Participatory Design of Mass Health Communication in Three Languages for Seniors and People With Disabilities on Medicaid

Dados Bibliográficos

ID11024607
AutoresLinda Neuhauser (All authors are with the School of Public Health, University of California, Berkeley.), Beccah Rothschild (All authors are with the School of Public Health, University of California, Berkeley.), Carrie Graham (0000-0002-8026-8263, All authors are with the School of Public Health, University of California, Berkeley.), Susan L Ivey (0000-0002-8921-7032, All authors are with the School of Public Health, University of California, Berkeley.), Susana Konishi (All authors are with the School of Public Health, University of California, Berkeley.)
Ano2009
Volume99
Fascículo12
Páginas2188-2195
Data de publicação2009-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.155648
PMID19833990
PMCIDPMC2775764
OpenAlexW1984362123
IdiomaEN
Citações recebidas3
Referências citadas27

Objectives. We used participatory design methods to develop and test guidebooks about health care choices intended for 600 000 English-, Spanish-, and Chinese-speaking seniors and people with disabilities receiving Medicaid in California. Methods. Design and testing processes were conducted with consumers and professionals; they included 24 advisory group interviews, 36 usability tests, 18 focus groups (105 participants), 51 key informant interviews, guidebook readability and suitability testing, linguistic adaptation, and iterative revisions of 4 prototypes. Results. Participatory design processes identified preferences of intended audiences for guidebook content, linguistic adaptation, and format; guidebook readability was scored at the sixth- to eighth-grade level and suitability at 95%. These findings informed the design of a separate efficacy study that showed high guidebook usage and satisfaction, and better gains in knowledge, confidence, and intended behaviors among intervention participants than among control participants. Conclusions. Participatory design can be used effectively in mass communication to inform vulnerable audiences of health care choices. The techniques described can be adapted for a broad range of health communication interventions

Community-based participatory research · Focus group · Health care · Medicaid · Medical education · Participatory action research · Participatory design · Psychological intervention · Readability · Sociology · Usability · Applied Psychology · Assistive Technology in Communication and Mobility · Computer Science · Engineering · Health Literacy and Information Accessibility · Medicine · Nursing · Psychology · Technology Use by Older Adults · Gerontology