Improving Older Adults' E-Health Literacy With Collaborative Computer Training

描述（由申请人提供）：健康素养是我们快速老龄化人口的一个关键问题（Kutner，Greenberg，Jin和Paulsen，2006）。在这项干预研究中，我们进行实验，旨在提高老年人的电子健康素养或“从电子资源中寻找，发现，理解和评估健康信息的能力，并将获得的知识应用于解决或解决健康问题”（Norman & Skinner，2006 b）。我们的实验集中在培训老年人-谁可能或多或少以前的计算机经验-使用NIH在线资源的可靠的健康信息。将测试两种学习条件：个人学习，学生从教师那里学习，并单独努力实现学习目标，很少或没有与其他学生的互动，以及合作学习，学生从教师和其他学生那里学习，并在小组中朝着共同的目标工作（约翰逊，约翰逊，史密斯，1998年）。这项为期3年的R 01研究非常适合该资助机制（PAR-07-020）的范围，因为它涉及1）健康素养的重要组成部分-电子健康素养-作为一项关键成果，以及2）制定和评估以电子健康素养为重点的干预战略。本研究的主要目标是推进有关老年人学习的理论，特别是在电子卫生扫盲领域。具体目标是：目标1：确定合作与个人主义学习对老年人电子健康素养的影响目标2：根据先前的计算机经验，有助于发展关于合作与个人主义学习的影响如何与异质与同质群体组成的影响相互作用的理论目标3：探索合作学习与个人学习在培训期后的纵向效应实验采用3 × 2 × 3混合析因设计，以先前的计算机经验（有经验的;新的;混合的）和学习方法（协作的;个人主义学习）为参与者之间的变量和测量时间（前;后; 6个月随访）为参与者内的变量。这项实验研究的教学任务将包括使用NIA开发的课程进行为期四周的培训，以学习使用NIHSeniorHealth.gov和MedlinePlus.gov网站获取可靠的健康信息。这项研究将在公共图书馆进行。通过利用完善的公共图书馆基础设施和NIH在线资源，这项干预研究具有很大的扩展潜力和重大的社会和经济影响。

DESCRIPTION (provided by applicant): Health literacy is a critical issue for our rapidly aging population (Kutner, Greenberg, Jin, & Paulsen, 2006). In this intervention research, we conduct experiments that aim to improve older adults' e-health literacy or "the ability to seek, find, understand, and appraise health information from electronic sources and apply the knowledge gained to addressing or solving a health problem" (Norman & Skinner, 2006b). Our experiments focus on training older adults - who may have more or less prior computer experience - to use NIH online resources for reliable health information. Two learning conditions will be tested: individualistic learning where students learn from an instructor and work individually toward learning goals with little or no interaction with other students, and collaborative learning where students learn from both an instructor and other students and work in small groups toward common goals (Johnson, Johnson, & Smith, 1998). This 3-year R01 research fits well within the scope of this funding mechanism (PAR-07-020) because it involves 1) an important component of health literacy - e-health literacy - as a key outcome, and 2) the development and evaluation of intervention strategies that focus on e-health literacy. The primary goal of this research is to advance theories about older adult learning particularly in the e-health literacy area. Specific aims are: Aim 1: Determine the effects of collaborative versus individualistic learning on older adults' e-health literacy Aim 2: Contribute to developing theory about how the effects of collaborative versus individualistic learning interact with those of heterogeneous versus homogeneous group composition based on prior computer experience Aim 3: Explore the longitudinal effects of collaborative versus individualistic learning beyond the training period The experiment is a 3 x 2 x 3 mixed factorial design, with group composition based on prior computer experience (experienced; new; mixed) and learning method (collaborative; individualistic learning) as the between-participant variables and time of measurement (pre; post; 6-month follow-up) as the within- participant variable. The instructional task of this experimental study will involve four weeks of training using the curriculum developed by NIA to learn to use the NIHSeniorHealth.gov and MedlinePlus.gov Web sites to access reliable health information. This study will be conducted in public libraries. By tapping into the well- established public library infrastructure and NIH online resources, this intervention research has great potential for scaling-up and significant social and economic implications.