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Health Literacy Online: Writing and Designing Easy-To-Use Health Web sites Sandra Williams Hilfiker, MA Office of Disease Prevention & Health Promotion, HHS. healthfinder.gov: Before. Literature Review. Mental Models Study How do users think about prevention?. In-depth Interviews
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Health Literacy Online: Writing and Designing Easy-To-Use Health Web sitesSandra Williams Hilfiker, MAOffice of Disease Prevention & Health Promotion, HHS
Literature Review Mental Models Study How do users think about prevention? In-depth Interviews Motives for seeking prevention info.— audience segmentation Prototype Study: paper and clickable Usability Test 1 Card Sort How to organize information within a topic Usability Test 3 Card Sort How should topics be categorized? Usability Test 2 Next Step: Repeat portion of Process for Spanish In-depth Interviews How can intermediaries use healthfinder? Usability Test 4
7 Lessons Learned from Limited Literacy Web Users • Willing and Able! • Skipping instead of scanning • Difficulty searching • Narrow field of view • Easily overwhelmed • Limited working memory • Prefer simple navigation
Skipping Instead of Scanning Read every word on the page Skip over entire chunks of dense text < 3 lines of text triggered skipping Numbers, %, big words triggered skipping Start clicking on links instead of reading the content May land in the middle of the page
Users did read this Users didn’t read this Example
Difficulty Searching Avoid searching Prefer to browse topics using an alphabetical or topic list (even if the list is long) Provide multiple ways to browse (by A-Z and by topic) List topics under multiple categories Struggle with spelling when using the search function
Narrow Field of View & Easily Overwhelmed Focus on the center of the screen Content in right hand margin mistaken for ads and/or ignored Rarely scroll Even content written in plain language can look overwhelming
Limited Working Memory Information Overload – takes concentration and effort to read the text on the page Less likely to remember content from previous pages and are rarely looking ahead or back on a page Difficulty making the connection between the results page and the data they entered on the previous screen
Prefer Simple Navigation Unfamiliar with – and often ignore – common navigational elements like drop-down menus and breadcrumbs Success with simple tabbed navigation with linear (numbered) pages Need to be able to use the back button
Coming Soon: “Health Literacy Online: A Guide to Writing and Designing Easy-to-Use Health Web sites” Thank you!sandraw.hilfiker@hhs.gov