본문 바로가기
KERD
논문KCI 등재

노인의 인지적 특성을 고려한 건강메시지 디자인 가이드라인 연구

Health message design guidelines considering cognitive characteristics of Korean elderly

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

초록

Objectives: Cognitive declines that inevitably come with aging make it difficult for elderly to understand health information and take appropriate actions to treat diseases and manage their health. The goal of this research was to improve health literacy of the elderly, especially those with low education, by designing a health message to accommodate changes due to cognitive declines of the elderly. Methods: A 2×2 experiment examined the effect of message types (i.e., original versus new design message) and educational level (low versus high education). Participants who were at least 65 years old and healthy participated in the study. Results: The new message design resulted in higher comprehension score and faster reading time. The effect of the design was greater with low education group. Less problems were reported with respect to the new design as compared to the original design. Conclusions: The results suggest that we can improve the health literacy of the elderly, especially those with low education, by applying design principles that take into account of the cognitive changes that come with aging. More active application of these design principles will help elderly population to better manage and prevent health problems.

Abstract

Objectives: Cognitive declines that inevitably come with aging make it difficult for elderly to understand health information and take appropriate actions to treat diseases and manage their health. The goal of this research was to improve health literacy of the elderly, especially those with low education, by designing a health message to accommodate changes due to cognitive declines of the elderly. Methods: A 2×2 experiment examined the effect of message types (i.e., original versus new design message) and educational level (low versus high education). Participants who were at least 65 years old and healthy participated in the study. Results: The new message design resulted in higher comprehension score and faster reading time. The effect of the design was greater with low education group. Less problems were reported with respect to the new design as compared to the original design. Conclusions: The results suggest that we can improve the health literacy of the elderly, especially those with low education, by applying design principles that take into account of the cognitive changes that come with aging. More active application of these design principles will help elderly population to better manage and prevent health problems.

참고문헌 (42)

  1. 배상수, "대도시 지역주민들의 건강정보 이용경로 관련 요인 분석- 서울특별시 J구를 중심으로 -", 보건교육건강증진학회지, 27(4), pp.91~103 (2010), 한국보건교육건강증진학회
  2. Bergman-Evans, B., "Improving medication management for older adult clients", Journal of Gerontological Nursing, 32(7), pp.6~14 (2006)
  3. Chandler, P., "Cognitive load theory and the format of instruction", Cognition and instruction, 8(4), pp.293~332 (1991)
  4. 조영환, "핵심정보 중심 건강 메시지 디자인을 위한 웹진 내용분석", 한국콘텐츠학회 논문지, 14(2), pp.192~204 (2014), 한국콘텐츠학회[DOI]
  5. Farrell-Miller, P., "Professional Development : How Effective Are Your Patient Education Materials? Guidelines for Developing and Evaluating Written Educational Materials", The Diabetes Educator, 15(5), pp.418~422 (1989)
  6. Galesic, M., "Using icon arrays to communicate medical risks : overcoming low numeracy", Health Psychology, 28(2), pp.210~216 (2009)
  7. Glisky, E. L., "Brain aging: models, methods, and mechanisms", pp.3~20 (2007), CRC Press
  8. Grady, C. L., "Age-related changes in brain activity across the adult lifespan", Journal of cognitive neuroscience, 18(2), pp.227~241 (2006)
  9. Greene, J., "How much do health literacy and patient activation contribute to older adults’ ability to manage their health?" (2005), AARP Public Policy Institute
  10. Gu, M. O., "A review of research on health promoting behaviors of Korean Older Adults", Perspectives in Nursing Science, 3(1), pp.17~34 (2006)
  11. Hartley, J., "Designing instructional text for older readers : A literature review", British journal of educational technology, 25(3), pp.172~188 (1994)
  12. "Medical Statistics Index in 2016" (2017)[URL]
  13. Houts, P. S., "The role of pictures in improving health communication : a review of research on attention, comprehension, recall, and adherence", Patient education and counseling, 61(2), pp.173~190 (2006)
  14. 정정희, "노인의 건강정보이해능력, 건강 관련 위험인식과 건강행위", 지역사회간호학회지, 25(1), pp.65~73 (2014), 한국지역사회간호학회[DOI]
  15. 정혜선, "노화가 학습 능력에 미치는 영향", 한국심리학회지: 인지 및 생물, 16(4), pp.435~450 (2004), 한국인지및생물심리학회
  16. 정혜선, "대학생, 중년, 노인 집단의 이야기에 대한 기억과 해석", 한국심리학회지: 인지 및 생물, 17(4), pp.509~527 (2005), 한국인지및생물심리학회
  17. Kalyuga, S., "Managing split-attention and redundancy in multimedia instruction", Applied cognitive psychology, 13(4), pp.351~371 (1999)
  18. Kessels, R. P., "Patients’ memory for medical information", Journal of the Royal Society of Medicine, 96(5), pp.219~222 (2003)
  19. Kang, Y. W., "The cognitive characteristics of Korean elderly people according to age and education level", The Korean Journal of Developmental Psychology Syposium in 2004, 1(1), pp.7~24 (2004)
  20. 김혜정, "지역사회 노인의 대중매체 건강정보에 대한 관심도 및 이용 행태", Korean Journal of Family Medicine, 30(6), pp.426~439 (2009), 대한가정의학회
  21. 김희정, "노인의 시력 및 청력 저하가 우울 및 인지기능에 미치는 영향: 2008년 고령화연구패널조사", 성인간호학회지, 23(6), pp.584~594 (2011), 한국성인간호학회
  22. 김정은, "건강정보 이해능력 수준과 영향요인에 대한 고찰: 대학병원 외래 방문객을 대상으로", 임상간호연구, 17(1), pp.27~34 (2011), 병원간호사회
  23. Kim, K. H., "Vocabulary for Korean Education" (2003), Parkyijeong
  24. 김유정, "노인 입원환자의 의료기관 인쇄물에 대한 읽기 쉬움 평가와 의료정보 이해능력", 노인간호학회지, 16(1), pp.9~17 (2014), 노인간호학회
  25. Korea Economic Research Institue., "Study on major causes of overseas local finance crisis and local finance in Korea", KERI Insight, 15(47), pp.1~27 (2015)
  26. 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구", 신경정신의학, 41(3) (2002), 대한신경정신의학회
  27. 이인향, "일반의약품 설명서의 이해도와 적정 사용가능성 평가", 약 학 회 지, 56(5), pp.333~345 (2012), 대한약학회
  28. 이종경, "지역사회 고혈압 노인의 약물 자기관리 교육 프로그램의 효과", Journal of Korean Academy of Nursing, 43(2), pp.267~275 (2013), 한국간호과학회
  29. 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
  30. Maynard, A. M., "Preparing readable patient education handouts", Journal for Nurses in Professional Development, 15(1), pp.11~18 (1999)
  31. "Survey of Health Status of the Elderly 2014" (2015)[URL]
  32. Moon, H. S., "Literacy and Neuropsychological Functions in the Older Korean Adults", Journal of Korean Geriatric Psychiatry, 8, pp.113~120 (2004)
  33. 남재우, "건강정보 제시유형이 정보의 인지에 미치는 영향에 관한 연구", 한국비블리아학회지, 24(4), pp.217~238 (2013), 한국비블리아학회[DOI]
  34. Nielsen-Bohlman, L., "Health Literacy: A Prescription to End Confusion" (2004), National Academies Press(US)
  35. 오지혜, "지역사회 노인 고혈압 환자의 건강정보이해능력이 고혈압 자가관리행위에 미치는 영향", 보건교육건강증진학회지, 34(1), pp.35~45 (2017), 한국보건교육건강증진학회
  36. Roth, F. P., "A longitudinal analysis of the connection between oral language and early reading", The Journal of Educational Research, 95(5), pp.259~272 (2002)
  37. 심민선, "핵심정보 중심의 건강증진 및 보건교육 메시지 구성 원리: Fuzzy Trace Theory의 함의", 보건교육건강증진학회지, 30(5), pp.189~199 (2013), 한국보건교육건강증진학회
  38. Sim, K. H., "Tips for creating effective health education materials", The Journal of Korean Diabetes, 12(2), pp.99~103 (2011)
  39. Suh, I. S., "Health knowledge level and health-promoting behavior of the elderly", Korean Journal of Research in Gerontology, 9, pp.51~70 (2000)
  40. Wilhelms, E. A., "Fuzzy trace theory and medical decisions by minors : Differences in reasoning between adolescents and adults", Journal of Medicine and Philosophy, 38(3), pp.268~282 (2013)
  41. 유명순, "건강 메시지의 독이성과 소통 효과", 보건교육건강증진학회지, 29(5), pp.27~36 (2012), 한국보건교육건강증진학회
  42. Vahabi, M., "Improving written patient education materials : A review of the evidence", Health Education Journal, 54(1), pp.99~106 (1995)

관련 논문AI추천

이 간행물의 다른 논문 (8건)