Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review

Objectives To map the current use of paper-based and/or screen-based media for health education aimed at older people.Design A scoping review was reported following the Preferred Reporting Items of Systematic Reviews and Meta-analyses for Scoping Reviews checklist.Data sources The search was carried...

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Main Authors: Elizabeth Barley, Lorena Jorge Lorenzi, David Mark Frohlich, Paula Costa Castro, Larissa Taveira Ferraz, Anna Julia Tavares Santos
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/4/e078647.full
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author Elizabeth Barley
Lorena Jorge Lorenzi
David Mark Frohlich
Paula Costa Castro
Larissa Taveira Ferraz
Anna Julia Tavares Santos
author_facet Elizabeth Barley
Lorena Jorge Lorenzi
David Mark Frohlich
Paula Costa Castro
Larissa Taveira Ferraz
Anna Julia Tavares Santos
author_sort Elizabeth Barley
collection DOAJ
description Objectives To map the current use of paper-based and/or screen-based media for health education aimed at older people.Design A scoping review was reported following the Preferred Reporting Items of Systematic Reviews and Meta-analyses for Scoping Reviews checklist.Data sources The search was carried out in seven databases (Scopus, Web of Science, Embase, Medline, CINAHL, ACM Guide to Computing Literature, PsycINFO), with studies available from 2012 to the date of the search in 2022, in English, Portuguese, Italian or Spanish. In addition, Google Scholar was searched to check the grey literature. The terms used in the search strategy were older adults, health education, paper and screen-based media, preferences, intervention and other related terms.Eligibility criteria Studies included were those that carried out health education interventions for older individuals using paper and/or screen-based media and that described barriers and/or facilitators to using these media.Data extraction and synthesis The selection of studies was carried out by two reviewers. A data extraction form was developed with the aim of extracting and recording the main information from the studies. Data were analysed descriptively using Bardin’s content analysis.Results The review included 21 studies that carried out health education interventions with different purposes, the main ones being promotion of physical activity, hypertension prevention and psychological health. All 21 interventions involved screen-based media on computers, tablets, smartphones and laptops, while only 4 involved paper-based media such as booklets, brochures, diaries, flyers and drawings. This appears to reflect a transition from paper to screen-based media for health education for the older population, in research if not in practice. However, analysis of facilitators and barriers to using both media revealed 10 design factors that could improve or reduce their use, and complementarity in their application to each media type. For example, screen-based media could have multimedia content, additional functionality and interactivity through good interaction design, but have low accessibility and require additional learning due to complex interface design. Conversely, paper-based media had static content and low functionality but high accessibility and availability and a low learning cost.Conclusions We recommend having improved screen-based media design, continued use of paper-based media and the possible combination of both media through the new augmented paper technology.Registration number Open Science Framework (DOI: 10.17605/OSF.IO/GKEAH).
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spelling doaj.art-30333d4da29f478eba29ded1523ba2d32024-04-11T03:10:09ZengBMJ Publishing GroupBMJ Open2044-60552024-04-0114410.1136/bmjopen-2023-078647Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping reviewElizabeth Barley0Lorena Jorge Lorenzi1David Mark Frohlich2Paula Costa Castro3Larissa Taveira Ferraz4Anna Julia Tavares Santos51 School of Human and Social Sciences, University of West London, London, UKDepartment of Gerontology, UFSCar, Sao Carlos, BrazilDepartment of Music and Media, University of Surrey, Guildford, UKDepartment of Gerontology, UFSCar, Sao Carlos, BrazilDepartment of Music and Media, University of Surrey, Guildford, UKDepartment of Gerontology, Federal University of São Carlos, São Carlos, BrazilObjectives To map the current use of paper-based and/or screen-based media for health education aimed at older people.Design A scoping review was reported following the Preferred Reporting Items of Systematic Reviews and Meta-analyses for Scoping Reviews checklist.Data sources The search was carried out in seven databases (Scopus, Web of Science, Embase, Medline, CINAHL, ACM Guide to Computing Literature, PsycINFO), with studies available from 2012 to the date of the search in 2022, in English, Portuguese, Italian or Spanish. In addition, Google Scholar was searched to check the grey literature. The terms used in the search strategy were older adults, health education, paper and screen-based media, preferences, intervention and other related terms.Eligibility criteria Studies included were those that carried out health education interventions for older individuals using paper and/or screen-based media and that described barriers and/or facilitators to using these media.Data extraction and synthesis The selection of studies was carried out by two reviewers. A data extraction form was developed with the aim of extracting and recording the main information from the studies. Data were analysed descriptively using Bardin’s content analysis.Results The review included 21 studies that carried out health education interventions with different purposes, the main ones being promotion of physical activity, hypertension prevention and psychological health. All 21 interventions involved screen-based media on computers, tablets, smartphones and laptops, while only 4 involved paper-based media such as booklets, brochures, diaries, flyers and drawings. This appears to reflect a transition from paper to screen-based media for health education for the older population, in research if not in practice. However, analysis of facilitators and barriers to using both media revealed 10 design factors that could improve or reduce their use, and complementarity in their application to each media type. For example, screen-based media could have multimedia content, additional functionality and interactivity through good interaction design, but have low accessibility and require additional learning due to complex interface design. Conversely, paper-based media had static content and low functionality but high accessibility and availability and a low learning cost.Conclusions We recommend having improved screen-based media design, continued use of paper-based media and the possible combination of both media through the new augmented paper technology.Registration number Open Science Framework (DOI: 10.17605/OSF.IO/GKEAH).https://bmjopen.bmj.com/content/14/4/e078647.full
spellingShingle Elizabeth Barley
Lorena Jorge Lorenzi
David Mark Frohlich
Paula Costa Castro
Larissa Taveira Ferraz
Anna Julia Tavares Santos
Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
BMJ Open
title Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
title_full Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
title_fullStr Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
title_full_unstemmed Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
title_short Design considerations for the migration from paper to screen-based media in current health education for older adults: a scoping review
title_sort design considerations for the migration from paper to screen based media in current health education for older adults a scoping review
url https://bmjopen.bmj.com/content/14/4/e078647.full
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