1. Designing Quality Prevention Tools Caitlin Blood, MPH, CHES Office of Disease Prevention and Health Promotion U.S. Department of Health and Human Services September 17, 2015

2. 2 Healthy People: Framework for Improving Nation’s Health  A national agenda that communicates a vision for improving health and achieving health equity  Creates a comprehensive strategic framework uniting health promotion and disease prevention issues under a single umbrella  A set of science-based, measurable objectives with targets to be achieved by the year 2020  Requires tracking of data-driven outcomes to monitor progress and to motivate, guide, and focus action

3. 42 Topic Areas ■Access to Health Services ■Adolescent Health ■Arthritis, Osteoporosis, and Chronic Back Conditions ■Blood Disorders and Blood Safety ■Cancer ■Chronic Kidney Disease ■Dementias, including Alzheimer’s Disease ■Diabetes ■Disability and Health ■Early and Middle Childhood ■Educational and Community-Based Programs ■Environmental Health ■Family Planning ■Food Safety ■Genomics ■Global Health ■Health-related Quality of Life and Well- being ■Health Communication and Health Information Technology ■Healthcare Associated Infections ■Heart Disease and Stroke ■Hearing and Other Sensory or Communication Disorders ■HIV ■Immunization and Infectious Diseases ■Injury and Violence Prevention ■Lesbian, Gay, Bisexual, Transgender Health ■Maternal, Infant, and Child Health ■Medical Product Safety ■Mental Health and Mental Disorders ■Nutrition and Weight Status ■Occupational Safety and Health ■Older Adults ■Oral Health ■Physical Activity ■Public Health Infrastructure ■Preparedness ■Respiratory Diseases ■Sexually Transmitted Diseases ■Sleep Health ■Social Determinants of Health ■Substance Abuse ■Tobacco Use ■Vision 3

4. Disability and Health ■Goal: Promote the health and well-being of people with disabilities – Systems and Policies – Barriers to Health Care – Environment – Activities and Participation ■Currently no crossover between Disability and Health Communication/HIT objectives

5. HC/HIT Topic Area & Objectives ■Goal: Use health communication strategies and health information technology (IT) to improve population health outcomes and health care quality, and to achieve health equity. ■HC/HIT 8: Increase the proportion of quality, health- related websites – HC/HIT 8.1: Increase the proportion of health- related websites that meet three or more evaluation criteria for disclosing information that can be used to assess information reliability – HC/HIT 8.2: Increase the proportion of health- related websites that follow established usability principles

6. Development of National Quality Website Survey ■HC/HIT 8.1: Assess information reliability – Website Information Evaluation Instrument – 6 Criteria and Reliability Requirements:  Identity, Purpose, Content Development, Privacy, User Feedback, Content Updating

7. Development of National Quality Website Survey ■HC/HIT 8.2: Usability principles – Website Usability Evaluation Instrument – 3 criteria composed of 19 usability principles and 59 usability measurements  Site Design, Information Architecture, Content Design

8. Development of National Quality Website Survey ■Sample question (Site design) – 6. Ensure site is accessible for users with disabilities and uses elements of 508 compliance  Is ALT text provided for links, images, video, and animation (this text should pop up when a user hovers the mouse over the element in question)?  Is captioning provided for video and animation?  Is such captioning easy to read (in terms of size and contrast)?

9. Health Literacy Online ■First Edition (2010) – Written for web designers, web content specialists, and other PH communication professionals  Deliver online health information that is actionable and engaging  Create a health website that’s easy to use  Evaluate and improve health websites with user- centered design

10. Health Literacy Online ■6 strategies how to write and design health websites that are accessible to users with limited literacy skills – Learn about your users – Write actionable content – Display content clearly on the page – Organize content and simplify navigation – Engage users with interactive content – Evaluate and revise your site

11. Health Literacy Online ■Second Edition (October 2015) – Focus on broadening access to user-friendly health information and services on the web – Recommendations reflect literature related to the cognitive processing and online behavior of adults with limited literacy skills

12. Health Literacy Online – Responsible digital design and development:  Prioritizes the information needs and preferences of consumers  Involves end-users as co-creators of web products  Responsive design for different screen sizes  Recognizes that designing for limited literacy users is designing for all users

13. User-Centered Design and Prevention Tools ■Focus on users throughout the design process ■“Design Thinking” – Understanding what people want and need in their lives – Create ideas that better meet consumers’ needs and desires ■Participatory Design/ “Co-Design” – Involving intended users throughout entire development process

14. Looking Ahead ■Improvement in delivering accessible and usable HIT tools ■Healthy People 2030 – HC/HIT Quality Website Survey

15. Thank you! Contact Information: Caitlin Blood, MPH, CHES Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services Caitlin.Blood@hhs.gov 240-453-8265