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      The McMaster Optimal Aging Portal: Usability Evaluation of a Unique Evidence-Based Health Information Website

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          Abstract

          Background

          Increasingly, older adults and their informal caregivers are using the Internet to search for health-related information. There is a proliferation of health information online, but the quality of this information varies, often based on exaggerated or dramatic findings, and not easily comprehended by consumers. The McMaster Optimal Aging Portal (Portal) was developed to provide Internet users with high-quality evidence about aging and address some of these current limitations of health information posted online. The Portal includes content for health professionals coming from three best-in-class resources (MacPLUS, Health Evidence, and Health Systems Evidence) and four types of content specifically prepared for the general public (Evidence Summaries, Web Resource Ratings, Blog Posts, and Twitter messages).

          Objective

          Our objectives were to share the findings of the usability evaluation of the Portal with particular focus on the content features for the general public and to inform designers of health information websites and online resources for older adults about key usability themes.

          Methods

          Data analysis included task performance during usability testing and qualitative content analyses of both the usability sessions and interviews to identify core themes.

          Results

          A total of 37 participants took part in 33 usability testing sessions and 21 focused interviews. Qualitative analysis revealed common themes regarding the Portal’s strengths and challenges to usability. The strengths of the website were related to credibility, applicability, browsing function, design, and accessibility. The usability challenges included reluctance to register, process of registering, searching, terminology, and technical features.

          Conclusions

          The study reinforced the importance of including end users during the development of this unique, dynamic, evidence-based health information website. The feedback was applied to iteratively improve website usability. Our findings can be applied by designers of health-related websites.

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          The Discovery of Grounded Theory

          <p>Most writing on sociological method has been concerned with how accurate facts can be obtained and how theory can thereby be more rigorously tested. In The Discovery of Grounded Theory, Barney Glaser and Anselm Strauss address the equally Important enterprise of how the discovery of theory from data--systematically obtained and analyzed in social research--can be furthered. The discovery of theory from data--grounded theory--is a major task confronting sociology, for such a theory fits empirical situations, and is understandable to sociologists and laymen alike. Most important, it provides relevant predictions, explanations, interpretations, and applications.</p><p>In Part I of the book, Generation Theory by Comparative Analysis, the authors present a strategy whereby sociologists can facilitate the discovery of grounded theory, both substantive and formal. This strategy involves the systematic choice and study of several comparison groups. In Part II, The Flexible Use of Data, the generation of theory from qualitative, especially documentary, and quantitative data Is considered. In Part III, Implications of Grounded Theory, Glaser and Strauss examine the credibility of grounded theory.</p><p>The Discovery of Grounded Theory is directed toward improving social scientists' capacity for generating theory that will be relevant to their research. While aimed primarily at sociologists, it will be useful to anyone Interested In studying social phenomena--political, educational, economic, industrial-- especially If their studies are based on qualitative data.</p></p>
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                Author and article information

                Contributors
                Journal
                JMIR Hum Factors
                JMIR Hum Factors
                JMIR Human Factors
                JMIR Human Factors
                Gunther Eysenbach (JMIR Publications Inc., Toronto, Canada )
                2292-9495
                Jan-Jun 2016
                11 May 2016
                : 3
                : 1
                : e14
                Affiliations
                [1] 1Health Information Research Unit Department of Clinical Epidemiology and Biostatistics McMaster University Hamilton, ONCanada
                [2] 2School of Nursing McMaster University Hamilton, ONCanada
                [3] 3McMaster Health Forum Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, and Department of Political Science McMaster University Hamilton, ONCanada
                [4] 4McMaster Institute of GeroScience Department of Clinical Epidemiology and Biostatistics McMaster University Hamilton, ONCanada
                [5] 5Division of e-Learning Innovation Faculty of Health Sciences McMaster University Hamilton, ONCanada
                Author notes
                Corresponding Author: Anthony J Levinson levinsa@ 123456mcmaster.ca
                Author information
                http://orcid.org/0000-0003-0449-0572
                http://orcid.org/0000-0002-1968-6765
                http://orcid.org/0000-0002-1453-3196
                http://orcid.org/0000-0002-3331-8766
                http://orcid.org/0000-0001-7917-3657
                http://orcid.org/0000-0002-8107-3193
                http://orcid.org/0000-0001-5240-6449
                Article
                v3i1e14
                10.2196/humanfactors.4800
                4880743
                27170443
                9df5ddaa-6629-47ec-a57c-f12d30f72061
                ©Angela M Barbara, Maureen Dobbins, R. Brian Haynes, Alfonso Iorio, John N Lavis, Parminder Raina, Anthony J Levinson. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 11.05.2016.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on http://humanfactors.jmir.org, as well as this copyright and license information must be included.

                History
                : 4 June 2015
                : 19 October 2015
                : 14 December 2015
                : 4 January 2016
                Categories
                Original Paper
                Original Paper

                online health information,health informatics,elderly,consumer health information,qualitative research,usability testing,internet,evidence-based medicine,knowledge translation,aging,website

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