Page 46 - THE DUTCH TALKING TOUCH SCREEN QUESTIONNAIRE

Chapter 2
give more information to my therapist.”
No salient differences were seen in the level of education, ethnic background, Dutch reading and writing and health literacy skills and ability and inability to complete the PSC between the groups of people that did and did not think of the PSC as useful in relation to the quality of their health care process.
Six respondents, all of Dutch origin, spoke about the usefulness of the PSC outcomes on an aggregate level. None of them were positive. They feared violation of their privacy and they distrusted health insurance companies. A 61 year old moderately educated, adequate health literate bus driver instructor said:
“If a therapist asks me to complete a questionnaire, I would think he is not serving his patients, but the health insurer. Because the reality is, that if a therapist does not obey the health insurers he will lose his job. The health insurer is very dangerous. Not everybody realizes that. What troubles me in terms of my own situation is that if I complete this form and on the basis of my answers my health insurer thinks that I am very ill and expects me to have to go to the doctor very often in the future, they might raise the price of my health insurance or throw me out of their insurance.”
DISCUSSION
The aim of this study was to get insight into the perceived ease of use and perceived usefulness of the PSC by physical therapy patients with different levels of health literacy. Overall, the respondents were not positive about the ease of use of the PSC. All respondents, except for one, experienced problems completing the questionnaire. Most problems were related to the understanding and interpretation of the instructions and questions. Due to these problems the PSC generated different information than was intended by its developers in twenty- four cases. Low health literate respondents experienced more problems during their response process than adequate health literate respondents did and this more often led to generation of different information than was intended by the developers of the PSC. This may be related to the fact that high health literate persons have better problem solving skills than low health literate persons have [16]. Ten respondents, all low health literates, were not able to complete the
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