Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool

Objective: The Sydney Health Literacy Lab (SHeLL) Editor is an online text-editing tool that provides real-time assessment and feedback on written health information (assesses grade reading score, complex language, passive voice). This study aimed to explore how the design could be further enhanced...

Full description

Bibliographic Details
Main Authors: Julie Ayre, Danielle M. Muscat, Olivia Mac, Carissa Bonner, Adam G. Dunn, Jason Dalmazzo, Dana Mouwad, Kirsten McCaffery
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:PEC Innovation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772628223000420
_version_ 1827919952524345344
author Julie Ayre
Danielle M. Muscat
Olivia Mac
Carissa Bonner
Adam G. Dunn
Jason Dalmazzo
Dana Mouwad
Kirsten McCaffery
author_facet Julie Ayre
Danielle M. Muscat
Olivia Mac
Carissa Bonner
Adam G. Dunn
Jason Dalmazzo
Dana Mouwad
Kirsten McCaffery
author_sort Julie Ayre
collection DOAJ
description Objective: The Sydney Health Literacy Lab (SHeLL) Editor is an online text-editing tool that provides real-time assessment and feedback on written health information (assesses grade reading score, complex language, passive voice). This study aimed to explore how the design could be further enhanced to help health information providers interpret and act on automated feedback. Methods: The prototype was iteratively refined across four rounds of user-testing with health services staff (N = 20). Participants took part in online interviews and a brief follow-up survey using validated usability scales (System Usability Scale, Technology Acceptance Model). After each round, Yardley's (2021) optimisation criteria guided which changes would be implemented. Results: Participants rated the Editor as having adequate usability (M = 82.8 out of 100, SD = 13.5). Most modifications sought to reduce information overload (e.g. simplifying instructions for new users) or make feedback motivating and actionable (e.g. using frequent incremental feedback to highlight changes to the text altered assessment scores). Conclusion: terative user-testing was critical to balancing academic values and the practical needs of the Editor's target users. The final version emphasises actionable real-time feedback and not just assessment. Innovation: The Editor is a new tool that will help health information providers apply health literacy principles to written text.
first_indexed 2024-03-13T04:05:51Z
format Article
id doaj.art-f9f0783797a44a87b236d4b414011e41
institution Directory Open Access Journal
issn 2772-6282
language English
last_indexed 2024-03-13T04:05:51Z
publishDate 2023-12-01
publisher Elsevier
record_format Article
series PEC Innovation
spelling doaj.art-f9f0783797a44a87b236d4b414011e412023-06-21T07:01:48ZengElsevierPEC Innovation2772-62822023-12-012100162Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing toolJulie Ayre0Danielle M. Muscat1Olivia Mac2Carissa Bonner3Adam G. Dunn4Jason Dalmazzo5Dana Mouwad6Kirsten McCaffery7Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia; Corresponding author at: Rm 128C Edward Ford Building, The University of Sydney, NSW, Australia.Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, AustraliaSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, AustraliaSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia; Menzies Centre for Health Policy and Economics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaDiscipline of Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, AustraliaDiscipline of Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, AustraliaWestern Sydney Local Health District, Health Literacy Hub, Westmead, NSW, AustraliaSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, AustraliaObjective: The Sydney Health Literacy Lab (SHeLL) Editor is an online text-editing tool that provides real-time assessment and feedback on written health information (assesses grade reading score, complex language, passive voice). This study aimed to explore how the design could be further enhanced to help health information providers interpret and act on automated feedback. Methods: The prototype was iteratively refined across four rounds of user-testing with health services staff (N = 20). Participants took part in online interviews and a brief follow-up survey using validated usability scales (System Usability Scale, Technology Acceptance Model). After each round, Yardley's (2021) optimisation criteria guided which changes would be implemented. Results: Participants rated the Editor as having adequate usability (M = 82.8 out of 100, SD = 13.5). Most modifications sought to reduce information overload (e.g. simplifying instructions for new users) or make feedback motivating and actionable (e.g. using frequent incremental feedback to highlight changes to the text altered assessment scores). Conclusion: terative user-testing was critical to balancing academic values and the practical needs of the Editor's target users. The final version emphasises actionable real-time feedback and not just assessment. Innovation: The Editor is a new tool that will help health information providers apply health literacy principles to written text.http://www.sciencedirect.com/science/article/pii/S2772628223000420Health LiteracyHealth communicationHealth informationTool evaluationUser testingReadability
spellingShingle Julie Ayre
Danielle M. Muscat
Olivia Mac
Carissa Bonner
Adam G. Dunn
Jason Dalmazzo
Dana Mouwad
Kirsten McCaffery
Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
PEC Innovation
Health Literacy
Health communication
Health information
Tool evaluation
User testing
Readability
title Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
title_full Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
title_fullStr Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
title_full_unstemmed Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
title_short Helping patient educators meet health literacy needs: End-user testing and iterative development of an innovative health literacy editing tool
title_sort helping patient educators meet health literacy needs end user testing and iterative development of an innovative health literacy editing tool
topic Health Literacy
Health communication
Health information
Tool evaluation
User testing
Readability
url http://www.sciencedirect.com/science/article/pii/S2772628223000420
work_keys_str_mv AT julieayre helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT daniellemmuscat helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT oliviamac helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT carissabonner helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT adamgdunn helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT jasondalmazzo helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT danamouwad helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool
AT kirstenmccaffery helpingpatienteducatorsmeethealthliteracyneedsendusertestinganditerativedevelopmentofaninnovativehealthliteracyeditingtool