Reaching a wider audience: Modifying NetWellness content and outreach

描述（由申请人提供）： 根据皮尤互联网在美国生活项目中的最新报告，互联网已成为美国人第三大最常见的健康信息来源，排在“询问健康专业人士”和“从家人或朋友那里获得建议”之后。“使用互联网的美国人比例每年都在增长，比以往任何时候都有更多的低收入和弱势群体上网。然而，互联网上绝大多数的健康信息网站都是以一种需要高度识字才能理解的水平编写的。拟议的项目将采用以用户为中心的设计过程，调整NetWellness.org广泛网站的内容，以满足处境不利、识字率低的人口的需要。该项目最初将针对与糖尿病和高血压有关的内容，这两个健康问题具有明显的健康差异。设计过程将参考为识字率下降的人口制定的设计原则和来自内城社区成员的重点小组投入。重新设计的内容将通过对一组潜在网站用户的小组调查进行测试，以确定该网站是否满足他们的需求，并用于改变行为，促进与医疗保健提供者的讨论，并与他人分享。

DESCRIPTION (provided by applicant): According to a recent report by the Pew Internet in American Life project, the internet has become the third most common source of health information for Americans, ranking behind "asking a health professional" and "getting advice from family or friends." The proportion of Americans who use the internet grows every year, and more low income and disadvantaged populations are online than ever before. However, the vast majority of health information sites on the internet are written at a level which requires a high degree of literacy to comprehend. The proposed project will use a user-centered design process to adapt content from the extensive NetWellness.org web site to meet the needs of a disadvantaged, low literacy population. The project will initially target content related to diabetes and hypertension, two health problems with pronounced health disparities. The design process will be informed by established principles of design for reduced literacy populations and focus group input from members of inner city communities. The re-designed content will be tested with a panel survey of a group of potential site users, to establish whether the site meets their needs and is used to make changes in behavior, spur discussion with health care providers, and share with others.