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Habiba U, Koli FS. The Mediating Role of Students' Health Information Literacy Skills: Exploring the Relationship Between Web Resource Utilization and Health Information Evaluation Proficiency. Health Expect 2024; 27:e14176. [PMID: 39148230 PMCID: PMC11327112 DOI: 10.1111/hex.14176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 07/18/2024] [Accepted: 07/30/2024] [Indexed: 08/17/2024] Open
Abstract
BACKGROUND In an increasingly digital age, students rely heavily on web resources to access health information. However, evaluating the reliability and relevance of such information is crucial for informed decision-making. This study examines the importance of students' health information literacy skills (HILS) as mediators, particularly their ability to utilize web resources and successfully evaluate health information. OBJECTIVES This research investigates the mediating role of students' HILS in the relationship between their utilization of web resources and their proficiency in evaluating health information. METHOD An online survey was distributed to current students at a public university in Bangladesh as part of the data collection process for this study. Using Google Forms, the authors created a structured questionnaire. The survey was distributed through Messenger groups, Facebook pages and email invitations to reach the target audience effectively. The researchers thoroughly analysed the gathered data using structural equation modelling (SEM) techniques and SmartPLS-4 software to look for correlations between the variables. RESULT The study revealed that among the 122 participants, a significant number (N = 47) accessed internet health information on an occasional basis, whereas 30 individuals reported using it infrequently. The data revealed that 58 individuals, accounting for 47.5% of the sample, possessed the necessary abilities to access and assess online health information. Additionally, 57 participants, representing 46.7% of the sample, demonstrated proficiency in conducting online health information searches. The measurement model demonstrated good convergent validity, as evidenced by composite reliability (CR) scores and Cronbach's ⍺ values over 0.700 and an average extracted variance (AVE) of 0.500. The structural model demonstrated R2 values exceeding 0.1, thus validating its dependable forecasting capability. Notable effects were seen, with f2 values of 0.335 and 0.317 for the challenges in accessing and evaluating health information (CAEHI) to health information evaluation (HIE) and CAEHI to HILS relationships, respectively. The mediation analysis found that HILS act as a mediator between types of web resources (TWRs) and HIE, with TWR having an indirect impact on HIE through HILS. DISCUSSION The result supports all hypotheses. Therefore, it is evident that students' HILS mediate the relationship between utilization of web resources and their proficiency in evaluating health information. CONCLUSION This study's findings could significantly impact instructional practices meant to raise students' health information literacy. This initiative seeks to enable students to make informed decisions about their health by providing them with the necessary tools to analyse and evaluate health-related information. PATIENT OR PUBLIC CONTRIBUTION Research on health information literacy can assist patients and the general public by instructing them on how to assess trustworthy online health resources. Students gave insightful feedback that assisted in shaping the study and guaranteeing its relevancy. If they better comprehend health information literacy, patients and the general public can use web-based resources and critically evaluate health information more accurately.
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Affiliation(s)
- Umme Habiba
- Institute of Information Sciences, Noakhali Science and Technology University, Noakhali, Bangladesh
| | - Foujia Sultana Koli
- Institute of Information Sciences, Noakhali Science and Technology University, Noakhali, Bangladesh
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Shah V, Lava CX, Hakimi AA, Hoa M. Evaluating Quality, Credibility, and Readability of Online Over-the-Counter Hearing Aid Information. Laryngoscope 2024; 134:3302-3309. [PMID: 38280186 DOI: 10.1002/lary.31278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 12/11/2023] [Accepted: 12/27/2023] [Indexed: 01/29/2024]
Abstract
OBJECTIVE With over-the-counter hearing aids being recently approved by the United States Food and Drug Administration, the accuracy and usefulness of online information has not yet been examined. This study evaluates the quality, credibility, readability, and accessibility of online over-the-counter hearing aids education materials. METHODS Google was queried using the search term "over-the-counter hearing aids". The top 50 results were categorized into healthcare versus non-healthcare authored resources. The Flesch Reading Ease Score (FRES) and Flesch-Kincaid Grade Level (FKGL) tests were utilized to assess readability, whereas the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test and DISCERN instruments were used to assess quality and credibility. The number of clicks taken to access relevant information on each website was used to assess accessibility. RESULTS There was no significant difference in FRES or FKGL readability scores between healthcare and non-healthcare authored websites (p = 0.5548, p = 0.5981, respectively), but both readability scores were higher than that of the recommended reading level for patient education materials. There was no significant difference in CRAAP and DISCERN scores between both groups (p = 0.5746, p = 0.1699, respectively). The number of clicks did not significantly differ between healthcare and non-healthcare authored resources (p = 0.4932). CONCLUSION This study highlights poor readability and accessibility of virtual healthcare information regarding OTC hearing aids. Although credibility in articles authored by healthcare and non-healthcare professionals was adequate, readability was greatly compromised due to the written information exceeding the recommended United States reading level. Accessibility posed a similar issue, as many sites required multiple clicks to access product information. LEVEL OF EVIDENCE NA Laryngoscope, 134:3302-3309, 2024.
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Affiliation(s)
- Veranca Shah
- School of Medicine, Georgetown University, Washington, DC, U.S.A
| | - Christian X Lava
- School of Medicine, Georgetown University, Washington, DC, U.S.A
| | - Amir A Hakimi
- Department of Otolaryngology-Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, U.S.A
| | - Michael Hoa
- Department of Otolaryngology-Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, U.S.A
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Huang M, Ye Y. "A Matter of Life and Death": Mitigating the Gray Digital Divide in Using Health Information Technologies in the Post-Pandemic Era. HEALTH COMMUNICATION 2024:1-11. [PMID: 38808629 DOI: 10.1080/10410236.2024.2358279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2024]
Abstract
A pervasive issue in healthcare is that elderly populations have fallen far behind in using healthcare technologies, a phenomenon known as the gray digital divide. Even more concerningly, the COVID-19 pandemic has dramatically catalyzed health digitization with the potential for lasting demographic-wide impacts. Against this backdrop and drawing on both the digital divide literature and the unified theory of acceptance and use of technology (UTAUT2), we investigated elderly populations' usage of healthcare technologies through analyzing HINTS 6 (2022) survey data. Results show a widespread first- and second-level digital divide in using health information technologies (HITs) between people aged 65 and up and people aged 18-64, including Internet access, health-related Internet use, health-related social media use, health app use, use of wearable electronic health devices, telehealth visits, and accessing online medical records. Moreover, this study finds that education consistently positively predicts Internet use and use of various HITs by the elderly; income is the next reliable predictor but not as consistent as education. Health-related variables are less consistent in predicting the elderly's use of HITs. Theoretical and practical implications of these results are discussed to inform the mitigation of the gray digital divide in healthcare.
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Affiliation(s)
- Maxwell Huang
- Noble and Greenough School, Incoming Freshman at Harvard University
| | - Yinjiao Ye
- Department of Communication Studies, Harrington School of Communication and Media, University of Rhode Island
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Chang J, Mai Y, Zhang D, Yang X, Li A, Yan W, Wu Y, Chen J. Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study. J Med Internet Res 2024; 26:e50012. [PMID: 38373031 PMCID: PMC10912999 DOI: 10.2196/50012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 08/29/2023] [Accepted: 01/28/2024] [Indexed: 02/20/2024] Open
Abstract
BACKGROUND With the advent of a new era for health and medical treatment, characterized by the integration of mobile technology, a significant digital divide has surfaced, particularly in the engagement of older individuals with mobile health (mHealth). The health of a family is intricately connected to the well-being of its members, and the use of media plays a crucial role in facilitating mHealth care. Therefore, it is important to examine the mediating role of media use behavior in the connection between the family health of older individuals and their inclination to use mHealth devices. OBJECTIVE This study aims to investigate the impact of family health and media use behavior on the intention of older individuals to use mHealth devices in China. The study aims to delve into the intricate dynamics to determine whether media use behavior serves as a mediator in the relationship between family health and the intention to use mHealth devices among older adults. The ultimate goal is to offer well-founded and practical recommendations to assist older individuals in overcoming the digital divide. METHODS The study used data from 3712 individuals aged 60 and above, sourced from the 2022 Psychology and Behavior Investigation of Chinese Residents study. Linear regression models were used to assess the relationships between family health, media use behavior, and the intention to use mHealth devices. To investigate the mediating role of media use behavior, we used the Sobel-Goodman Mediation Test. This analysis focused on the connection between 4 dimensions of family health and the intention to use mHealth devices. RESULTS A positive correlation was observed among family health, media use behavior, and the intention to use mHealth devices (r=0.077-0.178, P<.001). Notably, media use behavior was identified as a partial mediator in the relationship between the overall score of family health and the intention to use mHealth devices, as indicated by the Sobel test (z=5.451, P<.001). Subgroup analysis further indicated that a complete mediating effect was observed specifically between family health resources and the intention to use mHealth devices in older individuals with varying education levels. CONCLUSIONS The study revealed the significance of family health and media use behavior in motivating older adults to adopt mHealth devices. Media use behavior was identified as a mediator in the connection between family health and the intention to use mHealth devices, with more intricate dynamics observed among older adults with lower education levels. Going forward, the critical role of home health resources must be maximized, such as initiatives to develop digital education tailored for older adults and the creation of media products specifically designed for them. These measures aim to alleviate technological challenges associated with using media devices among older adults, ultimately bolstering their inclination to adopt mHealth devices.
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Affiliation(s)
- Jinghui Chang
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Yanshan Mai
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Dayi Zhang
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Xixi Yang
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Anqi Li
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Wende Yan
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Yibo Wu
- School of Public Health, Peking University, Beijing, China
| | - Jiangyun Chen
- School of Health Management, Southern Medical University, Guangzhou, China
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Soleymani MR, Esmaeilzadeh M, Taghipour F, Ashrafi‐rizi H. COVID-19 information seeking needs and behaviour among citizens in Isfahan, Iran: A qualitative study. Health Info Libr J 2023; 40:359-370. [PMID: 34490716 PMCID: PMC8646362 DOI: 10.1111/hir.12396] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 07/15/2021] [Accepted: 07/21/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Access to reliable and credible health information improves individuals' personal care level in crises, such as the coronavirus disease 2019 (COVID-19) pandemic. It subsequently results in enhancing the community's health and reducing the health system's costs. OBJECTIVES This study aimed to investigate the COVID-19 related information seeking behaviour demonstrated by citizens in Isfahan, Iran. METHODS This research was conducted in 2020 and employed a qualitative approach using conventional content analysis. The research population was selected from almost different social classes of people in Iran using purposive sampling. The saturation point was reached at 24 semi-structured interviews. The data's soundness was confirmed based on the criteria of credibility, confirmability, dependability and transferability proposed by Guba and Lincoln. RESULTS The findings revealed five subcategories and 25 codes within the information seeking behaviour. The subcategories included attitude towards the COVID-19 crisis, information needs, information resources, information validation and information seeking barriers. CONCLUSION People seek information from various resources to update their knowledge and become more prepared in the face of COVID-19. The findings can be used to develop policies on informing and preventing the dissemination of false information in crises, such as the COVID-19 crisis.
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Affiliation(s)
- Mohammad Reza Soleymani
- Health Information Technology Research CenterIsfahan University of Medical SciencesIsfahanIran
| | - Maedeh Esmaeilzadeh
- Department of Medical Library and Information SciencesSchool of Management and Medical Information SciencesIsfahan University of Medical SciencesIsfahanIran
| | - Faezeh Taghipour
- Department of ManagementIslamic Azad University, Khorasgan BranchIsfahanIran
| | - Hasan Ashrafi‐rizi
- Health Information Technology Research CenterIsfahan University of Medical SciencesIsfahanIran
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Wang Z, Hu Y, Huang B, Zheng G, Li B, Liu Z. Is There a Relationship Between Online Health Information Seeking and Health Anxiety? A Systematic Review and Meta-Analysis. HEALTH COMMUNICATION 2023:1-15. [PMID: 37919837 DOI: 10.1080/10410236.2023.2275921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2023]
Abstract
The internet has revolutionized how we live, providing unprecedented convenience and up-to-date information. Consequently, an increasing number of individuals are turning to the internet for health-related information, despite research suggesting a correlation between this behavior and health anxiety. Therefore, drawing on cognitive - behavioral theory, we explore the link between online health information seeking and health anxiety via a systematic review and meta-analysis of cross-sectional studies. Following the Preferred Reporting Items for Systematic Reviews and Meta-analysis, we ran searches in multiple databases, including PubMed, Web of Science, Embase, Elsevier/Science Direct, Cochrane Database, China National Knowledge Infrastructure, VIP Chinese Database, and Wanfang Data. Our searches identified 16 studies eligible for review, involving 4,920 participants across seven countries. The random-effects meta-analysis revealed a significant positive correlation between online health information seeking and health anxiety (r = 0.28, 95% confidence interval [0.16, 0.41], p < .0001), despite considerable heterogeneity. Furthermore, meta-regression analysis demonstrated that the identity characteristics of the sample, female percentage, sample size, and country all contributed to the heterogeneity across studies. Overall, this meta-analysis provides support for the association between online health information seeking and health anxiety, and helps to elucidate the cognitive - behavioral theory underpinning this phenomenon.
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Affiliation(s)
- Zhenyu Wang
- School of Government, Sun Yat-sen University
| | - Yi Hu
- Research Department III, Shenzhen Health Development Research and Data Management Center
| | - Bohan Huang
- School of Public Administration, Guangdong University of Finance
| | | | - Bei Li
- School of Health Management, Southern Medical University
| | - Zhihan Liu
- School of Public Administration, Central South University
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Arias López MDP, Ong BA, Borrat Frigola X, Fernández AL, Hicklent RS, Obeles AJT, Rocimo AM, Celi LA. Digital literacy as a new determinant of health: A scoping review. PLOS DIGITAL HEALTH 2023; 2:e0000279. [PMID: 37824584 PMCID: PMC10569540 DOI: 10.1371/journal.pdig.0000279] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 05/19/2023] [Indexed: 10/14/2023]
Abstract
INTRODUCTION Harnessing new digital technologies can improve access to health care but can also widen the health divide for those with poor digital literacy. This scoping review aims to assess the current situation of low digital health literacy in terms of its definition, reach, impact on health and interventions for its mitigation. METHODS A comprehensive literature search strategy was composed by a qualified medical librarian. Literature databases [Medline (Ovid), Embase (Ovid), Scopus, and Google Scholar] were queried using appropriate natural language and controlled vocabulary terms along with hand-searching and citation chaining. We focused on recent and highly cited references published in English. Reviews were excluded. This scoping review was conducted following the methodological framework of Arksey and O'Malley. RESULTS A total of 268 articles were identified (263 from the initial search and 5 more added from the references of the original papers), 53 of which were finally selected for full text analysis. Digital health literacy is the most frequently used descriptor to refer to the ability to find and use health information with the goal of addressing or solving a health problem using technology. The most utilized tool to assess digital health literacy is the eHealth literacy scale (eHEALS), a self-reported measurement tool that evaluates six core dimensions and is available in various languages. Individuals with higher digital health literacy scores have better self-management and participation in their own medical decisions, mental and psychological state and quality of life. Effective interventions addressing poor digital health literacy included education/training and social support. CONCLUSIONS Although there is interest in the study and impact of poor digital health literacy, there is still a long way to go to improve measurement tools and find effective interventions to reduce the digital health divide.
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Affiliation(s)
- Maria del Pilar Arias López
- Intermediate Care Unit. Hospital de Niños Ricardo Gutierrez Buenos Aires, Argentina
- Argentine Society of Intensive Care. Management, Quality and Data Committee Buenos Aires, Argentina
| | - Bradley A. Ong
- Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Xavier Borrat Frigola
- Department of Anesthesiology and Intensive Care. Hospital Clínic de Barcelona, Barcelona, Spain
- Laboratory for Computational Physiology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Boston, Massachusetts United States of America
| | - Ariel L. Fernández
- Argentine Society of Intensive Care. Management, Quality and Data Committee Buenos Aires, Argentina
| | - Rachel S. Hicklent
- Research Medical Library, University of Texas MD Anderson Cancer Center, Houston, Texas United States of America
| | | | - Aubrey M. Rocimo
- College of Medicine, University of the Philippines Manila Manila, Philippines
| | - Leo A. Celi
- Laboratory for Computational Physiology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Boston, Massachusetts United States of America
- Division of Pulmonary, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America
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Hermus M, van der Wilk BJ, Chang R, Dekker JWT, Coene PLO, Nieuwenhuijzen GAP, Rosman C, Heisterkamp J, Hartgrink HH, Timmermans L, Wijnhoven BPL, van der Zijden CJ, van Lanschot JJB, Busschbach J, Lagarde SM, Kranenburg LW. Esophageal cancer patients' need for information and support in making a treatment decision between standard surgery and active surveillance. Cancer Med 2023; 12:17266-17272. [PMID: 37392175 PMCID: PMC10501224 DOI: 10.1002/cam4.6308] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 06/21/2023] [Accepted: 06/22/2023] [Indexed: 07/03/2023] Open
Abstract
BACKGROUND This study explores patients' need for information and support in deciding on esophageal cancer treatment, when experimental active surveillance and standard surgery are both feasible. METHODS This psychological companion study was conducted alongside the Dutch SANO-trial (Surgery As Needed for Oesophageal cancer). In-depth interviews and questionnaires were used to collect data from patients who declined participation in the trial because they had a strong preference for either active surveillance (n = 20) or standard surgery (n = 20). Data were analyzed using both qualitative and quantitative techniques. RESULTS Patients prefer to receive information directly from their doctors and predominantly rely on this information to make a treatment decision. Other information resources are largely used to confirm their treatment decision. Patients highly value support from their loved ones and appreciate emphatic doctors to actively involve them in the decision-making process. Overall, patients' needs for information and support during decision-making were met. CONCLUSIONS The importance of shared decision-making and the role doctors have in this process is underlined. The role of doctors is essential at the initial phase of decision-making: Once patients seem to have formed their treatment preference for either active surveillance or surgery, the influence of external resources (including doctors) may be limited.
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Affiliation(s)
- Merel Hermus
- Department of Psychiatry, Section of Medical Psychology and PsychotherapyErasmus University Medical CenterRotterdamThe Netherlands
| | - Berend J. van der Wilk
- Department of SurgeryErasmus Cancer Institute, Erasmus University Medical CenterRotterdamThe Netherlands
| | - Rebecca Chang
- Department of Psychiatry, Section of Medical Psychology and PsychotherapyErasmus University Medical CenterRotterdamThe Netherlands
| | | | | | | | - Camiel Rosman
- Department of SurgeryRadboud University Medical CenterNijmegenThe Netherlands
| | - Joos Heisterkamp
- Department of SurgeryElisabeth Tweesteden HospitalTilburgThe Netherlands
| | - Henk H. Hartgrink
- Department of SurgeryLeiden University Medical CenterLeidenThe Netherlands
| | - Liesbeth Timmermans
- Department of Primary and Community CareRadboud University Medical CenterNijmegenThe Netherlands
| | - Bas P. L. Wijnhoven
- Department of SurgeryErasmus Cancer Institute, Erasmus University Medical CenterRotterdamThe Netherlands
| | - Charlène J. van der Zijden
- Department of SurgeryErasmus Cancer Institute, Erasmus University Medical CenterRotterdamThe Netherlands
| | - Jan J. B. van Lanschot
- Department of SurgeryErasmus Cancer Institute, Erasmus University Medical CenterRotterdamThe Netherlands
| | - Jan Busschbach
- Department of Psychiatry, Section of Medical Psychology and PsychotherapyErasmus University Medical CenterRotterdamThe Netherlands
| | - Sjoerd M. Lagarde
- Department of SurgeryErasmus Cancer Institute, Erasmus University Medical CenterRotterdamThe Netherlands
| | - Leonieke W. Kranenburg
- Department of Psychiatry, Section of Medical Psychology and PsychotherapyErasmus University Medical CenterRotterdamThe Netherlands
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Ševčíková A, Blinka L, Židlická A, Faltýnková A. Sexual Difficulties in People 50+: A Content Analysis of Sex-related Queries Posted on Professional Counseling Websites. HEALTH COMMUNICATION 2023; 38:958-966. [PMID: 34615416 DOI: 10.1080/10410236.2021.1984629] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Although sexual activity has been found to be both important and challenging for people aged 50+, relatively little is known about the concerns that they have with respect to their sexual lives and how help-seeking behavior manifests on counseling platforms. A sample of 293 sex-related queries that Czechs aged 50+ posted on professional counseling websites were subjected to a quantitative and qualitative content analysis. The majority of posts were written by men and their dominant issues were erectile difficulties, partner's lack of interest in sex, and drug use/interaction when treating sexual difficulties and other ailments. Using a thematic analysis, the study showed that sex-related concerns were based within the context of worries about maintaining relationships and re-partnering in mid- and later life, and probing for the normal aspects of aging and the associated changes in sexual health. The online setting of the counseling websites facilitated the posting of both general and personalized queries to get oriented in problems, to triangulate with previous information, and to check the treatability of difficulties when past treatments failed. These findings suggest that online counseling puts a great demand on professionals' knowledge and understanding of the specifics of later-life sexual health.
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Affiliation(s)
- Anna Ševčíková
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University
| | - Lukas Blinka
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University
| | - Anna Židlická
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University
| | - Anna Faltýnková
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University
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Wen W, Zhang Y, Shi W, Li J. Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China. J Med Internet Res 2023; 25:e40956. [PMID: 36943368 PMCID: PMC10131878 DOI: 10.2196/40956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 12/20/2022] [Accepted: 02/24/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Internet use is an important means of accessing health-related information. Identifying the associations between internet use and health outcomes could provide insight into strategies for improving public health among middle-aged and older adults (45 years and up). OBJECTIVE This study aimed to examine the relationship between internet use and health outcomes in middle-aged and older adults. METHODS Data were obtained from the 2018 China Health and Retirement Longitudinal Study. Physical, mental, and subjective health were assessed using the Activities of Daily Living (ADL) Scale, the 10-item Center for Epidemiologic Studies Depression Scale, and the 3-level Self-Rated Health Scale, respectively. The chi-square test and rank sum test were used to explore whether internet use was associated with health status. A multivariate logistic regression model was used to determine this association further after controlling for the confounding factors. RESULTS Overall, 13% (1752/13,474) of the participants used the internet. Regression analyses revealed that the prevalence of depression (odds ratio [OR] 0.59, 95% CI 0.52-0.68; P<.001), negative self-rated health (OR 0.68, 95% CI 0.61-0.76; P<.001), and difficulty with ADL (OR 0.48, 95% CI 0.39-0.60; P<.001) in the participating middle-aged and older adult was lower in those using the internet than nonusers. After controlling for confounding factors, internet use was found to be negatively associated with difficulty with ADL (urban: OR 0.44, 95% CI 0.32-0.61; P<.001 vs rural: OR 0.55, 95% CI 0.41-0.75; P<.001), depression (urban: OR 0.69, 95% CI 0.57-0.84; P<.001 vs rural: OR 0.52, 95% CI: 0.43-0.63; P<.001), and self-rated health status (urban: OR 0.70, 95% CI 0.61-0.81; P<.001 vs rural: OR 0.67, 95% CI 0.57-0.78; P<.001) among middle-aged and older adults in both urban and rural areas. CONCLUSIONS Internet use had a positive effect on the physical and mental health of middle-aged and older adults who participated in this study. However, the internet usage rate remains low among older Chinese people. Therefore, the internet penetration rate should be a priority.
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Affiliation(s)
- Wen Wen
- School of Public Health, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
| | - Yaru Zhang
- School of Public Health, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
| | - Wenjie Shi
- School of Public Health, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
| | - Jiajia Li
- School of Public Health, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
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Larsen CB, Gilstad H. Qualitative Research Studies Addressing Patient-Practitioner Communication about Online Health Information. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14004. [PMID: 36360881 PMCID: PMC9659101 DOI: 10.3390/ijerph192114004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/12/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Modern healthcare is becoming increasingly technologized, knowledge-intensive, and specialized, which has consequences for communication between patients and practitioners in clinical encounters. Health information is increasingly accessible to patients through online resources. The objective of this paper is to provide an overview of existing studies that address how patients communicate with practitioners about online health information and to identify the key topics raised in these studies. With the concept of eHealth literacy as its point of departure, this paper specifically highlights the eHealth literacy topic of how patients comprehend, appraise and communicate online health information before and during the encounter with the healthcare professionals. In the literature search, we focus on qualitative studies that consider patients' and/or practitioners' reflections on online health information. We searched PUBMED, SCOPUS and Web of Science to capture research from various fields. Sixteen studies were included that met the following criteria: Qualitative study, focus on patient-practitioner communication, eHealth literacy and online information. The results show that the vast majority of studies were based on qualitative interviews, addressing patients' and practitioners' perspectives. Key topics in studies addressing patient perspectives were: reasons for seeking online information; calibrating understanding of online information with the practitioner; and barriers to discussing online information with practitioners. Key topics raised in studies focusing on practitioners were: trust in the patient and the online health information he/she presented as well as strategies to respond to patients who referred to online health information. The review highlights the need for further qualitative studies, preferably observational studies from authentic clinical communication situations, in order to capture how patients and practitioners communicate about online health information.
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Affiliation(s)
- Cathrin Brøndbo Larsen
- Department of Language and Literature, Norwegian University of Science and Technology, 7491 Trondheim, Norway
- Department of Neuromedicine and Movement Sciences, Norwegian University of Science and Technology, 7491 Trondheim, Norway
- Department of Rheumatology, St. Olavs University Hospital, 7030 Trondheim, Norway
| | - Heidi Gilstad
- Department of Language and Literature, Norwegian University of Science and Technology, 7491 Trondheim, Norway
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Wang X, Luan W. Research progress on digital health literacy of older adults: A scoping review. Front Public Health 2022; 10:906089. [PMID: 35991040 PMCID: PMC9389004 DOI: 10.3389/fpubh.2022.906089] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 07/18/2022] [Indexed: 11/29/2022] Open
Abstract
With the rapid development of digital health today, the lack of digital health literacy in older adults is an urgent problem. It is crucial that older adults adapt to the digital reform in medical treatment, pension, health management, and other fields. Therefore, we reviewed the current development status of digital health literacy among older adults. A total of 47 articles were included in this scoping review. Our findings revealed that research on digital health literacy in older adults is still in its infancy. Further development is warranted especially in terms of assessment tools and intervention methods.
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Affiliation(s)
- Xinxin Wang
- Shanghai Jiao Tong University School of Nursing, Shanghai, China
| | - Wei Luan
- Department of VIP Service, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
- *Correspondence: Wei Luan
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13
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Ghazavi R, Zarei H, Teimouri Jervekani Z, Soleymani MR. COVID-19 Information Needs and Information-Seeking Behavior of Cardiovascular Patients: A Qualitative Study. JOURNAL OF CONSUMER HEALTH ON THE INTERNET 2022. [DOI: 10.1080/15398285.2022.2056370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Roghayeh Ghazavi
- Department of Knowledge and Information Sciences, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
| | - Hadi Zarei
- Chamran Heart Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | | | - Mohammad Reza Soleymani
- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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14
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Telemedicine to Support Heart Failure Patients during Social Distancing: A Systematic Review. Glob Heart 2022; 17:86. [PMID: 36578910 PMCID: PMC9784086 DOI: 10.5334/gh.1175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 11/14/2022] [Indexed: 12/23/2022] Open
Abstract
Background Heart failure (HF) has been described as an emerging pandemic as its prevalence continues to rise with a growing and aging population. HF patients are more vulnerable to infections with higher risk of hospitalisation, morbidity, and mortality. During this COVID-19 pandemic, telemedicine has emerged as an alternative to usual out-patient care. This study aimed to systematically review available literature regarding the effect of telemedicine on mortality, health-related quality of life (HR-QoL), and hospitalisation rate of HF patients. Method A literature search was conducted on five databases (PubMed, Medline, EMBASE, SCOPUS and Cochrane Central Database) up to 21st May 2022. Data from studies that fulfilled the eligibility criteria were collected and extracted. Included studies were critically appraised using suitable tools and extracted data were synthesized qualitatively. Results A total of 27 studies were included in the qualitative synthesis with a total of 21,006 patients and sufficient level of bias. Reduction in the mortality rate, HF-related hospitalisation rate, and improvement in the HR-QoL were shown in most of the studies, although only some were statistically significant. Conclusions The use of telemedicine is a promising and beneficial method for HF patients to acquire adequate health care services. Further studies in this field are needed, especially in developing countries and with standardized method, to provide better services and protections for HF patients. Telemonitoring and patient-centred partnership via interactive communication between healthcare team and patients is central to successful telemedicine implementation. PROSPERO Registration Number CRD42021271540.
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15
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Dalky H, Khraisat A, Khalifeh AH, Abuhammad S, Hamdan-Mansour A. Predictors of social response to COVID-19 among health care workers caring for individuals with confirmed COVID-19 in Jordan. F1000Res 2022; 11:312. [PMID: 36936049 PMCID: PMC10015117 DOI: 10.12688/f1000research.75740.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/22/2022] [Indexed: 11/20/2022] Open
Abstract
Background: The outbreak of COVID-19 forced public health authorities around the world to call for national emergency plans. Public responses, in the form of social discrimination and stigmatizing behaviors, are increasingly being observed against individuals with confirmed COVID-19 and healthcare workers (HCWs) caring for those individuals. Therefore, this study aimed to investigate the perception of social discrimination and coping strategies, and explore predictors of social discrimination and coping with COVID-19 among HCWs and individuals with confirmed COVID-19. Methods: This study used a cross-sectional descriptive-comparative design to collect data, using a convenience sample of 105 individuals with confirmed COVID-19 and 109 HCWs using a web-based survey format. Results: In this study, individuals confirmed with COVID-19 reported a high level of social discrimination compared with HCWs (t = 2.62, p < 0.01), while HCWs reported a high level of coping with COVID-19 compared to individuals with COVID-19 (t = -3.91, p < 0.001). Educational level, age, monthly income, and taking over-the-counter medication were predictors of social discrimination and coping with COVID-19 among HCWs and individuals with confirmed COVID-19. Conclusions: The findings showed that individuals with confirmed COVID-19 were more likely to face social discrimination, and HCWs cope with COVID-19 better than ordinary individuals with confirmed COVID-19.
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Affiliation(s)
- Heyam Dalky
- Community and Mental Health Department/Faculty of Nursing, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Adam Khraisat
- Nursing Program/Health Science Faculty, Higher Colleges of Technology, Sharjah, United Arab Emirates
| | | | - Sawsan Abuhammad
- Child Maternal Health Department, Jordan University of Science and Technology, Irbid, Jordan
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16
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Popovac M, Roomaney R. Measuring online health-seeking behaviour: Construction and initial validation of a new scale. Br J Health Psychol 2021; 27:756-776. [PMID: 34747092 DOI: 10.1111/bjhp.12571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 09/30/2021] [Accepted: 09/22/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Online health-seeking behaviour (OHSB) such as information- and support-seeking encompasses a range of motivations and outcomes, but few studies consider the nuances of OHSB. The current study aimed to (1) develop and provide an initial validation of an OHSB measure, and (2) explore the role of demographic variables in OHSB among adult Internet users. DESIGN The study was a quantitative, cross-sectional online survey. METHODS The study consistent of two data collection waves, including 451 general Internet users (aged 18-73) and 204 online health groups users (aged 19-78) who completed online questionnaires. RESULT Exploratory Factor Analysis and Item Analysis in the two samples resulted in a final 37-item measure. The scale comprises three distinct factors: Support seeking (α = .97); information seeking (α = .89); and the Internet as a supplement or alternative to offline medical care (α = .88). Multiple regression analyses indicated that younger age, a higher number of people living in the household, and presence of a chronic condition significantly predicted all three aspects of OHSB. Poorer perceived health also predicted support-seeking online, while being male, employed and a general Internet user (vs. online health group member) also predicted using the Internet as a supplement or alternative to offline medical care. CONCLUSION The study presents a useful scale for future research to explore more complex psychosocial, contextual and health-related variables as potential contributors to health-seeking in the online domain.
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Affiliation(s)
- Maša Popovac
- School of Psychology, University of Buckingham, UK
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17
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McKay A. How access to online health information affects the dental hygiene client experience. CANADIAN JOURNAL OF DENTAL HYGIENE : CJDH = JOURNAL CANADIEN DE L'HYGIENE DENTAIRE : JCHD 2021; 55:182-186. [PMID: 34925519 PMCID: PMC8641553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Due to the widespread availability of online information, oral care providers are no longer the main source of oral health information for clients. This shift in the balance of knowledge has the potential to alter clients' experiences and relationships with their oral care providers, including dental hygienists. This review explores how access to online health information has influenced clients' experiences with their dental hygienists. METHOD A narrative literature review of quantitative, qualitative, and mixed,method studies concerning clients' experiences with online health information and how it has influenced the client-health care professional relationship was completed. The electronic databases searched were Google ScholarTM, PubMed, and CINAHL. Twenty-three studies published between 2005 and 2020 were included. RESULTS AND DISCUSSION The majority of clients used the internet to access health information to be better informed about health issues. Both clients and health care providers had concerns about the legitimacy and accuracy of various online information sources. Clients faced various communication facilitators and barriers when discussing this information with their health care provider. A positive response by the health care provider led to an improved client-clinician relationship, whereas a negative response led to distrust among all parties. Clients would be open to e-health literacy training by their dental hygienists. CONCLUSION Clients' access to online health information can either improve or worsen their experiences and relationships with their dental hygienists, depending on the response by the dental hygienist when these topics are broached. Dental hygienists should consider taking time to provide e-health literacy training to clients during consultations.
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Affiliation(s)
- Amanda McKay
- Alumna, Dental Hygiene Degree Completion Program, University of British Columbia, Vancouver, BC, Canada
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18
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Tu J, Shen M, Zhong J, Yuan G, Chen M. The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study. Front Public Health 2021; 9:683712. [PMID: 34249848 PMCID: PMC8267812 DOI: 10.3389/fpubh.2021.683712] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 05/31/2021] [Indexed: 11/13/2022] Open
Abstract
The study explores older people's perceptions and experiences with mobile technology adoption in hospitals. Twenty nine older people were interviewed at a tertiary hospital in Guangzhou from June to December 2020. All the interviews were analyzed using thematic analysis. Older people are a diversified group. Various factors impact their readiness for technology use, including their educational level, age, past experiences, living arrangements, etc. The older people in this study in general expressed a great concern about using the new health technology and many encountered barriers to its successful adoption. Yet, the barriers and difficulties that they encountered are embedded in a changed social context in China. The findings above provide insights into the adoption of health technology, and tailored measures to facilitate older people's technology adoption are suggested.
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Affiliation(s)
- Jiong Tu
- School of Sociology and Anthropology, Sun Yat-sen University, Guangzhou, China
| | - Manxuan Shen
- Department of Geriatrics, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Jiudi Zhong
- Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China
| | - Gang Yuan
- Department of Geriatrics, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Miaohong Chen
- Department of Geriatrics, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
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Analysis of the Effectiveness of Promotion Strategies of Social Platforms for the Elderly with Different Levels of Digital Literacy. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11094312] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This paper aimed to examine the effectiveness of social platform promotion strategies for the elderly with different digital literacy. Despite extensive research on the development of youth-oriented social platforms, research on the development of social platforms specifically targeting older adults with varying levels of digital literacy is lacking. The elderly population is divided into passive information receivers (PIRs) and active information seekers (AISs) according to their information seeking expertise, and an empirical study was conducted to assess the behavioral characteristics of PIRs and AISs. Grounded in innovation diffusion research and our empirical results, an agent-based model was developed, and the impact of the proportion of PIRs on the macro result of the social platform adoption (i.e., market penetration) and the impact of promotional strategies on market penetration under different proportions of PIRs were analyzed. The results demonstrate a direct negative effect of the proportion of PIRs on market penetration and a moderating effect on the effectiveness of various promotional strategies.
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20
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Sun M, Jiang LC. Interpersonal influences on self-management in the eHealth era: Predicting the uses of eHealth tools for self-care in America. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:464-475. [PMID: 32716139 DOI: 10.1111/hsc.13107] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 06/01/2020] [Accepted: 06/26/2020] [Indexed: 06/11/2023]
Abstract
Drawing on the social cognitive theory and the comprehensive model of information seeking, this study proposes a theoretical framework that systematically examines the role of interpersonal factors in individuals' self-management in the eHealth context. The framework was tested with a sample of 965 eHealth users drawn from the National Cancer Institute's 2018 Health Information National Trends Survey. Structural equation modelling was performed to model the relationships among patient-centred communication, social support, self-efficacy, perceptions of eHealth tools and eHealth behaviours. The results established social support and patient-centred communication as two important sources of self-efficacy. Self-efficacy together with characteristics of eHealth tools were associated with higher utility of eHealth tools, which further predicted higher levels of eHealth behaviours. The results show that incorporating interpersonal factors in health interventions may enhance the targets' self-efficacy in self-management and indirectly motivates eHealth behaviours.
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Affiliation(s)
- Mengru Sun
- College of Media and International Culture, Zhejiang University, Hangzhou, China
- Department of Media and Communication, City University of Hong Kong, Hong Kong SAR
| | - Li Crystal Jiang
- Department of Media and Communication, City University of Hong Kong, Hong Kong SAR
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21
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Zhang D, Hu H, Shi Z, Li B. Perceived Needs Versus Predisposing/Enabling Characteristics in Relation to Internet Cancer Information Seeking Among the US and Chinese Public: Comparative Survey Research. J Med Internet Res 2021; 23:e24733. [PMID: 33427668 PMCID: PMC7834927 DOI: 10.2196/24733] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 12/01/2020] [Accepted: 12/19/2020] [Indexed: 12/02/2022] Open
Abstract
Background Since the rise of the internet, online health information seeking has become a worldwide phenomenon. However, health and health communication are inherently culture bound. A data-driven cross-country comparison enables us to better understand how cultural factors moderate the association between individual-level determinants and online health information seeking. Objective The objective of the study was to examine similarities and differences in determinants of internet cancer information seeking between the US and Chinese general public (excluding cancer patients and survivors) under the framework of a behavioral model of health services use. Methods This study used Health Information National Trends Survey (HINTS) 2017 (US data) and HINTS-China 2017 data to answer the research question. It focused on people with no cancer history and with internet access. For the HINTS 2017, the sample size was 2153; for the HINTS-China 2017, the sample size was 2358. To compare China and the United States, the researchers selected the same set of study variables for each dataset. Under the framework of the behavioral model of health services use, these predictors were predisposing factors, enabling factors, and need factors. Results In terms of the predisposing factors, a higher age, college degree or above, being currently unemployed, and having a family history of cancer were associated with internet cancer information seeking for the Chinese respondents; none of these factors were related to information seeking for the US respondents, although a lower age was associated with information seeking. Regarding the enabling conditions, lower trust in family members and friends as reliable information sources was the only factor associated with information seeking for the Chinese respondents, while no enabling factor was related to information seeking for the US respondents. Regarding the need factors, perceived health status was not related to information seeking for the Chinese respondents, while perception of poorer health condition was related to information seeking for the US respondents. Higher cancer fear was related to information seeking for both groups, but the magnitude of association was smaller for the Chinese respondents than for the US respondents. Conclusions Overall, under the framework of the behavioral model of health services use, the results based on multivariate logistic regression reveal clear patterns of cross-country/cultural differences in the factors associated with internet cancer information seeking behaviors: predisposing characteristics and enabling conditions are more important in China, while perceived needs are more significant in the US. Such differences might reflect possible US-China differences in job environment (eg, job pressure) and culture (individualism vs collectivism and family structure).
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Affiliation(s)
- Di Zhang
- School of Journalism and Communication, Renmin University of China, Beijing, China
| | - Hongchao Hu
- School of Journalism and Communication, Renmin University of China, Beijing, China
| | - Zhen Shi
- School of Journalism and Communication, Renmin University of China, Beijing, China
| | - Biao Li
- School of Journalism and Communication, Renmin University of China, Beijing, China
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22
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Magsamen-Conrad K, Wang F, Tetteh D, Lee YI. Using Technology Adoption Theory and a Lifespan Approach to Develop a Theoretical Framework for eHealth Literacy: Extending UTAUT. HEALTH COMMUNICATION 2020; 35:1435-1446. [PMID: 31328567 DOI: 10.1080/10410236.2019.1641395] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Advancements in health information technology (HealthIT) and the electronic exchanges of health information have "revolutionized" health systems in the US. However, adopting technological developments into the healthcare system has the potential to benefit populations with more resources, further exacerbating health status disparities. Efficacious utilization of HealthIT requires eHealth literacy. Although eHealth literacy is comprised of six factors, new research indicates that the components related to technology literacy may be more impactful in eHealth literacy among certain populations (e.g., older populations who shoulder a greater illness-management burden). Recognizing the importance of technology literacy in eHealth literacy across the lifespan, we investigate generational differences in New Communication Technology (NCT) use and eHealth literacy, especially considering how NCT adoption theory might systematically inform scholars' understanding of eHealth literacy. Participants included 525 adults primarily in the Midwestern United States. We found significant differences between generational groups across all variables. We found that UTAUT determinants such as performance expectancy and effort expectancy explained 38% of the variance in eHealth literacy, controlling for age, sex, level of education, and prior online health information seeking. Finally, we engaged with early critiques of UTAUT, finding that when applying UTAUT in voluntary (vs. mandatory) contexts, scholars should reconsider variables previously dismissed, such as attitude. In doing this, we extend UTAUT in three ways: new contexts (voluntary NCT adoption), endogenous theoretical mechanisms (eHealth literacy), and exogenous variables (attitude; lifespan). These findings underscore a need for a targeted approach to improve eHealth literacy and health self-management across generations.
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Affiliation(s)
| | - Fang Wang
- Department of Communication, University of Findlay
| | - Dinah Tetteh
- Department of Communication, Arkansas State University
| | - Yen-I Lee
- Strategic Communication, Edward R. Murrow College of Communication at Washington State University
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Magsamen-Conrad K, Dillon JM. Mobile technology adoption across the lifespan: A mixed methods investigation to clarify adoption stages, and the influence of diffusion attributes. COMPUTERS IN HUMAN BEHAVIOR 2020; 112:106456. [PMID: 32834465 PMCID: PMC7305511 DOI: 10.1016/j.chb.2020.106456] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 05/14/2020] [Accepted: 06/13/2020] [Indexed: 11/21/2022]
Abstract
We conducted a multi-study, mixed-methods, longitudinal investigation to examine how mobile technology diffuses across the lifespan, in real time, within a multi-generational population, while seeking local knowledge through community-based participatory research. Using qualitative methods (QUAL), we examined technology adoption within and across three iterations (16 weeks) of a nine-wave longitudinal community technology-training workshop, situated within a 15-wave study. In parallel, we interrogated existing conceptualization and operationalization of diffusion of technology variables, then deductively evaluated the dominant DOI-related variables re-conceptualized through the community study in a large cross-sectional quantitative (QUAN) investigation. We interpreted our results consistently and iteratively with a mixed-methods approach that included conceptualization, operationalization, and empirical testing. We discovered that oft-conflated concepts of knowledge, use, and ownership represent distinct stages of adoption. Our findings suggest constant feedback/permeable boundaries between these stages, and that DOI attributes may influence mobile technology adoption stages differentially. We suggest that innovators seeking to facilitate mobile technology adoption should focus on reducing complexity, and establishing calibration of complexity perceptions. We propose a lifespan mobile technology diffusion model, and call to question the language used in investigations related to the digital divide. We strive to clarify labels that may stereotype vulnerable populations, such as older adults. Our research contributes to theories of technology adoption - particularly after the introduction of digital communication - the diffusion of innovations in the community over time, and technology adoption process as affected by interpersonal communication and relationships, including among the technologically undercapitalized and the digitally privileged.
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Affiliation(s)
- Kate Magsamen-Conrad
- The University of Iowa, Department of Communication Studies, 257 Becker Communication Studies Building, USA
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Ahmad T, Sattar K, Akram A. Medical professionalism videos on YouTube: Content exploration and appraisal of user engagement. Saudi J Biol Sci 2020; 27:2287-2292. [PMID: 32884409 PMCID: PMC7451591 DOI: 10.1016/j.sjbs.2020.06.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 05/03/2020] [Accepted: 06/01/2020] [Indexed: 11/18/2022] Open
Abstract
Background Social media has become the fastest growing platform for sharing and retrieving information and knowledge, and YouTube is one of the most popular and growing sources of health and educational information video-sharing website. But, videos on this open platform are not peer-assessed, therefore, the accessible data should be adequately assessed. Till date, no exploration and analysis for assessing the credibility and usefulness of Medical professionalism videos available on YouTube are conducted. Objective To analyze the video sources, contents and quality of YouTube videos about the topic of medical professionalism. Methods A systematic search was accomplished on YouTube videos during the period between March 1, 2020 and March 27, 2020. The phrases as significant words used throughout YouTube web search were ‘Professionalism in Medical Education’, Professionalism in medicine’, ‘Professionalism of medical students’, ‘Professionalism in healthcare’. ‘Teaching professionalism’, ‘Attributes of professionalism’. The basic information collected for each video included author’s/publisher’s name, total number of watchers, likes, dislikes and positive and undesirable remarks. The videos were categorized into educationally useful and useless established on the content, correctness of the knowledge and the advices. Different variables were measured and correlated for the data analysis. YouTube website was searched the using keywords ‘Professionalism in Medical Education’, Professionalism in medicine’, ‘Professionalism of medical students’, ‘Professionalism in healthcare’. ‘Teaching professionalism’, and ‘Attributes of professionalism’. Results After 2 rounds of screening by the subject experts and critical analysis of all the 137 YouTube videos, only 41 (29.92%) were identified as pertinent to the subject matter, i.e., educational type. After on expert viewing these 41 videos established upon our pre-set inclusion/exclusion criteria, only 17 (41.46%) videos were found to be academically valuable in nature. Conclusion Medical professionalism multimedia videos uploaded by the healthcare specialists or organizations on YouTube provided reliable information for medical students, healthcare workers and other professional. We conclude that YouTube is a leading and free online source of videos meant for students or other healthcare workers yet the viewers need to be aware of the source prior to using it for training learning.
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Affiliation(s)
- Tauseef Ahmad
- Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Computer Science and Information Technology, NIMS University, Jaipur, Rajasthan, India
| | - Kamran Sattar
- Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
- Corresponding author at: Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
| | - Ashfaq Akram
- Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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25
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Lu L, Liu J, Yuan YC. Health Information Seeking Behaviors and Source Preferences between Chinese and U.S. Populations. JOURNAL OF HEALTH COMMUNICATION 2020; 25:490-500. [PMID: 33150861 DOI: 10.1080/10810730.2020.1806414] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This study examined similarities and differences in health information-seeking behaviors between American and Chinese people using data from the 2017 U.S. Health Information National Trends Survey (HINTS) and the 2017 China HINTS. It is one of the first studies that use comparable samples and survey instruments to make direct comparisons of the two populations' health information-seeking behaviors. Results showed that Americans (including different racial/ethnic groups in the U.S.) were more likely to actively seek health information than Chinese people. Americans were also more likely to use mediated communication as their primary sources of health information while Chinese people favored interpersonal sources. Chinese people reported lower quality of doctor-patient communication than their American counterparts. These differences between the two countries highlight the importance of using different information sources to reach specific populations, and the need to develop tailored public health intervention programs in different cultures.
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Affiliation(s)
- Linqi Lu
- College of Media and International Culture, Zhejiang University , Hangzhou, Zhejiang, China
- Department of Communication, Cornell University , Ithaca, New York, USA
| | - Jiawei Liu
- Department of Communication, Cornell University , Ithaca, New York, USA
| | - Y Connie Yuan
- Department of Communication, Cornell University , Ithaca, New York, USA
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26
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Buljan I, Tokalić R, Roguljić M, Zakarija-Grković I, Vrdoljak D, Milić P, Puljak L, Marušić A. Framing the numerical findings of Cochrane plain language summaries: two randomized controlled trials. BMC Med Res Methodol 2020; 20:101. [PMID: 32375659 PMCID: PMC7201737 DOI: 10.1186/s12874-020-00990-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Accepted: 04/23/2020] [Indexed: 11/24/2022] Open
Abstract
Background Cochrane systematic review Plain language Summaries (CSR PLSs should serve as a tool for the evidence translation to non-medical population. However, the evidence of optimal type of numerical presentation in CSR PLSs is still scarce. The aim of this study was to investigate readers’ comprehension and preferences for different presentation of findings, including framing and numerical data, in Cochrane systematic review Plain Language Summaries (CSR PLSs). Methods We conducted a parallel randomized trial and a crossover randomized trial at the School of Medicine and family practice offices in Split, Croatia. The participants were students and consumers. We assessed possible differences in comprehension, measured by four questions on PLS content, of CSR PLSs depending on the positive or negative framing of results (n = 91) (Trial 1) or using percentages or frequencies for the presentation of results (n = 245) (Trial 2). The outcome measures were comprehension of PLS content, perceived effectiveness of the treatment and readiness to use the treatment (all on 1–10 scales). Results In Trial 1 we found no difference in readers’ perception of the effectiveness of the described treatment, desire that the treatment be offered by their family doctor, readiness to use the treatment, or comprehension when CSR PLS results were presented positively or negatively. In Trial 2 we found no difference in CSR PLS comprehension when results were presented as natural frequencies or percentages (BF10 = 0.62, Bayesian t-test for independent samples). Conclusions Numerical presentation and framing direction of results appear to have no significant impact on understanding of messages in CSR PLSs. Trial registration The trials were registered in ClinicalTrials.gov. Protocol registration numbers: Trial 1: NCT03442387; Trial 2: NCT03554252.
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Affiliation(s)
- Ivan Buljan
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Šoltanska 2, 21000, Split, Croatia. .,Cochrane Croatia, University of Split School of Medicine, Split, Croatia.
| | - Ružica Tokalić
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Šoltanska 2, 21000, Split, Croatia.,Cochrane Croatia, University of Split School of Medicine, Split, Croatia
| | - Marija Roguljić
- Department of Oral Diseases and Periodontology, University of Split School of Medicine, Split, Croatia
| | - Irena Zakarija-Grković
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Šoltanska 2, 21000, Split, Croatia.,Cochrane Croatia, University of Split School of Medicine, Split, Croatia
| | - Davorka Vrdoljak
- Department of Family Medicine, University of Split School of Medicine, Split, Croatia
| | - Petra Milić
- University of Split School of Medicine, Split, Croatia
| | - Livia Puljak
- Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Zagreb, Croatia
| | - Ana Marušić
- Department of Research in Biomedicine and Health, University of Split School of Medicine, Šoltanska 2, 21000, Split, Croatia.,Cochrane Croatia, University of Split School of Medicine, Split, Croatia
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27
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Oliveira L, Poínhos R, Afonso C, Vaz Almeida MD. Information Sources on Healthy Eating Among Community Living Older Adults. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2020; 41:153-158. [PMID: 32249704 DOI: 10.1177/0272684x20915362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Information about nutrition and health are important to empower older adults on what their food choice is concerned. The present research aims to study the perceived need and preferences regarding sources of information about healthy eating among older adults and to relate them with sociodemographic characteristics. A sample of 602 older adults (≥65 years old) living in the community (Vila Nova de Gaia, Portugal) was assessed by trained nutritionists using a structured questionnaire developed within the Pronutrisenior project. Most participants (87.5%) are concerned about healthy eating, and 69.3% would like to receive more information about the subject, mainly as audiovisual material (49.8%). Women prefer to receive information through practical cooking sessions and audiovisual material. Highly educated individuals prefer leaflets with text as well as audiovisual material, while more independent individuals prefer a wide range of media, such as booklets with pictures, informational posters, and food education and practical cooking sessions. Those with an adequate social support network prefer booklets with text. Age was not related to these preferences. These results can inform stakeholders about the most effective means of transmitting information on food and nutrition to older adults and are therefore useful in tailoring community and clinical interventions.
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Affiliation(s)
| | - Rui Poínhos
- Faculty of Nutrition and Food Sciences, University of Porto
| | - Cláudia Afonso
- Faculty of Nutrition and Food Sciences, University of Porto
| | - Maria Daniel Vaz Almeida
- Faculty of Nutrition and Food Sciences, University of Porto.,GreenUPorto - Research Centre on Sustainable Agri-food Production, Porto, Portugal
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Magsamen-Conrad K, Dillon JM, Billotte Verhoff C, Joa CY. Toward a Theory of HealthIT Adoption Across the Lifespan: Findings from Five Years in the Community. HEALTH COMMUNICATION 2020; 35:308-321. [PMID: 30652503 DOI: 10.1080/10410236.2018.1563027] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Mediated communication enabled by information technology has immense potential to positively affect personal health. Although existing theories of technology use and adoption have advanced our understanding of information technology, they do not fully address voluntary adoption in community settings, adoption across the lifespan, and privacy concerns. Drawing on evidence collected during more than five years of field research, we start to address those issues, especially as they pertain to HealthIT (e.g. mHealth, e-Health, and/or connected health) use. Our goals include advancing theoretical discussions on technology acceptance and offering practical applications useful for medical professionals serving patients of all ages. We discuss our findings related to mandatory adoption learning heuristics, pressured voluntary adoption, digital immigrants' self-reported technology use and skill, perceived versus actual support, concerns about online privacy and information sharing, potential loss of control over personal information, online-offline boundary incongruence, and adoption barriers related to technological features.
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Affiliation(s)
- Kate Magsamen-Conrad
- School of Communication and Information, Rutgers University
- Department of Communication Studies, The University of Iowa
| | | | - China Billotte Verhoff
- Lamb School of Communication, Purdue University
- School of Communication Studies, Ohio University
| | - Claire Youngnyo Joa
- School of Media and Communication, Bowling Green State University
- Department of Arts and Media, Louisiana State University Shreveport
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