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Zhao YC, Zhao M, Song S. Online Health Information Seeking Behaviors Among Older Adults: Systematic Scoping Review. J Med Internet Res 2022; 24:e34790. [PMID: 35171099 PMCID: PMC8892316 DOI: 10.2196/34790] [Citation(s) in RCA: 41] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/18/2021] [Accepted: 01/12/2022] [Indexed: 01/20/2023] Open
Abstract
Background With the world’s population aging, more health-conscious older adults are seeking health information to make better-informed health decisions. The rapid growth of the internet has empowered older adults to access web-based health information sources. However, research explicitly exploring older adults’ online health information seeking (OHIS) behavior is still underway. Objective This systematic scoping review aims to understand older adults’ OHIS and answer four research questions: (1) What types of health information do older adults seek and where do they seek health information on the internet? (2) What are the factors that influence older adults’ OHIS? (3) What are the barriers to older adults’ OHIS? (4) How can we intervene and support older adults’ OHIS? Methods A comprehensive literature search was performed in November 2020, involving the following academic databases: Web of Science; Cochrane Library database; PubMed; MEDLINE; CINAHL Plus; APA PsycINFO; Library and Information Science Source; Library, Information Science and Technology Abstracts; Psychology and Behavioral Sciences Collection; Communication & Mass Media Complete; ABI/INFORM; and ACM Digital Library. The initial search identified 8047 publications through database search strategies. After the removal of duplicates, a data set consisting of 5949 publications was obtained for screening. Among these, 75 articles met the inclusion criteria. Qualitative content analysis was performed to identify themes related to the research questions. Results The results suggest that older adults seek 10 types of health information from 6 types of internet-based information sources and that 2 main categories of influencing factors, individual-related and source-related, impact older adults’ OHIS. Moreover, the results reveal that in their OHIS, older adults confront 3 types of barriers, namely individual, social, and those related to information and communication technologies. Some intervention programs based on educational training workshops have been created to intervene and support older adults’ OHIS. Conclusions Although OHIS has become increasingly common among older adults, the review reveals that older adults’ OHIS behavior is not adequately investigated. The findings suggest that more studies are needed to understand older adults’ OHIS behaviors and better support their medical and health decisions in OHIS. Based on the results, the review proposes multiple objectives for future studies, including (1) more investigations on the OHIS behavior of older adults above 85 years; (2) conducting more longitudinal, action research, and mixed methods studies; (3) elaboration of the mobile context and cross-platform scenario of older adults’ OHIS; (4) facilitating older adults’ OHIS by explicating technology affordance; and (5) promoting and measuring the performance of OHIS interventions for older adults.
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Affiliation(s)
- Yuxiang Chris Zhao
- School of Economics and Management, Nanjing University of Science and Technology, Nanjing, China
| | - Mengyuan Zhao
- School of Economics and Management, Nanjing University of Science and Technology, Nanjing, China
| | - Shijie Song
- Business School, Hohai University, Nanjing, China
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Abstract
PurposeWith ready access to search engines and social media platforms, the way people find image information has evolved and diversified in the past two decades. The purpose of this paper is to provide an overview of the literature on image information needs and behaviors.Design/methodology/approachFollowing an eight-step procedure for conducting systematic literature reviews, the paper presents an analysis of peer-reviewed work on image information needs and behaviors, with publications ranging from the years 1997 to 2019.FindingsApplication of the inclusion criteria led to 69 peer-reviewed works. These works were synthesized according to the following categories: research methods, users targeted, image types, identified needs, search behaviors and search obstacles. The reviewed studies show that people seek and use images for multiple reasons, including entertainment, illustration, aesthetic appreciation, knowledge construction, engagement, inspiration and social interactions. The reviewed studies also report that common strategies for image searches include keyword searches with short queries, browsing, specialization and reformulation. Observed trends suggest common deployment of query analysis, survey questionnaires and undergraduate participant pools to research image information needs and behavior.Originality/valueAt this point, after more than two decades of image information needs research, a holistic systematic review of the literature was long overdue. The way users find image information has evolved and diversified due to technological developments in image retrieval. By synthesizing this burgeoning field into specific foci, this systematic literature review provides a foundation for future empirical investigation. With this foundation set, the paper then pinpoints key research gaps to investigate, particularly the influence of user expertise, a need for more diverse population samples, a dearth of qualitative data, new search features and information and visual literacies instruction.
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Quintana Y, Crotty B, Fahy D, Lipsitz L, Davis RB, Safran C. Information sharing across generations and environments (InfoSAGE): study design and methodology protocol. BMC Med Inform Decis Mak 2018; 18:105. [PMID: 30458840 PMCID: PMC6245635 DOI: 10.1186/s12911-018-0697-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Accepted: 10/24/2018] [Indexed: 11/29/2022] Open
Abstract
Background Longevity creates increasing care needs for healthcare providers and family caregivers. Increasingly, the burden of care falls to one primary caregiver, increasing stress and reducing health outcomes. Additionally, little has been published on adults’, over the age of 75, preferences in the development of health information sharing with family members using online platforms. This study aims to assess a novel, Internet based, family-centric communication and collaboration platform created to address the information needs of elders and their informal caregivers in a community setting. Methods This study is an internet-based, open prospective cohort study, enrolling dyad pairs of one adult over the age of 75 with one informal caregiver. Dyads will be offered to use the InfoSAGE online platform without prospective assignment. Participants will consent using an online process that enables participation from any location and shares important study and privacy details. The platform will enable the capture of search queries and tracking of functions such as tasks and discussions. Surveys every six months assess health status, health and social needs, and caregiver burden using validated instruments over a two-year period. We will use a mixed methods approach, utilizing qualitative survey data along with website usage analytic data. Discussion Analysis of the longitudinal usage and survey data will help to examine the patterns of family communication and health information seeking as the central older adult ages. We will use the study data to inform design recommendations relevant to a complex mixture of users, with special consideration to the needs of older adult users and potential physical limitations.
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Affiliation(s)
- Yuri Quintana
- Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02115, USA. .,Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
| | - Bradley Crotty
- Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, 53226, USA.,Froedtert Hospital, 9200 W Wisconsin Ave, Milwaukee, WI, 53226, USA
| | - Darren Fahy
- Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02115, USA
| | - Lewis Lipsitz
- Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.,Hebrew Senior Life, 1200 Centre St, Roslindale, MA, 02131, USA
| | - Roger B Davis
- Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA
| | - Charles Safran
- Division of Clinical Informatics, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA
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Carpenter DM, Geryk LL, Chen AT, Nagler RH, Dieckmann NF, Han PKJ. Conflicting health information: a critical research need. Health Expect 2016; 19:1173-1182. [PMID: 26709206 PMCID: PMC5139056 DOI: 10.1111/hex.12438] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2015] [Indexed: 12/21/2022] Open
Abstract
Conflicting health information is increasing in amount and visibility, as evidenced most recently by the controversy surrounding the risks and benefits of childhood vaccinations. The mechanisms through which conflicting information affects individuals are poorly understood; thus, we are unprepared to help people process conflicting information when making important health decisions. In this viewpoint article, we describe this problem, summarize insights from the existing literature on the prevalence and effects of conflicting health information, and identify important knowledge gaps. We propose a working definition of conflicting health information and describe a conceptual typology to guide future research in this area. The typology classifies conflicting information according to four fundamental dimensions: the substantive issue under conflict, the number of conflicting sources (multiplicity), the degree of evidence heterogeneity and the degree of temporal inconsistency.
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Affiliation(s)
- Delesha M. Carpenter
- Department of Pharmaceutical Outcomes and PolicyUniversity of North Carolina at Chapel HillAshevilleNCUSA
| | - Lorie L. Geryk
- Department of Pharmaceutical Outcomes and PolicyUniversity of North Carolina at Chapel HillAshevilleNCUSA
| | - Annie T. Chen
- Department of Biomedical and Health InformaticsUniversity of WashingtonSeattleWAUSA
| | - Rebekah H. Nagler
- School of Journalism & Mass CommunicationUniversity of MinnesotaMinneapolisMNUSA
| | | | - Paul K. J. Han
- Center for Outcomes Research and EvaluationMaine Medical CenterPortlandMEUSA
- Tufts University Clinical and Translational Sciences InstituteBostonMAUSA
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Yoon K, Hulscher L, Dols R. Accessibility and Diversity in Library and Information Science: Inclusive Information Architecture for Library Websites. LIBRARY QUARTERLY 2016. [DOI: 10.1086/685399] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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AlRuthia YSH, Hong SH, Graff C, Kocak M, Solomon D, Nolly R. Exploring the factors that influence medication rating Web sites value to older adults: A cross-sectional study. Geriatr Nurs 2015; 37:36-43. [PMID: 26563919 DOI: 10.1016/j.gerinurse.2015.10.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2015] [Revised: 10/03/2015] [Accepted: 10/12/2015] [Indexed: 11/28/2022]
Abstract
In this cross-sectional study, we evaluated factors that affected the perceived value of medication rating Web sites to 284 people aged ≥ 60 years who were taking prescription medications. The Patient Reviews of Medication Experience (PROMEX) questionnaire score, which assessed participant opinions about the value of online reviews of medications, was positively associated with preference to share health care decision making with the health care provider and negatively associated with the Physical Component Summary (PCS-12) and Mental Component Summary scores of the Short Form 12 health survey. The Primary Care Assessment Survey Communication score, which measured participant satisfaction with the communication from the health care provider, was positively associated with PCS-12 and health literacy. In summary, older adults who had poor physical and mental health-related quality of life were more likely to believe that medication rating Web sites were useful and helpful in facilitating communication with health care providers.
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Affiliation(s)
- Yazed Sulaiman H AlRuthia
- Department of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA.
| | - Song Hee Hong
- Department of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Carolyn Graff
- Department of Advanced Practice and Doctoral Studies, College of Nursing, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Mehmet Kocak
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
| | - David Solomon
- Department of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Robert Nolly
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA
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Monitoring of illicit pill distribution networks using an image collection exploration framework. Forensic Sci Int 2012; 223:298-305. [DOI: 10.1016/j.forsciint.2012.10.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2012] [Revised: 08/07/2012] [Accepted: 10/03/2012] [Indexed: 11/18/2022]
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Gabarron E, Serrano JA, Wynn R, Armayones M. Avatars using computer/smartphone mediated communication and social networking in prevention of sexually transmitted diseases among North-Norwegian youngsters. BMC Med Inform Decis Mak 2012; 12:120. [PMID: 23110684 PMCID: PMC3536646 DOI: 10.1186/1472-6947-12-120] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2012] [Accepted: 10/26/2012] [Indexed: 12/05/2022] Open
Abstract
Background Sexually transmitted diseases (STDs), especially the Chlamydia trachomatis bacterial infection, a common cause of infertility, are highly prevalent in developed countries, and a worrying problem in North Norway, where the incidence of chlamydia twice the Norwegian average. Seventy percent of reported chlamydia cases are found in people below 25 years of age, and although its spread could be controlled with proper prevention, young people are more aware of the risks of unwanted pregnancy than their risk of acquiring a STD. Information and Communication Technologies, including, the Internet, social media and/or smartphones, should be valued for sexual health promotion for their potential to engage young audiences. And in these media, avatars guarantee anonymity to users when handling sensitive information. The main objective of this project is to achieve that North Norwegian youngsters become more aware of STDs through the use of popular technologies among young people. Methods A Virtual Clinic for Sexually Transmitted Diseases (VCSTD) will be developed. The VCSTD will provide early guidance and reliable information sources concerning reproductive health, delivered in a novel and innovative way to the younger population. The VCSTD consists of an “avatar” supported intervention in a serious gaming and e-learning environment, which will bypass direct physical access (in person) to reliable medical information, as well as allowing the youngsters to share that information in social media, and thus helping the VCSTD to be disseminated to more people. Data analyses will be conducted on publically available health data relevant to STDs in Troms and Finnmark, like the absolute number of chlamydia tests, the amount of emergency contraception medication sold, and the number of abortions. Also, usage data of the system and experiences of usefulness will be explored through participants’ voluntary responses to a feedback form available in the VCSTD. Discussion This study will examine the usefulness of an online public health intervention that aims to promote healthy sexual practices among North-Norwegian youngsters. If shown to be effective, the intervention could prove to be an affordable and widely accessible intervention to decrease risky sexual practices in younger population.
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Affiliation(s)
- Elia Gabarron
- NST-Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway.
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Xie B. Improving older adults' e-health literacy through computer training using NIH online resources. LIBRARY & INFORMATION SCIENCE RESEARCH 2011; 34:63-71. [PMID: 22639488 DOI: 10.1016/j.lisr.2011.07.006] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Bo Xie
- 2117G Hornbake Library, South Wing, College of Information Studies, University of Maryland, College Park, MD 20740, U.S.A
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Wen KY, Kreps G, Zhu F, Miller S. Consumers' perceptions about and use of the internet for personal health records and health information exchange: analysis of the 2007 Health Information National Trends Survey. J Med Internet Res 2010; 12:e73. [PMID: 21169163 PMCID: PMC3056530 DOI: 10.2196/jmir.1668] [Citation(s) in RCA: 106] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2010] [Revised: 11/17/2010] [Accepted: 11/17/2010] [Indexed: 11/13/2022] Open
Abstract
Background Personal health records (PHRs) and the sharing of health information through health information exchange (HIE) have been advocated as key new components in the effective delivery of modern health care. It is important to understand consumer attitudes toward utilization of PHRs and HIE to evaluate the public’s willingness to adopt these new health care tools. Objective The purpose of this study was to examine consumer attitudes toward PHRs and their health care providers’ use of HIE, as well as to evaluate consumer use of the Internet for tracking PHRs. Methods Analysis of data from the 2007 iteration of the Health Information National Trends Study (HINTS, N=7674) was conducted using multivariate logistic regression to identify predictors of consumer (1) appraisal of PHRs, (2) appraisal of health care provider use of HIE, and (3) use of the Internet for tracking PHRs. Results : Approximately 86% of US adults rated electronic access to their PHRs as important. However, only 9% of them used the Internet for tracking PHRs. Those who rated electronic access to their PHRs as important were more likely to be Hispanic (odds ratio [OR] = 1.34, 95% confidence interval [CI] 1.04 - 1.72) and Internet users (OR = 1.27, 95% CI = 1.02 - 1.57) and less likely to be age 65 and above (OR = 0.50, 95% CI = 0.38 - 0.67) or individuals whose doctors always ensured their understanding of their health (OR = 0.62, 95% CI = 0.49 – 0.78). Those who rated HIE as important were more likely to be 45 to 54 years of age (OR = 1.46, 95% CI = 1.03 - 2.08), 55 to 64 years of age (OR = 1.83, 95% CI = 1.32 - 2.53), or 65 and above (OR = 1.76, 95% CI = 1.27 - 2.43) and less likely to be women (OR = 0.80, 95% CI = 0.68 - 0.95) or individuals who perceive their health information as not safely guarded by their doctors (OR = 0.53, 95% CI = 0.40 - 0.69). Among Internet users, those who used the Internet to track their PHRs were more likely to be college graduates (OR = 1.84, 95% = 1.32 - 2.59) or to have completed some college courses (OR = 1.46, 95% CI = 1.02 - 2.11), to be Hispanic (OR = 1.92, 95% CI = 1.23 - 2.98), or to be individuals with health care provider access (OR = 1.90, 95% CI = 1.21 - 2.97). Women were less likely to use the Internet for tracking PHRs than men (OR = 0.78, 95% CI = 0.61 - 1.00). Conclusions Despite widespread positive appraisal of electronic access to PHRs as important, Internet use for tracking PHRs remains uncommon. To promote PHR adoption, the digital divide associated with the gap in health literacy must be improved, and cultural issues and the doctor-patient relationship need to be studied. Further work also needs to address consumer concerns regarding the security of HIE.
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Affiliation(s)
- Kuang-Yi Wen
- Psychosocial and BioBehavioral Medicine, Cancer Prevention and Control, Fox Chase Cancer Center, Philadelphia 19111, United States.
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Wagner N, Hassanein K, Head M. Computer use by older adults: A multi-disciplinary review. COMPUTERS IN HUMAN BEHAVIOR 2010. [DOI: 10.1016/j.chb.2010.03.029] [Citation(s) in RCA: 440] [Impact Index Per Article: 31.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lustria MLA, Kazmer MM, Glueckauf RL, Hawkins RP, Randeree E, Rosario IB, McLaughlin C, Redmond S. Participatory design of a health informatics system for rural health practitioners and disadvantaged women. ACTA ACUST UNITED AC 2010. [DOI: 10.1002/asi.21390] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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Eriksson-Backa K. Elderly People, Health Information, and Libraries: a Small-scale Study on Seniors in a Language Minority. LIBRI-INTERNATIONAL JOURNAL OF LIBRARIES AND INFORMATION STUDIES 2010. [DOI: 10.1515/libr.2010.016] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Hee Kim H, Ho Kim Y. Usability study of digital institutional repositories. ELECTRONIC LIBRARY 2008. [DOI: 10.1108/02640470810921637] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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