title: Web-Based, Pictograph-Formatted Discharge Instructions for Low-Literacy Older Adults After Hip Replacement Surgery: Findings of End-User Evaluation of the Website.
abstract: OBJECTIVE
  The purpose of this study was to develop web-based, pictograph-formatted discharge instructions and evaluate the website with intended users to maximize the relevance and clarity of the website.
  
  
  METHODS
  A descriptive study.
  
  
  METHODS
  Low-literacy text and 45 sets of pictographs were implemented in web-based instructions. The content, design, function, and navigation of the website were reviewed by 15 low-literate older adults following hip replacement surgery.
  
  
  RESULTS
  Participants observed that the simple line drawings with clear background were well suited to web pages and helped to convey the points made. They also suggested changes such as adding an additional alphabetical index menu to enhance easy navigation and removing hypertext links to avoid distraction.
  
  
  CONCLUSIONS
  Web-based, pictograph-formatted discharge instructions were well received by low-literate older adults, who perceived the website easy to use and understand.
  
  
  CONCLUSIONS
  A pictograph-formatted approach may provide effective strategies to promote understanding of lengthy, complex action-based discharge instructions in rehabilitation facilities.
authors.affiliation: College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA.
authors.forename: Jeungok
authors.initials: J
authors.lastname: Choi
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Jacelon
authors.forename: Karen A
authors.initials: KA
authors.lastname: Kalmakis
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000451:nursing / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D020407:Internet; D000067010:Literacy / Q000592:standards*; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000592:standards; D063886:Patient Discharge Summaries / Q000592:standards*; D000073356:Pictorial Works as Topic; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D019145:Rehabilitation Nursing / Q000379:methods