Hammarberg Karin, Bandyopadhyay Mridula, Nguyen Hau, Cicuttini Flavia, Stanzel Karin Andrea, Brown Helen, Hickey Martha, Fisher Jane
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Department of Obstetrics, Gynecology and Newborn Health, University of Melbourne, Melbourne, Australia.
Interact J Med Res. 2024 Dec 2;13:e60949. doi: 10.2196/60949.
Health and health behaviors in midlife are important determinants of healthy aging. There is evidence of unmet needs for health-promoting information for women from culturally and linguistically diverse backgrounds and women with low literacy.
This study aimed to (1) develop accessible short, animated videos viewable and downloadable from YouTube aimed at promoting positive health behaviors in women in midlife and (2) evaluate their accessibility, acceptability, understanding, and usability and whether this was influenced by the level of education or socioeconomic disadvantage.
In collaboration with a video production company, a multidisciplinary team of academics and health professionals developed 2 short, animated videos on self-management of menopause health and 2 promoting joint health. Their accessibility, acceptability, understanding, and usability to women were evaluated in an anonymous web-based survey.
A total of 490 women viewed the videos and responded to the survey. Of these, 353 (72%) completed all questions. Almost all (from 321/353, 91% to 334/363, 92%) agreed that the information in the videos was "very easy to understand." The proportions reporting that all or some of the information in the video was new to them varied between videos from 36% (137/386) to 66% (233/353), the reported likelihood of using the practical tips offered in the videos varied from 70% (271/386) to 89% (331/373), and between 61% (235/386) and 70% (263/373) of respondents stated that they would recommend the videos to others. Education-level group comparisons revealed few differences in opinions about the videos, except that women with lower education were more likely than those with higher education to state that they would recommend the 2 joint health videos to others (36/45, 80% vs 208/318, 65%; P=.051 for video 3; and 36/44, 80% vs 197/309, 64%; P=.04 for video 4). There were no differences between women living in the least advantaged areas (Socioeconomic Indexes for Areas quintile areas 1 and 2) and those living in the most advantaged areas (Socioeconomic Indexes for Areas quintile areas 3, 4, and 5) in their responses to any of the questions about the 4 videos.
Most women found the videos easy to understand, learned something new from watching them, planned to use the practical tips they offered, and were likely to recommend them to other women. This suggests that short, animated videos about health self-management strategies in midlife to improve the chance of healthy aging are perceived as accessible, acceptable, easy to understand, and useful by women.
中年时期的健康状况和健康行为是健康老龄化的重要决定因素。有证据表明，来自文化和语言背景多样以及识字率较低的女性对促进健康信息的需求尚未得到满足。
本研究旨在（1）制作可从YouTube上观看和下载的、易于获取的简短动画视频，以促进中年女性的积极健康行为；（2）评估这些视频的可及性、可接受性、理解度和可用性，以及这是否受到教育水平或社会经济劣势的影响。
与一家视频制作公司合作，一个由学者和健康专业人员组成的多学科团队制作了2个关于更年期健康自我管理的简短动画视频和2个促进关节健康的视频。通过一项基于网络的匿名调查评估了这些视频对女性的可及性、可接受性、理解度和可用性。
共有490名女性观看了视频并回复了调查。其中，353名（72%）完成了所有问题。几乎所有女性（从321/353，91%到334/363，92%）都认为视频中的信息“非常容易理解”。报告称视频中的全部或部分信息对她们来说是新信息的比例在不同视频中从36%（137/386）到66%（233/353）不等，报告称会使用视频中提供的实用建议的可能性从70%（271/386）到89%（331/373）不等，61%（235/386）至70%（263/373）的受访者表示会向他人推荐这些视频。教育水平组间比较显示，对视频的看法差异不大，只是受教育程度较低的女性比受教育程度较高的女性更有可能表示会向他人推荐这2个关节健康视频（视频3为36/45，80%对208/318，65%；P = 0.051；视频4为36/44，80%对197/309，64%；P = 0.04）。生活在最不利地区（地区社会经济指数五分位数第1和第2区）的女性与生活在最有利地区（地区社会经济指数五分位数第3、4和5区）的女性在对4个视频的任何问题的回答上没有差异。
大多数女性认为这些视频易于理解，从观看中有所收获，计划使用视频中提供的实用建议，并可能会向其他女性推荐。这表明，关于中年健康自我管理策略以提高健康老龄化几率的简短动画视频被女性认为是可及的、可接受的、易于理解的且有用的。
