A Smart Mobile App to Simplify Medical Documents and Improve Health Literacy: System Design and Feasibility Validation.
A Smart Mobile App to Simplify Medical Documents and Improve Health Literacy: System Design and Feasibility Validation.
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DOI：
10.2196/35069
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发表时间：
2022-04-01
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
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作者：
健康素养低的人在理解医疗服务提供者的指示、遵循处方以及充分了解其医疗保健系统以获得最大利益方面面临更多挑战。健康素养不足的人犯医疗错误的风险很高，经历药物不良反应的机会更大，对慢性病的控制也较差。本研究旨在设计、开发和评估一款移动的健康应用程序MediReader，以帮助个人更好地理解复杂的医疗材料，提高他们的健康素养。MediReader的设计和实施分为以下几个步骤：测量和了解个人的健康素养水平;根据个人的健康素养识别个人可能不理解的医学术语;根据个人的阅读技能水平对识别出的医学术语进行注释和解释，并在适当的外部知识源中定义其含义;使用基于任务的用户研究和满意度调查评估MediReader。在与对照组比较的基础上，用户研究结果表明，MediReader可以提高用户对医疗文档的理解。这一改进对于健康知识水平低的用户尤其重要。满意度调查显示，用户对该工具总体上感到满意。MediReader提供了一个易于使用的界面，供用户阅读和理解医疗文件。它可以有效地识别用户可能不理解的医学术语，然后使用用户可以理解的语言对其进行注释和解释。实验结果证明了使用该工具提高个人对医疗材料理解的可行性。
People with low health literacy experience more challenges in understanding instructions given by their health providers, following prescriptions, and understanding their health care system sufficiently to obtain the maximum benefits. People with insufficient health literacy have high risk of making medical mistakes, more chances of experiencing adverse drug effects, and inferior control of chronic diseases. This study aims to design, develop, and evaluate a mobile health app, MediReader, to help individuals better understand complex medical materials and improve their health literacy. MediReader is designed and implemented through several steps, which are as follows: measure and understand an individual’s health literacy level; identify medical terminologies that the individual may not understand based on their health literacy; annotate and interpret the identified medical terminologies tailored to the individual’s reading skill levels, with meanings defined in the appropriate external knowledge sources; evaluate MediReader using task-based user study and satisfaction surveys. On the basis of the comparison with a control group, user study results demonstrate that MediReader can improve users’ understanding of medical documents. This improvement is particularly significant for users with low health literacy levels. The satisfaction survey showed that users are satisfied with the tool in general. MediReader provides an easy-to-use interface for users to read and understand medical documents. It can effectively identify medical terms that a user may not understand, and then, annotate and interpret them with appropriate meanings using languages that the user can understand. Experimental results demonstrate the feasibility of using this tool to improve an individual’s understanding of medical materials.