J. Med. Internet Res. - Health literacy and task environment influence parents' burden for data entry on child-specific health information: randomized controlled trial.

Tópicos

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Resumo

CKGROUND: Health care systems increasingly rely on patients' data entry efforts to organize and assist in care delivery through health information exchange.OBJECTIVES: We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2) the impact, if any, of parents' health literacy on the task burden.METHODS: We completed a randomized controlled trial of parent-completed data entry tasks. Parents of children with attention deficit hyperactivity disorder (ADHD) were randomized based on the Test of Functional Health Literacy in Adults (TOFHLA) to either a paper-based or computer-based environment for entry of health information on their children. The primary outcome was the National Aeronautics and Space Administration Task Load Index (TLX) total weighted score.RESULTS: We screened 271 parents: 194 (71.6%) were eligible, and 180 of these (92.8%) constituted the study cohort. We analyzed 90 participants from each arm. Parents who completed information tasks on paper reported a higher task burden than those who worked in the computer environment: mean (SD) TLX scores were 22.8 (20.6) for paper and 16.3 (16.1) for computer. Assignment to the paper environment conferred a significant risk of higher task burden (F(1,178) = 4.05, P = .046). Adequate literacy was associated with lower task burden (decrease in burden score of 1.15 SD, P = .003). After adjusting for relevant child and parent factors, parents' TOFHLA score (beta = -.02, P = .02) and task environment (beta = .31, P = .03) remained significantly associated with task burden.CONCLUSIONS: A tailored computer-based environment provided an improved task experience for data entry compared to the same tasks completed on paper. Health literacy was inversely related to task burden.

Resumo Limpo

ckground health care system increas reli patient data entri effort organ assist care deliveri health inform exchangeobject sought determin variat burden impos parent data entri effort across paperbas computerbas environ impact parent health literaci task burdenmethod complet random control trial parentcomplet data entri task parent children attent deficit hyperact disord adhd random base test function health literaci adult tofhla either paperbas computerbas environ entri health inform children primari outcom nation aeronaut space administr task load index tlx total weight scoreresult screen parent elig constitut studi cohort analyz particip arm parent complet inform task paper report higher task burden work comput environ mean sd tlx score paper comput assign paper environ confer signific risk higher task burden f p adequ literaci associ lower task burden decreas burden score sd p adjust relev child parent factor parent tofhla score beta p task environ beta p remain signific associ task burdenconclus tailor computerbas environ provid improv task experi data entri compar task complet paper health literaci invers relat task burden

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