Information behavior in stages of exercise behavior change

Exploring Users' Health Behavior Changes in Online Health Communities: Heuristic-Systematic Perspective Study

(1) Background: With the continuous advancement of internet technology, use of the internet along with medical service provides a new solution to solve the shortage of medical resources and the uneven distribution of available resources. Online health communities (OHCs) that emerged at this historical moment have flourished with various advantages, such as being free from location and time constraints. Understanding users' behavior changes via engagement in OHCs is necessary to support the development of internet medicine and promote public health. (2) Methods: The hypotheses of our research model were developed based on the protective action decision model (PADM) and heuristic-systematic model (HSM). A questionnaire was developed with seven constructs through previous studies and verified using a presurvey. Our survey respondents are online health community users. We used structural equation modelling to test the research hypotheses. (3) Results: The results of the analysis of 290 valid samples showed that the research model fit the data collected well. The perceived benefits (PB) positively affect information needs (IN) (beta = 0.280, p < 0.001, R² = 0.252), thereby promoting users' engagement in OHCs (EOHCs) (beta = 0.353, p < 0.001, R² = 0.387); EOHCs has a significant positive impact on health behavior change (HBC) (beta = 0.314, p < 0.001), and it also significantly positively affects users' health behavior change through systematic processing indirectly (beta = 0.252, p < 0.001, R² = 0.387). (4) Conclusions: Our study offers support for the usefulness of the PADM and HSM in explaining users' health behavior changes. For practitioners, this study introduces influence processes as policy tools that managers can employ for health-promoting with mHealth.

Web-based health information seeking

Purpose

The purpose of this paper is to examine differences of health information seeking among Finnish and South African university students. The focus is on weight management and on how students utilise various internet sources.

Design/methodology/approach

Data were collected with a web-based, structured survey by using convenience sampling. Descriptive statistics and Pearson’s χ2 test were utilised in the analysis.

Findings

Overall, health information was more often encountered than sought on purpose. Passive information seeking was more common for South African students as almost a third of them report encountering it several times a week. As an information source, South African students opted for social networking sites more frequently than search engines, the latter being the first choice for Finnish students. Discussion boards were more popular among South African students, and, on the other hand, web-based health calculators among Finns.

Research limitations/implications

This is a small-scale comparative study. The results are not to be generalised, but may provide clues about the information seeking differences between Finland and South Africa.

Practical implications

Media literacy, digital literacy and health information literacy of young adults should be emphasised so that they would be able to evaluate information for reliability and accuracy in order to help them make appropriate decisions when confronted by health information online.

Social implications

The implications of the study are that health providers and professionals should be more prominent on social media sites, which are popular ways for young people to discover information.

Originality/value

Comparative studies are rare. This comparison is between Finland, where internet penetration is 94 per cent, and South Africa, where internet penetration is 54 per cent.

Individual factors affecting preferences for feedback message tactics in the contexts of physical activity

Tailored feedback on personal physical activity behavior has been used to inform individuals and promote physical activity among different populations. This study aimed to increase the understanding of factors associated with young men's preferences for feedback message tactics in the context of physical activity and exercise. How preferences vary was analyzed in terms of the self-reported physical activity, stage of exercise behavior change, exercise self-efficacy, objectively measured physical health status, and sociodemographic characteristics of young Finnish men. Population-based survey data, including physiological measurements (n = 525), were collected at the Finnish Defence Forces' call-ups in the city of Oulu, Finland, in September 2011. The results indicate that the stage of exercise behavior change, exercise self-efficacy, physical health status, and educational level are associated with a preference for normative and ipsative comparison. Multivariate logistic regression models show that an advanced stage of exercise behavior change and education in the academic track of an upper secondary school are independent predictors of preferring ipsative and normative physical activity feedback among young men. The study provides new insights into how the stage of behavior change influences health information behavior and is in line with studies emphasizing social factors--including education--as being important in shaping health-related behavior. These factors could form the basis for tailoring information when designing health promotion.

Gender differences in health information behaviour: a Finnish population-based survey

Narrowing the gaps in health outcomes, including those between men and women, has been a pronounced goal on the agenda of the Finnish health authorities since the mid-1980s. But still there is a huge gap in favour of women when it comes to life expectancy at birth. People's health information behaviour, that is how people seek, obtain, evaluate, categorize and use relevant health-related information to perform desired health behaviours, is a critical prerequisite to appropriate and consistent performances of these behaviours. With respect to gender, it has been noted that men often are unwilling and lack the motivation to engage with health-related information. The purpose of this study was to investigate how gender affects health information behaviour in the Finnish population aged 18-65 years. The survey data were collected via a questionnaire which was posted to a representative cross section consisting of 1500 Finnish citizens. The statistical analysis consists of ANOVA F-tests and Fisher's exact tests. The results show that women were more interested in and reported much more active seeking of health-related information, paid more attention to potential worldwide pandemics and were much more attentive as to how the goods they purchase in everyday life affect their health than men did. Women also reported receiving far more informal health-related information from close family members, other kin and friends/workmates than men did. Thus, to succeed in public health promotion and interventions the measures taken should be much more sensitive to the gender gap in health information behaviour.

Gamified physical activation of young men--a Multidisciplinary Population-Based Randomized Controlled Trial (MOPO study)

BACKGROUND

Inactive and unhealthy lifestyles are common among adolescent men. The planned intervention examines the effectiveness of an interactive, gamified activation method, based on tailored health information, peer networks and participation, on physical activity, health and wellbeing in young men. We hypothesize that following the intervention the physical activation group will have an improved physical activity, as well as self-determined and measured health compared with the controls.

METHODS/DESIGN

Conscription-aged men (18 years) attending compulsory annual call-ups for military service in the city of Oulu in Finland (n = 1500) will be randomized to a 6-months intervention (n = 640) or a control group (n = 640) during the fall 2013. A questionnaire on health, health behaviour, diet and wellbeing is administered in the beginning and end of the intervention. In addition, anthropometric measures (height, weight and waist circumference), body composition, grip strength, heart rate variability and aerobic fitness will be measured. The activation group utilizes an online gamified activation method in combination with communal youth services, objective physical activity measurement, social networking, tailored health information and exercise programs according to baseline activity level and the readiness of changes of each individual. Daily physical activity of the participants is monitored in both the activation and control groups. The activation service rewards improvements in physical activity or reductions in sedentary behaviour. The performance and completion of the military service of the participants will also be followed.

DISCUSSION

The study will provide new information of physical activity, health and health behaviour of young men. Furthermore, a novel model including methods for increasing physical activity among young people is developed and its effects tested through an intervention. This unique gamified service for activating young men can provide a translational model for community use. It can also be utilized as such or tailored to other selected populations or age groups.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT01376986.