A community engagement program to improve awareness for credible online health information

Authors

DOI:

https://doi.org/10.5195/jmla.2024.1899

Keywords:

Health literacy, managed care organization, public-private partnership, Medicaid, dually eligible for Medicare and Medicaid, public libraries, program development, MedlinePlus, nutrition program

Abstract

Background: The volume of online health information available makes it difficult to navigate and check its validity and reliability. A community-based MedlinePlus training program was developed to improve participants’ ability to access credible online health information.

Case Presentation: The program was a public-private partnership between a managed care organization and four local public libraries. A total of eight programs were held between October and November 2017. Each program had a 30-minute cooking demonstration followed by a 30-minute training on access to and navigation of the MedlinePlus website. Program participants were Medicaid beneficiaries, dually eligible for Medicare and Medicaid beneficiaries, and community members from a Pennsylvania county (n=39). A pre-and post-training questionnaire was administered to assess participants’ knowledge and practice, and their ability to access health information on the MedlinePlus website. We conducted a retrospective analysis of the data collected during the MedlinePlus trainings. Results from the Wilcoxon Signed Rank test indicated no statistically significant change in participants’ ability to access information (Z= -1.41, p=0.16) after attending the program.

Conclusion: Although the median pre-to post-program responses improved from ‘incorrect’ to ‘correct,’ the number of programs held, and low attendance might be the reason for non-significant results. Participants reported that the program was informative, the website was comprehensive and user friendly, and they were impressed by the healthy and inexpensive meal preparation from discount store-bought food. Holding MedlinePlus training programs in conjunction with a cooking program and collaborating with local public libraries might be a promising format that needs additional research.

Author Biographies

Shamly Austin, Highmark Wholecare

Research, Development & Analytics, Highmark Wholecare, Pittsburgh, PA

Emily Hughes, Highmark Wholecare

Research, Development & Analytics, Highmark Wholecare, Pittsburgh, PA

Haiyan Qu, University of Alabama at Birmingham

Department of Health Services Administration, University of Alabama at Birmingham, AL

References

Swire-Thompson B, Lazer D. Public health and online misinformation: Challenges and recommendations. Annu Rev Public Health. 2020;41(1):433-451.

Fox S, Duggan M. Health online 2013 [Internet]. Pew Research Center;2013 [cited 19 Oct 2023]. https://www.pewresearch.org/internet/2013/01/15/health-online-2013/.

Sorbero ME, Kranz AM, Bouskill KE, et al. Addressing social determinants of health needs of dually enrolled beneficiaries in medicare advantage plans: Findings from intervews and case studies. Santa Monica, CA. RAND Corporation; 2018. https://www.rand.org/pubs/research_reports/RR2634.html.

McQueen A, Li L, Herrick CJ, et al. Social needs, chronic conditions, and health care utilization among Medicaid beneficiaries. Popul Health Manag. 2021;24(6):681-690.

Majerol M, Wil C. Medicaid and digital health: Findings from the Deloitte 2018 Survey of US Health Care Consumers 2018 [Internet].Deloitte Insights; 2018 [cited 30 March 2024]. https://www2.deloitte.com/content/dam/insights/us/articles/4673_Medicaid-and-digital-health/DI_Medicaid-and-digital-health.pdf

Medicare Current Beneficiary Survey. 2022 MCBS early PUF on internet access and use among Medicare beneficiaries[Internet]. Centers for Medicare and Medicaid Services;2023 [cited 25 March 2024]. https://www.cms.gov/data-research/research/medicare-current-beneficiary-survey/data-tables/2022-mcbs-early-puf-internet-access-and-use-among-medicare-beneficiaries#:~:text=In%202022%2C%2089%20percent%20of,and%2073%20percent%2C%20respectively

Eke R, Jannat KT, Yang XT, Parton JM. Disparity and factors associated with internet health information seeking among US adults living with diabetes mellitus: Cross-sectional study. J Med Internet Res.2022;24(5):e32723

Chou S W-Y , Oh A, Klein WMP. Addressing health-related misinformation on social media. JAMA. 2018;320(23):2417-2418.

National Library of Medicine. Welcome to MedlinePlus [Internet]. National Library of Medicine;2023 [cited 19 Oct 2023]. https://medlineplus.gov/.

Warner DG, Olney CA, Wood FB, Hansen L, Bouden VM. High school peer tutors teach MedlinePlus: A model for Hispanic outreach. J Med Libr Assoc. 2005;93(2):243-252.

Sanders M, Bringley K, Thomas M, Boyd M, Farah S, Fiscella K. Promoting MedlinePlus utilization in a federally qualified health center using a multimodal approach. J Med Libr Assoc 2018;106(3):361-369.

Lemley T, Fenske RF. Health sciences librarians supporting health and nutrition education in a culinary medicine curriculum. J Med Libr Assoc 2020;108(4):631-638.

Centers for Medicare and Medicaid Services. Managed care [Internet]. Centers for Medicare and Medicaid Services;2024 [cited 05 July 2024]. https://www.medicaid.gov/medicaid/managed-care/index.html

Austin S, Wooten K, Dunkle W, et al. Increasing HPV Vaccination support through a pilot film-based community engagement. J Community Health. 2021;46(2):343-348.

Campagna J, Czyszczon K, Little J, et al. The physical and psychosocial impact of a school-based running programme for adolescents with disabilities. J Intellect Disabil Res. 2024;68(2):181-192.

Institute of Medicine (US) Committee on Assuring the health of the public in the 21st Century. The future of the public's health in the 21st century. Washington DC. National Academies Press;2002. https://www.ncbi.nlm.nih.gov/books/NBK221239/ doi: 10.17226/10548.

Yassanye DM, Anason AP, Barrett DH. Mitigating ethical risks in public-private partnerships in public health. J Public Health Manag Pract. 2021;27(4):E177-e182.

Kington RS, Arnesen S, Chou WS, Curry SJ, Lazer D, Villarruel AM. Identifying credible sources of health information in social media: Principles and attributes. NAM Perspect. 2021 (2021).

Center for Science in Public Interest. The rise of dollar stores: How the proliferation of discount stores may limit healthy food access [Internet]. Center for Science in Public Interest;2020 [cited 29 Sept 2023]. https://www.cspinet.org/sites/default/files/2022-03/Dollar%20Store%20Fact%20Sheet.pdf.

Hall KD, Ayuketah A, Brychta R, et al. Ultra-processed diets cause excess calorie intake and weight gain: An inpatient randomized controlled trial of ad libitum food intake. Cell Metab. 2019;30(1):67-77 e63.

Hamad R, Penko J, Kazi DS, et al. Association of low socioeconomic status with premature coronary heart disease in US adults. JAMA Cardiology. 2020;5(8):899-908.

Simon MA, O’Brian CA, Nava M, et al. Public Libraries as key partners for advancing health equity. Am J Public Health.2021; 111(1): 40-42.

Institute of Museum and Library Services. 2019 Public Libraries Survey [Internet]. Institute of Museum and Library Services; 2020 [cited 28 May 2024]. https://www.imls.gov/research-evaluation/data-collection/public-librariessurvey

Philbin MM, Parker CM, Flaherty MG, et al. Public libraries: A community-level resource to advance population health. J Community Health. 2019;44(1): 192-199.

Whiteman ED, Dupuis R, Morgan AU, et al. Public libraries as partners for health. Prev Chronic Dis. 2018;15:E64.

Downloads

Published

2024-10-07

Issue

Section

Case Report