杂志文章Gunther Eysenbach评估癌症通信的新多媒体格式%A Bader,Judith L %A Strickman-Stein,Nancy通信技术分部，国家癌症研究所，6116行政路。Suite 3048A, Bethesda MD 20852, USA， +1 301 594 3382, jbader@mail.nih.gov %K肺癌%K互联网%K多媒体%K患者教育%K音频%D 2003 %7 29.8.2003 %9原创论文%J J医学互联网Res %G英文%X背景:为癌症患者及其家属提供高质量的、当前的癌症信息是国家癌症研究所(NCI)网站的一个关键功能。这些资料现在主要以文字形式提供，但也可以使用多媒体，包括动画和声音等形式提供。由于用户对从哪里获取信息有很多选择，因此以他们喜欢的、有帮助的格式提供信息是很重要的。目的:为了对未来面向普通用户的癌症信息节目格式的多媒体策略进行试点和评估，国家癌症研究所为现有的文本节目创建了新的多媒体版本。我们试图评估这3种新格式和2种现有文本格式的用户性能和偏好。方法:美国国家癌症研究所的“关于肺癌你需要知道什么”项目是测试工具。共有5个测试环节，每种格式各有1个。每节课持续约1小时，每节课有9名参与者，共有45名用户。用户从头到尾都以五种格式中的一种接触到指定的癌症项目:文本平装小册子、Web上HTML格式的平装小册子、单独的语音音频、与文本网页同步的语音音频和Flash多媒体(动画、语音音频和文本)。 Immediately thereafter, the features and design of the 4 alternative formats were demonstrated in detail. A multiple-choice pre-test and post-test quiz on the cancer content was used to assess user learning (performance) before and after experiencing the assigned program. The quiz was administered using an Authorware software interface writing to an Access database. Users were asked to rank from 1 to 5 their preference for the 5 program formats, and provide structured and open-ended comments about usability of the 5 formats. Results: Significant improvement in scores from pre-test to post-test was seen for the total study population. Average scores for users in each of the 5 format groups improved significantly. Increments in improvement, however, were not statistically different between any of the format groups. Significant improvements in quiz scores were seen irrespective of age group or education level. Of the users, 71.1% ranked the Flash program first among the 5 formats, and 84.4% rated Flash as their first or second choice. Audio was the least-preferred format, ranking fifth among 46.7% of users and first among none. Flash was ranked first among users regardless of education level, age group, or format group to which the user was assigned. Conclusions: Under the pilot study conditions, users overwhelmingly preferred the Flash format to the other 4 formats. Learning occurred equally in all formats. Use of multimedia should be considered as communication strategies are developed for updating cancer content and attracting new users. %M 14517107 %R 10.2196/jmir.5.3.e16 %U //www.mybigtv.com/2003/3/e16/ %U https://doi.org/10.2196/jmir.5.3.e16 %U http://www.ncbi.nlm.nih.gov/pubmed/14517107