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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 Motives for seeking prevention info.— audience segmentation Card Sort How to organize information within a topic Prototype Study: paper and clickable Usability Test 1 Usability Test 2 In-depth Interviews How can intermediaries use healthfinder? Usability Test 3 Usability Test 4 Card Sort How should topics be categorized? Next Step: Repeat portion of Process for Spanish healthfinder.gov: After 7 Lessons Learned from Limited Literacy Web Users 1. 2. 3. 4. 5. 6. 7. 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 Example Users did read this Users didn’t read this 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 Example 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 Example 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 Example Prefer Simple Navigation • Unfamiliar with – and often ignore – common navigational elements like dropdown menus and breadcrumbs • Success with simple tabbed navigation with linear (numbered) pages • Need to be able to use the back button Example Coming Soon: “Health Literacy Online: A Guide to Writing and Designing Easy-to-Use Health Web sites” Thank you! [email protected]