Disentangling the effects of efficacy-facilitating informational support on health resilience in online health communities based on phrase-level text analysis

Patient Engagement as Contributors in Online Health Communities: The Mediation of Peer Involvement and Moderation of Community Status

This study focuses on patient engagement in online health communities (OHCs) and investigates the mechanism related to the impact of social support provided by patients on their personal engagement. Based on social support theory, we put forward a research model and conduct empirical analysis using datasets of 4797 patients with 160,484 posts and 1,647,569 replies from an online health community in China. The mediation of peer involvement and moderation of community status are also examined. The results indicate that the subdimensions of social support positively influence patient engagement with informational support exerting the greatest impact. Peer patient involvement imposes significant partial and positive mediating effects on the relationships, especially on informational support. Community status negatively moderates the impacts of social interactions and informational support on patient engagement in that the influence of social interactions and informational support are more profound for patients with low community status. The findings can bring an understanding of patient engagement in OCHs, and provide theoretical and practical implications to facilitate the development of an online healthcare service.

Digital transformation of healthcare during the COVID-19 pandemic: Patients’ teleconsultation acceptance and trusting beliefs

The COVID-19 pandemic boosted the digital transformation of many services, including healthcare, and access to medical care using teleconsultation has increased rapidly. Thus, a growing number of online platforms have been developed to accommodate patients’ needs. This paper examines the factors that predict the intention to use medical teleconsultation by extending the unified theory of acceptance and use of technology (UTAUT2) with the three dimensions of trusting beliefs and self-efficacy. A survey was administered to patients who had used a teleconsultation platform during the pandemic period. As one of the largest studies to date, a sample of 1233 respondents was collected and analyzed using a partial least squares approach, often mobilized in the information systems (IS) domain. Furthermore, a deep analysis using all recommended metrics was performed. The results highlight the significance of trusting beliefs, and self-efficacy in the adoption of digital healthcare services. These findings contribute to both theory and practice in COVID-19 research.

How Do Team-Level and Individual-Level Linguistic Styles Affect Patients' Emotional Well-Being-Evidence from Online Doctor Teams

BACKGROUND

In the post-epidemic era, online medical care is developing rapidly, and online doctor teams are attracting attention as a high-quality online medical service model that can provide more social support for patients.

METHODS

Using online doctor teams on the Haodf.com platform as the research subject, this study investigates the key factors in the process of doctor-patient communication, which affects patients' emotional well-being. We also explore the different roles played by doctors as leaders and non-leaders in doctor-patient communication. From the perspective of language style, we select representative factors in the process of doctor-patient communication, namely the richness of health vocabulary, the expression of emotions, and the use of health-related terms (including perceptual words and biological words). We extract both team-level and individual-level linguistic communication styles through textual and sentiment analysis methods and empirically analyze their effects on patients' emotional well-being using multiple linear regression models.

RESULTS

The results show that the expression of positive emotions by the team and attention to patients' perceptions and biological conditions benefit patients' emotional well-being. Leaders should focus on the emotional expression, whereas non-leaders should focus on the use of perceptual and biological words.

CONCLUSIONS

This study expands the application of linguistic styles in the medical field and provides a practical basis for improving patients' emotional well-being.

Career resilience of the tourism and hospitality workforce in the COVID-19: The protection motivation theory perspective

By applying the protection motivation theory, the study aims to investigate factors influencing tourism and hospitality (T&H) workers' career resilience when faced with health-related risks at work during a pandemic. Data were collected from 495 part-time and full-time employees in the Vietnamese tourism and hospitality sector. The study found that workers' perceived vulnerability and perceived severity of the pandemic were positively associated with career resilience. Perceived severity was positively related to self-efficacy and response efficacy, while perceived vulnerability was positively associated with self-efficacy only. Both self-efficacy and response efficacy positively influenced career resilience through the mediating role of health risk preventative behavior. Theoretically, the study advances the stream of research in resilience in general and career resilience in particular among T&H workers when faced with a health-related crisis. Practical implications are provided with recommendations on how to facilitate career resilience among T&H employees working in the current high-risk environment.

Resilience in Web-Based Mental Health Communities: Building a Resilience Dictionary With Semiautomatic Text Analysis

Background

Resilience is an accepted strengths-based concept that responds to change, adversity, and crises. This concept underpins both personal and community-based preventive approaches to mental health issues and shapes digital interventions. Online mental health peer-support forums have played a prominent role in enhancing resilience by providing accessible places for sharing lived experiences of mental issues and finding support. However, little research has been conducted on whether and how resilience is realized, hindering service providers’ ability to optimize resilience outcomes.

Objective

This study aimed to create a resilience dictionary that reflects the characteristics and realization of resilience within online mental health peer-support forums. The findings can be used to guide further analysis and improve resilience outcomes in mental health forums through targeted moderation and management.

Methods

A semiautomatic approach to creating a resilience dictionary was proposed using topic modeling and qualitative content analysis. We present a systematic 4-phase analysis pipeline that preprocesses raw forum posts, discovers core themes, conceptualizes resilience indicators, and generates a resilience dictionary. Our approach was applied to a mental health forum run by SANE (Schizophrenia: A National Emergency) Australia, with 70,179 forum posts between 2018 and 2020 by 2357 users being analyzed.

Results

The resilience dictionary and taxonomy developed in this study, reveal how resilience indicators (ie, “social capital,” “belonging,” “learning,” “adaptive capacity,” and “self-efficacy”) are characterized by themes commonly discussed in the forums; each theme’s top 10 most relevant descriptive terms and their synonyms; and the relatedness of resilience, reflecting a taxonomy of indicators that are more comprehensive (or compound) and more likely to facilitate the realization of others. The study showed that the resilience indicators “learning,” “belonging,” and “social capital” were more commonly realized, and “belonging” and “learning” served as foundations for “social capital” and “adaptive capacity” across the 2-year study period.

Conclusions

This study presents a resilience dictionary that improves our understanding of how aspects of resilience are realized in web-based mental health forums. The dictionary provides novel guidance on how to improve training to support and enhance automated systems for moderating mental health forum discussions.

Exploring member’s knowledge sharing intention in online health communities: The effects of social support and overload

This study explores the determinants of members’ participation intention in online health communities (OHC) from both the facilitators and barriers points of view. From the facilitators perspective, each member’s subjective well-being plays a crucial role in sharing intention. On the other hand, from the barriers point of view, social network site exhaustion would negatively affect. The survey was conducted on two online support groups, including parents of children with autism spectrum disorder and caregivers of dementia disease. This study collected 330 questionnaires from social network sites to examine the research model. The results showed that social support positively affects members’ self-efficacy; in turn, self-efficacy has a positive effect on subjective well-being. Overload has an impact on psychological distress. Moreover, members’ subjective well-being determined their knowledge sharing intention.

Your reviews or mine? Exploring the determinants of "perceived helpfulness" of online reviews: a cross-cultural study

E-commerce platforms allow customers to post online reviews about their products, but many of these reviews remain non-voted by existing customers. Current literature on the perceived helpfulness of online reviews has overlooked the effect of these non-voted reviews. Additionally, current studies lack the cross-cultural perspective to help analyze the influence of cultural factors during an analysis of online reviews in an e-commerce platform. This study proposes a novel cross-cultural framework using online consumer reviews from a global e-commerce retailer to investigate these shortcomings. Our study has twofold contributions: firstly, we identified the significant predictors (such as review-title, review sentiments, star rating, social context, and temporal features) of the count of helpful votes received by online reviews - both voted and non-voted. Secondly, we identified a strong moderating effect of national culture on these predictors during the perception and evaluation of global consumers' reviews. We also performed a quantile regression across the entire distribution of the count of helpful votes. Findings from our study will guide reviewers who publish helpful and comprehensive reviews. Additionally, customers and sellers from global e-commerce firms will learn to account for cross-cultural differences on the provided features to prevent the distortion of the information content of online reviews.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12525-020-00452-1.