Digital Literacy of Seniors in the Context of the Electronic Health Record

Gellner, Carolin; Perotti, Luis; Koppenburger, Anne; Buchem, Ilona; Dietrich, Michael; Steinert, Anika

doi:10.21125/iceri.2021.0374

Cited by 4 publications

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“…As part of the ePA Coach research project, a learning platform was developed in the form of a website, tailored to the needs of older adults. The general needs and preferences of older adults regarding an empowerment tool for the ePHR were investigated in iterative surveys and evaluations [23,23,24]. The results were implemented according to a target-group-oriented design of the learning platform and thus directly in uenced the development.…”

Section: The Epa Coach Learning Platformmentioning

confidence: 99%

“…The purpose of the explorative study presented here is to survey the experiences of older adults when using a functional, high-delity prototype of the learning platform, ePA Coach. The learning platform was developed using an iterative and participatory research process, taking into account the speci c needs of the target population of adults over 65 years of age [23][24][25]. In this study, the usability of the e-learning platform will be evaluated, and the user experience of older users will be investigated.…”

Section: Introductionmentioning

confidence: 99%

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The Usability and User Experience of an Interactive E-Learning Platform to Empower Older Adults When Using Electronic Personal Health Records: An Online Intervention Study

Perotti,

Stamm,

Dietrich

et al. 2024

Preprint

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Purpose: Since the introduction of the electronic Personal Health Record (ePHR) in Germany in 2021, usage rates among those with statutory health insurance have remained below one percent. The patient-administered conception of the ePHR presents access barriers, particularly for older adults. This study aimed to evaluate an e-learning platform as an empowerment tool for ePHR usage, tailored toward older adults. Methods: In this explorative study, a micro-learning-based prototype platform for effective utilization of the ePHR was evaluated through both an online (n = 53) and a face-to-face (n = 6) intervention. The usability of the e-learning platform was measured using the System Usability Scale (SUS) and user experience with the User Experience Questionnaire (UEQ). Results: The mean rating in the SUS was 67.9 in the online group and 70.4 in the face-to-face group. The results of the UEQ in the online group, based solely on the subscale perspicuity, were above average compared to the benchmark. There was a strong positive correlation between usability and the perception of how learning content was presented in the online group (p = <.001, r(40) = .72). An investigation of the face-to-face group helped identify key usability challenges. Conclusion: The results of our study suggest that aspects of the target group-oriented design of the learning platform, in particular, still need to be improved. The insights gleaned from this study will contribute to the ongoing development of the learning platform in subsequent phases. Future studies will investigate the platform’s effectiveness in empowering older adults.

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Section: The Epa Coach Learning Platformmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Usability and User Experience of an Interactive E-Learning Platform to Empower Older Adults When Using Electronic Personal Health Records: An Online Intervention Study

Perotti,

Stamm,

Dietrich

et al. 2024

Preprint

Self Cite

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“…The ePA Coach learning platform Within the research project, "ePA Coach", we developed a high-delity prototype of a learning platform as an empowerment tool for self-su cient ePHR usage (37). Since the platform was targeted toward OA, a participatory research approach was employed to investigate the general needs and preferences of OA regarding an empowerment tool through iterative surveys and tests (38,39).…”

Section: Study Proceduresmentioning

confidence: 99%

“…Each level addressed a different didactic concept (41). The content classi cation was based on complexity, as well as on the cognitive dimensions to be addressed (37). The learning units within the ePA Coach platform were presented in a multimedia format, offering both video and text content.…”

Section: Study Proceduresmentioning

confidence: 99%

Evaluation of an E-learning Platform Promoting Electronic Personal Health Record Competence: A Pilot Study in Older Adults

Perotti,

Stamm,

Ferizaj

et al. 2024

Preprint

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Background Electronic personal health records (ePHRs) are an important component in the increasing digitalization of healthcare. Access barriers can arise, especially for older adults, with limited experience in using digital systems. The aim of the study was to evaluate the effects of using an interactive microlearning-based e-learning platform on older adults’ competencies in dealing with the ePHR. Methods To examine the effects of e-learning platform use on competencies, a pilot study was conducted with two study arms. One arm consisted of young-old adults (YOA) aged 50 to 64 years and the other of older adults (OA) aged 65 years and over. Both groups used the learning platform for one week. Participants’ ePHR knowledge (12-item questionnaire) and usage skills (completion time for three ePHR tasks) were measured pre- and post-intervention. The intention to use (ITU) the ePHR was surveyed using a Technology Usage Inventory subscale. The usability of the platform was assessed using the System Usability Scale. Results In terms of knowledge, the OA increased the median value from 7.00 to 9.00 (p = .019, r = .63) and the YOA increased the median value from 7.00 to 10.00 (p = .001, r = .86). In relation to skills, the OA decreased the median value from 746.50 to 539.00 seconds (p = .002, r = .82) and the YOA decreased the median value from 487.00 to 351.00 seconds (p = .012, r = .67). No significant difference was present between the groups in terms of knowledge (p = .125) and skill acquisition (p = .144). The median ITU score decreased from 282.00 to 262.00 (p = .038, r = .39) across the entire study population and remained unchanged within the groups. The usability received a mean score of 64.04 for all study participants. Conclusion OA and YOA benefited from the use of the learning platform by increasing their ePHR competence (knowledge and skill) with a consistently high ITU the ePHR. The pilot study provided insights into the feasibility of using e-learning to promote ePHR competence. However, the usability of the learning platform should be improved for large-scale studies in the future. Trial registration German Clinical Trials Register (registration number: DRKS00031730), registered on 20/04/2023 - prospectively registered.

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The usability and user experience of an interactive e-learning platform to empower older adults when using electronic personal health records: an online intervention study

Perotti,

Stamm,

Dietrich

et al. 2024

Univ Access Inf Soc

View full text Add to dashboard Cite

Since the introduction of the electronic Personal Health Record (ePHR) in Germany in 2021, usage rates among those with statutory health insurance have remained below 1%. The patient-administered conception of the ePHR presents access barriers, particularly for older adults. This study aimed to evaluate an e-learning platform as an empowerment tool for ePHR usage, tailored toward older adults. In this explorative study, a micro-learning-based prototype platform for effective utilization of the ePHR was evaluated through both an online (n = 53) and a face-to-face (n = 6) intervention. The usability of the e-learning platform was measured using the System Usability Scale (SUS) and user experience with the User Experience Questionnaire (UEQ). The mean rating in the SUS was 67.9 in the online group and 70.4 in the face-to-face group. For participants of the online group, only the perspicuity subscale of the UEQ was rated above average compared to the benchmark. There was a strong positive correlation between usability and the perception of how learning content was presented, as measured by the eHealth Impact Questionnaire, in the online group (p = < 0.001, r(40) = 0.72). An investigation of the face-to-face group helped identify key usability challenges. The results of our study suggest that aspects of the target group-oriented design of the learning platform, in particular, still need to be improved. The insights gleaned from this study will contribute to the ongoing development of the learning platform in subsequent phases. Future studies will investigate the platform’s effectiveness in empowering older adults.Trial Registration The study was registered in the German Clinical Trials Register (registration number: DRKS00029700) and received approval from the Ethics Committee of the Charité - Universitätsmedizin Berlin (application number: EA1/081/22).

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Digital Literacy of Seniors in the Context of the Electronic Health Record

Cited by 4 publications

References 0 publications

The Usability and User Experience of an Interactive E-Learning Platform to Empower Older Adults When Using Electronic Personal Health Records: An Online Intervention Study

The Usability and User Experience of an Interactive E-Learning Platform to Empower Older Adults When Using Electronic Personal Health Records: An Online Intervention Study

Evaluation of an E-learning Platform Promoting Electronic Personal Health Record Competence: A Pilot Study in Older Adults

The usability and user experience of an interactive e-learning platform to empower older adults when using electronic personal health records: an online intervention study

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