当前位置： SCI文献检索 > JOURNAL OF MEDICAL INTERNET RESEARCH期刊下所有文献 > Health literacy and task environment influence parents' burden for data entry on child-specific health information: randomized controlled trial.

Health literacy and task environment influence parents' burden for data entry on child-specific health information: randomized controlled trial.

Abstract：

BACKGROUND:Health care systems increasingly rely on patients' data entry efforts to organize and assist in care delivery through health information exchange. OBJECTIVES:We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2) the impact, if any, of parents' health literacy on the task burden. METHODS:We completed a randomized controlled trial of parent-completed data entry tasks. Parents of children with attention deficit hyperactivity disorder (ADHD) were randomized based on the Test of Functional Health Literacy in Adults (TOFHLA) to either a paper-based or computer-based environment for entry of health information on their children. The primary outcome was the National Aeronautics and Space Administration Task Load Index (TLX) total weighted score. RESULTS:We screened 271 parents: 194 (71.6%) were eligible, and 180 of these (92.8%) constituted the study cohort. We analyzed 90 participants from each arm. Parents who completed information tasks on paper reported a higher task burden than those who worked in the computer environment: mean (SD) TLX scores were 22.8 (20.6) for paper and 16.3 (16.1) for computer. Assignment to the paper environment conferred a significant risk of higher task burden (F(1,178) = 4.05, P = .046). Adequate literacy was associated with lower task burden (decrease in burden score of 1.15 SD, P = .003). After adjusting for relevant child and parent factors, parents' TOFHLA score (beta = -.02, P = .02) and task environment (beta = .31, P = .03) remained significantly associated with task burden. CONCLUSIONS:A tailored computer-based environment provided an improved task experience for data entry compared to the same tasks completed on paper. Health literacy was inversely related to task burden.

journal_name

J Med Internet Res

journal_title

Journal of medical Internet research

authors

Porter SC,Guo CY,Bacic J,Chan E

doi

10.2196/jmir.1612

subject

Has Abstract

pub_date

2011-01-26 00:00:00

pages

e13

issue

eissn

1439-4456

issn

1438-8871

pii

v13i1e13

journal_volume

pub_type

杂志文章,随机对照试验

在线工具

Health literacy and task environment influence parents' burden for data entry on child-specific health information: randomized controlled trial.