health literacy
collaborative management
ehealth literacy
health literacy
podcasting
educational technology
mobile communication systems in education
Teaching – Aids & devices
mobile learning
informal learning
medical education
PDA
distance education
Patient education on mobile devices: an e-health intervention for low health literate audiences.
Reference List
Mackert, Michael, Brad Love, and Pamela Whitten. 2009. "Patient education on mobile devices: an e-health intervention for low health literate audiences." Journal of Information Science 35, no. 1: 82-93. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
This study, though very on topic, is extremely uncommitted to any conclusions
Providing health information to low health literate audiences remains a challenge. Beyond message design, realistic delivery models are needed for delivering information to a traditionally hard-to-reach audience. This study investigated two e-health interventions to provide health information on mobile devices - one providing diabetes information and one offering childcare information. Both were well-received, and most of the subjects' usability issues related to the translation of these interventions to the mobile device's smaller screen. The diabetes website was effective in providing information to study participants (as measured by pre- and post-tests of knowledge), while the childcare website was not. Continued work in this area could explore improved design strategies for mobile devices - a delivery model that could be used in doctors' offices, for example. Effective delivery of health information to low health literate audiences is an important issue, and this research highlights a critical element by targeting another potential delivery model. [ABSTRACT FROM AUTHOR]
NEW
Reference List
Clough, G., A.C. Jones, P. McAndrew, and E. Scanlon. 2008. "Informal learning with PDAs and smartphones." Journal of Computer Assisted Learning 24, no. 5: 359-371. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
This study indicates mobile devices as effective learning tool but not for LL audience.
not PDF or complete text
There has been increasing interest in informal learning in recent years alongside interest in how such learning can be supported by technology. However, relatively little is known about the extent to which adults make use of their own mobile devices to support informal learning. In this study, a survey was used to investigate whether, and to what extent, experienced users of mobile devices use their mobile devices to support intentional informal learning. If so, do they make use of mobile device connectivity to support opportunistic informal learning and does such connectivity support or encourage collaborative informal learning? Experienced mobile device users were recruited from web forums and business, and asked whether they used their devices to support informal learning. A pattern of learning uses emerged, some of which deployed the mobile device capabilities relatively unchanged, others triggered adaptations to typical learning activities to provide a better fit to the needs of the learner. These informal learning activities provided the basis for the design of a flexible mobile learning framework that can be extended to support developments in mobile technology, and increasing use of Web 2.0 technologies by informal learners. [ABSTRACT FROM AUTHOR]
NEW
Reference List
Kim, Paul. 2009. "Action research approach on mobile learning design for the underserved." Educational Technology Research & Development 57, no. 3: 415-435. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
While this study is based on children in rural latin America, Interesting quotes such as:
In most cases, the older children group wanted private space or comfort zones and
therefore spread out to convenient and more secluded areas as shown in Fig. 3.
(pictures of children, alone, engaged with device)
As well as design of device
NEW
Okay this one could prove the usefulness of mobile devices, but audiece are undergrad med students in England…
The article focuses on the study on the significance of electronic-learning in medical education, conducted at the University of Leeds in Leeds, England. It primarily delves into the use of mobile technologies for undergraduate medical student workplace-based assessment (WBA). In relation to the recognition of the increasing importance of e-learning, the authors present their experience on the advantages of mobile hand-held electronic devices for the WBA of undergraduate medical students. Details of the study are included, concluding on the benefits and the multiple concurrent applications of these electronic devices for the medical students' education.
narrow in scope
have PDF
similar:
Reference List
Taylor, J. D., C. A. Dearnley, J. C. Laxton, C. A. Coates, T. Treasure-Jones, R. Campbell, and I. Hall. 2010. "Developing a mobile learning solution for health and social care practice." Distance Education 31, no. 2: 175-192. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
No PDF
NEW
Reference List
Waycott, Jenny, Ann Jones, and Eileen Scanlon. 2005. "PDAs as lifelong learning tools: an activity theory based analysis." Learning, Media, & Technology 30, no. 2: 107-130. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
Use as value of mobile device as teaching tool, but not LL
This paper describes the use of an activity theory (AT) framework to analyze the ways that distance part time learners and mobile workers adapted and appropriated mobile devices for their activities and in turn how their use of these new tools changed the ways that they carried out their learning or their work. It is argued that there are two key strengths in using an activity theory framework in this context. The first strength is the emphasis activity theory places on tools, including computer artefacts, as mediators of activity. This emphasis focuses attention on the activity itself rather than, for example, simply the interaction between the human and the computer. The focus is on the learner or user’s objectives and activities and the computer is the tool through which the user achieves her objectives. The second strength was referred to briefly above. The AT perspective also enabled analysis of an interactive dynamic process of users or learners and their tools—in this case personal digital assistants (PDAs). It revealed a two way process in which the user adapts the tools they use according to their everyday practice and preferences in order to carry out their activities; and how, in turn, the tools themselves also modify the activities that the user is engaged in. Three case studies illustrate these processes. The first case study is of distance learners’ use of e-books on PDAs, to supplement their access to other static media such as books and computers. The second case study investigated how mobile workers in the energy industry used mobile devices to access information when away from the office. The third and final case study investigated the use of mobile devices in an art gallery. The paper concludes with a discussion of the information access needs that are apparent in each of these learning contexts, and highlights the pertinent issues in the use of mobile technologies to support lifelong learners’ information needs. [ABSTRACT FROM AUTHOR]
NEW
Reference List
Roschelle, J. 2003. "Keynote paper: Unlocking the learning value of wireless mobile devices." Journal of Computer Assisted Learning 19, no. 3: 260. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
This article includes excellent concerns about the challenges of mobile devices in education
Abstract Many researchers see the potential of wireless mobile learning devices to achieve large-scale impact on learning because of portability, low cost, and communications features. This enthusiasm is shared but the lessons drawn from three well-documented uses of connected handheld devices in education lead towards challenges ahead. First, ‘wireless, mobile learning’ is an imprecise description of what it takes to connect learners and their devices together in a productive manner. Research needs to arrive at a more precise understanding of the attributes of wireless networking that meet acclaimed pedagogical requirements and desires. Second, ‘pedagogical applications’ are often led down the wrong road by complex views of technology and simplistic views of social practices. Further research is needed that tells the story of rich pedagogical practice arising out of simple wireless and mobile technologies. Third, ‘large scale’ impact depends on the extent to which a common platform, that meets the requirements of pedagogically rich applications, becomes available. At the moment ‘wireless mobile technologies for education’ are incredibly diverse and incompatible; to achieve scale, a strong vision will be needed to lead to standardisation, overcoming the tendency to marketplace fragmentation. [ABSTRACT FROM AUTHOR]
potential mitigators:
article is 7 years old
if studies show people learn pedagogical pendanticness not as important
consider use within social practice
have PDF
NEW
Reference List
Bielli, Emilia, Fabio Carminati, Stella La Capra, Micaela Lina, Cinzia Brunelli, and Marcello Tamburini. 2004. "A Wireless Health Outcomes Monitoring System (WHOMS): development and field testing with cancer patients using mobile phones." BMC Medical Informatics & Decision Making 4, 7-13. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
not LL, Italian study, very focused on single issue of quality of life, but other aspects fit detail of at home mobile device
Background: Health-Related Quality of Life assessment is widely used in clinical research, but rarely in clinical practice. Barriers including practical difficulties administering printed questionnaires have limited their use. Telehealth technology could reduce these barriers and encourage better doctor-patient interaction regarding patient symptoms and quality-of-life monitoring. The aim of this study was to develop a new system for transmitting patients' self-reported outcomes using mobile phones or the internet, and to test whether patients can and will use the system via a mobile phone. Methods: We have developed a prototype of a Wireless Health Outcomes Monitoring System, which allows structured questionnaires to be sent to the patient by their medical management team. The patients' answers are directly sent to an authorised website immediately accessible by the medical team, and are displayed in a graphic format that highlights the patient's state of health. In the present study, 97 cancer inpatients were asked to complete a ten-item questionnaire. The questionnaire was delivered by display on a mobile phone, and was answered by the patients using the mobile phone keypad. Results: Of the 97 patients, 56 (58%) attempted the questionnaire, and all of these 56 completed it. Only 6% of the total number of questions were left unanswered by patients. Forty-one (42%) patients refused to participate, mostly due to their lack of familiarity with mobile phone use. Compared with those who completed the questionnaire, patients who refused to participate were older, had fewer years of education and were less familiar with new communications technology (mobile phone calls, mobile phone SMS, internet, email). Conclusion: More than half of the patients self-completed the questionnaire using the mobile phone. This proportion may increase with the use of multichannel communications which can be incorporated into the system. The proportion may also increase if the patient's partner and/or family were able to assist the patient with using the technology. These preliminary results encourage further studies to identify specific diseases or circumstances where this system could be useful in patients' distance monitoring. Such a system is likely to detect patient suffering earlier, and to activate a well-timed intervention. [ABSTRACT FROM AUTHOR]
saved as PDF
NEW
Reference List
2007. "Information Communication Technology: Mobile Phones Keep Women With HIV in Contact With Care." Population Reports 35, no. 1: 9. Academic Search Premier, EBSCOhost (accessed November 13, 2010).
This article features some disease prevention programs that use text messaging systems around the world. A hotline in the Philippines known as the FamPlan Hotline responded to people's questions about reproductive health and HIV sent via text, voice, and e-mail messaging. A doctor in Cape Town, South Africa, created the service On-Cue Compliance to help tuberculosis patients take their medications on time. A company in Great Britain launched a text messaging service called My Pill in 2005.
This is fairly short in magazine style, but has significant number using mobile phones for medical information via texting
Have PDF
Reference List
Miller, Brett, Peggy McCardle, and Ricardo Hernandez. 2010. "Advances and Remaining Challenges in Adult Literacy Research." Journal of Learning Disabilities 43, no. 2: 101-107. Academic Search Premier, EBSCOhost (accessed October 26, 2010).
Kutner, M., Greenberg, E., & Baer, J. (2005). National Assessment
of Adult Literacy (NAAL): A first look at the literacy of America’s
adults in the 21st century (NCES 2006-470). Washington, DC:
National Center for Education Statistics, U.S. Department of
Education. Retrieved October 27, 2008, from http://nces.ed.gov/
NAAL/PDF/2006470.PD
web site no longer works
Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. (2006). The health
literacy of American adults: Results from the 2003 National
Assessment of Adult Literacy (NCES 2006-483). Washington,
DC: National Center for Education Statistics, U.S. Department
of Education. Retrieved October 27, 2008, from http://nces
.ed.gov/pubs2006/2006483.pdf
Reference List
Bryan, Cathy. 2008. "Provider and Policy Response to Reverse the Consequences of Low Health Literacy." Journal of Healthcare Management 53, no. 4: 230-241. Academic Search Premier, EBSCOhost (accessed October 26, 2010).
Reference List
Martin, Laurie T., Teague Ruder, José Escarce, Bonnie Ghosh-Dastidar, Daniel Sherman, Marc Elliott, Chloe E. Bird, et al. 2009. "Developing Predictive Models of Health Literacy." JGIM: Journal of General Internal Medicine 24, no. 11: 1211-1216. Academic Search Premier, EBSCOhost (accessed October 26, 2010).
The evolving concept of health literacy
Reference List
Nutbeam, Don. 2008. "The evolving concept of health literacy." Social Science & Medicine 67, no. 12: 2072-2078. Academic Search Premier, EBSCOhost (accessed October 26, 2010).
Reference List
Sentell, Tetine Lynn, and Helen Ann Halpin. 2006. "Importance of Adult Literacy in Understanding Health Disparities." JGIM: Journal of General Internal Medicine 21, no. 8: 862-866. Academic Search Premier, EBSCOhost (accessed October 26, 2010).
Reference List
Tomaszewski, Lesley. 2006. "Review of Adult Learning and Literacy: Connecting Research, Policy, and Practice." Adult Basic Education 16, no. 3: 189-191. Academic Search Premier, EBSCOhost (accessed October 27, 2010).
Search Terms
Multimedia
elearning
new media
health information
adult education
mobile devices
health behavior
literacy
medical innovations
adult literacy
telemedicine
information literacy
Wanzer, Melissa Bekelja, Ann M. Wojtaszczyk, Jessica Schimert, Lisa Missert, Susan Baker, Robert Baker, and Ben Dunkle. 2010. "Enhancing the “Informed” in Informed Consent: A Pilot Test of a Multimedia Presentation." Health Communication 25, no. 4: 365-374. Academic Search Premier, EBSCOhost (accessed October 11, 2010).
Though this reference hit some of my key words this seems like a result that I accepted before I decided to more narrowly refine my results. Though researchers claim to have had significantly higher results from those on an objective test than those that did not watch the multimedia program about the medical procedure. Less significantly doctors thought that families who had seen the multimedia presentation had a higher comprehension level about the procedure. This research does not include those with low literacy skills, but might be used as a vantage point to indicate those with average literacy skills are affected by engaging with new media.
Zyskind, Aviva, Karen Chance Jones, Karyn L. Pomerantz, and Amyre LaFaye Barker. 2009. "Exploring the use of computer based patient education resources to enable diabetic patients from underserved populations to self-manage their disease." Information Services & Use 29, no. 1: 29-43. Academic Search Premier, EBSCOhost (accessed October 11, 2010).
This research approaches an audience with low literacy. Their findings indicate those with low literacy and with additional training on computer skills have better results in managing their diabetes. This research is recent and also includes example of a post test for subjects will seemed useful and encouraging. Encouraging because perhaps I will not have to reinvent the wheel for every aspect of doing a survey and just incorporate and a fine tune work others have done.
Interactive multimedia in education and training
By Sanjaya Mishra, Ramesh C. Sharma
This was a book I found on Amazon. While it had a “Look Inside” feature I found the most useful thing was to copy the reference list at the back. This reference list yielded new key words and new avenues of research.
Rothman, Russell L., Darren A. DeWalt, Robb Malone, Betsy Bryant, Ayumi Shintani, Britton Crigler, Morris Weinberger, and Michael Pignone. 2004. "Influence of Patient Literacy on the Effectiveness of a Primary Care–Based Diabetes Disease Management Program." JAMA: Journal of the American Medical Association 292, no. 14: 1711-1716. Academic Search Premier, EBSCOhost (accessed October 13, 2010).
Made a PDF of this but again does not speak to those with low literacy.
Reference List
Hahn, Elizabeth A., David Cella, Deborah Dobrez, Gail Shiomoto, Elizabeth Marcus, Samuel G. Taylor, Mala Vohra, et al. 2004. "The talking touchscreen: A new approach to outcomes assessment in low literacy." Psycho-Oncology 13, no. 2: 86-95. Academic Search Premier, EBSCOhost (accessed October 13, 2010).
Includes interesting statistics on low literacy adults in the US especially as it applies to health literacy. Covers the development and design of interface of interactive touchscreen. Not really clear what the “new” is in “…new approach…” in the title. Results are not overwhelming: An ethnically diverse group of 126 cancer patients with a range of literacy skills and computer experience reported that the ‘talking touchscreen’ (TT) was easy to use, and commented on the usefulness of the multimedia approach. Even the “clinical implications” hardly got out on a limb finding: The TT is a practical, user-friendly data acquisition method that provides greater opportunities to measure self-reported outcomes in patients with a range of literacy skills. However they do hint at a completion of the educational process. That is the audience checking on how well they did and comparing to what they thought they knew. This research is older than others.
Thumboo, Julian, Wee Hwee-Lin, Cheung Yin-Bun, David Machin, Luo Nan, and Fong Kok-Yong. 2006. "Development of a Smiling Touchscreen Multimedia Program for HRQoL Assessment in Subjects with Varying Levels of Literacy." Value in Health 9, no. 5: 312-319. Academic Search Premier, EBSCOhost (accessed October 13, 2010).
This research took place in China. Points made in this quantitative analysis step beyond just low literacy and make cogent points that would likely be of interest to hospital administrators. Specifically the touchscreen computer was widely accepted by all reading levels and thus administrators could be confident that every incoming patient was seeing the same information. This and other research is opening my search about exactly were to potentially survey a patient about what they understand. Prior to starting research it seemed that discharge instructions was the point I would consider as it was what intersected with my day job. However I have seen at least three studies that focus on the point of admission, or at least at the point of where the patient is interviewed about what is going on with their health and what they understand so far. These two points, of course, are not disconnected, but narrowing down the research will likely require choosing one or the other.
Journal of Information Science
Michael Mackert, Brad Love and Pamela Whitten
Patient education on mobile devices: an e-health intervention for low health literate audiences
DOI: 10.1177/0165551508092258
2009 35: 82 originally published online 23 October 2008
This research contained the golden nugget as far as I see my own thesis: The improvement of diabetes knowledge after subjects viewed the Diabetes and You website is
consistent with previous research, as is the lack of a relationship between gain in knowledge and par- ticipants’ health literacy [58]. This lack of relationship between knowledge gain and health literacy further demonstrates that digital media have the capability to help work around patient-education barriers presented by health literacy. (my underline)
This research is also encouraging because it makes use of not-so-sophisticated off the shelf hardware and software. Content was delivered over smaller format PDAs with wireless connections via websites. The exact PDA is not mentioned but it is noted that the screens are smaller, as are the devices, and they are more portable. There is research quoted about the potential benefits of this new technological development on page 84 in citations 48-53.
However, one issue that arise from the success and potential of this new technology is how will these devices fit into the lives of low literacy patients and how will healthcare facilities keep track of them? If one possibility is hospitals give out the devices so that patients can learn how will hospitals keep them from someone from walking off with them? If another possibility is that the devices become inexpensive enough that patients can take them home will the devices have to be limited so that it patients can only focus on specific health related web pages. Which may ultimately ask the philosophical question if the information is free (and the hardware very cheap) who are the gate keepers and suppliers of information? This may inspire a new thesis question something to the effect of if you put a device in the hands of a low literacy patient, that they can take home, will they focus on the information the healthcare provider has prescribed? Can we extrapolate from research done on hard copies? Is there research done on telling low literacy patients to go home and look at a specific web site. Does new technology provide a new capability of prescribing information and is technology so dynamic that patients might lose their way? And how might you make a survey to figure that out?
