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Behera RK, Bala PK, Rana NP, Dwivedi YK. Assessing the influence of COVID-19 protocol on online health information seeking intention of athletes in India. BENCHMARKING-AN INTERNATIONAL JOURNAL 2022. [DOI: 10.1108/bij-11-2021-0718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe Internet is used as a tool to seek health information by individuals. Mental health concerns are the high prevalence of the novel coronavirus disease 2019 (COVID-19) and preventive steps are required to curb the illness. Therefore, to gain more insight into health concerns, it is now a common practice to seek health information on the Internet. This study propose an integrated theoretical model to explore the relationship between COVID-19 protocols and perceived online trust with online health information seeking intention (OHISI) and a moderating effect of perceived severity and perceived urgency.Design/methodology/approachData are collected from 325 athletes in the category of individual and team sports through an online survey in a Likert-scale questionnaire. The analysis is performed with a quantitative methodology.FindingsThe study reveals the bright side of online health information (OHI), which brings athletes together and has played out with virtual happy hours, meetings and events. The bright side of OHI reflects social, cultural, technological and economic benefits. An OHI chatbot offers bright personalised side information to the individual seeker, which is more convenient and efficient than human capabilities.Originality/valueThe pivotal contribution is the integrated theoretical framework that is derived from multidisciplinary literature to capture the complexity of OHI. Also, it conceptualises the constructs in the context of OHI and COVID-19.
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Anderson PB, Wanken ZJ, Perri JL, Columbo JA, Kang R, Spangler EL, Newhall K, Brooke BS, Dosluoglu H, Lee ES, Raffetto JD, Henke PK, Tang GL, Mureebe L, Kougias P, Johanning J, Arya S, Scali ST, Stone DH, Suckow BD, Orion K, Halpern V, O'Connell J, Inhat D, Nelson P, Tzeng E, Zhou W, Barry M, Sirovich B, Goodney PP. Patient information sources when facing repair of abdominal aortic aneurysm. J Vasc Surg 2020; 71:497-504. [PMID: 31353272 PMCID: PMC10767985 DOI: 10.1016/j.jvs.2019.04.460] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 04/04/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE Shared medical decision making is most important when there are competing options for repair such as in treatment of abdominal aortic aneurysm (AAA). We sought to understand the sources of patients' pre-existing knowledge about AAA to better inform treating physicians about patients' needs for preoperative counseling. METHODS We performed a multicenter survey of patients facing AAA repair at 20 Veterans Affairs hospitals across the United States as part of the Preferences for Open Versus Endovascular Repair of AAA study. A validated survey instrument was administered to examine the sources of information available and commonly used by patients to learn about their repair options. The survey was administered by study personnel before the patient had any interaction with the vascular surgeon because survey data were collected before the vascular clinic visit. RESULTS Preliminary analysis of data from 99 patients showed that our cohort was primarily male (99%) and elderly (mean age 73 years). Patients commonly had a history of hypertension (86%), prior myocardial infarction (32%), diabetes (32%), and were overweight (58%). Patients arrived at their surgeon's office appointment with limited information. A majority of patients (52%) reported that they had not talked to their primary care physician at all about their options for AAA repair, and one-half (50%) reported that their view of the different surgical options had not been influenced by anyone. Slightly less than one-half of patients reported that they did not receive any information about open surgical aneurysm repair and endovascular aortic aneurysm repair (41% and 37%, respectively). Few patients indicated using the internet as their main source of information about open surgical aneurysm repair and endovascular aortic aneurysm repair (10% and 11%, respectively). CONCLUSIONS Patients are commonly referred for AAA repair having little to no information regarding AAA pathology or repair options. Fewer than one in five patients searched the internet or had accessed other sources of information on their own. Most vascular surgeons should assume that patients will present to their first vascular surgery appointment with minimal understanding of the treatment options available to them.
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Affiliation(s)
- Peter B Anderson
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt; Geisel School of Medicine at Dartmouth, Hanover, NH
| | - Zachary J Wanken
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | - Jennifer L Perri
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | - Jesse A Columbo
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | - Ravinder Kang
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | | | - Karina Newhall
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | | | | | | | | | | | | | | | | | | | | | | | - David H Stone
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | - Bjoern D Suckow
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | | | | | | | | | | | | | | | - Michael Barry
- Massachusetts General Hospital Center for Shared Decision Making, Boston, Mass
| | - Brenda Sirovich
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt
| | - Philip P Goodney
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
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Huisman M, Joye S, Biltereyst D. Searching for Health: Doctor Google and the Shifting Dynamics of the Middle-Aged and Older Adult Patient-Physician Relationship and Interaction. J Aging Health 2019; 32:998-1007. [PMID: 31517558 DOI: 10.1177/0898264319873809] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Objectives: While online health information (OHI) has become ubiquitous, little is known about its use by middle-aged and older adults. This contribution examines the role of OHI and its influence on the patient-physician relationship. Method: This qualitative study reports the thematic analysis of 40 semistructured, in-depth interviews with Flemish middle-aged and older adults between the ages of 50 and 80 years. Results: Middle-aged and older adults obtain OHI pre- and post-consultation, albeit with different motivations and in search of different types of information. Patients strategically and carefully introduce OHI in the clinical encounter. "Doctor Google" expands the traditional patient-physician dyad into an information triangle. Discussion: The findings have implications for policy guidance and clinical practice. Public campaigns against "Googling" for health information might have to be amended to be successful. Importantly, physicians are increasingly expected to refer to and appraise OHI and put it into the individual patient context.
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Cocco AM, Zordan R, Taylor DM, Weiland TJ, Dilley SJ, Kant J, Dombagolla M, Hendarto A, Lai F, Hutton J. Dr Google in the ED: searching for online health information by adult emergency department patients. Med J Aust 2018; 209:342-347. [DOI: 10.5694/mja17.00889] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 04/06/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Anthony M Cocco
- St Vincentˈs Hospital Melbourne, Melbourne, VIC
- University of Melbourne, Melbourne, VIC
| | - Rachel Zordan
- St Vincentˈs Hospital Melbourne, Melbourne, VIC
- University of Melbourne, Melbourne, VIC
| | | | | | | | - Joyce Kant
- University of Melbourne, Melbourne, VIC
- Eastern Health, Melbourne, VIC
| | - Mahesha Dombagolla
- University of Melbourne, Melbourne, VIC
- Goulburn Valley Health, Shepparton, VIC
| | - Andreas Hendarto
- University of Melbourne, Melbourne, VIC
- Bairnsdale Regional Health Service, Bairnsdale, VIC
| | - Fiona Lai
- University of Melbourne, Melbourne, VIC
- Austin Health, Melbourne, VIC
| | - Jennie Hutton
- St Vincentˈs Hospital Melbourne, Melbourne, VIC
- Emergency Practice Innovation Centre, St Vincentˈs Hospital Melbourne, Melbourne, VIC
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McCarthy DM, Scott GN, Courtney DM, Czerniak A, Aldeen AZ, Gravenor S, Dresden SM. What Did You Google? Describing Online Health Information Search Patterns of ED patients and Their Relationship with Final Diagnoses. West J Emerg Med 2017; 18:928-936. [PMID: 28874946 PMCID: PMC5576630 DOI: 10.5811/westjem.2017.5.34108] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 04/20/2017] [Accepted: 05/18/2017] [Indexed: 11/18/2022] Open
Abstract
Introduction Emergency department (ED) patients’ Internet search terms prior to arrival have not been well characterized. The objective of this analysis was to characterize the Internet search terms patients used prior to ED arrival and their relationship to final diagnoses. Methods We collected data via survey; participants listed Internet search terms used. Terms were classified into categories: symptom, specific diagnosis, treatment options, anatomy questions, processes of care/physicians, or “other.” We categorized each discharge diagnosis as either symptom-based or formal diagnosis. The relationship between the search term and final diagnosis was assigned to one of four categories of search/diagnosis combinations (symptom search/symptom diagnosis, symptom search/formal diagnosis, diagnosis search/symptom diagnosis, diagnosis search/formal diagnosis), representing different “trajectories.” Results We approached 889 patients; 723 (81.3%) participated. Of these, 177 (24.5%) used the Internet prior to ED presentation; however, seven had incomplete data (N=170). Mean age was 47 years (standard deviation 18.2); 58.6% were female and 65.7% white. We found that 61.7% searched symptoms and 40.6% searched a specific diagnosis. Most patients received discharge diagnoses of equal specificity as their search terms (34% flat trajectory-symptoms and 34% flat trajectory-diagnosis). Ten percent searched for a diagnosis by name but received a symptom-based discharge diagnosis with less specificity. In contrast, 22% searched for a symptom and received a detailed diagnosis. Among those who searched for a diagnosis by name (n=69) only 29% received the diagnosis that they had searched. Conclusion The majority of patients used symptoms as the basis of their pre-ED presentation Internet search. When patients did search for specific diagnoses, only a minority searched for the diagnosis they eventually received.
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Affiliation(s)
- Danielle M McCarthy
- Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Grant N Scott
- University of New Mexico, Department of Emergency Medicine, Albuquerque, New Mexico
| | - D Mark Courtney
- Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Alyssa Czerniak
- Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Amer Z Aldeen
- US Acute Care Solutions, Center for Emergency Medical Education, Canton, Ohio
| | - Stephanie Gravenor
- Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Scott M Dresden
- Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois
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