J Biomed Inform - Using personas to tailor educational messages to the preferences of coronary heart disease patients.

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Resumo

RPOSE: Although tailoring health education messages to individual characteristics of patients has shown promising results, most patient education materials still take a one-size-fits-all approach. The aim of this study was to develop a method for tailoring health education messages to patients' preferences for various message features, using the concept of personas. This is a preliminary study focused on education for coronary heart disease (CHD) patients.METHODS: This study used a three-step approach. First, we created personas by (i) performing k-means cluster analysis on data from an online survey that assessed the preferences of 213 CHD patients for various message features and, (ii) creating a vivid description of the preferences per patient cluster in an iterative process with the research team. Second, we developed adaptation rules to tailor existing educational messages to the resulting personas. Third, we conducted a pilot validation by adapting nine existing educational messages to each of the personas. These messages and the resulting personas were then presented to a separate group of 38 CHD patients who visited the cardiology outpatient clinic. They were first asked to choose their most preferred, second most preferred, and least preferred persona. Subsequently, they were asked to rate three of the adapted messages; one for every of the persona choices.RESULTS: We created five personas that pertained to five patient clusters. Personas varied mainly on preferences for medical or lay language, current or future temporal perspective, and including or excluding explicit health risks. Fifty-five different adaptation rules were developed, primarily describing adaptations to the message's perspective, level of detail, sentence structure, and terminology. Most participants in the validation study could identify with one of the five personas, although some of them found it hard to choose. On average, 68.5% of all participants rated the messages that matched their most preferred persona more positively than, or in the same way as, the messages that matched their least preferred persona.CONCLUSIONS: The persona-based method developed in this study can be used to create a manageable set of patient-centered tailored messages, while additionally using the developed personas to assess patients' preferences.

Resumo Limpo

rpose although tailor health educ messag individu characterist patient shown promis result patient educ materi still take onesizefitsal approach aim studi develop method tailor health educ messag patient prefer various messag featur use concept persona preliminari studi focus educ coronari heart diseas chd patientsmethod studi use threestep approach first creat persona perform kmean cluster analysi data onlin survey assess prefer chd patient various messag featur ii creat vivid descript prefer per patient cluster iter process research team second develop adapt rule tailor exist educ messag result persona third conduct pilot valid adapt nine exist educ messag persona messag result persona present separ group chd patient visit cardiolog outpati clinic first ask choos prefer second prefer least prefer persona subsequ ask rate three adapt messag one everi persona choicesresult creat five persona pertain five patient cluster persona vari main prefer medic lay languag current futur tempor perspect includ exclud explicit health risk fiftyf differ adapt rule develop primarili describ adapt messag perspect level detail sentenc structur terminolog particip valid studi identifi one five persona although found hard choos averag particip rate messag match prefer persona posit way messag match least prefer personaconclus personabas method develop studi can use creat manag set patientcent tailor messag addit use develop persona assess patient prefer

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