Assessing the Acceptability and Usability of an Internet-Based Intelligent Health Assistant Developed for Use among Turkish Migrants: Results of a Study Conducted in Bremen, Germany
3.1. Features of the IHA
3.1.1. Health Information Service
3.1.2. Prevention Service
3.2. Description of Study Participants
|N = 28||No Turkish Migrant Background (n = 9) 1||Turkish Migrant Background (n = 19)|
|Age (in years)|
|Upper secondary school||3||1|
|Lower secondary school||1||3|
|Still at school||4||6|
|No school certificate||-||3|
|Still at school||4||6|
|Country of birth|
|Length of stay in Germany (in years)|
3.2.1. Phase 1: Needs Assessment for Sources of Health Information
“It’s exactly what I need.” (Female, 38 years, no migrant background)“Yes well, if I had it, I would use it.” (Male, 13 years, Turkish migrant background)“That I really could picture well to myself, because that’s how it really is when one has questions I mean, that one can access Information quickly and informally.” (Female, 41 years, no migrant background)“Yes, well, for health. Just looking at a medical book is enough to make me lose interest in leafing through it, because it’s so thick. And when I just imagine that I have just this thing and can simply do this, I find that great.” (Female, 41 years, no migrant background)“…oh, maybe I would get so attached to it and ask it everything (laughs)—Should I eat this, should I not eat that? Would I be able to tolerate it (the food)?” (Female, 34 years, Turkish migrant background)“So, I imagine that questions which concern you come, e.g., in Summer, do you feel tired and are you lethargic? Then one thinks well, actually yes and then the answer would immediately appear, somehow a picture with a strawberry salad.” (Male, 29 years, Brazilian migrant background)“The assistant should tell one to drink something or to eat fruit, and in the evening tell you that you have taken too much sugar or fat, eaten too little fruit and drunk too little.” (Male, 40 years, Turkish migrant background)
3.2.2. Phase 2: Initial Evaluation of Prototype
“I can’t write Turkish well and can only read very slowly. One doesn’t even want to read if it’s written in German. Pictures would be good—videos too.” (Female, 34 years, Turkish migrant background).
3.2.3. Phase 3: Telephone Interviews
3.2.4. Focus Group Discussion
3.3. Cultural Sensitivity
“If it is in Turkish, I understand everything.” (Female, 51 years, Turkish migrant background)“If I don’t understand, I can switch to Turkish.” (Female, 43 years, Turkish migrant background)“It’s good when you don’t understand something or the whole text, for example, you can read it and see it in another language.” (Male, 16 years, Turkish migrant background)
“I mean Turkish people are—there are Turkish people who eat pork and drink alcohol. If these are included in the ingredients, one could highlight this or restrict the search.” (Female, 40 years, Turkish migrant background).
“That’s a nice pleasant thing—she doesn’t have to go somewhere where she will encounter difficulties. It’s comfortable—she can go in and inform herself about everything. That’s a nice thing.” (Female, 51 years old, Turkish migrant background)“It’s something which happens often. I mean, I’ve had similar experiences very often. I’ve observed this in my surrounding quite often. For example quite often I go along as a translator because of such things, because they need information, have some questions they can’t ask because they don’t speak and understand German well. That’s why it’s necessary—it is better in Bremen, there are two Turkish gynecologists—the women can inform themselves better, but such a thing would be natural—I mean she could inform herself from her home and needn’t go all the way to the doctor for every little thing. She can ask everything there and get the necessary information.” (Female, 23 years, Turkish migrant background)“Pregnancy needs life, I mean needs interaction, needs closeness, needs trust, the talks. I can’t even imagine using that thing in such circumstances.” (Female, 41 years, no migrant background)“I could well imagine that it would help someone who is new here and is not familiar with the structures.” (Female, 32 years, no migrant background)
“But where is the difference, I ask you. Is a pregnant Turkish woman different to a pregnant German woman?” (Female, 40 years, Turkish migrant background)
“I don’t know, it is easy and—if the person gets the right answer immediately, it is easier than going to the doctor.” (Female, 34 years, Turkish migrant background)
Strengths and Limitations
Conflicts of Interest
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Samkange-Zeeb, F.; Ernst, S.A.; Klein-Ellinghaus, F.; Brand, T.; Reeske-Behrens, A.; Plumbaum, T.; Zeeb, H. Assessing the Acceptability and Usability of an Internet-Based Intelligent Health Assistant Developed for Use among Turkish Migrants: Results of a Study Conducted in Bremen, Germany. Int. J. Environ. Res. Public Health 2015, 12, 15339-15351. https://doi.org/10.3390/ijerph121214987
Samkange-Zeeb F, Ernst SA, Klein-Ellinghaus F, Brand T, Reeske-Behrens A, Plumbaum T, Zeeb H. Assessing the Acceptability and Usability of an Internet-Based Intelligent Health Assistant Developed for Use among Turkish Migrants: Results of a Study Conducted in Bremen, Germany. International Journal of Environmental Research and Public Health. 2015; 12(12):15339-15351. https://doi.org/10.3390/ijerph121214987Chicago/Turabian Style
Samkange-Zeeb, Florence, Sinja Alexandra Ernst, Funda Klein-Ellinghaus, Tilman Brand, Anna Reeske-Behrens, Till Plumbaum, and Hajo Zeeb. 2015. "Assessing the Acceptability and Usability of an Internet-Based Intelligent Health Assistant Developed for Use among Turkish Migrants: Results of a Study Conducted in Bremen, Germany" International Journal of Environmental Research and Public Health 12, no. 12: 15339-15351. https://doi.org/10.3390/ijerph121214987