Remote versus In-Person Health Education : Feasibility, Satisfaction, and Health Literacy for Diverse Older Adults

OBJECTIVES: Health education may improve health in geriatric patients. To evaluate differences between remote and in-person education, the DREAMS (Developing a Research Participation Enhancement and Advocacy Training Program for Diverse Seniors) health seminar series compared in-person and remote learning groups to assess feasibility, satisfaction, adherence, health literacy, and cognitive outcomes.

RESEARCH DESIGN: Nonrandomized two-arm interventions occurred remotely or in-person. About 130 diverse, older adults (M age: 70.8 ± 9.2 years; in-person n = 95; remote, n = 35) enrolled. Data from 115 completers (In-person n = 80; Remote n = 35) were analyzed for performance outcomes. Feasibility, adherence, and satisfaction benchmarks were evaluated at baseline, immediately post intervention, and 8 weeks post intervention. Adjusting for baseline performances, outcomes on health literacy and cognitive measures were compared between groups after intervention (at posttest and at 8-week follow-up) using adjusted mean differences (β coefficients).

RESULTS: Eighty in-person and all remote participants completed at least six modules. Both programs had high satisfaction, feasibility, and strong adherence. After adjusting for demographic covariates and baseline values, cognitive and motor cognitive measures between groups were domain specific (e.g., global cognition, executive function, spatial memory, mental tracking capacity, and cognitive integration).

DISCUSSION AND IMPLICATIONS: This work explores feasible measures of knowledge acquisition and its link to health literacy and cognitive outcomes. Identifying effective delivery methods may increase involvement in clinical research. Future studies may encourage remote learning for increased accessibility.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Health education & behavior : the official publication of the Society for Public Health Education - 50(2023), 3 vom: 20. Juni, Seite 369-381

Sprache:

Englisch

Beteiligte Personen:

Shah, Anjali R [VerfasserIn]
Ni, Liang [VerfasserIn]
Bay, Allison A [VerfasserIn]
Hart, Ariel R [VerfasserIn]
Perkins, Molly M [VerfasserIn]
Hackney, Madeleine E [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Cognition
Feasibility
Health education
Health literacy
Journal Article
Research Support, Non-U.S. Gov't
Telehealth

Anmerkungen:

Date Completed 08.05.2023

Date Revised 02.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/10901981221121258

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346409276