Next Article in Journal
Medical and Para-Medical Personnel’ Perspectives on Home Health Care Technology
Next Article in Special Issue
Modeling the Construct of an Expert Evidence-Adaptive Knowledge Base for a Pressure Injury Clinical Decision Support System
Previous Article in Journal
Modelling Digital Knowledge Transfer: Nurse Supervisors Transforming Learning at Point of Care to Advance Nursing Practice
Previous Article in Special Issue
ICNP® R&D Centre Ireland: Defining Requirements for an Intersectoral Digital Landscape
Article Menu

Export Article

Open AccessArticle
Informatics 2017, 4(2), 13; doi:10.3390/informatics4020013

Evaluation of the Omaha System Prototype Icons for Global Health Literacy

School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA
Department of Speech-Language-Hearing-Sciences, University of Minnesota, Minneapolis, MN 55455, USA
College of Design, University of Minnesota, Minneapolis, MN 55455, USA
Author to whom correspondence should be addressed.
Academic Editor: Sile A. Creedon
Received: 13 April 2017 / Revised: 23 May 2017 / Accepted: 30 May 2017 / Published: 1 June 2017
(This article belongs to the Special Issue Nursing Informatics)
View Full-Text   |   Download PDF [1882 KB, uploaded 1 June 2017]   |  


Omaha System problem concepts describe a comprehensive, holistic view of health in simple terms that have been represented in a set of prototype icons intended for universal use by consumers and clinicians. The purpose of this study was to evaluate Omaha System prototype icons internationally across ten languages through an on-line survey and in-person focus groups. The icons were generally rated above 3 on a scale of 1 to 5 by 1568 survey respondents, with notable exceptions for some of the more abstract concepts. Overall, the icons were rated 3.49 on a scale of 1 = strongly disagree to 5 = strongly agree, with a range of 3.09 (Japanese language) to 3.88 (Norwegian language). A pattern of differential agreement was noted among respondents from Asiatic languages compared to all other languages. Feedback from survey respondents and focus group participants was used to refine the icons. General themes related to icon development were synthesized from focus group interviews. Further research should continue to refine and evaluate the icons in different languages for international use to support health literacy through visual literacy. View Full-Text
Keywords: health literacy; visual literacy; icons; standardized terminology; Omaha System health literacy; visual literacy; icons; standardized terminology; Omaha System

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Monsen, K.A.; Kang, Y.J.; Maki, T.A.; Stromme, A.E.; Weirich, E.G.; Lawrence, E.C.; Schneider, R.N.; Martinson, B.E. Evaluation of the Omaha System Prototype Icons for Global Health Literacy. Informatics 2017, 4, 13.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Informatics EISSN 2227-9709 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top