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Zhang H, Zhang R, Lu X, Zhu X. Impact of Personal Trust Tendency on Patient Compliance Based on Internet Health Information Seeking. Telemed J E Health 2019; 26:294-303. [PMID: 31045486 DOI: 10.1089/tmj.2018.0296] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Personal trust tendency is an individual characteristic that can affect one's evaluation of others, behavior and its related outcomes. It may significantly affect one's health information seeking behavior and compliance. Therefore, this article aims at figuring out how personal trust tendency influences patient compliance through the internet health information seeking and patient satisfaction with it. Methods: Data were collected from 336 valid participants through an online survey in China. There are two independent variables: (1) cognition-based trust tendency and (2) affect-based trust tendency, three intervening variables (emerging internet health information seeking, conservative internet health information seeking, and satisfaction with internet health information), one dependent variable (patient compliance), and control variables. We performed confirmative factor analysis and structural equation modeling to test the hypotheses. Results: The cognition- and affect-based trust tendency positively affects patient compliance through the mediation of emerging and conservative internet health information seeking and satisfaction with internet health information. Surprisingly, strong positive relationships between affect-based trust tendency and emerging and conservative internet health information seeking were found, which are contrary to our initial hypothesis. Conclusions: Health information is considerably important when regarding health-related issues for individuals with cognition- and affect-based trust tendency. Physicians should encourage patients to seek health information on the internet and guide them to use internet health information that suits them. Information exchange and correlations should be involved in doctor-patient interactions. By following the suggestions just cited, better patient compliance can likely be obtained.
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Affiliation(s)
- Hongran Zhang
- Department of Information Management, School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Runtong Zhang
- Department of Information Management, School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Xinyi Lu
- Department of Information Management, School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Xiaomin Zhu
- Department of Mechanical Engineering, School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, China
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Ragusa AT, Crampton A. Doctor Google, Health Literacy, and Individual Behavior: A Study of University Employees’ Knowledge of Health Guidelines and Normative Practices. AMERICAN JOURNAL OF HEALTH EDUCATION 2019. [DOI: 10.1080/19325037.2019.1590259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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103
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Salem J, Paffenholz P, Bolenz C, von Brandenstein M, Cebulla A, Haferkamp A, Kuru T, Lee CT, Pfister D, Tsaur I, Borgmann H, Heidenreich A. Websites on Bladder Cancer: an Appropriate Source of Patient Information? JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:381-387. [PMID: 29313299 DOI: 10.1007/s13187-017-1316-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A growing number of patients search for health information online. An early investigation of websites about bladder cancer (BCa) revealed mostly incomplete and particularly inaccurate information. We analyzed the quality, readability, and popularity of the most frequented websites on BCa. An Internet search on www.google.com was performed for the term "bladder cancer." After selecting the most frequented websites for patient information, HONcode quality certification, Alexa popularity rank, and readability scores (according to US grade levels) were investigated. A 36-point checklist was used to assess the content according to the EAU guidelines on BCa, which was categorized into seven topics. The popularity of the 49 websites analyzed was average, with a median Alexa popularity rank of 41,698 (interquartile range [IQR] 7-4,671,246). The readability was rated difficult with 11 years of school education needed to understand the information. Thirteen (27%) websites were HONcode certified. Out of 343 topics (seven EAU guideline topics each on 49 websites), 79% were mentioned on the websites. Of these, 10% contained incorrect information, mostly outdated or biased, and 34% contained incomplete information. Publically provided websites mentioned more topics per website (median [IQR] 7 [5.5-7] vs. 5.5 [3.3-7]; p = 0.022) and showed less incorrect information (median [IQR] 0 [0-1] vs. 1 [0-1]; p = 0.039) than physician-provided websites. Our study revealed mostly correct but partially incomplete information on BCa websites for patients. Physicians and public organizations should strive to keep their website information up-to-date and unbiased to optimize patients' health literacy.
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Affiliation(s)
- Johannes Salem
- Department of Urology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
| | - Pia Paffenholz
- Department of Urology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany
| | | | | | | | - Axel Haferkamp
- Department of Urology, University Medicine, Mainz, Germany
| | - Timur Kuru
- Department of Urology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany
| | - Cheryl T Lee
- Department of Urology, University of Michigan, Ann Arbor, MI, USA
| | - David Pfister
- Department of Urology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany
| | - Igor Tsaur
- Department of Urology, University Medicine, Mainz, Germany
| | | | - Axel Heidenreich
- Department of Urology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany
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Jiang S, Hong YA, Liu PL. Trends of online patient-provider communication among cancer survivors from 2008 to 2017: a digital divide perspective. J Cancer Surviv 2019; 13:197-204. [DOI: 10.1007/s11764-019-00742-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 02/04/2019] [Indexed: 12/27/2022]
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105
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Kite J, Grunseit A, Li V, Vineburg J, Berton N, Bauman A, Freeman B. Generating Engagement on the Make Healthy Normal Campaign Facebook Page: Analysis of Facebook Analytics. JMIR Public Health Surveill 2019; 5:e11132. [PMID: 31344679 PMCID: PMC6682272 DOI: 10.2196/11132] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 08/16/2018] [Accepted: 09/04/2018] [Indexed: 11/30/2022] Open
Abstract
Background Facebook is increasingly being used as part of mass media campaigns in public health, including the Make Healthy Normal (MHN) campaign in New South Wales, Australia. Therefore, it is important to understand what role Facebook can play in mass media campaigns and how best to use it to augment or amplify campaign effects. However, few studies have explored this. Objective This study aimed to investigate usage of and engagement with the MHN Facebook page and to identify influential factors in driving engagement with the page. Methods We examined both post-level and page-level analytic data from Facebook from the campaign’s launch in June 2015 to September 2017. For post-level data, we conducted a series of negative binomial regressions with four different outcome measures (likes, shares, comments, post consumers), including some characteristics of Facebook posts as predictors. We also conducted time series analyses to examine associations between page-level outcomes (new page likes or “fans” and number of engaged users) and different measures of exposure to the page (number of unique users reached and total count of impressions) and to television advertising. Results Of the 392 posts reviewed, 20.7% (n=81) received a paid boost and 58.9% (n=231) were photo posts. We found that posts that received a paid boost reached significantly more users and subsequently received significantly more engagement than organic (unpaid) posts (P<.001). After adjusting for reach, we found the effect of being paid was incremental for all outcome measures for photos and links, but not videos. There were also associations between day of the week and time of post and engagement, with Mondays generally receiving less engagement and posts on a Friday and those made between 8 AM and 5 PM receiving more. At the page level, our time series analyses found that organic impressions predicted a higher number of new fans and engaged users, compared to paid impressions, especially for women. We also found no association between television advertising and engagement with the Facebook page. Conclusions Our study shows that paying for posts is important for increasing their reach, but that page administrators should look to maximize organic reach because it is associated with significantly higher engagement. Once reach is accounted for, video posts do not benefit from being paid, unlike the other post types. This suggests that page administrators should carefully consider how they use videos as part of a Facebook campaign. Additionally, the lack of association between television advertising and engagement suggests that future campaigns consider how best to link different channels to amplify effects. These results highlight the need for ongoing evaluation of Facebook pages if administrators are to maximize engagement.
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Affiliation(s)
- James Kite
- Prevention Research Collaboration, Sydney School of Public Health and Charles Perkins Centre, The University of Sydney, The University of Sydney, Australia
| | - Anne Grunseit
- Prevention Research Collaboration, Sydney School of Public Health and Charles Perkins Centre, The University of Sydney, The University of Sydney, Australia.,The Australian Prevention Partnership Centre, The University of Sydney, Australia
| | - Vincy Li
- New South Wales Office of Preventive Health, Liverpool, Australia
| | - John Vineburg
- Centre for Population Health, New South Wales Ministry of Health, North Sydney, Australia
| | - Nathan Berton
- Strategic Communications and Engagement, New South Wales Ministry of Health, North Sydney, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public Health and Charles Perkins Centre, The University of Sydney, The University of Sydney, Australia
| | - Becky Freeman
- Prevention Research Collaboration, Sydney School of Public Health and Charles Perkins Centre, The University of Sydney, The University of Sydney, Australia
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Silver JK, Raj VS, Fu JB, Wisotzky EM, Smith SR, Knowlton SE, Silver AJ. Most National Cancer Institute-Designated Cancer Center Websites Do Not Provide Survivors with Information About Cancer Rehabilitation Services. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2018; 33:947-953. [PMID: 28064402 DOI: 10.1007/s13187-016-1157-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study is the first to evaluate the existence and quality of patient-related cancer rehabilitation content on the websites of National Cancer Institute (NCI)-Designated Cancer Centers. In 2016, a team of cancer rehabilitation physicians (physiatrists) conducted an analysis of the patient-related rehabilitation content on the websites of all NCI-Designated Cancer Centers that provide clinical care (N = 62 of 69). The main outcome measures included qualitative rating of the ease of locating descriptions of cancer rehabilitation services on each website, followed by quantitative rating of the quality of the cancer rehabilitation descriptions found. More than 90% of NCI-Designated Cancer Centers providing clinical care did not have an easily identifiable patient-focused description of or link to cancer rehabilitation services on their website. Use of a website's search box and predetermined terms yielded an additional 13 descriptions (21%). Therefore, designers of nearly 70% of the websites evaluated overlooked an opportunity to present a description of cancer rehabilitation services. Moreover, only 8% of the websites included accurate and detailed information that referenced four core rehabilitation services (physiatry and physical, occupational and speech therapy). Further research is needed to confirm the presence of cancer rehabilitation services and evaluate access to these types of services at NCI-Designated Cancer Centers providing clinical care.
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Affiliation(s)
- Julie K Silver
- Harvard Medical School, Department of Physical Medicine and Rehabilitation & Spaulding Rehabilitation Hospital, Massachusetts General Hospital and Brigham and Women's Hospital, 300 1st Avenue, Charlestown, MA, 02025, USA.
| | - Vishwa S Raj
- Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, 1100 Blythe Boulevard, Charlotte, NC, 28203, USA
| | - Jack B Fu
- Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1414, Houston, TX, 77030, USA
| | - Eric M Wisotzky
- MedStar National Rehabilitation Network, 102 Irving Street, NW, Washington, DC, 20010, USA
| | - Sean Robinson Smith
- University of Michigan Department of Physical Medicine & Rehabilitation, 325 E Eisenhower Pkwy, Ste 100, Ann Arbor, MI, 48108, USA
| | - Sasha E Knowlton
- Harvard Medical School, Department of Physical Medicine and Rehabilitation & Spaulding Rehabilitation Hospital, Massachusetts General Hospital and Brigham and Women's Hospital, 300 1st Avenue, Charlestown, MA, 02025, USA
| | - Alexander J Silver
- Department of Hematology, Brigham and Women's Hospital, Karp Family Research Building, 5th Floor, 1 Blackfan Circle, Boston, MA, 02115, USA
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107
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Kushalnagar P, Kushalnagar R. Chapter 3: Health-related Information Seeking among Deaf Adults: Findings from the 2017 Health Information National Trends Survey in American Sign Language (HINTS-ASL). ACTA ACUST UNITED AC 2018. [DOI: 10.1108/s2050-206020180000015008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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108
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Chapter 2: Trust in Health Information Sources and Channels, Then and Now: Evidence from the Health Information National Trends Survey (2005–2013). ACTA ACUST UNITED AC 2018. [DOI: 10.1108/s2050-206020180000015002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
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109
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El Sherif R, Pluye P, Thoër C, Rodriguez C. Reducing Negative Outcomes of Online Consumer Health Information: Qualitative Interpretive Study with Clinicians, Librarians, and Consumers. J Med Internet Res 2018; 20:e169. [PMID: 29728350 PMCID: PMC5960043 DOI: 10.2196/jmir.9326] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 01/31/2018] [Accepted: 03/09/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND There has been an exponential increase in the general population's usage of the internet and of information accessibility; the current demand for online consumer health information (OCHI) is unprecedented. There are multiple studies on internet access and usage, quality of information, and information needs. However, few studies explored negative outcomes of OCHI in detail or from different perspectives, and none examined how these negative outcomes could be reduced. OBJECTIVE The aim of this study was to describe negative outcomes associated with OCHI use in primary care and identify potential preventive strategies from consumers', health practitioners', and health librarians' perspectives. METHODS This included a two-stage interpretive qualitative study. In the first stage, we recruited through a social media survey, a purposeful sample of 19 OCHI users who had experienced negative outcomes associated with OCHI. We conducted semistructured interviews and performed a deductive-inductive thematic analysis. The results also informed the creation of vignettes that were used in the next stage. In the second stage, we interviewed a convenient sample of 10 key informants: 7 health practitioners (3 family physicians, 2 nurses, and 2 pharmacists) and 3 health librarians. With the support of the vignettes, we asked participants to elaborate on (1) their experience with patients who have used OCHI and experienced negative outcomes and (2) what strategies they suggest to reduce these outcomes. We performed a deductive-inductive thematic analysis. RESULTS We found that negative outcomes of OCHI may occur at three levels: internal (such as increased worrying), interpersonal (such as a tension in the patient-clinician relationship), and service-related (such as postponing a clinical encounter). Participants also proposed three types of strategies to reduce the occurrence of these negative outcomes, namely, providing consumers with reliable OCHI, educating consumers on how to assess OCHI websites, and helping consumers present and discuss the OCHI they find with a health professional in their social network or a librarian for instance. CONCLUSIONS We examined negative outcomes associated with using OCHI from five complementary perspectives (consumers, family physicians, pharmacists, nurses, and health librarians). We identified a construct of OCHI use-related tension that included and framed all negative outcomes. This construct has three dimensions (three interdependent levels): internal, interpersonal, and service-related tensions. Future research can focus on the implementation and effectiveness of the proposed strategies, which might contribute to reducing these tensions.
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Affiliation(s)
- Reem El Sherif
- Department of Family Medicine, McGill University, Montreal, QC, Canada
| | - Pierre Pluye
- Department of Family Medicine, McGill University, Montreal, QC, Canada
| | - Christine Thoër
- Department of Social and Public Communication, University of Quebec in Montreal, Montreal, QC, Canada
| | - Charo Rodriguez
- Department of Family Medicine, McGill University, Montreal, QC, Canada
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111
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Chae J. How we use the Internet matters for health: The relationship between various online health-related activities and preventive dietary behaviors. Health Informatics J 2017; 25:973-983. [DOI: 10.1177/1460458217735675] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
This study identified specific types of online health-related activities that may promote preventive dietary behaviors. Two cycles (Cycles 1 and 3) of the Health Information National Trends Survey 4 were analyzed ( N = 2606 and 2284, respectively; Internet users only). Similar types of activities were grouped to create three types of online activities: information seeking, engagement in health information technology, and social media use. In both cycles, online health information seeking and the engagement in health information technology were positively associated with two dietary behaviors (fruit/vegetable consumption and using menu information on calories) but not with soda consumption. Individuals may be exposed to new information or become more aware of their current health status through information seeking or health information technology engagement. However, social media use for health was not related to any of the dietary behavior. The results suggest that “how we use the Internet” may make a difference in health outcomes.
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112
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Jackson DN, Chou WYS, Coa KI, Oh A, Hesse B. Implications of social media use on health information technology engagement: Data from HINTS 4 cycle 3. Transl Behav Med 2017; 6:566-576. [PMID: 27628436 DOI: 10.1007/s13142-016-0437-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Little is known about the association between Internet/social media use and health information technology (HIT) engagement. This study examines patterns of social media use and HIT engagement in the U.S.A. using data from the 2013 Health Information National Trends Survey (N = 3,164). Specifically, predictors of two HIT activities (i.e., communicating with a healthcare provider using the Internet or email and tracking personal health information electronically) are examined. Persons who were females, higher education, non-Hispanic others, having a regular healthcare provider, and ages 35-44 were more likely to participate in HIT activities. After controlling for sociodemographics and health correlates, social media use was significantly associated with HIT engagement. To our knowledge, this is one of the first studies to systematically examine the use and relationships across multiple types of health-related online media.
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Affiliation(s)
- Devlon N Jackson
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.
- Maryland Center for Health Equity, University of Maryland, College Park, MD, USA.
| | - Wen-Ying Sylvia Chou
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - Kisha I Coa
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - April Oh
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - Bradford Hesse
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
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113
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Margolis KA, Bernat JK, Keely O'Brien E, Delahanty JC. Online Information About Harmful Tobacco Constituents: A Content Analysis. Nicotine Tob Res 2017; 19:1209-1215. [PMID: 27613931 DOI: 10.1093/ntr/ntw220] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 08/30/2017] [Indexed: 11/12/2022]
Abstract
Introduction Tobacco products and smoke contain more than 7000 chemicals (ie, constituents). Research shows that consumers have poor understanding of tobacco constituents and find communication about them to be confusing. The current content analysis describes how information is communicated about tobacco constituents online in terms of source, target audience, and message. Methods A search was conducted in September 2015 using tobacco constituent and tobacco terms and identified 226 relevant Web sites for coding. Web sites were coded for type, target audience, reading level, constituent information, type of tobacco product, health effects, and emotional valence by two coders who independently coded half of the sample. There was a 20% overlap to assess interrater reliability, which was high (κ = .83, p < .001). Results The mean reading grade level of information online was 8.2 (SD = 2.8) with 81.7% of Web sites above the sixth grade reading level. Nearly all Web sites presented information in a qualitative narrative format (93%) and almost half (48.2%) presented information in a quantitative format. Nicotine (59.3%) and nitrosamines (28.8%) were the mostly frequently mentioned tobacco constituents. Cancer was the most frequently mentioned health effect (51.3%). Nearly a quarter (23%) of the Web sites did not explicitly state that tobacco constituents or tobacco products are associated with health effects. Conclusion Large gaps exist in online information about tobacco constituents including incomplete information about tobacco constituent-related health effects and limited information about tobacco products other than cigarettes and smokeless tobacco. This study highlights opportunities to improve the content and presentation of information related to tobacco constituents. Implications The US Food and Drug Administration (FDA) is required to publicly display a list of tobacco constituents in tobacco products and tobacco smoke by brand. However, little is known about tobacco constituent information available to the public. This is the first systematic content analysis of online information about tobacco constituents. The analysis reveals that although information about tobacco constituents is available online, large information gaps exist, including incomplete information about tobacco constituent-related health effects. This study highlights opportunities to improve the content and presentation of public information related to tobacco constituents.
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Affiliation(s)
| | - Jennifer K Bernat
- Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD
| | - Erin Keely O'Brien
- Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD
| | - Janine C Delahanty
- Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD
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Lee JH, Giovenco D, Operario D. Patterns of Health Information Technology Use according to Sexual Orientation among US Adults Aged 50 and Older: Findings from a National Representative Sample-National Health Interview Survey 2013-2014. JOURNAL OF HEALTH COMMUNICATION 2017; 22:666-671. [PMID: 28749748 PMCID: PMC6433593 DOI: 10.1080/10810730.2017.1341566] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Health disparities among sexual minority adults ages 50 and older have been documented. Factors such as lifetime discrimination and internalized stigma may deter sexual minority individuals from seeking health services. Several studies suggest that health information technology may facilitate health education and outreach to populations whose health behaviors are affected by stigma such as older sexual minority people. This study examined the role of sexual minority identity as a factor that is associated with health information technology use. Data from the 2013-2014 National Health Interview Survey (NHIS) were analyzed. Multivariate logistic regressions were used to compare the odds of using technology as a resource for health information between sexual minority versus heterosexual US adults aged 50 and older. Adjusting for sociodemographic variables and health variables, sexual minority participants had increased odds of using computers to look up health information on the Internet (OR = 2.01, 95% CI 1.53-2.64), using computers to fill a prescription (OR = 1.97, 95% CI 1.36-2.85), and using computers to communicate with health-care provider by e-mail (OR = 2.13, 95% CI 1.55-2.92), compared with heterosexuals. Findings reveal greater use of health information technology among older sexual minority adults when compared to their heterosexual counterparts. While sensitive, competent providers and culturally appropriate prevention services are essential to meeting the needs of aging sexual minority populations, health information technology use may be an innovative means of reducing disparities in information access as structural changes are implemented.
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Affiliation(s)
- Ji Hyun Lee
- Brown University School of Public Health, Providence, RI 02912, USA
| | | | - Don Operario
- Brown University School of Public Health, Providence, RI 02912, USA
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115
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Nguyen A, Mosadeghi S, Almario CV. Persistent digital divide in access to and use of the Internet as a resource for health information: Results from a California population-based study. Int J Med Inform 2017; 103:49-54. [DOI: 10.1016/j.ijmedinf.2017.04.008] [Citation(s) in RCA: 102] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Revised: 03/10/2017] [Accepted: 04/09/2017] [Indexed: 12/27/2022]
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Björk AB, Hillborg H, Augutis M, Umefjord G. Evolving techniques in text-based medical consultation - Physicians' long-term experiences at an Ask the doctor service. Int J Med Inform 2017; 105:83-88. [PMID: 28750914 DOI: 10.1016/j.ijmedinf.2017.05.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Revised: 05/05/2017] [Accepted: 05/19/2017] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Both the demands and the options for patients to communicate with health care providers utilizing eHealth solutions are increasing. Some patients, or relatives to patients, want to consult another health care provider than the regular one, merely in text. OBJECTIVE To improve text-based medical consultation by learning from long-term experiences. MATERIALS AND METHODS Physicians with comprehensive experience of answering free-text medical inquiries at an official health portal in Sweden were interviewed. The interviews were analyzed using a grounded theory approach. RESULTS Over time, the interviewed physicians developed strategies on how to formulate the answer to a medical inquiry from a previously unknown inquirer. The answering physicians experienced their primary role as providers of medical information and as mediators between an inquirer and the regular health care provider. Many of the answering physicians experienced a personal development with improved communication skills, also in face-to-face meetings with patients. CONCLUSION Text-based medical consultation is part of an expanding area in eHealth. The development of strategies, guidelines, ethical considerations as well as educational efforts are needed to optimize the skills of asynchronous text-based health consultation.
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Affiliation(s)
- Anna Bell Björk
- Research and Development, Sundsvall hospital, Västernorrland County Council, Sweden
| | - Helene Hillborg
- Research and Development, Sundsvall hospital, Västernorrland County Council, Sweden
| | - Marika Augutis
- Research and Development, Sundsvall hospital, Västernorrland County Council, Sweden
| | - Göran Umefjord
- Department of Public Health and Clinical Medicine, Umeå University, Sweden.
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Price-Haywood EG, Harden-Barrios J, Ulep R, Luo Q. eHealth Literacy: Patient Engagement in Identifying Strategies to Encourage Use of Patient Portals Among Older Adults. Popul Health Manag 2017; 20:486-494. [PMID: 28384076 DOI: 10.1089/pop.2016.0164] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Innovations in chronic disease management are growing rapidly as advancements in technology broaden the scope of tools. Older adults are less likely to be willing or able to use patient portals or smartphone apps for health-related tasks. The authors conducted a cross-sectional survey of older adults (ages ≥50) with hypertension or diabetes to examine relationships between portal usage, interest in health-tracking tools, and eHealth literacy, and to solicit practical solutions to encourage technology adoption. Among 247 patients surveyed in a large integrated delivery health system between August 2015 and January 2016, eHealth literacy was positively associated with portal usage (OR [95% CI]: 1.3 [1.2-1.5]) and interest in health-tracking tools (1.2 [1.1-1.3]). Portal users compared to nonusers (N = 137 vs.110) had higher rates of interest in using websites/smartphone apps to track blood pressure (55% vs. 36%), weight (53% vs. 35%), exercise (53% vs. 32%), or medication (46% vs 33%, all P < 0.05). Portal users noted cumbersome processes for accessing portals and variations in provider availability for online scheduling and response times to messages. Portal nonusers expressed concerns about data security, lack of personalization, and limited perceived value of using portals. Both groups noted the importance of computer literacy and technical support. Patient stakeholders recommended marketing initiatives that capture patient stories demonstrating real-life applications of what patients can do with digital technology, how to use it, and why it may be useful. Health systems also must screen for eHealth literacy, provide training, promote proxy users, and institute quality assurance that ensures patients' experiences will not vary across the system.
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Affiliation(s)
- Eboni G Price-Haywood
- 1 Ochsner Clinic Foundation, Center for Applied Health Services Research , New Orleans, Louisiana.,2 Ochsner Clinical School, University of Queensland , New Orleans, Louisiana
| | - Jewel Harden-Barrios
- 1 Ochsner Clinic Foundation, Center for Applied Health Services Research , New Orleans, Louisiana
| | - Robin Ulep
- 2 Ochsner Clinical School, University of Queensland , New Orleans, Louisiana
| | - Qingyang Luo
- 1 Ochsner Clinic Foundation, Center for Applied Health Services Research , New Orleans, Louisiana
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Spooner KK, Salemi JL, Salihu HM, Zoorob RJ. eHealth patient-provider communication in the United States: interest, inequalities, and predictors. J Am Med Inform Assoc 2017; 24:e18-e27. [PMID: 27497797 PMCID: PMC7651920 DOI: 10.1093/jamia/ocw087] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 04/05/2016] [Accepted: 04/30/2016] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Health-related Internet use and eHealth technologies, including online patient-provider communication (PPC), are continually being integrated into health care environments. This study aimed to describe sociodemographic and health- and Internet-related correlates that influence adult patients' interest in and electronic exchange of medical information with health care providers in the United States. METHODS Nationally representative cross-sectional data from the 2014 Health Information National Trends Survey ( N = 3677) were analyzed. Descriptive statistics and multivariable regression analyses were performed to examine associations between patient-level characteristics and online PPC behavior and interests. RESULTS Most respondents were Internet users (82.8%), and 61.5% of information seekers designated the Internet as their first source for health information. Younger respondents (<50 years), Hispanics, those from higher-income households, and those perceiving access to personal health information as important were more likely to be interested in online PPC. Despite varying levels of patient interest, 68.5% had no online PPC in the last year. However, Internet users (odds ratio, OR = 2.87, 95% CI, 1.35-6.08), college graduates (OR = 2.92, 95% CI, 1.42-5.99), and those with frequent provider visits (OR = 1.94, 95% CI, 1.02-3.71) had a higher likelihood of online PPC via email or fax, while Hispanics and those from higher-income households were 2-3 times more likely to communicate via text messaging or phone/mobile apps. CONCLUSION Patients' interest in and display of online PPC-related behaviors vary by age, race/ethnicity, education, income, Internet access/behaviors, and information type. These findings can inform efforts aimed at improving the use and adoption of eHealth technologies, which may contribute to a reduction in communication inequalities and health care disparities.
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Affiliation(s)
- Kiara K Spooner
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas
| | - Jason L Salemi
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas
| | - Hamisu M Salihu
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas
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Hessam S, Salem J, Bechara FG, Haferkamp A, Heidenreich A, Paffenholz P, Sand M, Tsaur I, Borgmann H. Hidradenitis suppurativa gains increasing interest on World Wide Web: a source for patient information? Int J Dermatol 2017; 56:726-732. [DOI: 10.1111/ijd.13601] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 02/13/2017] [Accepted: 02/15/2017] [Indexed: 01/02/2023]
Affiliation(s)
- Schapoor Hessam
- Department of Dermatology, Venereology and Allergology; Ruhr-University Bochum; Bochum Germany
| | - Johannes Salem
- Department of Urology; University Hospital Cologne; Cologne Germany
| | - Falk G. Bechara
- Department of Dermatology, Venereology and Allergology; Ruhr-University Bochum; Bochum Germany
| | - Axel Haferkamp
- Department of Urology; University Hospital Mainz; Mainz Germany
| | - Axel Heidenreich
- Department of Urology; University Hospital Cologne; Cologne Germany
| | - Pia Paffenholz
- Department of Urology; University Hospital Cologne; Cologne Germany
| | - Michael Sand
- Department of Dermatology, Venereology and Allergology; Ruhr-University Bochum; Bochum Germany
| | - Igor Tsaur
- Department of Urology; University Hospital Mainz; Mainz Germany
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Zhang Y, Sun Y, Kim Y. The influence of individual differences on consumer's selection of online sources for health information. COMPUTERS IN HUMAN BEHAVIOR 2017. [DOI: 10.1016/j.chb.2016.11.008] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rathert C, Mittler JN, Banerjee S, McDaniel J. Patient-centered communication in the era of electronic health records: What does the evidence say? PATIENT EDUCATION AND COUNSELING 2017; 100:50-64. [PMID: 27477917 DOI: 10.1016/j.pec.2016.07.031] [Citation(s) in RCA: 66] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Revised: 07/21/2016] [Accepted: 07/22/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE Patient-physician communication is essential for patient-centered health care. Physicians are concerned that electronic health records (EHRs) negatively affect communication with patients. This study identified a framework for understanding communication functions that influence patient outcomes. We then conducted a systematic review of the literature and organized it within the framework to better understand what is known. METHOD A comprehensive search of three databases (CINAHL, Medline, PsycINFO) yielded 41 articles for analysis. RESULTS Results indicated that EHR use improves capture and sharing of certain biomedical information. However, it may interfere with collection of psychosocial and emotional information, and therefore may interfere with development of supportive, healing relationships. Patient access to the EHR and messaging functions may improve communication, patient empowerment, engagement, and self-management. CONCLUSION More rigorous examination of EHR impacts on communication functions and their influences on patient outcomes is imperative for achieving patient-centered care. By focusing on the role of communication functions on patient outcomes, future EHRs can be developed to facilitate care. PRACTICE IMPLICATIONS Training alone is likely to be insufficient to address disruptions to communication processes. Processes must be improved, and EHRs must be developed to capture useful data without interfering with physicians' and patients' abilities to effectively communicate.
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Affiliation(s)
- Cheryl Rathert
- Department of Health Administration, 1008 East Clay St. P.O. Box 980203, Virginia Commonwealth University, Richmond, VA 23298-0203, United States.
| | - Jessica N Mittler
- Department of Health Administration, 1008 East Clay St. P.O. Box 980203, Virginia Commonwealth University, Richmond, VA 23298-0203, United States.
| | - Sudeep Banerjee
- Department of Health Administration, 1008 East Clay St. P.O. Box 980203, Virginia Commonwealth University, Richmond, VA 23298-0203, United States.
| | - Jennifer McDaniel
- Tompkins-McCaw Library for the Health Sciences, 509 North 12th Street, P.O. Box 980582, Virginia Commonwealth University, Richmond, VA 23298-0582, United States.
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Cohen EL, Hoffner C. Finding meaning in a celebrity’s death: The relationship between parasocial attachment, grief, and sharing educational health information related to Robin Williams on social network sites. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.06.042] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Blake KD, Portnoy DB, Kaufman AR, Lin CTJ, Lo SC, Backlund E, Cantor D, Hicks L, Lin A, Caporaso A, Davis T, Moser RP, Hesse BW. Rationale, Procedures, and Response Rates for the 2015 Administration of NCI's Health Information National Trends Survey: HINTS-FDA 2015. JOURNAL OF HEALTH COMMUNICATION 2016; 21:1269-1275. [PMID: 27892827 PMCID: PMC5141516 DOI: 10.1080/10810730.2016.1242672] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The National Cancer Institute (NCI) developed the Health Information National Trends Survey (HINTS) to monitor population trends in cancer communication practices, information preferences, health risk behaviors, attitudes, and cancer knowledge. The U.S. Food and Drug Administration (FDA) recognized HINTS as a unique data resource for informing its health communication endeavors and partnered with NCI to field HINTS-FDA 2015. HINTS-FDA 2015 was a self-administered paper instrument sent by mail May 29 to September 8, 2015, using a random probability-based sample of U.S. postal addresses stratified by county-level smoking rates, with an oversampling of high and medium-high smoking strata to increase the yield of current smokers responding to the survey. The response rate for HINTS-FDA 2015 was 33% (N = 3,738). The yield of current smokers (n = 495) was lower than expected, but the sampling strategy achieved the goal of obtaining more former smokers (n = 1,132). Public-use HINTS-FDA 2015 data and supporting documentation have been available for download and secondary data analyses since June 2016 at http://hints.cancer.gov . NCI and FDA encourage the use of HINTS-FDA for health communication research and practice related to tobacco-related communications, public knowledge, and behaviors as well as beliefs and actions related to medical products and dietary supplements.
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Affiliation(s)
- Kelly D Blake
- a Health Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences , National Cancer Institute, National Institutes of Health , Bethesda , Maryland , USA
| | - David B Portnoy
- b Office of Science , Center for Tobacco Products, Food and Drug Administration , Silver Spring , Maryland , USA
| | - Annette R Kaufman
- c Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences , National Cancer Institute, National Institutes of Health , Bethesda , Maryland , USA
| | - Chung-Tung Jordan Lin
- d Office of Analytics and Outreach , Center for Food Safety and Applied Nutrition, Food and Drug Administration , College Park , Maryland , USA
| | - Serena C Lo
- d Office of Analytics and Outreach , Center for Food Safety and Applied Nutrition, Food and Drug Administration , College Park , Maryland , USA
| | - Eric Backlund
- b Office of Science , Center for Tobacco Products, Food and Drug Administration , Silver Spring , Maryland , USA
| | | | | | - Amy Lin
- e Westat, Inc. , Rockville , Maryland , USA
| | | | | | - Richard P Moser
- f Behavioral Research Program, Division of Cancer Control and Population Sciences , National Cancer Institute, National Institutes of Health , Bethesda , Maryland , USA
| | - Bradford W Hesse
- a Health Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences , National Cancer Institute, National Institutes of Health , Bethesda , Maryland , USA
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Haluza D, Naszay M, Stockinger A, Jungwirth D. Prevailing Opinions on Connected Health in Austria: Results from an Online Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13080813. [PMID: 27529261 PMCID: PMC4997499 DOI: 10.3390/ijerph13080813] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 06/01/2016] [Accepted: 08/05/2016] [Indexed: 12/22/2022]
Abstract
New technological developments affect almost every sector of our daily lives, including the healthcare sector. We evaluated how connected health applications, subsumed as eHealth and telemedicine, are perceived in relation to socio-demographic characteristics. The current cross-sectional, online survey collected self-reported data from a non-probability convenience sample of 562 Austrian adults (58.9% females). The concept of eHealth and telemedicine was poorly established among the study population. While most participants already used mobile devices, they expressed a quite low desirability of using various telemedicine applications in the future. Study participants perceived that the most important overall benefits for implementing connected health technology were better quality of healthcare, location-independent access to healthcare services, and better quality of life. The respective three top-ranked overall barriers were data security, lack of acceptance by doctors, and lack of technical prerequisites. With regard to aging societies, healthcare providers, and users alike could take advantage of inexpensive, consumer-oriented connected health solutions that address individual needs of specific target groups. The present survey identified issues relevant for successful implementation of ICT-based healthcare solutions, providing a compilation of several areas requiring further in-depth research.
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Affiliation(s)
- Daniela Haluza
- Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, Vienna A-1090, Austria.
| | - Marlene Naszay
- Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, Vienna A-1090, Austria.
| | - Andreas Stockinger
- Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, Vienna A-1090, Austria.
| | - David Jungwirth
- Institute of Environmental Health, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, Vienna A-1090, Austria.
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127
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Chou WYS, Moskowitz M. Social media use in adolescent and young adult (AYA) cancer survivors. Curr Opin Psychol 2016. [DOI: 10.1016/j.copsyc.2016.01.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Lawson McLean AC, Lawson McLean A, Kalff R, Walter J. Google Search Queries About Neurosurgical Topics: Are They a Suitable Guide for Neurosurgeons? World Neurosurg 2016; 90:179-185. [PMID: 26898496 DOI: 10.1016/j.wneu.2016.02.045] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Revised: 02/08/2016] [Accepted: 02/09/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Google is the most popular search engine, with about 100 billion searches per month. Google Trends is an integrated tool that allows users to obtain Google's search popularity statistics from the last decade. Our aim was to evaluate whether Google Trends is a useful tool to assess the public's interest in specific neurosurgical topics. METHODS We evaluated Google Trends statistics for the neurosurgical search topic areas "hydrocephalus," "spinal stenosis," "concussion," "vestibular schwannoma," and "cerebral arteriovenous malformation." We compared these with bibliometric data from PubMed and epidemiologic data from the German Federal Monitoring Agency. In addition, we assessed Google users' search behavior for the search terms "glioblastoma" and "meningioma." RESULTS Over the last 10 years, there has been an increasing interest in the topic "concussion" from Internet users in general and scientists. "Spinal stenosis," "concussion," and "vestibular schwannoma" are topics that are of special interest in high-income countries (eg, Germany), whereas "hydrocephalus" is a popular topic in low- and middle-income countries. The Google-defined top searches within these topic areas revealed more detail about people's interests (eg, "normal pressure hydrocephalus" or "football concussion" ranked among the most popular search queries within the corresponding topics). There was a similar volume of queries for "glioblastoma" and "meningioma." CONCLUSIONS Google Trends is a useful source to elicit information about general trends in peoples' health interests and the role of different diseases across the world. The Internet presence of neurosurgical units and surgeons can be guided by online users' interests to achieve high-quality, professional-endorsed patient education.
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Affiliation(s)
- Anna C Lawson McLean
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany
| | - Aaron Lawson McLean
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany
| | - Rolf Kalff
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany
| | - Jan Walter
- Department of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.
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Umeh K, Mackay M, Mulhearn C. Information and Communication Technology, Well-Being, and Ethnicity. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2016; 19:165-71. [PMID: 26794148 DOI: 10.1089/cyber.2015.0328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The relationship between use of information and communication technologies (ICTs) and well-being is an increasingly debated public health issue. Currently, there is limited understanding of how the ethnic digital divide influences this association. Thus, this study assessed how ethnicity has historically moderated relations between ICT (mobile phone, computer, and TV) uptake, and several well-being indicators: (a) long-term health (chronic illness), (b) cigarette smoking, and (c) self-perceptions of personal health. Archived data from a U.K. Office for National Statistics household survey 2007-2011 (97,697 participant records) were analyzed, controlling for multiple sociodemographic confounders. Mobile phone dependence was associated with poorer health perceptions in Caucasian women, but more favorable appraisals in ethnic minority females (OR = 0.51). Furthermore, mobile phone uptake was more strongly related to increased behavioral risk (cigarette smoking) in Caucasian men compared with ethnic minority males (OR = 1.68). Ethnicity did not influence relations between ICT uptake and long-term health. Overall, ethnicity was implicated in relations between mobile phone use and well-being indicators: unfavorable associations occurred primarily in Caucasians.
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Affiliation(s)
- Kanayo Umeh
- 1 School of Natural Sciences and Psychology, Liverpool John Moores University , Liverpool, United Kingdom
| | - Michael Mackay
- 2 School of Computer Science, Liverpool John Moores University , Liverpool, United Kingdom
| | - Chris Mulhearn
- 3 Liverpool Business School, Liverpool John Moores University , Liverpool, United Kingdom
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