Understanding and acting on online health information is
increasingly a pre-requisite for patient self-care. Therefore,
inadequate health literacy is a barrier to self-care among older
adults with chronic illness. The goal of our study was to
improve older adults’ comprehension of online health
information. We extracted typical health texts from multiple
credible health websites, and systematically improved the
texts in terms of, content, language, organization and design.
Results showed that older adults better understood the revised
passages than the typical ones, in terms of their reading
efficiency (time per unit of information uptake). Intervention
benefits were greater for older adults with more domainspecific
health knowledge, suggesting that knowledge
facilitated the comprehension of health information in the
revised texts. Implications for promoting older adults’
comprehension of health information are discussed.