J Med Libr Assoc. 2024 Oct 1;112(4):341-349. doi: 10.5195/jmla.2024.1899. Epub 2024 Oct 7.
The volume of online health information available makes it difficult to navigate and check its validity and reliability. A community-based MedlinePlus training program was developed to improve participants' ability to access credible online health information.
The program was a public-private partnership between a managed care organization and four local public libraries. A total of eight programs were held between October and November 2017. Each program had a 30-minute cooking demonstration followed by a 30-minute training on access to and navigation of the MedlinePlus website. Program participants were Medicaid beneficiaries, dually eligible for Medicare and Medicaid beneficiaries, and community members from a Pennsylvania county (n=39). A pre-and post-training questionnaire was administered to assess participants' knowledge and practice, and their ability to access health information on the MedlinePlus website. We conducted a retrospective analysis of the data collected during the MedlinePlus trainings. Results from the Wilcoxon Signed Rank test indicated no statistically significant change in participants' ability to access information (Z= -1.41, p=0.16) after attending the program.
Although the median pre- to post-program responses improved from 'incorrect' to 'correct,' the number of programs held, and low attendance might be the reason for non-significant results. Participants reported that the program was informative, the website was comprehensive and user-friendly, and they were impressed by the healthy and inexpensive meal preparation from discount store-bought food. Holding MedlinePlus training programs in conjunction with a cooking program and collaborating with local public libraries might be a promising format that needs additional research.
现有的在线健康信息量巨大,人们难以浏览并核实其有效性和可靠性。为此,我们开发了一个基于社区的 MedlinePlus 培训项目,旨在提高参与者获取可信在线健康信息的能力。
该项目是一家管理式医疗组织与当地四家公共图书馆之间的公私合作项目。2017 年 10 月至 11 月期间共举办了八期培训。每期培训包括 30 分钟的烹饪演示和 30 分钟的 MedlinePlus 网站访问和导航培训。培训参与者为宾夕法尼亚州一个县的医疗补助受益人、同时享受联邦医疗保险和医疗补助的双重受益人以及社区成员(n=39)。在培训前后,我们通过问卷调查评估参与者的知识和实践技能,以及他们在 MedlinePlus 网站上获取健康信息的能力。我们对 MedlinePlus 培训期间收集的数据进行了回顾性分析。Wilcoxon 符号秩检验的结果表明,参与者在参加培训后获取信息的能力没有统计学上的显著变化(Z=-1.41,p=0.16)。
尽管参与者对培训前后的回答从“错误”到“正确”的中位数有所改善,但由于举办的培训数量较少且参与度较低,可能导致结果不显著。参与者表示,该项目内容丰富,网站全面且易于使用,他们对从折扣商店购买的食品制作出健康且经济实惠的餐食印象深刻。与烹饪项目相结合并与当地公共图书馆合作举办 MedlinePlus 培训项目可能是一种有前途的模式,需要进一步研究。