{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:34:43Z","timestamp":1782484483881,"version":"3.54.5"},"reference-count":66,"publisher":"Emerald","issue":"6","license":[{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJIM"],"published-print":{"date-parts":[[2019,11,18]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>Describe the design of a health information and technology educational intervention that promotes health information sharing and technology use for older adult African Americans to support access to health information. The paper aims to discuss this issue.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>The study team developed a novel method to design the intervention. It drew upon three approaches: intergenerational technology transfer, participatory design and community-based participatory research.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>Older adult African Americans (55+) with diabetes and young adults (18\u201354) connected to them via familial or naturally occurring social networks designed the intervention, which was conducted in the two study sites in Michigan, USA. In total, 29 participants helped design the intervention. Four themes emerged concerning factors that promote intergenerational information exchange in the context of technology and health. First, focus on one technology skill. Second, working together in small groups is preferred. Third, patience is essential. Last, physical capabilities (i.e., eyesight, operating on relatively small screens) and literacy levels should be considered.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>This novel method of having participants from the sample population select the health information materials and technology exercises serves as a guide for implementing health information and education interventions aimed at technology use to support self-management for vulnerable patient populations.<\/jats:p><\/jats:sec>","DOI":"10.1108\/ajim-02-2019-0043","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T07:31:04Z","timestamp":1567150264000},"page":"806-820","source":"Crossref","is-referenced-by-count":9,"title":["Promoting access to health information"],"prefix":"10.1108","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0254-3127","authenticated-orcid":false,"given":"Charles R.","family":"Senteio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","reference":[{"issue":"S1","key":"key2019112212195568000_ref001","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1080\/10810730902806836","article-title":"The social context of interpersonal communication and health","volume":"14","year":"2009","journal-title":"Journal of Health Communication"},{"key":"key2019112212195568000_ref002","unstructured":"Anderson, M. and Perrin, A. (2015), \u201c15% of Americans don\u2019t use the internet\u201d, Who are they? FacTank: News in the Numbers, available at: www.pewresearch.org\/fact-tank\/2015\/07\/28\/15-of-americans-dont-use-the-internet-who-are-they\/ (accessed August 1, 2018)."},{"issue":"4","key":"key2019112212195568000_ref003","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.1016\/j.chb.2013.02.006","article-title":"Learning to use new technologies by older adults: perceived difficulties, experimentation behaviour and usability","volume":"29","year":"2013","journal-title":"Computers in Human Behavior"},{"issue":"6","key":"key2019112212195568000_ref004","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1080\/14606925.2017.1372976","article-title":"Designing public health: synergy and discord","volume":"20","year":"2017","journal-title":"The Design Journal"},{"issue":"S2","key":"key2019112212195568000_ref005","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1080\/10810730.2010.499985","article-title":"Health literacy: what is it?","volume":"15","year":"2010","journal-title":"Journal of Health Communication"},{"issue":"62","key":"key2019112212195568000_ref006","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11892-018-1032-2","article-title":"Neighborhood environments and diabetes risk and control","volume":"18","year":"2018","journal-title":"Current Diabetes Reports"},{"issue":"3","key":"key2019112212195568000_ref007","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1111\/fcsr.12254","article-title":"Training younger volunteers to promote technology use among older adults","volume":"46","year":"2018","journal-title":"Family and Consumer Sciences Research Journal"},{"issue":"3","key":"key2019112212195568000_ref008","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1207\/s15430421tip3903_2","article-title":"Determining validity in qualitative inquiry","volume":"9","year":"2000","journal-title":"Theory into Practice"},{"issue":"9","key":"key2019112212195568000_ref009","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1016\/j.puhe.2004.10.015","article-title":"Prevention and control of sexually transmitted infections among adolescents: the importance of a socio-ecological perspective \u2013 a commentary","volume":"119","year":"2005","journal-title":"Public Health"},{"key":"key2019112212195568000_ref010","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4061\/2011\/273120","article-title":"Community-based participatory research approaches for hypertension control and prevention in churches","volume":"2011","year":"2011","journal-title":"International Journal of Hypertension"},{"issue":"S1","key":"key2019112212195568000_ref011","doi-asserted-by":"publisher","first-page":"S89","DOI":"10.2337\/dc11-S089","article-title":"National standards for diabetes self-management education","volume":"34","year":"2011","journal-title":"Diabetes Care"},{"issue":"11","key":"key2019112212195568000_ref012","doi-asserted-by":"publisher","first-page":"2147","DOI":"10.2105\/AJPH.2013.301420","article-title":"Disparities in diabetes: the nexus of race, poverty, and place","volume":"104","year":"2014","journal-title":"American Journal of Public Health"},{"issue":"3","key":"key2019112212195568000_ref013","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/S0738-3991(02)00239-2","article-title":"Health literacy and knowledge of chronic disease","volume":"51","year":"2003","journal-title":"Patient Education and Counseling"},{"key":"key2019112212195568000_ref014","unstructured":"Ghosh, R., Lindeman, D., Ratan, S. and Steinmetz, V. (2014), \u201cThe new era of connected aging: a framework for understanding technologies that support older adults in aging in place\u201d, available at: www.techandaging.org\/ConnectedAgingFramework.pdf (accessed August 8, 2016)."},{"issue":"1","key":"key2019112212195568000_ref015","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s10209-008-0127-y","article-title":"Youtube and intergenerational communication: the case of Geriatric1927","volume":"8","year":"2009","journal-title":"Universal Access in the Information Society"},{"issue":"7","key":"key2019112212195568000_ref016","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1177\/1049731515569356","article-title":"Faith-based mental health interventions with African Americans: a review","volume":"26","year":"2015","journal-title":"Research on Social Work Practice"},{"key":"key2019112212195568000_ref017","unstructured":"Henwood, F., Wyatt, S., Miller, N. and Senker, P. (2000), \u201cCritical perspectives on technologies, in\/equalities and the information society\u201d, in Henwood, F., Wyatt, S., Miller, N. and Senker, P. (Eds), Technology and In\/equality: Questioning the Information Society, Routledge, London, pp. 1-18."},{"issue":"2","key":"key2019112212195568000_ref018","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1093\/geront\/gnv118","article-title":"African Americans and clinical research: evidence concerning barriers and facilitators to participation and recruitment recommendations","volume":"57","year":"2017","journal-title":"The Gerontologist"},{"key":"key2019112212195568000_ref019","volume-title":"Methods for Community-Based Participatory Research for Health","year":"2012"},{"issue":"1","key":"key2019112212195568000_ref020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1086\/684142","article-title":"The rise of social justice as a guiding principle in library and information science research","volume":"86","year":"2016","journal-title":"Library Quarterly"},{"issue":"11","key":"key2019112212195568000_ref021","doi-asserted-by":"publisher","first-page":"1880","DOI":"10.1016\/j.pec.2016.06.015","article-title":"Health literacy and barriers to health information seeking: a nationwide survey in South Korea","volume":"99","year":"2016","journal-title":"Patient Education and Counseling"},{"issue":"12","key":"key2019112212195568000_ref022","doi-asserted-by":"publisher","first-page":"2084","DOI":"10.2105\/AJPH.94.12.2084","article-title":"Patient race\/ethnicity and quality of patient\u2013physician communication during medical visits","volume":"94","year":"2004","journal-title":"American Journal of Public Health"},{"issue":"8","key":"key2019112212195568000_ref023","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.2105\/AJPH.2011.300456","article-title":"The live well, be well study: a community-based, translational lifestyle program to lower diabetes risk factors in ethnic minority and lower\u2013socioeconomic status adults","volume":"102","year":"2012","journal-title":"American Journal of Public Health"},{"key":"key2019112212195568000_ref024","unstructured":"Kaplan, M., S\u00e1nchez, M., Shelton, C. and Bradley, L. (2013), \u201cUsing technology to connect generations\u201d, available at: http:\/\/extension.psu.edu\/youth\/intergenerational\/program-areas\/technology (accessed April 20, 2016)."},{"issue":"12","key":"key2019112212195568000_ref025","doi-asserted-by":"publisher","first-page":"2980","DOI":"10.2337\/diacare.27.12.2980","article-title":"Association of health literacy with self-management behavior in patients with diabetes","volume":"27","year":"2004","journal-title":"Diabetes Care"},{"issue":"5","key":"key2019112212195568000_ref026","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1007\/s11606-011-1927-y","article-title":"Performance of health literacy tests among older adults with diabetes","volume":"27","year":"2012","journal-title":"Journal of General Internal Medicine"},{"issue":"3","key":"key2019112212195568000_ref027","doi-asserted-by":"publisher","first-page":"7","DOI":"10.5334\/egems.191","article-title":"Detecting risk of low health literacy in disadvantaged populations using area-based measures","volume":"5","year":"2017","journal-title":"EGEMS The Journal for Electronic Health Data and Methods"},{"key":"key2019112212195568000_ref028","doi-asserted-by":"crossref","unstructured":"Kutner, N.G. and Zhang, R. (2013), \u201cSocial capital, gatekeeping, and access to kidney transplantation\u201d, in Kronenfeld, J.J. (Ed.), Social Determinants, Health Disparities and Linkages to Health and Health Care, Vol. 31, pp. 273-296.","DOI":"10.1108\/S0275-4959(2013)0000031014"},{"key":"key2019112212195568000_ref029","volume-title":"Data-ism: The Revolution Transforming Decision Making, Consumer Behavior, and Almost Everything Else","year":"2015"},{"issue":"2","key":"key2019112212195568000_ref030","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1136\/jech-2012-201257","article-title":"What types of interventions generate inequalities? Evidence from systematic reviews","volume":"67","year":"2013","journal-title":"Journal of Epidemiology and Community Health"},{"issue":"1","key":"key2019112212195568000_ref031","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1093\/heapro\/dau091","article-title":"Health promotion in the digital era: a critical commentary","volume":"30","year":"2015","journal-title":"Health Promotion International"},{"issue":"1","key":"key2019112212195568000_ref032","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.jneb.2011.05.018","article-title":"Exploring older adults\u2019 health information seeking behaviors","volume":"44","year":"2012","journal-title":"Journal of Nutrition Education and Behavior"},{"issue":"1","key":"key2019112212195568000_ref033","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1891\/0198-8794.35.211","article-title":"The role of subjective aging within the changing ecologies of aging: perspectives for research and practice","volume":"35","year":"2015","journal-title":"Annual Review of Gerontology and Geriatrics"},{"issue":"12","key":"key2019112212195568000_ref034","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.2105\/AJPH.2013.301605","article-title":"Ethical community-engaged research: a literature review","volume":"103","year":"2013","journal-title":"American Journal of Public Health"},{"issue":"1","key":"key2019112212195568000_ref035","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1177\/1557234x13492979","article-title":"Self-management of wellness and illness in an aging population","volume":"8","year":"2013","journal-title":"Reviews of Human Factors and Ergonomics"},{"key":"key2019112212195568000_ref036","volume-title":"The Logic of Care: Health and the Problem of Patient Choice","year":"2008"},{"issue":"3","key":"key2019112212195568000_ref037","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1370\/afm.1797","article-title":"Health IT\u2013enabled care coordination: a national survey of patient-centered medical home clinicians","volume":"13","year":"2015","journal-title":"The Annals of Family Medicine"},{"key":"key2019112212195568000_ref038","unstructured":"Muller, M.J. (2002), \u201cParticipatory design: the third space in HCI\u201d, in Jacko, J.A. and Sears, A. (Eds), The Human-Computer Interaction Handbook: Fundamentals, Evolving Technologies and Emerging Applications, L. Erlbaum Associates, Hillsdale, NJ, pp. 1051-1068."},{"issue":"6","key":"key2019112212195568000_ref039","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1145\/153571.255960","article-title":"Participatory design","volume":"36","year":"1993","journal-title":"Communications of the ACM"},{"issue":"3","key":"key2019112212195568000_ref040","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1603","article-title":"Factors influencing the use of a web-based application for supporting the self-care of patients with type 2 diabetes: a longitudinal study","volume":"13","year":"2011","journal-title":"Journal of Medical Internet Research"},{"key":"key2019112212195568000_ref041","unstructured":"O\u2019Brien, M.A., Olson, K.E., Charness, N., Czaja, S.J., Fisk, A.D., Rogers, W.A. and Sharit, J. (2008), \u201cUnderstanding technology usage in older adults.paper presented at the 6th International Society for Gerontechnology, May 20-23, Pisa."},{"issue":"1","key":"key2019112212195568000_ref042","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0027-9684(15)30085-7","article-title":"Racial and ethnic disparities in diabetes complications in the northeastern United States: the role of socioeconomic status","volume":"105","year":"2013","journal-title":"Journal of the National Medical Association"},{"issue":"2","key":"key2019112212195568000_ref043","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1159\/000430949","article-title":"Older adults\u2019 reasons for using technology while aging in place","volume":"62","year":"2016","journal-title":"Gerontology"},{"issue":"2","key":"key2019112212195568000_ref044","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1177\/1043659602250614","article-title":"A discussion of chain referral as a method of sampling hard-to-reach populations","volume":"14","year":"2003","journal-title":"Journal of Transcultural Nursing"},{"issue":"2","key":"key2019112212195568000_ref045","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s12553-016-0130-x","article-title":"Persuasive features in health information technology interventions for older adults with chronic diseases: a systematic review","volume":"6","year":"2016","journal-title":"Health and Technology"},{"key":"key2019112212195568000_ref046","unstructured":"Prevention Research Center \u2013 Michigan (2017), \u201cHOPE\u201d, University of Michigan Prevention Research Center, Ann Arbor, MI, available at: http:\/\/prc.sph.umich.edu\/projects\/hope\/ (accessed February 10, 2017)."},{"issue":"1","key":"key2019112212195568000_ref047","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.cct.2014.03.003","article-title":"Reducing cardiovascular disease risk in mid-life and older African Americans: a church-based longitudinal intervention project at baseline","volume":"38","year":"2014","journal-title":"Contemporary Clinical Trials"},{"key":"key2019112212195568000_ref048","doi-asserted-by":"crossref","unstructured":"Rieder, G. and Simon, J. (2017), \u201cBig data: a new empiricism and its epistemic and socio-political consequences\u201d, in Pietsch, W., Wernecke, J. and Ott, M. (Eds), Berechenbarkeit der Welt? Philosophie und Wissenschaft im Zeitalter von Big Data, Springer Fachmedien Wiesbaden, Wiesbaden, pp. 85-105.","DOI":"10.1007\/978-3-658-12153-2_4"},{"issue":"4","key":"key2019112212195568000_ref049","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1177\/0898264317744643","article-title":"Chronic conditions may be more important than race or ethnicity in relation to health information seeking and use","volume":"31","year":"2019","journal-title":"Journal of Aging and Health"},{"key":"key2019112212195568000_ref050","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/0046958018771414","article-title":"Neighborhood environment and disparities in health care access among urban Medicare beneficiaries with diabetes: a retrospective cohort study","volume":"55","year":"2018","journal-title":"INQUIRY: The Journal of Health Care Organization, Provision, and Financing"},{"issue":"5","key":"key2019112212195568000_ref051","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1093\/geront\/gnu071","article-title":"Advancing the aging and technology agenda in gerontology","volume":"55","year":"2015","journal-title":"The Gerontologist"},{"issue":"70","key":"key2019112212195568000_ref052","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/geriatrics3040070","article-title":"Investigating the enduring impact of a community-based health education program to promote African American elders\u2019 use of technology designed to support chronic disease self-management","volume":"3","year":"2018","journal-title":"Geriatrics"},{"key":"key2019112212195568000_ref053","article-title":"The design of an intervention to promote older adult African Americans\u2019 use of technology designed to support diabetes self-management","year":"2019"},{"key":"key2019112212195568000_ref054","article-title":"Diabetes education and intergenerational technology transfer: enhancing African American elders\u2019 self-efficacy for using technology to support diabetes self-management","year":"2019"},{"issue":"2","key":"key2019112212195568000_ref055","first-page":"163","article-title":"The methodology of participatory design","volume":"52","year":"2005","journal-title":"Technical Communication"},{"issue":"3","key":"key2019112212195568000_ref056","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1016\/j.socscimed.2007.03.036","article-title":"Physicians\u2019 communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor?","volume":"65","year":"2007","journal-title":"Social Science & Medicine"},{"issue":"3","key":"key2019112212195568000_ref057","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2196\/mhealth.4169","article-title":"Expert involvement and adherence to medical evidence in medical mobile phone apps: a systematic review","volume":"3","year":"2015","journal-title":"Journal of Medical Internet Research mHealth uHealth"},{"key":"key2019112212195568000_ref058","first-page":"1","article-title":"Striking jump in consumers seeking health care information","volume":"20","year":"2008","journal-title":"Center for Studying Health System Change"},{"issue":"1","key":"key2019112212195568000_ref059","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1093\/jamia\/ocv094","article-title":"Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations","volume":"23","year":"2016","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"8","key":"key2019112212195568000_ref060","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.1093\/jamia\/ocy052","article-title":"Good intentions are not enough: how informatics interventions can worsen inequality","volume":"25","year":"2018","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"1","key":"key2019112212195568000_ref061","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/13614533.2015.1137466","article-title":"\u2018Digital literacy\u2019: establishing the boundaries and identifying the partners","volume":"22","year":"2016","journal-title":"New Review of Academic Librarianship"},{"key":"key2019112212195568000_ref062","volume-title":"Mediating Health Information: The Go-Betweens in a Changing Socio-Technical Landscape","year":"2008"},{"issue":"7","key":"key2019112212195568000_ref063","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1016\/j.ijnurstu.2005.10.011","article-title":"Nurses\u2019 responses to expert patients: the rhetoric and reality of self-management in long-term conditions: a grounded theory study","volume":"43","year":"2006","journal-title":"International Journal of Nursing Studies"},{"issue":"2","key":"key2019112212195568000_ref064","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1177\/1461444805050747","article-title":"The digital divide, health information and everyday life","volume":"7","year":"2005","journal-title":"New Media & Society"},{"key":"key2019112212195568000_ref065","doi-asserted-by":"crossref","unstructured":"Ye, Q., Boren, S.A., Khan, U. and Kim, M.S. (2017), \u201cEvaluation of functionality and usability on diabetes mobile applications: a systematic literature review\u201d, paper presented at the HCI International 2017, Vancouver, July 9-14.","DOI":"10.1007\/978-3-319-58466-9_11"},{"issue":"8","key":"key2019112212195568000_ref066","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1007\/s11606-015-3222-9","article-title":"How can ehealth technology address challenges related to multimorbidity? Perspectives from patients with multiple chronic conditions","volume":"30","year":"2015","journal-title":"Journal of General Internal Medicine"}],"container-title":["Aslib Journal of Information Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/AJIM-02-2019-0043\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/AJIM-02-2019-0043\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T23:00:22Z","timestamp":1753398022000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/ajim\/article\/71\/6\/806-820\/18441"}},"subtitle":["A method to support older African Americans with diabetes"],"short-title":[],"issued":{"date-parts":[[2019,11,18]]},"references-count":66,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,11,18]]}},"alternative-id":["10.1108\/AJIM-02-2019-0043"],"URL":"https:\/\/doi.org\/10.1108\/ajim-02-2019-0043","relation":{},"ISSN":["2050-3806"],"issn-type":[{"value":"2050-3806","type":"print"}],"subject":[],"published":{"date-parts":[[2019,11,18]]}}}