Skip to main content
Top
Published in: BMC Geriatrics 1/2021

Open Access 01-12-2021 | Research

Knowledge translation strategies for sharing evidence-based health information with older adults and their caregivers: findings from a persona-scenario method

Authors: Cynthia Lokker, Stephen J. Gentles, Rebecca Ganann, Rita Jezrawi, Irtaza Tahir, Opeyemi Okelana, Claudia Yousif, Alfonso Iorio, Ruta Valaitis

Published in: BMC Geriatrics | Issue 1/2021

Login to get access

Abstract

Background

By understanding the information seeking behaviors of older adults, we can better develop or iterate effective information technologies, such as the McMaster Optimal Aging Portal, that provide evidence-based health information to the public. This paper reports health-related information seeking and searching behaviours and provides strategies for effective knowledge translation (KT) to increase awareness and use of reliable health information.

Methods

We conducted a qualitative study with eighteen older adults using the persona-scenario method, whereby participants created personas and scenarios describing older adults seeking health information. Scenarios were analyzed using a two-phase inductive qualitative approach, with the personas as context. From the findings related to pathways of engaging with health information, we identified targeted KT strategies to raise awareness and uptake of evidence-based information resources.

Results

Twelve women and six men, 60 to 81 years of age, participated. In pairs, they created twelve personas that captured rural and urban, male and female, and immigrant perspectives. Some scenarios described older adults who did not engage directly with technology, but rather accessed information indirectly through other sources or preferred nondigital modes of delivery. Two major themes regarding KT considerations were identified: connecting to information via other people and personal venues (people included healthcare professionals, librarians, and personal networks; personal venues included clinics, libraries, pharmacies, and community gatherings); and health information delivery formats, (e.g., printed and multimedia formats for web-based resources). For each theme, and any identified subthemes, corresponding sets of suggested KT strategies are presented.

Conclusions

Our findings underline the importance of people, venues, and formats in the actions of older adults seeking trusted health information and highlight the need for enhanced KT strategies to share information across personal and professional networks of older adults. KT strategies that could be employed by organizations or communities sharing evidence-based, reliable health information include combinations of educational outreach and materials, decision support tools, small group sessions, publicity campaigns, champions/opinion leaders, and conferences.
Appendix
Available only for authorised users
Literature
2.
go back to reference Lee K, Hoti K, Hughes JD, Emmerton LM. Consumer Use of “Dr Google”: A Survey on Health Information-Seeking Behaviors and Navigational Needs. J Med Internet Res. 2015;17(12):e288. Lee K, Hoti K, Hughes JD, Emmerton LM. Consumer Use of “Dr Google”: A Survey on Health Information-Seeking Behaviors and Navigational Needs. J Med Internet Res. 2015;17(12):e288.
3.
go back to reference Hardt JH, Hollis-Sawyer L. Older adults seeking healthcare information on the Internet. Educ Gerontol. 2007;33:561–72.CrossRef Hardt JH, Hollis-Sawyer L. Older adults seeking healthcare information on the Internet. Educ Gerontol. 2007;33:561–72.CrossRef
9.
go back to reference Marston HR, Genoe R, Freeman S, Kulczycki C, Musselwhite C. Older Adults’ Perceptions of ICT: Main Findings from the Technology In Later Life (TILL) Study. Healthcare. 2019;7(3):86. Marston HR, Genoe R, Freeman S, Kulczycki C, Musselwhite C. Older Adults’ Perceptions of ICT: Main Findings from the Technology In Later Life (TILL) Study. Healthcare. 2019;7(3):86.
11.
go back to reference Sharit J, Hernández MA, Czaja SJ, Pirolli P. Investigating the Roles of Knowledge and Cognitive Abilities in Older Adult Information Seeking on the Web. ACM Trans Comput Interact. 2008;15(1):3. Sharit J, Hernández MA, Czaja SJ, Pirolli P. Investigating the Roles of Knowledge and Cognitive Abilities in Older Adult Information Seeking on the Web. ACM Trans Comput Interact. 2008;15(1):3.
12.
go back to reference Schreurs K, Quan-Haase A, Martin K. Problematizing the Digital Literacy Paradox in the Context of Older Adults’ ICT Use: Aging, Media Discourse, and Self-Determination. Can J Commun. 2017;42(2):359–77. Schreurs K, Quan-Haase A, Martin K. Problematizing the Digital Literacy Paradox in the Context of Older Adults’ ICT Use: Aging, Media Discourse, and Self-Determination. Can J Commun. 2017;42(2):359–77.
24.
go back to reference Langley J, Wolstenholme D, Cooke J. ‘Collective making’ as knowledge mobilisation: the contribution of participatory design in the co-creation of knowledge in healthcare. BMC Health Serv Res. 2018;18(1):585. Langley J, Wolstenholme D, Cooke J. ‘Collective making’ as knowledge mobilisation: the contribution of participatory design in the co-creation of knowledge in healthcare. BMC Health Serv Res. 2018;18(1):585.
26.
go back to reference Giroux D, Tremblay M, Latulippe K, Provencher V, Poulin V, Giguere A, et al. Promoting Identification and Use of Aid Resources by Caregivers of Seniors: Co-Design of an Electronic Health Tool. JMIR Aging. 2019;2(2):e12314–14. Available from: https://aging.jmir.org/2019/2/e12314/ Giroux D, Tremblay M, Latulippe K, Provencher V, Poulin V, Giguere A, et al. Promoting Identification and Use of Aid Resources by Caregivers of Seniors: Co-Design of an Electronic Health Tool. JMIR Aging. 2019;2(2):e12314–14. Available from: https://​aging.​jmir.​org/​2019/​2/​e12314/​
28.
go back to reference Madsen S, Nielseen L. Exploring persona-scenarios using storytelling to create design ideas. In: Human work intreaction deesign: Usability in social, cultural and organizationsal contexts. Berlin: Springeer; 2010. 57–66.CrossRef Madsen S, Nielseen L. Exploring persona-scenarios using storytelling to create design ideas. In: Human work intreaction deesign: Usability in social, cultural and organizationsal contexts. Berlin: Springeer; 2010. 57–66.CrossRef
30.
go back to reference Valaitis R, Longaphy J, Ploeg J, Agarwal G, Oliver D, Nair K, et al. Health TAPESTRY: co-designing interprofessional primary care programs for older adults using the persona-scenario method. BMC Fam Pract. 2019;20(1):122.CrossRef Valaitis R, Longaphy J, Ploeg J, Agarwal G, Oliver D, Nair K, et al. Health TAPESTRY: co-designing interprofessional primary care programs for older adults using the persona-scenario method. BMC Fam Pract. 2019;20(1):122.CrossRef
32.
go back to reference Bhattacharyya O, Mossman K, Gustafsson L, Schneider EC. Using Human-Centered Design to Build a Digital Health Advisor for Patients With Complex Needs: Persona and Prototype Development. J Med Internet Res. 2019;21(5):e10318. Available from: https://www.jmir.org/2019/5/e10318/ Bhattacharyya O, Mossman K, Gustafsson L, Schneider EC. Using Human-Centered Design to Build a Digital Health Advisor for Patients With Complex Needs: Persona and Prototype Development. J Med Internet Res. 2019;21(5):e10318. Available from: https://​www.​jmir.​org/​2019/​5/​e10318/​
35.
go back to reference Yamada J, Shorkey A, Barwick M, Widger K, Stevens BJ. The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review. BMJ Open. 2015;5(4):e006808. Yamada J, Shorkey A, Barwick M, Widger K, Stevens BJ. The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review. BMJ Open. 2015;5(4):e006808.
36.
go back to reference LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC Public Health. 2012;12(1):751. LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC Public Health. 2012;12(1):751.
37.
go back to reference Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O’Mara L, et al. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implement Sci. 2009;4(1):23. Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O’Mara L, et al. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implement Sci. 2009;4(1):23.
38.
go back to reference O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, Forsetlund L, Bainbridge D, Freemantle N, Davis DA, Haynes RB, Harvey EL. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007;2007(4):CD000409. O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, Forsetlund L, Bainbridge D, Freemantle N, Davis DA, Haynes RB, Harvey EL. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007;2007(4):CD000409.
39.
go back to reference Straus SE, Tetroe J, Graham ID, editors. Knowledge Translation in Health Care. Chichester: Wiley; 2013. Straus SE, Tetroe J, Graham ID, editors. Knowledge Translation in Health Care. Chichester: Wiley; 2013.
41.
go back to reference Ward V, House A, Hamer S. Knowledge brokering: the missing link in the evidence to action chain? Evid Policy A J Res Debate Pract. 2009;5(3):267–79. Ward V, House A, Hamer S. Knowledge brokering: the missing link in the evidence to action chain? Evid Policy A J Res Debate Pract. 2009;5(3):267–79.
42.
go back to reference Canadian Health Services Research Foundation. The theory and practice of knowledge brokering in Canada’s health system. 2003;1–23. Canadian Health Services Research Foundation. The theory and practice of knowledge brokering in Canada’s health system. 2003;1–23.
43.
go back to reference Thompson GN, Estabrooks CA, Degner LF. Clarifying the concepts in knowledge transfer: a literature review. J Adv Nurs. 2006;53(6):691–701. Thompson GN, Estabrooks CA, Degner LF. Clarifying the concepts in knowledge transfer: a literature review. J Adv Nurs. 2006;53(6):691–701.
44.
go back to reference Scharff DP, Rabin BA, Cook RA, Wray RJ, Brownson RC. Bridging Research and Practice Through Competency-Based Public Health Education. J Public Heal Manag Pract. 2008;14(2):131–7. Scharff DP, Rabin BA, Cook RA, Wray RJ, Brownson RC. Bridging Research and Practice Through Competency-Based Public Health Education. J Public Heal Manag Pract. 2008;14(2):131–7.
45.
go back to reference Mallidou AA, Atherton P, Chan L, Frisch N, Glegg S, Scarrow G. Core knowledge translation competencies: a scoping review. BMC Health Serv Res. 2018;18(1):502. Mallidou AA, Atherton P, Chan L, Frisch N, Glegg S, Scarrow G. Core knowledge translation competencies: a scoping review. BMC Health Serv Res. 2018;18(1):502.
46.
go back to reference Conklin J, Lusk E, Harris M, Stolee P. Knowledge brokers in a knowledge network: the case of Seniors Health Research Transfer Network knowledge brokers. Implement Sci. 2013;8(1):7. Conklin J, Lusk E, Harris M, Stolee P. Knowledge brokers in a knowledge network: the case of Seniors Health Research Transfer Network knowledge brokers. Implement Sci. 2013;8(1):7.
47.
go back to reference Cutrona SL, Mazor KM, Vieux SN, Luger TM, Volkman JE, Finney Rutten LJ. Health Information-Seeking on Behalf of Others: Characteristics of “Surrogate Seekers.” J Cancer Educ. 2015;30(1):12–19. Cutrona SL, Mazor KM, Vieux SN, Luger TM, Volkman JE, Finney Rutten LJ. Health Information-Seeking on Behalf of Others: Characteristics of “Surrogate Seekers.” J Cancer Educ. 2015;30(1):12–19.
48.
go back to reference Barbara AM, Dobbins M, Brian Haynes R, Iorio A, Lavis JN, Raina P, et al. McMaster Optimal Aging Portal: an evidence-based database for geriatrics-focused health professionals. BMC Res Notes. 2017;10(1):271. Barbara AM, Dobbins M, Brian Haynes R, Iorio A, Lavis JN, Raina P, et al. McMaster Optimal Aging Portal: an evidence-based database for geriatrics-focused health professionals. BMC Res Notes. 2017;10(1):271.
49.
go back to reference Neil-Sztramko SE, Farran R, Watson S, Levinson AJ, Lavis JN, Iorio A, et al. If You Build It, Who Will Come? A Description of User Characteristics and Experiences With the McMaster Optimal Aging Portal. Gerontol Geriatr Med [Internet]. 2017;3:2333721417737681. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29152540 Neil-Sztramko SE, Farran R, Watson S, Levinson AJ, Lavis JN, Iorio A, et al. If You Build It, Who Will Come? A Description of User Characteristics and Experiences With the McMaster Optimal Aging Portal. Gerontol Geriatr Med [Internet]. 2017;3:2333721417737681. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​29152540
50.
go back to reference Brown T. Change by Design: How Design Thinking Transforms Organizations and Inspires Innovation. 2009. Brown T. Change by Design: How Design Thinking Transforms Organizations and Inspires Innovation. 2009.
51.
go back to reference Dobbins M, Traynor RL, Workentine S, Yousefi-Nooraie R, Yost J. Impact of an organization-wide knowledge translation strategy to support evidence-informed public health decision making. BMC Public Health. 2018;18(1):1412. Dobbins M, Traynor RL, Workentine S, Yousefi-Nooraie R, Yost J. Impact of an organization-wide knowledge translation strategy to support evidence-informed public health decision making. BMC Public Health. 2018;18(1):1412.
52.
go back to reference Boddy CR. Sample size for qualitative research. Qual Mark Res An Int J. 2016;19(4):426–32. Boddy CR. Sample size for qualitative research. Qual Mark Res An Int J. 2016;19(4):426–32.
Metadata
Title
Knowledge translation strategies for sharing evidence-based health information with older adults and their caregivers: findings from a persona-scenario method
Authors
Cynthia Lokker
Stephen J. Gentles
Rebecca Ganann
Rita Jezrawi
Irtaza Tahir
Opeyemi Okelana
Claudia Yousif
Alfonso Iorio
Ruta Valaitis
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2021
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-021-02588-x

Other articles of this Issue 1/2021

BMC Geriatrics 1/2021 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.