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.
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.
Authors: Teresa A Coughlin; Sharon K Long; Timothy Triplett; Samantha Artiga; Barbara Lyons; R Paul Duncan; Allyson G Hall Journal: Health Aff (Millwood) Date: 2008-10-14 Impact factor: 6.301
Authors: Elaine Kurtovich; Susan L Ivey; Linda Neuhauser; Carrie Graham; Wendy Constantine; Howard Barkan Journal: Health Serv Res Date: 2010-01-08 Impact factor: 3.402
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Authors: Alina Engelman; Susan L Ivey; Winston Tseng; Donna Dahrouge; Jim Brune; Linda Neuhauser Journal: BMC Health Serv Res Date: 2013-03-07 Impact factor: 2.655