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Appendix B
Audience Personas

ODPHP met with 30 Asian American, Native Hawaiian, and other Pacific Islander intermediaries representing target populations (organized according to the context in which they might use the Internet to find health information).

The purpose of a persona is to create sample audiences that can be compared against each other in crafting electronic documents to suit many audience needs. User-experience research refers to persona development as a "necessary foundation of good interaction design."1 The purpose of the persona is not to provide information on a specific person; instead, personas serve as hypothetical archetypes of actual users. The personas developed in this study are defined based on the experiences of the interviewers.

Executive Directors
Typical executive directors oversee nonprofit organizations that provide either direct health care or infrastructure to community-based organizations. They are highly educated, holding at least one advanced degree. Ranging in age from their mid-30s to age 70, they engender a great deal of respect from community members as well as influence on a national level.

Typical executive directors access the Internet both at the office and at home, up to 5 hours per day. They spend the majority of their workweek answering e-mail, calling various partners, going to meetings and traveling. Usually, they do not spend a lot of time surfing the Internet.

The top five tasks that executive directors try to accomplish on a health information Web site are:

  1. Search for statistics
  2. Find grant information
  3. Find information on health specific to communities
  4. Find updates on health news
  5. Gather information for a meeting

The most rewarding aspect of executive directors' jobs are making a difference, empowering community members to do what they are capable of, teaching others as well as learning from mentors, and strengthening the capacity of the community.

The most challenging aspects of their job are having limited resources, having limited data, handling administrative issues, and breaking down language and cultural barriers that prevent community members from getting the health care they need.

Health Educators and Social Workers
Typical health educators and social workers work directly with community members, referring them to treatment or providing counseling. Some develop health education curricula, translate health education materials, conduct outreach to the community, or manage other staff.

Typical health educators and social workers access the Internet mostly at the office and sometimes at home. Because they are often seeing clients, they spend up to 1 hour a day on the Internet. Social workers have even less time than health educators to access the Internet because they are often visiting clients in their homes. Health educators have to develop translation standards and processes because they usually have to provide health education materials that are specific to a particular language and culture. The two professions share the job of assisting community members with accessing services.

The top five tasks that health educators and social workers try to accomplish on a health Web site are:

1. Provide information to individuals or groups (tie)
1. Find information on health specific to community (tie)
2. Find information on disease or condition (tie)
2. Print handouts for patients (tie)
2. Search for statistics (tie)

The most rewarding aspect of health educators' and social workers' jobs are seeing how their health education materials have made a difference for non-English-speaking clients or community and helping clients access services.

The most challenging aspect of their job is sustainability, limited data, and making sure the community voice is heard.

Legislative Analysts
Typical legislative analysts spend their time working on testimonies, briefs, presentations, or staffing a political person. They are highly educated, holding at least a college degree. The average age is in the mid-30s.

Typical legislative analysts access the Internet at the office and at home, up to 4 hours a day. Their workday can be up to 10 hours long.

The top five tasks that legislative analysts try to accomplish on a health Web site are:

1. Gather information for a meeting
2. Find updates on health news (tie)
2. Search for topic related to health care organization (tie)
3. Find information on health specific to communities
4. Find journal articles

The most rewarding aspects of legislative analysts' jobs are the variety of people they meet and the intellectual stimulation.

The most challenging aspects of their jobs are repeating the same thing over and over and setting their priorities.

Librarians
Typical librarians who work on behalf of Asian American, Native Hawaiian, and other Pacific Islander issues are consumer health librarians. They are usually in charge of developing paper or electronic kiosks or Internet sites for people who speak Asian American, Native Hawaiian, and other Pacific Islander languages. They usually hold an advanced degree in library sciences and are not Asian American, Native Hawaiian, and other Pacific Islander.

Typical librarians access the Internet at the office and at home, up to 5 hours a day. Sometimes they staff a reference desk and answer consumer health questions and perform literature searches for physicians. Usually, they are in charge of collecting or creating translated materials in Asian American, Native Hawaiian, and other Pacific Islander languages for paper or electronic kiosks or Internet sites.

The top tasks that librarians try to accomplish on a health Web site are:

1. Search for translated materials (tie)
1. Find journal articles (tie)
2. Search for statistics (tie)
2. Find organizations that on work on a specific issue (tie)
2. See how many Asian American, Native Hawaiian, and other Pacific Islander sites are available (tie)
2. Find information on treatment and management (tie)
2. Provide information to individuals or groups (tie)
2. Find information on disease or condition (tie)

The most rewarding aspects of librarians' jobs are serving as a reference point for people and helping them with a health care issue.

The most challenging aspect of their job is collecting or translating materials for Asian American, Native Hawaiian, and other Pacific Islander populations. They have had to create their own translation standards or processes. The projects take much longer than they anticipate, and they face many language and cultural barriers because they are not Asian American, Native Hawaiian, and other Pacific Islander.

Physicians and Nurses
Typical physicians and nurses wear many hats?—from providing health care to patients to teaching students to consulting on public health projects. Physicians also can serve as medical directors of community health centers. They all hold advanced degrees and range in age from their 30s to their 60s.

Typical physicians and nurses access the Internet at the office and at home, up to 4 hours a day. If they are working at a community health center, few physicians and nurses have an Internet connection. They are busy seeing patients, coordinating meetings, teaching medical students, developing mentorship programs, and serving on various organization boards.

The top five tasks that physicians and nurses try to accomplish on a health Web site are:

1. Find information on disease or condition
2. Search for statistics
3. Print handouts for patients (tie)
3. Find information on treatment and management (tie)
3. Provide information to individuals or groups (tie)

The most rewarding aspects of physicians' and nurses' jobs are being able to "educate our community and respect their voices" and bringing those voices into academic centers or government. Of course, they all enjoy the patient interaction.

The most challenging aspect of their job is overcoming barriers like access to health care, limited resources, and language and cultural issues.

Program Administrators
Typical program administrators have a wide range of responsibilities from managing staff to developing Asian American, Native Hawaiian, and other Pacific Islander print and electronic health education materials to evaluating Asian American, Native Hawaiian, and other Pacific Islander public health projects. Some provide direct services to community members who may call them to request health information or services.

Typical program administrators access the Internet at the office and at home, up to 10 hours a day. They are online frequently because they are usually tasked with locating information on behalf of the community or their organization.

The top five tasks that program administrators try to accomplish on a health Web site are:

1. Provide information to individuals or groups (tie)
1. Gather information for a meeting (tie)
2. Search for statistics
3. Find journal articles (tie)
3. Find information on health specific to community (tie)

The most rewarding aspects of program administrators' jobs are "connecting with people" and delivering health information to the community.

The most challenging aspects of their jobs are limited resources and learning new technologies.

Researchers
Typical researchers wear many hats ranging from teaching students to conducting research to holding leadership positions in community organizations. They are highly educated, holding advanced degrees. The average age is in the mid-30s.

Typical researchers access the Internet at the office and at home, up to 4 hours a day. They spend a lot of time preparing for lectures or conducting research on behalf of Asian American, Native Hawaiian, and other Pacific Islander communities.

The top five tasks that researchers try to accomplish on a health Web site are:

1. Find journal articles
2. Find information on disease or condition
3. Search for statistics
4. Gather information for a meeting (tie)
4. Find grant information (tie)

The most rewarding aspect of researchers' jobs is making a difference for students or community members by providing them the information they need to be successful.

I see my work as a long-term thing. I don't expect to see the result within a year but the fact that I'm going to a community asking people tough questions and trying to make them realize through the research process that it's not okay to accept the status quo. I try to teach my students the same thing every day, trying to make them aware of health disparities.

—Dr. Mei-ling Wang, Professor, University of the Sciences, Philadelphia

The most challenging aspect of their jobs is limited resources as well as social, political, and cultural barriers because of politics or discrimination.

Traditional Healing Practitioners
Typical traditional healing practitioners perform acupuncture, Native Hawaiian traditional healing, T'ai Chi, coining or cupping (use of cuplike suction devices to draw "bad wind" from the body), or other forms of Asian American, Native Hawaiian, and other Pacific Islander traditional healing for their patients. They are highly educated, usually holding multiple advanced degrees. They wear several hats—serving on organizational boards, consulting, conducting research, and teaching.

Typical traditional healing practitioners access the Internet at home and at the office, up to 3 hours a day. They are more Internet-savvy than their American Indian and Alaska Native colleagues in the traditional healing arena. This could be due to the fact that most of them are trained in both traditional Asian American, Native Hawaiian, and other Pacific Islander and Western education. This allows them to operate in both worlds and facilitate partnerships.

The top five tasks that traditional healing practitioners try to accomplish on a health Web site are:

1. Find information on traditional healing (tie)
1. Find information on alternative nutrition (tie)
2. Find information on disease or condition
3. Search for topic related to health care organization
4. Find grant information

The most rewarding aspects of traditional healing practitioners' jobs are helping patients feel better, especially when conventional medicine has failed, and helping people find their mission in life.

The most challenging aspect of their job is "trying to come up with creative solutions to problems that have traditionally plagued humanity."

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