered by digital sources. Initial participant evaluation of the developed educational resource was largely positive, including useful suggestions for improvement.
Co-design elicited and translated authentic adolescent perspectives and design ideas into a functional educational resource. Insight into adolescents' DHL needs generated targeted educational resource content, with engaging formats, designs, and storylines. Co-design holds promise as an important and empowering tool for developing interventions to improve adolescents' DHL.
青春期是一个关键的发展阶段，会影响到终身健康，而青少年经常接触数字健康信息会对其产生影响。青少年需要数字健康素养（DHL）来有效地评估此类信息的质量和可信度，并在日益复杂的数字健康环境中进行导航。目前几乎没有用于提高 DHL 的教育资源，而且在设计过程中很少有涉及青少年的。共同设计方法可能通过让参与者成为设计伙伴来开发干预措施具有实用性。
本项目旨在探索共同设计方法在开发提高青少年 DHL 的教育资源中的应用。
青少年（12-17 岁）参加了 4 次互动式共同设计研讨会（2021 年 6 月至 2022 年 4 月）。收集了参与者对 DHL 以及改进 DHL 的教育资源设计的观点。通过内容分析对生成的数据进行分析，为教育资源的开发提供信息。
共有 27 名来自不同背景的参与者参加了研讨会。深入了解了参与者与数字健康信息的关系，包括对其益处和相关性的接受程度，以及对错误信息问题的认识，揭示了 DHL 的需求领域。参与者提出了教育资源开发的建议，将数字格式的最有用方面纳入其中，以发展这些领域的技能。从参与者的观点中得出了以下 4 个主题：数字健康信息的便捷获取、影响使用的个人和社会因素、大量数字信息的影响以及数字来源提供的匿名性。最初参与者对开发的教育资源的评价大多是积极的，包括改进的有用建议。
共同设计从真实的青少年视角和设计理念中获取并转化为功能齐全的教育资源。对青少年 DHL 需求的深入了解生成了有针对性的教育资源内容，具有引人入胜的格式、设计和故事情节。共同设计作为开发提高青少年 DHL 的干预措施的重要和赋权工具具有很大的潜力。
