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Lim HM, Ng CJ, Abdullah A, Danee M, Raubenheimer J, Dunn AG. Online health information behaviour and its association with statin adherence in patients with high cardiovascular risk: A prospective cohort study. Digit Health 2024; 10:20552076241241250. [PMID: 38515614 PMCID: PMC10956144 DOI: 10.1177/20552076241241250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/05/2024] [Indexed: 03/23/2024] Open
Abstract
Objective Statins are effective for preventing cardiovascular disease. However, many patients decide not to take statins because of negative influences, such as online misinformation. Online health information may affect decisions on medication adherence, but measuring it is challenging. This study aimed to examine the associations between online health information behaviour and statin adherence in patients with high cardiovascular risk. Methods A prospective cohort study involving 233 patients with high cardiovascular risk was conducted at a primary care clinic in Malaysia. Participants used a digital information diary tool to record online health information they encountered for 2 months and completed a questionnaire about statin necessity, concerns and adherence at the end of the observation period. Data were analysed using structural equation modelling. Results The results showed that 55.8% (130 of 233 patients) encountered online health information. Patients who actively sought online health information (91 of 233 patients) had higher concerns about statin use (β = 0.323, p = 0.023). Participants with higher concern about statin use were also more likely to be non-adherent (β = -0.337, p < 0.001). Patients who actively sought online health information were more likely to have lower statin adherence, mediated by higher concerns about statin use (indirect effect, β = -0.109, p = 0.048). Conclusions Our results suggest that patients with higher levels of concern about statins may be actively seeking online information about statins, and their concerns might influence how they search, what they find, and the potential to encounter misinformation. Our study highlights the importance of addressing patients' concerns about medications to improve adherence.
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Affiliation(s)
- Hooi Min Lim
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Chirk Jenn Ng
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
- Department of Research, SingHealth Polyclinics, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
| | - Adina Abdullah
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Mahmoud Danee
- Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Jacques Raubenheimer
- Biomedical Informatics and Digital Health, Faculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Sydney, Australia
| | - Adam G. Dunn
- Biomedical Informatics and Digital Health, Faculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Sydney, Australia
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Lim HM, Ng CJ, Abdullah A, Dalmazzo J, Lim WX, Lee KH, Dunn AG. Utility and usability evaluation of an information diary tool to measure health information access and exposure among patients with high cardiovascular risk. Front Public Health 2023; 11:1132397. [PMID: 37228723 PMCID: PMC10203480 DOI: 10.3389/fpubh.2023.1132397] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 04/17/2023] [Indexed: 05/27/2023] Open
Abstract
Background Online health misinformation about statins potentially affects health decision-making on statin use and adherence. We developed an information diary platform (IDP) to measure topic-specific health information exposure where participants record what information they encounter. We evaluated the utility and usability of the smartphone diary from the participants' perspective. Methods We used a mixed-method design to evaluate how participants used the smartphone diary tool and their perspectives on usability. Participants were high cardiovascular-risk patients recruited from a primary care clinic and used the tool for a week. We measured usability with the System Usability Scale (SUS) questionnaire and interviewed participants to explore utility and usability issues. Results The information diary was available in three languages and tested with 24 participants. The mean SUS score was 69.8 ± 12.9. Five themes related to utility were: IDP functions as a health information diary; supporting discussion of health information with doctors; wanting a feedback function about credible information; increasing awareness of the need to appraise information; and wanting to compare levels of trust with other participants or experts. Four themes related to usability were: ease of learning and use; confusion about selecting the category of information source; capturing offline information by uploading photos; and recording their level of trust. Conclusion We found that the smartphone diary can be used as a research instrument to record relevant examples of information exposure. It potentially modifies how people seek and appraise topic-specific health information.
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Affiliation(s)
- Hooi Min Lim
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Chirk Jenn Ng
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Department of Research, SingHealth Polyclinics, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
| | - Adina Abdullah
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Jason Dalmazzo
- Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Woei Xian Lim
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Kah Hang Lee
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Adam G. Dunn
- Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
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Altinay Z, Crosswell L. Public perceptions of air pollution and associated health risks in Nevada, USA: applications for health communication. JOURNAL OF COMMUNICATION IN HEALTHCARE 2023:1-9. [PMID: 37133316 DOI: 10.1080/17538068.2023.2207240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
BACKGROUND We examine the extent to which acute and chronic health conditions motivate individuals to seek air quality information. We apply the theoretical elements of the Health Belief Model (HBM) to improve risk communication about ambient air pollution. We discuss the practical applications of HBM, in tandem with the principles of health communication, within an environmental health context. METHODS We test the predictive power of selected components related to the HBM (perceived susceptibility, perceived severity, and cues to action) for intentions to seek information about ambient air quality. We surveyed 325 individuals throughout Nevada where poor air quality poses a risk for vulnerable populations. RESULTS Ordinal logistic regression analyses showed that experiencing mucous membrane symptoms (eye itching, nose irritation, and dry throat/cough), perceived severity to future health threats, and having an at-risk member in the household positively and significantly predicted intentions to seek air quality information. Experiencing neuropsychological symptoms (fatigue, feeling heavy-headed, and nausea/dizziness), and having a cardiovascular or a respiratory condition did not have significant effects on reported intentions. CONCLUSIONS We discuss how the results of this study can be integrated into health communication practices to increase public engagement with air quality information as a personal intervention measure.
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Affiliation(s)
- Zeynep Altinay
- Reynolds School of Journalism, University of Nevada, Reno, NV, USA
| | - Laura Crosswell
- Reynolds School of Journalism, University of Nevada, Reno, NV, USA
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Purcell DJ, Cavanaugh G, Thomas-Purcell KB, Caballero J, Waldrop D, Ayala V, Davenport R, Ownby RL. e-Health Literacy Scale, Patient Attitudes, Medication Adherence, and Internal Locus of Control. Health Lit Res Pract 2023; 7:e80-e88. [PMID: 37162255 PMCID: PMC10169461 DOI: 10.3928/24748307-20230417-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
Abstract
BACKGROUND Health literacy is related to a variety of health outcomes, including disease control, health-related quality of life, and risk for death. Few studies have investigated the relation of electronic health literacy (e-health literacy) to outcomes or the mechanism by which they may be related. METHODS Secondary data were drawn from participants in a larger study on chronic disease self-management who were age 40 years and older, had at least one chronic health condition and a health literacy score of 8th grade or below on the validated short form of the Rapid Estimate of Adult Literacy in Medicine. Participants completed the e-Health Literacy Scale (eHEALS), the Multidimensional Health Locus of Control scale, a modified version of the Attitudes Toward Health Care Providers Scale (ATHCPS), the Wake Forest Physician Trust Scale (WFPTS), and the Gonzalez-Lu adherence questionnaire. Hypothesized relations were evaluated in a bootstrapped path analytic model using the Mplus statistical software. KEY RESULTS Participants included 334 individuals (mean age: 57.5 years; 173 women and 161 men) with Black, Indigenous, and People of Color accounting for 83.3% of the participants and White individuals making up 16.7% of the participants. Model results showed that after controlling for age, education, gender, and race, the eHEALS score was significantly related to the ATHCPS and WFPTS but not to the Gonzalez-Lu adherence questionnaire (p < .05). The eHEALS score was significantly related to the Multidimensional Health Locus of Control scale. Analysis of indirect effects showed that a portion of the relation between e-health literacy and patient attitude and adherence was mediated by internal locus of control (all p < .05). CONCLUSIONS In this study, e-health literacy was related to important patient attitude and behavior variables via locus of control. This finding has implications for the importance of improving patients' ability to use the internet to access and effectively use health information. [HLRP: Health Literacy Research and Practice. 2023;7(2):e80-e88.].
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Sterl S, Stelzmann D, Luettschwager N, Gerhold L. COVID-19 vaccination status in Germany: Factors and reasons for not being vaccinated (yet). Front Public Health 2023; 11:1070272. [PMID: 36860382 PMCID: PMC9969553 DOI: 10.3389/fpubh.2023.1070272] [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: 10/14/2022] [Accepted: 01/17/2023] [Indexed: 02/15/2023] Open
Abstract
Introduction The COVID-19 pandemic has demonstrated that effective vaccines constitute a central element of successful pandemic control. Although everyone in Germany has had the opportunity to receive a COVID-19 vaccine, some people remain hesitant or refuse to get vaccinated. To address this phenomenon as well as to examine the unvaccinated population more closely, the present study investigates (RQ1) factors explaining the COVID-19 vaccination status (RQ2) trust in different types of COVID-19 vaccines, and (RQ3) people's specific reasons for not getting vaccinated against COVID-19. Methods We base our findings on a representative survey that we conducted in Germany in December 2021 with 1,310 respondents. Results In response to the first research question, a logistic regression shows that trust in specific institutions (e.g., medical experts and authorities) is positively related to vaccination status, whereas trust in companies and COVID-19-related social and alternative media consumption decreases the likelihood of being vaccinated. Furthermore (RQ2), while vaccinated people trust mRNA-based vaccines (e.g., BioNTech), most unvaccinated people put greater trust in recently developed protein-based vaccines (e.g., Novavax), albeit on a low level. Finally, our study reveals (RQ3) that the most important reason why people choose not to get vaccinated is that they wish to make their own decisions about their bodies. Conclusion Based on our results, we suggest that a successful vaccination campaign should address COVID-19 risk groups and lower income populations, increase trust in different public institutions and newly developed vaccines in advance, establish a multisectoral approach, and debunk fake news and misinformation. Furthermore, since unvaccinated respondents state that the desire to make their own choices about their body is the main reason why they have not gotten vaccinated against COVID-19, an effective vaccination campaign should emphasize the need for general practitioners who have a closer relationship with their patients who, in turn, trust their doctors.
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Affiliation(s)
- Sebastian Sterl
- Department of Mathematics and Computer Science, Institute of Computer Science, Interdisciplinary Security Research Group, Freie Universität Berlin, Berlin, Germany,*Correspondence: Sebastian Sterl ✉
| | - Daniela Stelzmann
- Department of Mathematics and Computer Science, Institute of Computer Science, Interdisciplinary Security Research Group, Freie Universität Berlin, Berlin, Germany
| | - Nils Luettschwager
- Department of Mathematics and Computer Science, Institute of Computer Science, Interdisciplinary Security Research Group, Freie Universität Berlin, Berlin, Germany
| | - Lars Gerhold
- Faculty of Life Sciences, Institute of Psychology, Psychology of Sociotechnical Systems, Technische Universität Braunschweig, Braunschweig, Germany
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Mavragani A, Sandsdalen V, Manskow US, Småbrekke L, Waaseth M. Internet Use for Obtaining Medicine Information: Cross-sectional Survey. JMIR Form Res 2023; 7:e40466. [PMID: 36729577 PMCID: PMC9936360 DOI: 10.2196/40466] [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: 06/22/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND The internet is increasingly being used as a source of medicine-related information. People want information to facilitate decision-making and self-management, and they tend to prefer the internet for ease of access. However, it is widely acknowledged that the quality of web-based information varies. Poor interpretation of medicine information can lead to anxiety and poor adherence to drug therapy. It is therefore important to understand how people search, select, and trust medicine information. OBJECTIVE The objectives of this study were to establish the extent of internet use for seeking medicine information among Norwegian pharmacy customers, analyze factors associated with internet use, and investigate the level of trust in different sources and websites. METHODS This is a cross-sectional study with a convenience sample of pharmacy customers recruited from all but one community pharmacy in Tromsø, a medium size municipality in Norway (77,000 inhabitants). Persons (aged ≥16 years) able to complete a questionnaire in Norwegian were asked to participate in the study. The recruitment took place in September and October 2020. Due to COVID-19 restrictions, social media was also used to recruit medicine users. RESULTS A total of 303 respondents reported which sources they used to obtain information about their medicines (both prescription and over the counter) and to what extent they trusted these sources. A total of 125 (41.3%) respondents used the internet for medicine information, and the only factor associated with internet use was age. The odds of using the internet declined by 5% per year of age (odds ratio 0.95, 95% CI 0.94-0.97; P=.048). We found no association between internet use and gender, level of education, or regular medicine use. The main purpose reported for using the internet was to obtain information about side effects. Other main sources of medicine information were physicians (n=191, 63%), pharmacy personnel (n=142, 47%), and medication package leaflets (n=124, 42%), while 36 (12%) respondents did not obtain medicine information from any sources. Note that 272 (91%) respondents trusted health professionals as a source of medicine information, whereas 58 (46%) respondents who used the internet trusted the information they found on the internet. The most reliable websites were the national health portals and other official health information sites. CONCLUSIONS Norwegian pharmacy customers use the internet as a source of medicine information, but most still obtain medicine information from health professionals and packet leaflets. People are aware of the potential for misinformation on websites, and they mainly trust high-quality sites run by health authorities.
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Affiliation(s)
| | - Vilde Sandsdalen
- Department of Pharmacy, UiT The Artic University of Norway, Tromsø, Norway
| | - Unn Sollid Manskow
- Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway
| | - Lars Småbrekke
- Department of Pharmacy, UiT The Artic University of Norway, Tromsø, Norway
| | - Marit Waaseth
- Department of Pharmacy, UiT The Artic University of Norway, Tromsø, Norway
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Tian Y, Liu S, Zhang D. Clearness qualitative comparative analysis of the spread of TikTok health science knowledge popularization accounts. Digit Health 2023; 9:20552076231219116. [PMID: 38107983 PMCID: PMC10722914 DOI: 10.1177/20552076231219116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 11/20/2023] [Indexed: 12/19/2023] Open
Abstract
Objective This study analyzed the popularity of TikTok health knowledge popularization accounts with the objective of creating a template for accounts suited to widely disseminating information, thereby enhancing the public's access to health knowledge on a broader scale. Methods This study is based on 40 Chinese TikTok short video accounts that were active from February to April 2022 and were engaged in health science popularization. Data were validated by structured calibration using three qualitative anchors. It employs the "content-context" and the elaboration likelihood models as the theoretical framework. A qualitative comparative analysis is used to explore the factors affecting the popularity of this type of account mechanism. Results Among the nine variables involved in the calculation, one reached 0.909091, demonstrating that the number of followers was both a necessary factor and a condition for the popularity of short health science video accounts. There were 16 paths in the complex solution with a consistency of 1, and their overall coverage reached 0.878788, indicating that approximately 87% of the cases could be explained. From the spread of the content and communication situation, professional medical knowledge, current hot topics, professionals, and serious issues were the most likely combinations for rapid spread. From the perspective of the central and edge paths, "likes" exceeding 100,000 and fans exceeding 1 million were essential combinations. Conclusions The dissemination of medical knowledge has gained significant traction, especially with regard to trending and popular topics. When it comes to the tone of communication, a serious style proved effective in fostering what can be termed "hot communication." From the standpoint of central and peripheral paths, it is crucial that the number of likes in the past month and the total number of fans surpass 100,000 and one million, respectively.
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Affiliation(s)
- Yu Tian
- Department of Journalism and Communication, Wuhan Sports University, Wuhan, China
| | - Shuaishuai Liu
- Department of Physical Education, Wuhan Sports University, Wuhan, China
| | - Desheng Zhang
- Department of Journalism and Communication, Wuhan Sports University, Wuhan, China
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Potential of UK and US newspapers for shaping patients' knowledge and perceptions about antidiabetic medicines: a content analysis. J Pharm Policy Pract 2022; 15:64. [PMID: 36243730 PMCID: PMC9569110 DOI: 10.1186/s40545-022-00462-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 10/05/2022] [Indexed: 12/05/2022] Open
Abstract
Background Information about how newspapers portray antidiabetic medicines to readers is lacking. This study investigated the reporting on antidiabetic medicines in the most widely circulated newspapers published in the United Kingdom (UK) and the United States (US) over a 10-year period. Methods The Nexis UK database was used to identify and select relevant articles. Systematic content analysis of the articles which met the inclusion criteria (articles of any format that contained reference to antidiabetic medicines) within the highest circulated newspapers in the UK and US between 2009 and 2018 was conducted. Inter-rater reliability of coding was established using a 10% sample of the identified articles. Results A total of 560 (369 UK and 191 US) relevant newspaper articles were retrieved. In the UK, the number of relevant articles showed a slightly increasing trend over the study period, while in the US, article numbers declined over the study period. Safety/risk of antidiabetic medicines was the most frequent theme covered by the articles (34.6%). Over one-third of the newspaper articles were written from a clinical perspective (37.7%). Insulin was the most commonly discussed class of antidiabetic medicine (23.1%). Control of blood sugar levels (53.1%) and side effects/toxicity (92.7%) were the most frequently reported benefit and risk of antidiabetic medicines, respectively. The most frequently reported organ systems harmed by antidiabetic medicines were the cardiovascular, endocrine and gastrointestinal systems. The UK newspapers were more likely to report the benefits of antidiabetic medicines (p = 0.005), while the US articles were more likely to report on harms/risks (p = 0.001). The majority of relevant articles (91.8%) were judged as having a balanced judgement, while 8.2% of the articles were rated as exaggerated. Conclusions This study has revealed that antidiabetic medicines are indeed reported on by UK and US newspapers. As media portrayal has the potential to negatively or positively influence patients’ views of their medication for diabetes, healthcare professionals should check on patients’ beliefs and knowledge about their medication and proactively provide objective and balanced information (including promotion of medication adherence).
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Simegn W, Moges G. Antibiotics Self-Medication Practice and Associated Factors Among Residents in Dessie City, Northeast Ethiopia: Community-Based Cross-Sectional Study. Patient Prefer Adherence 2022; 16:2159-2170. [PMID: 35999841 PMCID: PMC9393019 DOI: 10.2147/ppa.s370925] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 08/09/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Taking antibiotics without prescription would result in the emergency of antibiotics resistance. The aim of this study was to assess antibiotics self-medication practice and associated factors among residents in Dessie City, Ethiopia. METHODS A community-based cross-sectional was employed from June to July 2021. A total of 407 participants have been selected from each Kebele by stratified and systematic random sampling techniques. The collected data were checked, translated and exported into SPSS version 26. Results were organized using frequency and percentage tables. Bi-variate and multi-variable logistic regressions were used to test the association of independent variables with antibiotics self-medication practice. RESULTS Four hundred and seven participants enrolled with a response of 96.7%. One hundred and fifty-two (37.3%) were females, and 115 (28.3%) respondents have taken antibiotics in the last 6 months. The prevalence of antibiotics self-medication practice was 55.3% (95% CI: 50.6-60.2). Amoxicillin (45%), Ciprofloxacin (36%), and Amoxicillin with clavulanic acid (24%) were commonly used antibiotics. Cough (34.4), fever (30.7), cold and flu (29.0), diarrhea (21.9) and headache (18.7) were the most reported conditions that necessitate antibiotics self-medication. Educational level (8-10 grade) (AOR = 4.10, 95% CI: 1.28, 13.12), using mass media as a source of information (AOR = 2.23, 95% CI: 1.24, 4.27), relying on previous experience for source of information (AOR = 2.02, 95% CI: 1.23, 3.31), having awareness of antibiotics resistance (AOR = 2.45, 95% CI: 1.34, 4.50) and good knowledge of antimicrobial resistance (AOR = 1.81, 95% CI: 1.11, 2.97) were significantly associated with antibiotics self-medication practice. CONCLUSION Antibiotics self-medication practice among residents was high. Educational status, using mass media and previous experiences as sources of information on antibiotics, having awareness of antibiotics resistance, and knowledge of antimicrobial resistance were significantly associated with self medication of antibiotics. Attention should be given by the stakeholders to reduce self medication practice with antibiotics.
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Affiliation(s)
- Wudneh Simegn
- Department of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
- Correspondence: Wudneh Simegn, Email
| | - Getachew Moges
- Department of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
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Lim HM, Dunn AG, Lim JR, Abdullah A, Ng CJ. Association between online health information-seeking and medication adherence: A systematic review and meta-analysis. Digit Health 2022; 8:20552076221097784. [PMID: 35586836 PMCID: PMC9109497 DOI: 10.1177/20552076221097784] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 04/07/2022] [Accepted: 04/13/2022] [Indexed: 11/29/2022] Open
Abstract
Background The evidence of the impact of online health information-seeking (OHIS) on
health outcomes has been conflicting. OHIS is increasingly recognised as a
factor influencing health behaviour but the impact of OHIS on medication
adherence remains unclear. Objectives We conducted a systematic review and meta-analysis to examine the
associations between OHIS and medication adherence. Methods We searched Medline, Embase, Web of Science, Scopus, CINAHL and Psychology
and Behavioural Science Collection for studies published up to December
2020. The inclusion criteria were studies that reported the associations of
OHIS and medication adherence, quantitative design, reported primary data
only, related to any health condition where medications are used and
conducted on patients either in clinical or community settings. A
meta-analysis was used to examine the association between OHIS and
medication adherence. Results A total of 17 studies involving 24,890 patients were included in this review.
The study designs and results were mixed. In the meta-analysis, there was no
significant association (n = 7, OR 1.356, 95% CI 0.793-2.322, p = 0.265), or
correlation (n = 4, r = -0.085, 95% CI −0.572-0.446, p = 0.768) between OHIS
and medication adherence. In the sub-group analysis of people living with
HIV/AIDS, OHIS was associated with better medication adherence (OR 1.612,
95% CI 1.266-2.054, p < 0.001). Conclusions The current evidence of an association between OHIS and medication adherence
is inconclusive. This review highlights methodological issues on how to
measure OHIS objectively and calls for in-depth exploration of how OHIS
affects health decisions and behaviour.
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Affiliation(s)
- Hooi Min Lim
- Department of Primary Care Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Adam G Dunn
- Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Jing Ran Lim
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Adina Abdullah
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Chirk Jenn Ng
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Department of Research, SingHealth Polyclinics, Singapore
- Duke-NUS Medical School, Singapore
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Spiteri J. Media bias exposure and the incidence of COVID-19 in the USA. BMJ Glob Health 2021; 6:bmjgh-2021-006798. [PMID: 34518207 PMCID: PMC8438570 DOI: 10.1136/bmjgh-2021-006798] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 08/27/2021] [Indexed: 12/02/2022] Open
Abstract
The role of the media as a source of reliable health information during the COVID-19 pandemic has come under intense scrutiny, with claims of misinformation and partisanship coming from all sides of the political divide. This paper seeks to understand the relationship between exposure to biased media outlets and the likelihood of testing positive for COVID-19 in the USA. I use detailed household data extracted from the 2020 American National Election Study in order to gauge media consumption patterns, coupled with data on media bias scores for different outlets and programmes. I combine these variables to compute media bias exposure values for each respondent, and relate these to the likelihood of a positive COVID-19 test within each respondent’s household, controlling for a variety of other factors including partisanship, social media use, trust in the media and several socioeconomic and demographic variables. The results indicate that media bias exposure is significantly related to COVID-19 incidence, and in particular the coefficients show that a 1% increase in exposure to left-wing media is associated with a 0.2% decrease in the probability of a positive COVID-19 test. Conversely, I find no significant relationship between right-wing media exposure and COVID-19 infection rates. I also find a significantly higher likelihood of contracting COVID-19 among low socioeconomic status households, suggesting a disproportionate impact of the pandemic on such cohorts. These findings are robust to a number of tests, and emphasise the importance of aligning media messages with those advocated by leading medical experts during public health crises.
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Affiliation(s)
- Jonathan Spiteri
- Faculty of Economics, Management and Accountancy, University of Malta, Msida, Malta
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Im H, Huh J. Effects of conflicting prescription drug information from direct-to-consumer advertising and drug injury advertising on patients' beliefs and medication adherence. Res Social Adm Pharm 2021; 18:3119-3130. [PMID: 34454872 DOI: 10.1016/j.sapharm.2021.08.011] [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: 05/26/2021] [Revised: 08/15/2021] [Accepted: 08/22/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Patients are often exposed to contradictory information about pharmaceutical products from various types of advertising. For example, direct-to-consumer advertising (DTCA) tend to emphasize a drug's benefits, while drug injury advertising emphasizes the worst side effects. Regarding DTCA as a drug information source, many researchers in pharmacy field focus on investigating the misinformation in DTCA and corrective advertising. However, no prior research has examined the effects of such contradictory advertising messages on patients' prescription medicine-related beliefs and medication adherence. This is a significant gap in the research literature on pharmaceutical advertising effects and medication adherence. OBJECTIVE This is aimed to examine how exposure to DTCA and drug injury advertising would influence patients' chronic accessibility of drug-related beliefs and their medication adherence behavior. METHODS An online survey was conducted with a sample of 213 patients taking prescription blood thinners. RESULTS The findings from this study did not support the predicted relationship between exposure to DTCA and consumers' drug-related belief accessibility or their medication adherence. However, this study found a significant interaction effect of exposure to DTCA and exposure to drug injury ads on patients' medication adherence. The analysis results demonstrate that, for those who were exposed to drug injury ads, a significant negative relationship emerged between DTCA exposure and medication adherence. CONCLUSION This study provides important empirical evidence of a negative interaction effect of exposure to DTCA and drug injury ads on patients' medication adherence, which demonstrates that the influence of DTCA and drug injury ad exposures on patients' medication adherence is not independent, separate process but an interactive process. A communication campaign with corrective advertising could alleviate the negative interaction effect of exposure to contradictory information from different types of pharmaceutical ads on patients' medication adherence.
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Affiliation(s)
- Heewon Im
- School of Communications, Dankook University, 152, Jukjeon-ro, Suji-gu, Yongin-si, 16890, Gyeonggi-do, South Korea.
| | - Jisu Huh
- Hubbard School of Journalism and Mass Communication, University of Minnesota, 206 Church St. SE, Minneapolis, 55455, MN, USA.
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13
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Tam CC, Li X, Li X, Wang Y, Lin D. Adherence to preventive behaviors among college students during COVID-19 pandemic in China: The role of health beliefs and COVID-19 stressors. CURRENT PSYCHOLOGY 2021; 42:1-11. [PMID: 34127899 PMCID: PMC8189278 DOI: 10.1007/s12144-021-01942-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2021] [Indexed: 12/27/2022]
Abstract
Before herd immunity is reached, preventive practices still play an important role in controlling the COVID-19 pandemic. Adherence to preventive behaviors could be determined by individuals' health beliefs, which would be influenced by antecedent factors such as previous exposure to pandemic stressors. Applying the health belief model (HBM), this study aims to examine the mediation association among COVID-19 stressors, HBM constructs, and preventive behaviors. Longitudinal data were collected from 1225 Chinese college students using web-based surveys at wave 1 (w1; between January 31 and February 11, 2020) and wave 2 (w2; between March 20 and April 3, 2020). Participants reported their COVID-19 stressors (w1), five HBM constructs (w2), and preventive behaviors (w1 and w2). Paired t-tests suggested that social distancing and self-quarantine behaviors decreased while precautionary behaviors increased from w1 to w2. Path analysis indicated that two HBM constructs (perceived barriers and self-efficacy) mediated the association between COVID-19 stressors and precautionary behaviors. These findings suggested that tailored prevention intervention for college students should attend to perceived barriers and self-efficacy. Individuals who exposed to multiple pandemic stressors merit particular attention and intervention should account for their early pandemic stress experiences.
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Affiliation(s)
- Cheuk Chi Tam
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Discovery I, 915 Greene Street, Columbia, SC 29208 USA
| | - Xiaoyan Li
- Institute of Developmental Psychology, Beijing Normal University, Beijing, People’s Republic of China
- Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
| | - Xiaoming Li
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Discovery I, 915 Greene Street, Columbia, SC 29208 USA
| | - Yuyan Wang
- Institute of Developmental Psychology, Beijing Normal University, Beijing, People’s Republic of China
- Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
| | - Danhua Lin
- Institute of Developmental Psychology, Beijing Normal University, Beijing, People’s Republic of China
- Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
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14
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Yang BR, Heo KN, Yu YM, Yeom GB, Choi HD, Lee JY, Ah YM. Interrupted Time Series Analysis of Changes in Zolpidem Use Due to Media Broadcasts. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105114. [PMID: 34065935 PMCID: PMC8150593 DOI: 10.3390/ijerph18105114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 04/30/2021] [Accepted: 05/09/2021] [Indexed: 11/25/2022]
Abstract
Media has become a major source of information on health and plays a role in the decision-making process on health topics. We aimed to evaluate the association between zolpidem use and media broadcasts that reported the suicide risk. We obtained the data of adult outpatients who have been prescribed zolpidem or other hypnotics from the National Patient Sample database (2015–2017). We evaluated the change in zolpidem or other hypnotic prescription trends based on the prescription rate and average daily prescribed dose before and after July 2016, using interrupted time series analysis. A total of 129,787 adult patients had at least one zolpidem prescription in 3 years. The prescription rate of zolpidem after the broadcast decreased significantly by 0.178% (95% confidence interval (CI): −0.214, −0.142), whereas that of other hypnotic users did not differ from that before the broadcast (−0.020%, 95% CI: −0.088, 0.047). However, the trends in the prescription rate before and after the broadcast did not differ for zolpidem and other hypnotics. Broadcasting medication safety through major public media could have an effect on medication use. After broadcasting about the suicide risk of zolpidem, its overall prescription rate decreased immediately, but the trend was not changed.
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Affiliation(s)
- Bo-Ram Yang
- College of Pharmacy, Chungnam National University, Daejeon 34134, Korea;
| | - Kyu-Nam Heo
- College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea;
| | - Yun Mi Yu
- Department of Pharmacy and Yonsei Institute of Pharmaceutical Sciences, College of Pharmacy, Yonsei University, Incheon 21983, Korea;
- Department of Pharmaceutical Medicine and Regulatory Sciences, Colleges of Medicine and Pharmacy, Yonsei University, Incheon 21983, Korea
| | - Ga-Bin Yeom
- College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea; (G.-B.Y.); (H.D.C.)
| | - Hye Duck Choi
- College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea; (G.-B.Y.); (H.D.C.)
| | - Ju-Yeun Lee
- College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea;
- Correspondence: (J.-Y.L.); (Y.-M.A.); Tel.: +82-2-3668-7472 (J.-Y.L.); +82-53-810-2823 (Y.-M.A.)
| | - Young-Mi Ah
- College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea; (G.-B.Y.); (H.D.C.)
- Correspondence: (J.-Y.L.); (Y.-M.A.); Tel.: +82-2-3668-7472 (J.-Y.L.); +82-53-810-2823 (Y.-M.A.)
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15
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Orste L, Krumina A, Kilis E, Adamsone-Fiskovica A, Grivins M. Individual responsibilities, collective issues: The framing of dietary practices in Latvian media. Appetite 2021; 164:105219. [PMID: 33774136 DOI: 10.1016/j.appet.2021.105219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 03/14/2021] [Accepted: 03/15/2021] [Indexed: 10/21/2022]
Abstract
Topics concerning food and diets have gained prominence in academic writing, policy debates and media coverage, not least due to public health problems, sedentary lifestyles, and concerns regarding dietary habits and the impact of food production on climate change. The purpose of this paper is to reveal the ways dietary practices have been framed in the media through an analysis of Latvian print and digital media articles. A selection of 192 media articles published between 2014 and 2019 were analysed through the perspective of framing. The analysis identifies three prominent frames found in Latvian media: (i) a biomedical frame, (ii) a psychological frame, and (iii) a social practice frame. The frames are connected by several cross-cutting themes: individualisation, self-disciplining, gendering, and medicalisation. The results suggest that the media portray unhealthy dietary as the responsibility of individuals, whilst ignoring, with some exceptions, the impact of broader societal and food system processes. These results call for more attention to be paid by media content creators to the diversity of actors involved in food production, consumption and distribution and their inter-connections, as well as the impact that food systems have on economic, social, and ecological sustainability.
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Affiliation(s)
- Lina Orste
- Baltic Studies Centre at Kokneses Prospekts 26-2, Riga, LV-1014, Latvia.
| | - Alise Krumina
- Baltic Studies Centre at Kokneses Prospekts 26-2, Riga, LV-1014, Latvia
| | - Emils Kilis
- Baltic Studies Centre at Kokneses Prospekts 26-2, Riga, LV-1014, Latvia
| | | | - Mikelis Grivins
- Baltic Studies Centre at Kokneses Prospekts 26-2, Riga, LV-1014, Latvia
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16
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He R, Li Y. Media Exposure, Cancer Beliefs, and Cancer-Related Information-Seeking or Avoidance Behavior Patterns in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3130. [PMID: 33803594 PMCID: PMC8002949 DOI: 10.3390/ijerph18063130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/12/2021] [Accepted: 03/14/2021] [Indexed: 12/09/2022]
Abstract
This study explored the relationships between media exposure, cancer beliefs, and cancer information-seeking or information-avoidance behaviors. Based on the planned risk information-seeking model and its extended framework, two predictive models were constructed: one for cancer information seeking and the other for cancer information avoidance. A structural equation modeling strategy was applied to survey data from China HINTS 2017 (n = 3090) to compare the impact of traditional mass media and social media exposure to cancer-related information on cancer information-seeking and information-avoidance behaviors. The study findings suggest that health-related information exposure through different media channels may generate distinctive information-seeking or information-avoidance behaviors based on various cancer beliefs. Additionally, the findings indicate that social media exposure to health-related and cancer curability beliefs does not lead to cancer information avoidance; both mass media and social media exposure encourage people to seek cancer-related information. Cancer fatalism is positively associated with cancer information-seeking and avoiding intentions, suggesting that negative cancer beliefs predict seemingly contradictory yet psychologically coherent information intentions and behaviors.
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Affiliation(s)
- Rui He
- Department of Journalism, School of Humanities, Shanghai University of Finance and Economics, 100 Wudong RD, Yangpu District, Shanghai 200433, China;
| | - Yungeng Li
- School of Media and Communication, Shanghai Jiao Tong University, 800 Dongchuan RD, Minhang District, Shanghai 200240, China
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17
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Dual effects of social support seeking in patient-centric online healthcare communities: A longitudinal study. INFORMATION & MANAGEMENT 2020. [DOI: 10.1016/j.im.2020.103270] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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18
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Hwang J. Health Information Sources and the Influenza Vaccination: The Mediating Roles of Perceived Vaccine Efficacy and Safety. JOURNAL OF HEALTH COMMUNICATION 2020; 25:727-735. [PMID: 33186091 DOI: 10.1080/10810730.2020.1840675] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Although the influenza vaccine is widely recognized as an effective preventive measure, influenza vaccination rates among U.S. adults remain low. Moreover, influenza-related respiratory illnesses may increase the risk of adverse outcomes of COVID-19. Thus, this study examines the mechanisms involved in influenza vaccination uptake. Specifically, this study investigates how health information sources are associated with perceived vaccine efficacy and safety, which, in turn, associated with influenza vaccine uptake. Analyzing cross-sectional survey data from a national U.S. adult sample (N = 19,420), mediation analyses were conducted. Results revealed that considering vaccine efficacy, health information seekers who assigned more value to medical professionals, medical journals, and newspaper articles were more likely to perceive a vaccine as effective, thus being more likely to receive the influenza vaccine. By contrast, individuals who placed more value in social media were less likely to perceive vaccine efficacy, and, in turn, were less likely to get the influenza vaccine. Turning to vaccine safety, the value ascribed to medical professionals was positively associated with vaccine safety, which, in turn, related to influenza vaccine uptake. By contrast, social media, family or friends, and promotions were negatively associated with vaccine safety, and then influenza vaccine uptake.
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Affiliation(s)
- Juwon Hwang
- School of Journalism and Mass Communication, University of Wisconsin-Madison , Madison, WI, USA
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19
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Murchison S, Soo J, Kassam A, Ingledew PA, Hamilton S. Breast Cancer Patients' Perceptions of Adjuvant Radiotherapy: an Assessment of Pre-Treatment Knowledge and Informational Needs. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2020; 35:661-668. [PMID: 30852787 DOI: 10.1007/s13187-019-01507-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
There is little knowledge about breast cancer patients' information-seeking behaviors, needs, and perceptions of breast radiation therapy (BRT) prior to radiation oncology consultation. This study assessed these parameters to evaluate potential gaps and overlaps in the BRT educational process. Breast cancer patients > 18 years referred for adjuvant BRT at a tertiary cancer center completed an anonymous survey prior to their consultation. Response rate was 86% (118/137). The most commonly reported sources of information about BRT were healthcare providers (55%), family or friends treated with BRT (53%), and the Internet (45%). Most (79%) had little or no knowledge about BRT. Sixty-seven percent were a little or moderately concerned about BRT, while 29% were very concerned. Half were unsure about the benefit of BRT and 46% thought it would provide a moderate to significant benefit. While seeking information about BRT, a wide range of topics were encountered. The most common ones were fatigue (68%), skin care (57%), skin problems (54%), effects on healthy body tissues (43%), the immune system (37%), and pain (34%). Topics considered most important for the radiation oncologist to address were BRT effects on the heart (74%), second cancers (74%), immune system (66%), pain (64%), and lungs (62%). Although commonly encountered, fatigue (56%) and skin care (49%) were of lesser importance. In conclusion, breast cancer patients encounter a broad range of information about BRT prior to their radiation oncology consultation, which may contribute to worry and misconceptions. Potentially rare and serious side effects were considered important to address.
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Affiliation(s)
- Sonja Murchison
- University of British Columbia, Vancouver, BC, Canada.
- Department of Radiation Oncology, BC Cancer - Vancouver Center, Vancouver, BC, Canada.
| | - Jenny Soo
- Department of Radiation Therapy, BC Cancer - Vancouver Center, Vancouver, BC, Canada
| | - Aneeta Kassam
- Department of Radiation Therapy, BC Cancer - Vancouver Center, Vancouver, BC, Canada
| | - Paris-Ann Ingledew
- University of British Columbia, Vancouver, BC, Canada
- Department of Radiation Oncology, BC Cancer - Vancouver Center, Vancouver, BC, Canada
| | - Sarah Hamilton
- University of British Columbia, Vancouver, BC, Canada
- Department of Radiation Oncology, BC Cancer - Vancouver Center, Vancouver, BC, Canada
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20
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Jensen JD, Giorgi EA, Jackson JR, Berger J, Katz RA, Mobley AR. Revisiting nutrition backlash: Psychometric properties and discriminant validity of the nutrition backlash scale. Nutrition 2020; 78:110949. [PMID: 32871324 DOI: 10.1016/j.nut.2020.110949] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 06/15/2020] [Accepted: 07/15/2020] [Indexed: 01/02/2023]
Abstract
OBJECTIVES Nutrition backlash is a disposition defined by negative feelings about dietary recommendations. Past research has measured nutrition backlash using the nutrition backlash scale (NBS) and found that it is negatively related to the consumption of fruits and vegetables. The aim of this study was to examine several aspects of the NBS, including factor structure, discriminant validity, and relationship to demographic characteristics and health behaviors. METHODS Adults were recruited to participate in two studies. Study 1 (N = 480) included measures of nutritional backlash, information overload, worry, fatalism, and nutrition-related behaviors. Study 2 (N = 399) was a follow-up that examined the factor structure of the NBS in a separate sample. RESULTS In study 1, a six-item version of the NBS was found to be a good fit for the data and discriminant from overload, worry, and fatalism. NBS was higher for those with less education, non-white participants, and men. Individuals with higher backlash were less likely to look at nutritional labels and to use sunscreen. Study 2 confirmed the factor structure from study 1. CONCLUSIONS A six-item version of the NBS was found to be reliable, discriminant from related measures, higher in underserved groups (less-educated, non-white, and male participants), and related to nutrition label use.
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Affiliation(s)
- Jakob D Jensen
- Department of Communication, University of Utah, Lake City, Utah, United States; Huntsman Cancer Institute, Salt Lake City, Utah, United States.
| | - Elizabeth A Giorgi
- Department of Communication, University of Utah, Lake City, Utah, United States
| | - Jennifer R Jackson
- Department of Communication, University of Utah, Lake City, Utah, United States
| | - Julia Berger
- Department of Communication, University of Utah, Lake City, Utah, United States
| | - Rachael A Katz
- Department of Communication, University of Utah, Lake City, Utah, United States
| | - Amy R Mobley
- Department of Health Education and Behavior, University of Florida, Gainesville, Florida, United States
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21
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Hills O, Shah D. Online health information seeking, medical care beliefs and timeliness of medical check-ups among African Americans. PATIENT EDUCATION AND COUNSELING 2020; 103:S0738-3991(20)30324-4. [PMID: 32616321 DOI: 10.1016/j.pec.2020.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 04/24/2020] [Accepted: 06/03/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE This study aims to investigate the relationship among different types of internet sources for health, medical check-up beliefs and the timeliness of annual medical check-ups among African Americans, accounting for both health TV usage and health service use. METHODS Hierarchical linear regression analysis was conducted on data from 1734 African Americans surveyed in the 2013 Consumer Health Multimedia Audience Research Systems national pharmaceutical study of 19,420 U.S. adults. RESULTS The results indicate a positive association between seeking health information on medical websites (β = 0.052, p = 0.04) and consumer-driven health sites (β = 0.066, p < 0.01), and the timeliness of check-ups among African Americans, an association not found in relation to mainstream or news-related sites. Health TV program use was not associated with timeliness of medical check-ups. Medical check-up belief is positively associated with seeking health info on consumer-driven health sites (β = 0.072, p < 0.01) but not on medical sites or on TV. CONCLUSION Seeking information on health-specific websites was associated with more timely check-ups in African Americans and more positive preventative medical care belief, even after controlling for traditional barriers, such as poor provider relationship. PRACTICE IMPLICATIONS Health specific websites may provide an avenue for intervention to improve preventative care use in African Americans.
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Affiliation(s)
- Ornella Hills
- University of Wisconsin-Madison, School of Journalism and Mass Communication, 5115 Vilas Hall, 821 University Avenue, Madison, WI 53705, United States.
| | - Dhavan Shah
- University of Wisconsin-Madison, School of Journalism and Mass Communication, 5115 Vilas Hall, 821 University Avenue, Madison, WI 53705, United States.
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22
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Zavorotnyy M, Ehrlich F, Nenadic I. Health-related Internet use and treatment adherence: A transdiagnostic comparison of outpatients with major depressive disorder and schizophrenia. Psych J 2020; 9:174-184. [PMID: 32189452 DOI: 10.1002/pchj.355] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 01/03/2020] [Accepted: 02/21/2020] [Indexed: 01/07/2023]
Abstract
Treatment adherence is relevant for clinical and economic outcome in affective disorders as well as psychosis. Knowledge concerning the disease and its treatment might influence patients' willingness to follow the health-care providers' recommendations and mutual decision-making. In the current study, we investigated how Internet surfing for health-related issues and attitude toward the relevance of the online information impact treatment adherence in major depressive disorder (MDD) and schizophrenia (SZ). A total of 83 outpatients (59 MDD, 24 SZ) participated in a survey. A multiple linear regression model with "exposure," "attitude," "diagnosis," and their interaction as regressors was significant predictive of medication-adherence rating scores, R2 = .179; 95% CI [0.00, 0.32]. In the MDD group only, more extended exposure to Internet surfing for health-related issues and attribution of higher personal relevance were associated with poorer medication adherence at a statistical trend level, p = .060 and p = .077, respectively. In both groups, being female as well as higher age and intelligence were associated with favorable adherence, p = .003, p = .044, and p = .039, respectively. Considering the limitations (e.g., small sample size), our findings add to previously published data contributing to a better understanding of how Internet use may impact treatment adherence in MDD and schizophrenia.
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Affiliation(s)
- Maxim Zavorotnyy
- Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.,Department of Psychiatry and Psychotherapy, Psychiatric Services Aargau, Academic Hospital of the University of Zurich, Brugg, Switzerland.,Marburg Center for Mind, Brain and Behavior - MCMBB, University of Marburg, Marburg, Germany
| | - Frank Ehrlich
- Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.,Department of Psychiatry, Hospital Frankfurt (Oder), Frankfurt (Oder), Germany
| | - Igor Nenadic
- Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.,Marburg Center for Mind, Brain and Behavior - MCMBB, University of Marburg, Marburg, Germany
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23
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O'Connor M, O'Donovan B, Waller J, Ó Céilleachair A, Gallagher P, Martin CM, O'Leary J, Sharp L. Communicating about HPV in the context of head and neck cancer: A systematic review of quantitative studies. PATIENT EDUCATION AND COUNSELING 2020; 103:462-472. [PMID: 31558324 DOI: 10.1016/j.pec.2019.09.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 07/31/2019] [Accepted: 09/14/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE Rising incidence of HPV-positive head and neck cancers (HPV-HNC) means HPV infection is increasingly relevant to patient-provider consultations. We performed a systematic review to examine, in the context of patient-provider HNC consultations: discussions about HPV, attitudes towards discussing HPV and information needs. METHODS We searched Embase, PsychINFO, and CINAHL + for studies to August 2018. Eligible studies included: HNC healthcare professionals (HCPs) and/or HNC patients investigated HNC patient-provider communication about HPV. RESULTS Ten studies were identified: six including HCPs and four including HNC patients. HCPs varied in confidence in HPV discussions, which was related to their HPV knowledge. Both HCPs and patients acknowledged the need for reliable HPV information. Factors which facilitated HPV discussions included accessible HPV information for patients and HCPs and good HPV knowledge among HCPs. Barriers included the perception, among HCPs, that HPV was a challenging topic to discuss with patients. CONCLUSIONS Information deficits, communication challenges and barriers to discussing HPV were identified in HNC patient-provider consultations. PRACTICE IMPLICATIONS Appropriate HPV information is needed for HCPs and patients. Professional development initiatives which increase HCPs' HPV knowledge and build their communication skills would be valuable.
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Affiliation(s)
- M O'Connor
- National Cancer Registry Ireland, Kinsale Road, Cork, Ireland
| | - B O'Donovan
- Department of Histopathology, University of Dublin, Trinity College, Ireland; Department of Pathology, Coombe Women and Infants University Hospital Ireland, Ireland.
| | - J Waller
- Cancer Prevention Group, King's College London, London, UK
| | | | - P Gallagher
- School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
| | - C M Martin
- Department of Histopathology, University of Dublin, Trinity College, Ireland; Department of Pathology, Coombe Women and Infants University Hospital Ireland, Ireland
| | - J O'Leary
- Department of Histopathology, University of Dublin, Trinity College, Ireland; Department of Pathology, Coombe Women and Infants University Hospital Ireland, Ireland
| | - L Sharp
- Institute of Health & Society, Newcastle University, UK
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24
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de Toro J, Cea-Calvo L, Battle E, Carmona L, Arteaga MJ, Fernández S, González CM. Perceptions of patients with rheumatic diseases treated with subcutaneous biologicals on their level of information: RHEU-LIFE Survey. REUMATOLOGIA CLINICA 2019; 15:343-349. [PMID: 29277578 DOI: 10.1016/j.reuma.2017.11.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Revised: 11/16/2017] [Accepted: 11/17/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To investigate, in Spanish patients with rheumatic diseases treated with subcutaneous biological drugs, their sources of information, which sources they consider most relevant, and their satisfaction with the information received in the hospital. METHODS Rheumatologists from 50 hospitals handed out an anonymous survey to 20 consecutive patients with rheumatoid arthritis, axial spondyloarthritis or psoriatic arthritis treated with subcutaneous biologicals. The survey was developed ad hoc by 4 rheumatologists and 3 patients, and included questions with closed-ended responses on sources of information and satisfaction. RESULTS The survey was handed-out to 1,000 patients, 592 of whom completed it (response rate: 59.2%). The rheumatologist was mentioned as the most important source of information (75%), followed by the primary care physician, nurses, and electronic resources; 45.2% received oral and written information about the biological, 46.1% oral only, and 6.0% written only; 8.7% stated that they had not been taught to inject the biological. The percentage of patients satisfied with the information received was high (87.2%), although the satisfaction was lower in relation to safety. If the information came from the rheumatologist, the satisfaction was higher (89.6%) than when coming from other sources (59.6%; P<.001). Satisfaction was also higher if the information was provided orally and written (92.8%) than if provided only orally (86.1%; P=.013); 45.2% reported having sought information from sources outside the hospital. CONCLUSIONS The rheumatologist is key in transmitting satisfactory information on biological treatment to patients. He or she must also act as a guide, since a high percentage of patients seeks information in other different sources.
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Affiliation(s)
- Javier de Toro
- Departamento de Reumatología, Hospital Universitario A Coruña, A Coruña, España
| | - Luis Cea-Calvo
- Departamento de Medical Affairs, Merck Sharp & Dohme de España
| | - Enrique Battle
- Departamento de Reumatología, Hospital Universitario de Sant Joan d'Alacant, Alicante, España
| | - Loreto Carmona
- Instituto de Salud Musculoesquelética (InMusc), Madrid, España.
| | - María J Arteaga
- Departamento de Medical Affairs, Merck Sharp & Dohme de España
| | | | - Carlos M González
- Departamento de Reumatología, Hospital Universitario Gregorio Marañón, Madrid, España
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Linn AJ, van Weert JCM, Gebeyehu BG, Sanders R, Diviani N, Smit EG, van Dijk L. Patients' Online Information-Seeking Behavior Throughout Treatment: The Impact on Medication Beliefs and Medication Adherence. HEALTH COMMUNICATION 2019; 34:1461-1468. [PMID: 30052088 DOI: 10.1080/10410236.2018.1500430] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Research on the longitudinal impact of using the internet as an information source on patients' beliefs and medication adherence is scarce. Chronic patients (N = 107) from six hospitals were surveyed to longitudinally explore their online information seeking behavior throughout treatment (i.e., before the consultation about their newly prescribed medication in the initiation phase and after six months in the implementation phase) and how this affects their medication beliefs (concerns and necessity) and medication adherence after three weeks (T1) and six months (T2). Most patients (79%) used the internet. Patients who used the internet before the consultation reported to have more concerns about their medication at T1 and T2 compared to those who did not. Moreover, patients who used the internet throughout treatment valued their concerns higher than the necessity after six months (T2). Patients who used the internet after the consultation reported to be more non-adherent after three weeks (T1) compared to those who did not. Because of the longitudinal nature of this study, we were able to pinpoint in which treatment phase patients' online information seeking behavior is particular relevant in affecting patients' beliefs and medication adherence.
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Affiliation(s)
- Annemiek J Linn
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam
| | | | - Beniam G Gebeyehu
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam
| | - Remco Sanders
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam
| | - Nicola Diviani
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam
- Department of Health Sciences & Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne
- Swiss Paraplegic Research , Nottwil
| | - Edith G Smit
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam
| | - Liset van Dijk
- Department of Primary Care, NIVEL, Netherlands Institute for Health Services Research
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Zhang R, Lu X, Wu W, Shang X. Why do patients follow physicians' advice? The influence of patients' regulatory focus on adherence: an empirical study in China. BMC Health Serv Res 2019; 19:301. [PMID: 31077196 PMCID: PMC6511214 DOI: 10.1186/s12913-019-4127-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 04/25/2019] [Indexed: 01/02/2023] Open
Abstract
Background In general, medical regimens and treatments are more likely to be effective if patients follow their physicians’ advice. However, limited studies have focused on the relationship between regulatory focus and patient adherence. This study explores the antecedents of patient adherence employing regulatory focus theory. Methods This study established a research model consisting of two independent variables, two mediators, one dependent variable, two moderators, three control variables, and six hypotheses. An online survey involving 336 valid responses was conducted to collect data in China. We used structural equation modelling and confirmatory factor analysis to test the hypotheses and to develop the research model. Results The reliability and validity of the measures were accepted. In terms of control variables, age had a positive effect on conservative treatment-related health information seeking behaviour, and patients with different resident statuses held different attitudes towards seeking conservative treatment-related health information. However, educational level did not have any effect on the variables of the research model. The hypothesis testing results corroborate that promotion focus had a positive impact on patients’ emerging treatment-related health information seeking behaviour; prevention focus had a positive impact on patients’ conservative treatment-related health information seeking behaviour, which had a positive impact on patient adherence. In addition, media campaigns had a positive impact on the relationship between promotion focus and emerging treatment-related health information seeking behaviour, and website reputation had a positive impact on the relationship between prevention focus and conservative treatment-related health information seeking behaviour. Conclusions Individuals can be encouraged to seek health information and share health-related knowledge through mass media, such as the Internet, when the quality of information, especially information from online sources, is guaranteed. In addition, physicians need to improve their professionalism and expand their knowledge of conservative healthcare. As a further application of our work, an Internet information recommendation system can be designed to recommend different types of health information for users according to their regulatory focus. Electronic supplementary material The online version of this article (10.1186/s12913-019-4127-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Runtong Zhang
- School of Economics and Management, Beijing Jiaotong University, Shangyuancun 3, Haidian District, Beijing, 100044, China
| | - Xinyi Lu
- School of Economics and Management, Beijing Jiaotong University, Shangyuancun 3, Haidian District, Beijing, 100044, China
| | - Wen Wu
- School of Economics and Management, Beijing Jiaotong University, Shangyuancun 3, Haidian District, Beijing, 100044, China.
| | - Xiaopu Shang
- School of Economics and Management, Beijing Jiaotong University, Shangyuancun 3, Haidian District, Beijing, 100044, China.
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Sanders R, Linn AJ. A Mixed Method Study Investigating the Impact of Talking about Patients' Internet Use on Patient-Reported Outcomes. JOURNAL OF HEALTH COMMUNICATION 2018; 23:815-823. [PMID: 30351205 DOI: 10.1080/10810730.2018.1514443] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study aims to propose and test a model that provides a more comprehensive understanding of the impact of discussing online health information on patient outcomes. By combining survey data (N = 160) and qualitative analysis of video recordings of consultations (N = 165) with structural equation modeling, this study explores: (1) whether patients and health-care providers talk about online medical information and (2) the impact of talking about online medical information on patient outcomes (patient satisfaction, recall of medical information, and medication adherence). Results show that more than half of the patients searched online prior to their consultation. In about half of these consultations (46.81%), the online information was discussed. Patients were more satisfied with the consultation if the online information was discussed during the consultation. Moreover, patient satisfaction was positively related to recall of medical information, but only in patients with whom the online information was discussed. There was no effect found on medication adherence. Results of this study demonstrate the importance of talking about online information during a consultation for improving patient outcomes. Implications for research are discussed.
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Affiliation(s)
- Remco Sanders
- a Amsterdam School of Communication Research , University of Amsterdam , Amsterdam , the Netherlands
| | - Annemiek J Linn
- a Amsterdam School of Communication Research , University of Amsterdam , Amsterdam , the Netherlands
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Faasse K, Porsius JT, Faasse J, Martin LR. Bad news: The influence of news coverage and Google searches on Gardasil adverse event reporting. Vaccine 2017; 35:6872-6878. [PMID: 29128382 DOI: 10.1016/j.vaccine.2017.10.004] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Revised: 10/01/2017] [Accepted: 10/03/2017] [Indexed: 12/21/2022]
Abstract
BACKGROUND Human papilloma virus vaccines are a safe and effective tool for reducing HPV infections that can cause cervical cancer. However, uptake of these vaccines has been suboptimal, with many people holding negative beliefs and misconceptions. Such beliefs have been linked with the experience of unpleasant side effects following medical treatment, and media coverage may heighten such concerns. METHODS The present study sought to assess the influence of news coverage (number of news articles per month) on adverse event reporting in response to Gardasil vaccination in New Zealand over a 7.5-year period, and whether the influence of news coverage was mediated by internet search activity (Google search volumes). Multiple linear regression analyses and simple mediation analyses were used, controlling for year and number of vaccinations delivered. RESULTS News coverage in the previous month, and Google search volumes in the same month, were significant predictors of adverse event reporting, after accounting for vaccination rates and year. Concurrent Google search volumes partially mediated the effect of prior news coverage. CONCLUSION The results suggest that some of the adverse events reported were not related to the vaccination itself, but to news coverage and internet search volumes, which may have contributed to public concerns about potentially unpleasant or harmful outcomes. These findings have implications for the importance of psychological and social factors in adverse event reporting, and the role of the news media in disseminating health information.
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Affiliation(s)
- Kate Faasse
- School of Psychology, UNSW Sydney, Sydney, Australia.
| | - Jarry T Porsius
- Faculty of Design Engineering, Delft University of Technology, Delft, The Netherlands; Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands; Department of Plastic and Reconstructive Surgery, Erasmus MC, Rotterdam, The Netherlands
| | | | - Leslie R Martin
- Psychology and Neuroscience, La Sierra University, Riverside, CA, USA
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