Merging health literacy with computer technology: self-managing diet and fluid intake among adult hemodialysis patients.
OBJECTIVE
The Dietary Intake Monitoring Application (DIMA) is an electronic dietary self-monitor developed for use on a personal digital assistant (PDA). This paper describes how computer, information, numerical, and visual literacy were considered in development of DIMA.


METHODS
An iterative, participatory design approach was used. Forty individuals receiving hemodialysis at an urban inner-city facility, primarily middle-aged and African American, were recruited.


RESULTS
Computer literacy was considered by assessing abilities to complete traditional/nontraditional PDA tasks. Information literacy was enhanced by including a Universal-Product-Code (UPC) scanner, picture icons for food with no UPC code, voice recorder, and culturally sensitive food icons. Numerical literacy was enhanced by designing DIMA to compute real-time totals that allowed individuals to see their consumption relative to their dietary prescription. Visual literacy was considered by designing the graphical interface to convey intake data over a 24-h period that could be accurately interpreted by patients. Pictorial icons for feedback graphs used objects understood by patients.


CONCLUSIONS
Preliminary data indicate the application is extremely helpful for individuals as they self-monitor their intake. If desired, DIMA could also be used for dietary counseling.
School of Nursing, Indiana University, Indianapolis, IN 46202, USA. jwelch@iupui.edu
Janet L
JL
Welch
Katie A
KA
Siek
Kay H
KH
Connelly
Kim S
KS
Astroth
M Sue
MS
McManus
Linda
L
Scott
Seongkum
S
Heo
Michael A
MA
Kraus
D034201:Computers, Handheld; D004032:Diet; D004326:Drinking; D005260:Female; D057220:Health Literacy; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D016730:Program Development; D006435:Renal Dialysis; D012648:Self Care; D014584:User-Computer Interface