Internet Usage by Low-Literacy Adults Seeking Health Information: An Observational Analysis
2004

Internet Use by Low-Literacy Adults Seeking Health Information

Sample size: 8 publication Evidence: low

Author Information

Author(s): Birru Mehret S, Monaco Valerie M, Lonelyss Charles, Hadiya Drew, Njie Valerie, Bierria Timothy, Detlefsen Ellen, Steinman Richard A

Primary Institution: University of Pittsburgh

Hypothesis

Can low-literacy adults effectively access and evaluate health information on the Internet?

Conclusion

Web health information requires a reading level that prohibits optimal access by some low-literacy adults.

Supporting Evidence

  • Participants accessed health websites written at or above a 10th grade reading level.
  • Seven out of 8 subjects selected sponsored sites over search engine-generated links.
  • Subjects collectively answered only 8 out of 24 questions correctly.

Takeaway

Some adults who struggle with reading have a hard time finding health information online because most websites are too complicated for them.

Methodology

Participants conducted self-directed Internet searches for health topics while verbalizing their thoughts, and their actions were recorded.

Potential Biases

Participants may have overestimated their Internet skills and comfort due to social desirability bias.

Limitations

The small sample size and the exclusion of non-native English speakers limited the generalizability of the findings.

Participant Demographics

Average age was 41.5 years; 5 males and 3 females; 7 identified as African American and 1 as Asian.

Digital Object Identifier (DOI)

10.2196/jmir.6.3.e25

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