Quality Online Medical and Health Information Universal access of the Web from utopia to reality:...

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www.healthonnet.org Quality Online Medical and Health Information Universal access of the Web from utopia to reality: experience with the ProVisu project Vincent Baujard, Samia Reffas , Arnaud Gaudinat and Celia Boyer Health on the Net Foundation, Geneva, Switzerland SGMI– SSIM Tuesday 2 rd May 2006

Transcript of Quality Online Medical and Health Information Universal access of the Web from utopia to reality:...

www.healthonnet.org

Quality Online Medical and Health Information

Universal access of the Web from utopia to reality: experience with the ProVisu project

Vincent Baujard, Samia Reffas, Arnaud Gaudinat and Celia Boyer

Health on the Net Foundation, Geneva, Switzerland

SGMI– SSIM

Tuesday 2rd May 2006

www.healthonnet.org

SGMI-SSIM 2rd May 2006

Agenda

What is HON?

Presentation of the overall Internet situation

Accessibility guidelines and initiatives

HON’s solutions: approaches implemented in the ProVisu project

Conclusions and perspectives

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Health On the Net

Established in 1995 under the aegis of Geneva Health Ministry (DES)

Mission: To guide Internet users to reliable, understandable and relevant sources of online health and medical information.

www.healthonnet.org

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Online Health and Medical Information

Internet is mainstream media934 million users worldwide connected in 2004Half of all European Citizens connected (7 country survey*)

Importance of medical information on the Internet4,190,000,000 results for the search term, “health” on Google (March, 2006)74% of Internet users in the United States have gone online in search of health information **

Is the health web accessible for visually impaired and blind persons?

* http://www.ejic.org/page2.html Germany, France, Great Britain, Spain, Belgium, Austria, Switzerland** Harris Interactive Health report July 2005

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The Internet should be adapted to the needs of all citizens

Reading disabilities and Visual disabilities In Europe :

7 millions with visual disabilities, 700’000 are blind

Dyslexic and Intellectual handicaps

Neurological and physical impairment In Europe :

56 millions are physically impaired *

Elderly and Patients amongst others

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HON surveys with the European ENABLED project *

A large number of websites are not fully accessible, because :

Website developers, designers and managers are not aware of accessibility issues

Lack of knowledge or training to use the available tools

The responsibility of software manufacturers, who must provide tools to produce accessibility

* Analysis of the ENABLED Web Developer Survey http://www.enabledweb.org/public_results/survey_results/analysis.html

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WAI (Web Accessibility Initiative)

Guidelines and tools to increase Web accessibility for people with disabilities

NIH : a checklist to assess the accessibility of Web sites *

HON survey with the European ENABLED project **

36% were concerned

58% were not aware of the WAI guidelines269 survey respondents

* The National Health Institute check list for webmasters http://www.nlm.nih.gov/pubs/checklist.pdf** Analysis of the ENABLED Web Developer Survey http://www.enabledweb.org/public_results/survey_results/analysis.html

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SGMI-SSIM 2rd May 2006

Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

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The ProVisu project

Raise awareness and prevention with the citizen and health professionals for eye diseases

Provide trustworthy information about all eye diseases (HONcode sites), available services, treatments, and associations

Be accessible to visual impaired person

Quality of thrustworthy health information : HONcode

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Approaches implemented by HON in the ProVisu project

1. The reading comfort (text size, colour, background)

2. The seamless speech-enabled (TTS) service and the navigation with the keyboard

3. The adaptation of external websites (via a bookmarklet)

4. Multilingualism

5. Health literacy : complexity of the content

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Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

www.healthonnet.org

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1. Accessibility : Reading comfort

Default HomePage of the Provisu Web site

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1. Accessibility : Reading comfort

typeface, size, colour and background

www.healthonnet.org

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1. Accessibility : Reading comfort

complexity of the page layout

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Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

www.healthonnet.org

SGMI-SSIM 2rd May 2006

•Listen / Stop: Age-related macular degeneration (ARMD), is the gradual loss of vision caused by the oxidation of the macula, which is a small, circular membrane at the center of the retina. This membrane is light sensitive and responsible for our central vision. When the macula degenerates, central vision deteriorates, resulting in dark spots and cloudiness. It is caused by the oxidation of the macula. As the arteries harden with age, the delicate structures of the eye begin to lose some of their function.Source: Age-related macular degeneration (ARMD) (uniteforsight.org)

Macular Degeneration Age Related

2. Accessibility : Speech-enabled web sites

www.healthonnet.org

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Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

www.healthonnet.org

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3. Accessibility : Universal readability

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3. Accessibility : Universal readabilityAdaptation of external websites

Provisu bookmarklet

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3. Accessibility : Universal readabilityAdaptation of external websites

www.healthonnet.org

SGMI-SSIM 2rd May 2006

Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

www.healthonnet.org

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4- Accessibility : Multilingualism

(French)

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4- Accessibility : Multilingualism

(English)

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Accessibility

Readability : typeface, size, colour and background complexity of the page layout

Speech-enabled web sites

Universal readability

Multilingualism

Health literacy : complexity of the content Manual : Extraction Automatic : On going project

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5- Accessibility : Health literacy

• Manual : Extraction and selection to help access to health literacy

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Conclusion

Through these simple solutions ProVisu demonstrates that respecting elementary rules and using appropriate web technology such as the bookmarklet, the Internet could be an integration and autonomy vector for all of us.

Perspectives

• Development of simple guidelines

• Implementation of an Accessible Web Content accreditation

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HON Team

HONcode AccreditationSergio Garcia Vicente, MD

Erik Montesinos, MD

Mélanie Provost, DPharm.

Samia Reffas, Phd,

Mikhail Mizin

Computer developmentVincent Baujard

Arnaud Gaudinat

Hamidul Huq

Samia Reffas, E-mail : [email protected]

Design

Ndaté Sylla

Secretary

Guilia Ramagnano

Direction

Celia Boyer