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Record W4406345691 · doi:10.1080/15398285.2024.2444176

Developing a Framework to Measure Health Literacy Demands of Consumer-Facing Healthcare Organization Websites

2025· article· en· W4406345691 on OpenAlex
Teresa Wagner, Amy Six-Means

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of Consumer Health on the Internet · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealth Literacy and Information Accessibility
Canadian institutionsChildren’s Health Research Institute
Fundersnot available
KeywordsHealth literacyeHealthUsabilityHealth careLiteracyPsychologyPublic relationsKnowledge managementBusinessMedical educationMedicineComputer sciencePolitical sciencePedagogy

Abstract

fetched live from OpenAlex

Many consumer-facing healthcare organization websites are challenging for people with low e-health literacy skills to navigate and use the information to make informed decisions. Though searchers may be familiar with how to use the Internet, navigating website designs, often referred to as eHealth literacy, can make finding health information confusing. Health literacy demands, related to eHealth literacy skills concerning the content and design, can make the difference between consumers’ frustration and success. In this study, we aimed to create a framework to measure the accessibility and usability of healthcare organization consumer-facing websites using this question, “How can the information offered, and navigation of consumer-facing healthcare organization websites be improved to increase accessibility and usability?” We scored select healthcare organizations’ consumer-facing websites including their home page and two patient education pages, using Social Cognitive Theory and Health Literacy constructs both of which promote better accessibility and usability of health information. In addition, we analyzed how the health literacy demands of these pages support or obstruct the eHealth literacy skills of consumers. Results indicated that only 50% of Social Cognitive Theory constructs and 47% of Health Literacy constructs were observed. However, by examining the missing constructs healthcare organizations can assess where to focus consumer-facing website improvement efforts. Therefore, we concluded that Social Cognitive Theory combined with Health Literacy constructs offer a viable framework for measuring and potentially improving consumer-facing healthcare websites.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.593
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0100.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.063
GPT teacher head0.455
Teacher spread0.392 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it