TY - JOUR
T1 - Acceptability of a bilingual interactive computerized educational module in a poor, medically underserved patient population
AU - Leeman-Castillo, Bonnie A.
AU - Corbett, Kitty K.
AU - Aagaard, Eva M.
AU - Maselli, Judith H.
AU - Gonzales, Ralph
AU - Mackenzie, Thomas D.
N1 - Funding Information:
This work was supported by the Centers for Disease Control via Epidemiology and Laboratory Capacity for Infectious Diseases Cooperative Agreement Program 95043/97020.
PY - 2007/1
Y1 - 2007/1
N2 - We evaluated the acceptability and impact of an audiovisual, bilingual, interactive computer module relating to appropriate antibiotic use. In winter 2001, adults seeking urgent care for acute respiratory infections at an inner-city urgent care clinic were invited to complete the computer module and survey (N = 296). After responding to questions about their symptoms, patients were provided information about their illness and appropriate antibiotic use, and then asked several questions about the acceptability of the module. The main outcomes, reflecting qualities known to enhance diffusion of innovations, were "learning something new about colds and flu" and trusting the computer information. Spanish-language respondents (16%) were much less likely to report prior computer experience, more likely to need help, and strongly preferred answering to a person compared with English-language respondents. In multivariable analysis, Spanish-language respondents were more likely to report learning something new (OR = 5.0; 95% CI: 2.0, 12.4) and trusting the information (OR = 2.5; 95% CI: 1.0, 6.0). We conclude that an interactive computer module was well received among a medically underserved urgent care clinic population. Benefits appear greatest among populations having the least experience with this medium.
AB - We evaluated the acceptability and impact of an audiovisual, bilingual, interactive computer module relating to appropriate antibiotic use. In winter 2001, adults seeking urgent care for acute respiratory infections at an inner-city urgent care clinic were invited to complete the computer module and survey (N = 296). After responding to questions about their symptoms, patients were provided information about their illness and appropriate antibiotic use, and then asked several questions about the acceptability of the module. The main outcomes, reflecting qualities known to enhance diffusion of innovations, were "learning something new about colds and flu" and trusting the computer information. Spanish-language respondents (16%) were much less likely to report prior computer experience, more likely to need help, and strongly preferred answering to a person compared with English-language respondents. In multivariable analysis, Spanish-language respondents were more likely to report learning something new (OR = 5.0; 95% CI: 2.0, 12.4) and trusting the information (OR = 2.5; 95% CI: 1.0, 6.0). We conclude that an interactive computer module was well received among a medically underserved urgent care clinic population. Benefits appear greatest among populations having the least experience with this medium.
UR - http://www.scopus.com/inward/record.url?scp=33847029129&partnerID=8YFLogxK
U2 - 10.1080/10810730601096630
DO - 10.1080/10810730601096630
M3 - Article
C2 - 17365350
AN - SCOPUS:33847029129
SN - 1081-0730
VL - 12
SP - 77
EP - 94
JO - Journal of Health Communication
JF - Journal of Health Communication
IS - 1
ER -