Participatory design of mass health communication in three languages for seniors and people with disabilities on Medicaid.

Abstract:

OBJECTIVES:We used participatory design methods to develop and test guidebooks about health care choices intended for 600 000 English-, Spanish-, and Chinese-speaking seniors and people with disabilities receiving Medicaid in California. METHODS:Design and testing processes were conducted with consumers and professionals; they included 24 advisory group interviews, 36 usability tests, 18 focus groups (105 participants), 51 key informant interviews, guidebook readability and suitability testing, linguistic adaptation, and iterative revisions of 4 prototypes. RESULTS:Participatory design processes identified preferences of intended audiences for guidebook content, linguistic adaptation, and format; guidebook readability was scored at the sixth- to eighth-grade level and suitability at 95%. These findings informed the design of a separate efficacy study that showed high guidebook usage and satisfaction, and better gains in knowledge, confidence, and intended behaviors among intervention participants than among control participants. CONCLUSIONS:Participatory design can be used effectively in mass communication to inform vulnerable audiences of health care choices. The techniques described can be adapted for a broad range of health communication interventions.

journal_name

Am J Public Health

authors

Neuhauser L,Rothschild B,Graham C,Ivey SL,Konishi S

doi

10.2105/AJPH.2008.155648

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

2188-95

issue

12

eissn

0090-0036

issn

1541-0048

pii

AJPH.2008.155648

journal_volume

99

pub_type

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