Summary
This paper aims to examine the barriers and facilitators affecting access to digital health education and resources for Alzheimer disease (AD) prevention and care management during the COVID-19 pandemic. This study focuses on the digital barriers possibly hindering Spanish-speaking Latino and Hispanic individuals in Los Angeles County from using online services offering critical AD prevention and care resources amid the COVID-19 pandemic. Authors developed a conceptual model based on users’ digital access or web literacy and language as barriers and facilitators impacting access to digital AD prevention and care resources. Between January 2022 and February 2022, authors identified 15 websites of local organizations providing digital AD prevention services and resources in Los Angeles County during the pandemic and applied our digital divide model to qualitatively evaluate the 15 websites.
Findings: Out of the 15 websites, 5 featured web navigation accessibility tools (4/15 in 2025), 4 provided content available in Spanish (6/15 in 2025), and 2 included resources for family dialogue about AD care and management (3/15 in 2025). One website showed cultural and linguistic responsiveness in its content (2/15 in 2025). Cohen κ analysis revealed substantial agreement for digital acceptability factors including Spanish language, resources available in Spanish, and family dialogue resources. Agreement for web accessibility tools was moderate. Authors uncovered other unforeseen structural barriers to digital access, including email subscription requirements, English language–centered online forms, and the limited availability of Spanish-speaking staff.
This article referenced two studies based on California Health Interview Survey (CHIS) data.