Development of a Smiling Touchscreen multimedia program for HRQoL assessment in subjects with varying levels of literacy
Development of a Smiling Touchscreen multimedia program for HRQoL assessment in subjects with varying levels of literacy
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DOI：
10.1111/j.1524-4733.2006.00120.x
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发表时间：
2006-09-01
期刊：
影响因子：
4.5
通讯作者：
Fong, Kok-Yong
中科院分区：
文献类型：
--
作者：
Thumboo, Julian;wee, H-Lin Wee;Fong, Kok-Yong
目的：由于低识字率在几个方面影响健康相关生活质量（HRQoL）的评估（例如，受试者资格和管理成本），需要更好的方法来评估具有不同识字水平的受试者的HRQoL。我们开发了一个多媒体触摸屏程序（微笑触摸屏，ST）向具有不同中文和计算机素养水平的受试者管理HRQoL工具，使用迭代过程，患者对设计的输入，说明的清晰度，和用户友好性被反复收集并纳入开发中。因此，ST具有几个针对低识字率受试者的用户友好功能（例如，结果：ST被试接受程度较好，但对ST的评价不理想（n = 66，76%为女性，中位[四分位数]年龄：49.0 [40.0，56.0]），识字率高（n = 43）或低（n = 23），其中98%的人认为易于使用或非常易于使用，85%的人认为语音-文本同步功能有用。在没有计算机经验的低识字率受试者（30%）中，没有人报告使用ST有任何困难。完成ST（4个教学和实践屏幕，24个问题，一个视觉模拟量表）所花费的中位数（四分位数）时间为高识字率和低识字率组分别为13.9（9.6，23.9）和23.2（15.8，26.5）分钟。在受试者表达的偏好（n = 47），21（47%）赞成ST采访者或自我administration.Conclusion：ST是很好地接受不同的识字水平的受试者，包括那些没有计算机经验。因此，这是一个有前途的新方法HRQoL评估不同的识字水平之间的主题。
Objective: As low literacy affects the assessment of health-related quality of life (HRQoL) in several ways (e.g., subject eligibility and cost of administration), better approaches to HRQoL assessment in subjects with varying literacy levels are needed.Methods: We developed a multimedia touchscreen program (the Smiling Touchscreen, ST) to administer HRQoL instruments to subjects with varying levels of Chinese language and computer literacy, using an iterative process where patients' input on design, clarity of instructions, and user-friendliness were repeatedly gathered and incorporated in development. The ST thus has several user-friendly features for low-literacy subjects (e.g., presentation of individual items using visual and auditory stimuli, voice-text synchronization, and visual analog scale with a touch and drag function), which we evaluated using qualitative and quantitative methods.Results: The ST was well accepted by subjects (n = 66, 76% female, median [interquartile] age: 49.0 [40.0, 56.0]) with high (n = 43) or low (n = 23) literacy, 98% of whom found it easy or very easy to use, and 85% found the voice-text synchronization feature useful. In low-literacy subjects without computer experience (30%), none reported any difficulties using the ST. The median (interquartile) time spent to complete the ST (four Instruction and Practice screens, 24 questions, one visual analog scale) for high- and low-literacy groups was 13.9 (9.6, 23.9) and 23.2 (15.8, 26.5) minutes, respectively. Among subjects expressing a preference (n = 47), 21 (47%) favored the ST over interviewer- or self-administration.Conclusion: The ST is well accepted by subjects with varying literacy levels, including those without computer experience. It is thus a promising new approach for HRQoL assessment among subjects with varying literacy levels.