Understanding of how older adults with low vision obtain, process, and understand health information and services

Inform Health Soc Care. 2019 Jan;44(1):70-78. doi: 10.1080/17538157.2017.1363763. Epub 2017 Oct 16.

Abstract

Introduction: Twenty-five years after the Americans with Disabilities Act, there has still been a lack of advancement of accessibility in healthcare for people with visual impairments, particularly older adults with low vision. This study aims to advance understanding of how older adults with low vision obtain, process, and use health information and services, and to seek opportunities of information technology to support them.

Methods: A convenience sample of 10 older adults with low vision participated in semi-structured phone interviews, which were audio-recorded and transcribed verbatim for analysis.

Results: Participants shared various concerns in accessing, understanding, and using health information, care services, and multimedia technologies. Two main themes and nine subthemes emerged from the analysis.

Discussion: Due to the concerns, older adults with low vision tended to fail to obtain the full range of all health information and services to meet their specific needs. Those with low vision still rely on residual vision such that multimedia-based information which can be useful, but it should still be designed to ensure its accessibility, usability, and understandability.

Keywords: Accessibility; aging; assistive technologies; health information; low vision.

MeSH terms

  • Aged
  • Cell Phone
  • Consumer Health Information / methods*
  • Female
  • Health Literacy*
  • Health Services Accessibility / organization & administration*
  • Humans
  • Interviews as Topic
  • Male
  • Patient Compliance / psychology
  • Self-Help Devices
  • Social Isolation / psychology
  • Socioeconomic Factors
  • Vision, Low / psychology*
  • Visually Impaired Persons / psychology*