Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Aug 21:264:1116-1120.
doi: 10.3233/SHTI190399.

Development of Pictograms for an Interactive Web Application to Help Hispanic Caregivers Learn About the Functional Stages of Dementia

Affiliations

Development of Pictograms for an Interactive Web Application to Help Hispanic Caregivers Learn About the Functional Stages of Dementia

Adriana Arcia et al. Stud Health Technol Inform. .

Abstract

Caregivers of persons with dementia need anticipatory guidance about the stages of dementia in order to prepare for the caregiving situations they will face. The study objective was to develop a set of pictograms representing the functional stages of dementia for eventual inclusion in a tailored, educational web application. We used a hybrid iterative participatory design process. A graphic designer prepared prototypes in a flat, minimalistic style. These were then culled and refined based on feedback from 16 Hispanic caregivers in six design sessions in English and Spanish. The resulting 19 pictograms representing the functional stages and substages of dementia were acceptable to and easily comprehended by participants. Short, plain-language captions support comprehension and aid discrimination between similar scenarios. Our participants preferred candid depictions of all aspects of dementia, including bodily functions, but acceptability may vary by population so further testing is warranted prior to deployment with a new population.

Keywords: Consumer Health Information; Health Literacy; Patient Participation.

PubMed Disclaimer

References

    1. Arcia A, Suero-Tejeda N, Bales ME, Merrill JA, Yoon S, Woollen J, and Bakken S, Sometimes more is more: Iterative participatory design of infographics for engagement of community members with varying levels of health literacy, Journal of the American Medical Informatics Association 23 (2016), 174–183. - PMC - PubMed
    1. Barclay PA and Bowers CA, Design for the Illiterate: A Scoping Review of Tools for Improving the Health Literacy of Electronic Health Resources, in: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, SAGE Publications Sage CA: Los Angeles, CA, 2017, pp. 545–549.
    1. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, and Crotty K, Low health literacy and health outcomes: An updated systematic review, Annals of Internal Medicine 155 (2011), 97–107. - PubMed
    1. Bolek J and Cowgill J, Development of a symbol system for use in the health care industry, in: Proceedings of the 2005 Conference on Designing for User eXperience, AIGA: American Institute of Graphic Arts, 2005, p. 23.
    1. Brantley KA and Wogalter MS, Oral and written symbol comprehension testing: The benefit of cognitive interview probing, in: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, Sage Publications Sage CA: Los Angeles, CA, 1999, pp. 1060–1064.