Background: Health care lags in digital transformation, despite the potential of technology to improve the well-being of individuals. The COVID-19 pandemic has accelerated the uptake of technology... Show moreBackground: Health care lags in digital transformation, despite the potential of technology to improve the well-being of individuals. The COVID-19 pandemic has accelerated the uptake of technology in health care and increased individuals' willingness to perform self-management using technology. A web-based service, Directlab Online, provides consumers with direct digital access to diagnostic test packages, which can digitally support the self-management of health. Objective: This study aims to identify the facilitators, barriers, and needs of Directlab Online, a self-management service for web-based access to diagnostic testing. Methods: A qualitative method was used from a potential user's perspective. The needs and future needs for, facilitators of, and barriers to the use of Directlab Online were evaluated. Semistructured focus group meetings were conducted in 2022. Two focus groups were focused on sexually transmitted infection test packages and 2 were focused on prevention test packages. Data analysis was performed according to the principles of the Framework Method. The Consolidated Framework for Implementation Research was used to categorize the facilitators and barriers. Results: In total, 19 participants, with a mean age of 34.32 (SD 14.70) years, participated in the focus groups. Important barriers were a lack of privacy information, too much and difficult information, and a commercial appearance. Important facilitators were the right amount of information, the right kind of tests, and the involvement of a health care professional. The need for a service such as Directlab Online was to ensure its availability for users' health and to maintain their health. Conclusions: According to the participants, facilitators and barriers were comprehension of the information, the goal of the website, and the overall appearance of the service. Although the service was developed in cocreation with health care professionals and users, the needs did not align. The users preferred understandable and adequate, but not excessive, information. In addition, they preferred other types of tests to be available on the service. For future research, it would be beneficial to focus on cocreation between the involved medical professionals and users to develop, improve, and implement a service such as Directlab Online. Show less
The ability to learn a foreign language, language aptitude, is known to differ between individuals. To better understand second-language learning, language aptitude tests, tapping into the... Show moreThe ability to learn a foreign language, language aptitude, is known to differ between individuals. To better understand second-language learning, language aptitude tests, tapping into the different components of second-language learning aptitude, are widely used. For valid conclusions on comparisons of learners with different language backgrounds, it is crucial that such tests be language neutral. Several studies have investigated the language neutrality of the freely available LLAMA tests (Granena, 2013; Rogers et al., 2016, 2017). So far, comparing a number of L1 backgrounds, including those using different writing systems such as Arabic and Mandarin, no significant differences between participants have been found. However, until now, neither participants with agglutinative language backgrounds nor with first-language backgrounds that use multiple writing systems have been included. Therefore, this study selected participants from three different first-language backgrounds: Dutch (non-agglutinative, phonogram/Latin alphabet), Hungarian (agglutinative, phonogram/Latin alphabet), and Japanese (agglutinative, phonogram/syllabic alphabet and logogram/Japanese kanji). The participants performed three subsets of the LLAMA test. Significant differences between the groups were found on two of these tests: The ability to implicitly recognize sounds (LLAMA_D subtest) and inductive grammar learning ability (LLAMA_F), but no differences were found on vocabulary learning ability (LLAMA_B). Additionally, for LLAMA_B, the number of languages learnt was a significant covariate, confirming earlier findings that some subtests seem to be linked to language learning experience. We discuss the implications of our findings on the validity of the LLAMA_D and LLAMA_F subtests. Show less
