Addressing health literacy and cultural teaching issues in Australian Indigenous and non-Indigenous heart failure patients using Avatars: technology development and pilot testing

Robyn A Clark, Bronwyn Fredericks, Michael Adams, John Atherton, Jill Howie-Esquivel, Kathleen Dracup, Natahlia Buitendyk

Research output: Contribution to journalMeeting Abstract

Abstract

No IT supported heart failure (HF) self-care intervention has been developed specifically for the Australian Indigenous population. Around the world more self-care teaching and learning resources are needed that are both culturally appropriate and/or tailored for patients with low health literacy skills. We have been developing and testing mobile teaching apps using avatars to begin to address these issues.
Methods

For IT development of both Indigenous and Non-indigenous versions of the app, action research cycles that involved redevelopment based on feedback from a heart failure expert panel and heart failure patients (consumer feedback) were conducted. Pre-test/post-test design was used to assess changes in HF knowledge (HF Knowledge Questionnaire) and self-care behaviours (SCHFI). Satisfaction with learning via the Avatar apps was also evaluated.
Results

Non-Indigenous participants (n=18) patients’ knowledge improved using the app (mean pre-test score 14.00±3.08 vs. post-test score 15.40±0.89). Self-care behaviours improved in all domains. 75.64% of the HF patients were satisfied with receiving education via the web-based application. In the group of 10 Australian Indigenous participants (mean age 61.6 years, with NYHA Class III and IV) HF improved knowledge by 13%, self-care by 3.26% ±18.36 and confidence by 24.29% ±20.73 p=0.05. Participants expressed a high level of satisfaction with the resources (85.1%) and intended to weigh themselves daily following education.
Conclusion

Our extensive pilot studies have guided the design of 2 large intervention studies in Indigenous and Non-indigenous Australian Heart Failure patients and two further studies progressing in Maori and Hispanic populations
Original languageEnglish
Article number293
Pages (from-to)S115-S115
Number of pages1
JournalJOURNAL OF CARDIAC FAILURE
Volume20
Issue number8
DOIs
Publication statusPublished - Aug 2014
EventAustralia Cardiac Rehabilitation Association (ACRA) 24th Annual Scientific Meeting -
Duration: 21 Aug 2014 → …

Keywords

  • heart failure
  • Indigenous Australians
  • technology

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