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Tan CE, Lau SCD, Abdul Latiff Z, Lee CC, Teh KH, Mohd Sidik S. Parents of children with cancer require health literacy support to meet their information needs. Health Info Libr J 2024; 41:267-282. [PMID: 37332240 DOI: 10.1111/hir.12491] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 03/07/2023] [Accepted: 05/11/2023] [Indexed: 06/20/2023]
Abstract
BACKGROUND Timely and relevant information helps parents to cope when a child is diagnosed with cancer. However, obtaining and understanding information is not a straightforward process for parents. OBJECTIVES This article aims to explain paediatric cancer parents' information behaviour related to the care of their child. METHODS Qualitative in-depth interviews were conducted with fourteen Malaysian paediatric cancer parents and eight healthcare professionals who worked with paediatric cancer patients. Reflexivity and inductive approaches were used to interpret the data to identify meaningful themes and subthemes. RESULTS Three themes about how paediatric cancer parents interact with information emerged: Acquiring information, internalising information, and using information. Information may be actively sought or passively acquired. Cognitive and affective aspects influence how information is internalised into meaningful knowledge. Knowledge then leads to further action including further information gathering. CONCLUSION Paediatric cancer parents need health literacy support to meet their information needs. They require guidance in identifying and appraising suitable information resources. Development of suitable supporting materials is needed to facilitate parents' ability to comprehend information related to their child's cancer. Understanding parents' information behaviour could assist healthcare professionals in providing information support in the context of paediatric cancer.
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Affiliation(s)
- Chai Eng Tan
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | - Sie Chong Doris Lau
- Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Zarina Abdul Latiff
- Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Chee Chan Lee
- Department of Paediatrics, Ministry of Health, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
| | - Kok Hoi Teh
- Department of Paediatrics, Ministry of Health, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
| | - Sherina Mohd Sidik
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
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Kim E, Baek G, Jo H, Kim J, Cho A, Byun M. Nurses' media competency: A concept analysis. NURSE EDUCATION TODAY 2024; 139:106232. [PMID: 38703536 DOI: 10.1016/j.nedt.2024.106232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 04/20/2024] [Accepted: 04/28/2024] [Indexed: 05/06/2024]
Abstract
OBJECTIVES To analyze and define the concept of nurses' media competency. DESIGN Concept analysis. DATA SOURCES We conducted a literature search in PubMed, CINAHL, PsycInfo, and RISS International, as well as a hand-search, for relevant articles published between January 1990 and April 2023. A total of 57 articles related to nurses' media competency, published in English or Korean, were included in this study. REVIEW METHODS We used Walker and Avant's method of concept analysis to identify the defining attributes, antecedents, and consequences of the concept. RESULTS The seven defining attributes of nurses' media competency were networking with members of the media, selecting the appropriate media platform, considering that the target audience is the public, creating one's own media products, delivering intended messages through the media, monitoring and responding to the media, and maintaining professional dignity. Antecedents of the concept included cultivation of desirable nursing professionalism, critical evaluation of policies and issues, recognition of media influence, establishment of education and guidelines for media use, and having facilities and availability of technologies for media use. Consequences of the concept were improved influence of individual nurses, enhanced public awareness of the nursing profession, stronger networks and collaboration among professionals, and contributions to the promotion of public health. CONCLUSIONS This concept analysis presents a theoretical definition of nurses' media competency that can provide guidance on how to educate nurses to develop media competency and how to measure nurses' media competency.
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Affiliation(s)
- Eunjin Kim
- College of Nursing, Ewha Womans University, Seoul, South Korea; Quality Improvement & Patient Safety Team, Ewha Womans University Seoul Hospital, Seoul, South Korea
| | - Gumhee Baek
- College of Nursing, Ewha Womans University, Seoul, South Korea.
| | - Hyekyung Jo
- College of Nursing, Ewha Womans University, Seoul, South Korea; Nursing Department, Jeonbuk National University Hospital, Jeonju, South Korea
| | - Jueun Kim
- College of Nursing, Ewha Womans University, Seoul, South Korea; Review Department, Health Insurance Review & Assessment Service, Wonju, South Korea
| | - Aram Cho
- College of Nursing, Ewha Womans University, Seoul, South Korea
| | - Mijin Byun
- College of Nursing, Ewha Womans University, Seoul, South Korea; Safety Management Department, Korea Land and Geospatial Informatix Corporation, Jeonju, South Korea
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Halverson CME, Doyle TA, Vershaw S. Social media use by patients with hypermobile Ehlers-Danlos syndrome. Mol Genet Genomic Med 2024; 12:e2467. [PMID: 38860470 PMCID: PMC11165341 DOI: 10.1002/mgg3.2467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 04/25/2024] [Accepted: 05/07/2024] [Indexed: 06/12/2024] Open
Abstract
BACKGROUND Patients with uncommon genetic conditions often face limited in-person resources for social and informational support. Hypermobile Ehlers-Danlos syndrome (hEDS) is a rare or underdiagnosed hereditary disorder of the connective tissue, and like those with similar diseases, patients with hEDS have begun to turn to social media in search of care and community. The aims of our study were to understand the usage habits and perceptions of utility of social media use for patients with hEDS in order to formulate suggestions for how clinicians may best engage these and similar patient populations about this topic. METHODS We conducted both a quantitative survey and qualitative interviews with patients who had received a robust clinical diagnosis of hEDS. RESULTS Twenty-four individuals completed the initial survey, and a subset of 21 of those participants completed an interview. Through thematic analysis, we identified four primary themes related to their experience with social media: (1) befriending others with their disease, (2) seeking and vetting information, (3) the risks and downsides of social media use, and (4) the desire for clinicians to discuss this topic with them. CONCLUSION We conclude by proposing five suggestions that emerge empirically from our data. These proposals will help clinicians engage their patients regarding social media use in order to promote its potential benefits and circumvent its potential harms as they pursue support for their hereditary condition.
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Affiliation(s)
- Colin M. E. Halverson
- Department of Medicine, Center for BioethicsIndiana University School of MedicineIndianapolisIndianaUSA
- Department of MedicineIndiana University School of MedicineIndianapolisIndianaUSA
- Department of AnthropologyIndiana UniversityIndianapolisIndianaUSA
- Regenstrief InstituteIndianapolisIndianaUSA
- Charles Warren Fairbanks Center for Medical EthicsIndianapolisIndianaUSA
| | - Tom A. Doyle
- Department of Medicine, Center for BioethicsIndiana University School of MedicineIndianapolisIndianaUSA
| | - Samantha Vershaw
- Department of Medicine, Center for BioethicsIndiana University School of MedicineIndianapolisIndianaUSA
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Malik M, Bauer-Maison N, Guarna G, D’Souza RD. Social Media Misinformation about Pregnancy and COVID-19 Vaccines: A Systematic Review. Med Princ Pract 2024; 33:232-241. [PMID: 38484723 PMCID: PMC11175604 DOI: 10.1159/000538346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 03/11/2024] [Indexed: 06/15/2024] Open
Abstract
OBJECTIVE The objectives of this study were to identify common social media misconceptions about COVID-19 vaccination in pregnancy, explain the spread of misinformation, and identify solutions to guide clinical practice and policy. METHODOLOGY A systematic review was conducted and the databases Embase and Medline were searched from December 2019 to February 8, 2023, using terms related to social media, pregnancy, COVID-19 vaccines and misinformation. The inclusion criteria were original research studies that discussed misinformation about COVID-19 vaccination during pregnancy on social media. The exclusion criteria were review articles, no full text, and not published in English. Two independent reviewers conducted screening, extraction, and quality assessment. RESULTS Our search identified 76 articles, of which 3 fulfilled eligibility criteria. Included studies were of moderate and high quality. The social media platforms investigated included Facebook, Google Searches, Instagram, Reddit, TikTok, and Twitter. Misinformation was related to concerns regarding vaccine safety, and its association with infertility. Misinformation was increased due to lack of content monitoring on social media, exclusion of pregnant women from early vaccine trials, lack of information from reputable health sources on social media, and others. Suggested solutions were directed at pregnancy care providers (PCPs) and public health/government. Suggestions included: (i) integrating COVID-19 vaccination information into antenatal care, (ii) PCPs and public health should increase their social media presence to disseminate information, (iii) address population-specific vaccine concerns in a culturally relevant manner, and others. CONCLUSION Increased availability of information from reputable health sources through multiple channels could increase COVID-19 vaccine uptake in the pregnant population and help combat misinformation.
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Affiliation(s)
- Mahnoor Malik
- Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Natasha Bauer-Maison
- Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
| | - Giuliana Guarna
- Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada
| | - Rohan D. D’Souza
- Department of Obstetrics and Gynaecology, McMaster University, Hamilton, ON, Canada
- Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, McMaster University Medical Centre, Hamilton, ON, Canada
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
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Pickler RH. Health Misinformation and Nursing Science. Nurs Res 2024; 73:89-90. [PMID: 38411566 DOI: 10.1097/nnr.0000000000000711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Affiliation(s)
- Rita H Pickler
- Rita H. Pickler, PhD, RN, FAAN, is Editor, Nursing Research; and is the FloAnn Sours Easton Professor of Child and Adolescent Health, The Ohio State University College of Nursing, Columbus
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Cardwell FS, Elliott SJ, Barber MRW, Cheema K, George S, Boucher A, Clarke AE. Canadian patient experiences of lupus nephritis: a qualitative analysis. Lupus Sci Med 2023; 10:e000982. [PMID: 38087643 PMCID: PMC10729228 DOI: 10.1136/lupus-2023-000982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 11/25/2023] [Indexed: 12/18/2023]
Abstract
OBJECTIVE Lupus nephritis (LN) is one of the most severe manifestations of SLE; however, we know little about the lived experience of LN. This research investigates patient experiences and perspectives of (1) LN diagnosis; (2) living with LN; and (3) LN healthcare and treatment. METHODS Patients aged ≥18 years with biopsy-proven pure or mixed International Society of Nephrology/Renal Pathology Society class III, IV or V LN were purposefully recruited from a Canadian lupus cohort to participate in semistructured in-depth interviews. RESULTS Thirty patients with LN completed the interviews. The mean (SD) age was 42.1 (16.4) years, and 86.7% were female. Participants described challenges seeking, receiving and adjusting to a LN diagnosis, and some reported that their diagnosis process took weeks to years. While 16 participants were provided resources by healthcare providers to help them through the process of diagnosis, the need for accessible LN-specific information at diagnosis was highlighted (n=18). Participants also described the unpredictability of living with LN, particularly related to impacts on physical and mental health, relationships, leisure activities, employment and education, and family planning. While most (n=26) participants reported a positive impression of their care, the side effects of LN medications and the need to increase patient and societal awareness/understanding of LN were highlighted in the context of healthcare and treatment. CONCLUSIONS The unpredictability of living with LN, the heavy treatment burden and a lack of patient/societal awareness substantially affect the lived experience of LN. These findings will inform the development of LN-specific patient resources to increase understanding of LN and improve well-being for patients.
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Affiliation(s)
- Francesca S Cardwell
- Department of Geography and Environmental Management, University of Waterloo, Waterloo, Ontario, Canada
| | - Susan J Elliott
- Department of Geography and Environmental Management, University of Waterloo, Waterloo, Ontario, Canada
| | - Megan R W Barber
- Division of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Kim Cheema
- Division of Nephrology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Sydney George
- Health Outcomes and Economics, GSK, Mississauga, Ontario, Canada
| | - Adrian Boucher
- Health Outcomes and Economics, GSK, Mississauga, Ontario, Canada
| | - Ann Elaine Clarke
- Division of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Karampatakis GD, Wood HE, Griffiths CJ, Lea NC, Ashcroft RE, Day B, Walker N, Coulson NS, De Simoni A. Ethical and Information Governance Considerations for Promoting Digital Social Interventions in Primary Care. J Med Internet Res 2023; 25:e44886. [PMID: 37756051 PMCID: PMC10568391 DOI: 10.2196/44886] [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: 12/07/2022] [Revised: 04/28/2023] [Accepted: 07/31/2023] [Indexed: 09/28/2023] Open
Abstract
Promoting online peer support beyond the informal sector to statutory health services requires ethical considerations and evidence-based knowledge about its impact on patients, health care professionals, and the wider health care system. Evidence on the effectiveness of digital interventions in primary care is sparse, and definitive guidance is lacking on the ethical concerns arising from the use of social media as a means for health-related interventions and research. Existing literature examining ethical issues with digital interventions in health care mainly focuses on apps, electronic health records, wearables, and telephone or video consultations, without necessarily covering digital social interventions, and does not always account for primary care settings specifically. Here we address the ethical and information governance aspects of undertaking research on the promotion of online peer support to patients by primary care clinicians, related to medical and public health ethics.
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Affiliation(s)
- Georgios Dimitrios Karampatakis
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
| | - Helen E Wood
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
| | - Chris J Griffiths
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
| | - Nathan C Lea
- Department of Medical Informatics & Statistics, The European Institute for Innovation through Health Data, Ghent University Hospital, Ghent, Belgium
| | | | - Bill Day
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
| | - Neil Walker
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
| | - Neil S Coulson
- Medical School, Nottingham City Hospital, Nottingham, United Kingdom
| | - Anna De Simoni
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Asthma UK Centre for Applied Research, Queen Mary University of London, London, United Kingdom
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Tamire M, Abegaz T, Abaya SW, Lisanwork L, Gizachew L, Abate E, Wang SH, Gebreyes W, Kumie A. Exploring Community Perceptions of COVID-19 and Vaccine Hesitancy in Selected Cities of Ethiopia: A Qualitative Study. Vaccines (Basel) 2023; 11:1511. [PMID: 37896915 PMCID: PMC10610566 DOI: 10.3390/vaccines11101511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 09/09/2023] [Accepted: 09/19/2023] [Indexed: 10/29/2023] Open
Abstract
Even though the COVID-19 vaccine has been available and free of charge to the targeted population in Ethiopia, the vaccination rate was lower than needed to achieve herd immunity at community level. This study aimed to explore community perceptions of COVID-19 and vaccine hesitancy in selected cities of Ethiopia involving 70 in-depth interviews and 28 focused group discussions. The audio-taped data were transcribed verbatim, translated into English, and analyzed using a qualitative content analysis approach using the ATLAS.ti software version 8. The findings revealed that COVID-19 was perceived as evil and caused fear and frustration upon its emergence. The community initially used traditional remedies for its prevention but later transitioned to employing non-pharmaceutical interventions. The primary reasons for vaccine hesitancy were misinformation and misconceptions, such as connecting the vaccine with the mark of the beast, a lack of trust due to the multiple vaccine types, a shorter production timeline resulting in distrust of its effectiveness, and a fear of pain and side effects. Based on our findings, we recommend monitoring the use of social media and countering misinformation with the correct information and continuous public health campaigns. Further studies should be conducted to assess the types and magnitude of impacts from the myths and misconceptions on vaccination uptake.
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Affiliation(s)
- Mulugeta Tamire
- Department of Preventive Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa P.O. Box 9086, Ethiopia; (T.A.); (S.W.A.); (A.K.)
| | - Teferi Abegaz
- Department of Preventive Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa P.O. Box 9086, Ethiopia; (T.A.); (S.W.A.); (A.K.)
| | - Samson Wakuma Abaya
- Department of Preventive Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa P.O. Box 9086, Ethiopia; (T.A.); (S.W.A.); (A.K.)
| | - Leuel Lisanwork
- Ohio State Global One Health, Addis Ababa P.O. Box 9086, Ethiopia; (L.L.); (L.G.); (E.A.)
| | - Lehageru Gizachew
- Ohio State Global One Health, Addis Ababa P.O. Box 9086, Ethiopia; (L.L.); (L.G.); (E.A.)
| | - Ebba Abate
- Ohio State Global One Health, Addis Ababa P.O. Box 9086, Ethiopia; (L.L.); (L.G.); (E.A.)
| | - Shu-Hua Wang
- Global One Health Initiative, The Ohio State University, Columbus, OH 43210, USA; (S.-H.W.); (W.G.)
- Infectious Disease Division, Internal Medicine Department, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Wondwossen Gebreyes
- Global One Health Initiative, The Ohio State University, Columbus, OH 43210, USA; (S.-H.W.); (W.G.)
- Infectious Diseases Molecular Epidemiology Laboratory, Department of Veterinary Preventive Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Abera Kumie
- Department of Preventive Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa P.O. Box 9086, Ethiopia; (T.A.); (S.W.A.); (A.K.)
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Bautista JR, Zhang Y, Gwizdka J, Chang YS. Consumers' longitudinal health information needs and seeking: a scoping review. Health Promot Int 2023; 38:daad066. [PMID: 37432774 DOI: 10.1093/heapro/daad066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023] Open
Abstract
Needing and seeking health information often is a longitudinal everyday life information behavior that involves the use of technology. However, no reviews of consumers' longitudinal health information needs (HIN) and health information-seeking (HIS) behavior have been conducted. We performed a scoping review to address this gap. Specifically, we surveyed the characteristics, timeline construction and research findings of studies investigating consumers' longitudinal HIN and HIS. Initial searches were conducted in November 2019 and updated in July 2022. A total of 128 papers were identified, reviewed and analyzed using content and thematic analyses. Results showed that most papers were quantitative, conducted in the USA, related to cancer, conducted during the diagnosis and treatment phases, and followed preset time intervals. Findings concerning the development patterns of consumers' HIN degrees and HIS effort were mixed (i.e. increasing, decreasing or being consistent over time). They seemed to be shaped by factors such as health conditions, data collection methods and the length of data collection. Consumers' use of sources changes depending on health status and source accessibility; their medical terminologies seem to expand over time. HIS has a strong emotional dimension which may lead to adaptive or maladaptive information behaviors (e.g. information avoidance). Overall, the results revealed a lack of understanding of HIN and HIS from a longitudinal perspective, particularly along health condition progression and coping trajectories. There is also a lack of understanding of the role of technologies in the longitudinal HIS process.
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Affiliation(s)
- John Robert Bautista
- School of Information, The University of Texas at Austin, Austin, TX, USA
- Center for Health Communication, Moody College of Communication and Dell Medical School, The University of Texas at Austin, Austin, TX, USA
| | - Yan Zhang
- School of Information, The University of Texas at Austin, Austin, TX, USA
- Center for Health Communication, Moody College of Communication and Dell Medical School, The University of Texas at Austin, Austin, TX, USA
| | - Jacek Gwizdka
- School of Information, The University of Texas at Austin, Austin, TX, USA
- Information eXperience (IX) Lab, School of Information, The University of Texas at Austin, Austin, TX, USA
| | - Yung-Sheng Chang
- School of Information, The University of Texas at Austin, Austin, TX, USA
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Sheng AY, Gottlieb M, Bautista JR, Trueger NS, Westafer LM, Gisondi MA. The role of emergency physicians in the fight against health misinformation: Implications for resident training. AEM EDUCATION AND TRAINING 2023; 7:S48-S57. [PMID: 37383831 PMCID: PMC10294217 DOI: 10.1002/aet2.10877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 10/21/2022] [Accepted: 11/01/2022] [Indexed: 06/30/2023]
Abstract
Emergency physicians on the frontlines of the COVID-19 pandemic are first-hand witnesses to the direct impact of health misinformation and disinformation on individual patients, communities, and public health at large. Therefore, emergency physicians naturally have a crucial role to play to steward factual information and combat health misinformation. Unfortunately, most physicians lack the communications and social media training needed to address health misinformation with patients and online, highlighting an obvious gap in emergency medicine training. We convened an expert panel of academic emergency physicians who have taught and conducted research about health misinformation at the Society for Academic Emergency Medicine (SAEM) Annual Meeting in New Orleans, LA, on May 13, 2022. The panelists represented geographically diverse institutions including Baystate Medical Center/Tufts University, Boston Medical Center, Northwestern University, Rush Medical College, and Stanford University. In this article, we describe the scope and impact of health misinformation, introduce methods for addressing misinformation in the clinical environment and online, acknowledge the challenges of tackling misinformation from our physician colleagues, demonstrate strategies for debunking and prebunking, and highlight implications for education and training in emergency medicine. Finally, we discuss several actionable interventions that define the role of the emergency physician in the management of health misinformation.
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Affiliation(s)
- Alexander Y. Sheng
- Department of Emergency MedicineBoston Medical CenterBostonMassachusettsUSA
- School of Medicine, Boston UniversityBostonMassachusettsUSA
- Department of Emergency MedicineAlpert Medical School at Brown UniversityRhode IslandProvidenceUSA
| | - Michael Gottlieb
- Emergency Ultrasound Division, Department of Emergency MedicineRush University Medical CenterChicagoIllinoisUSA
| | | | - N. Seth Trueger
- Department of Emergency MedicineNorthwestern University Feinberg School of MedicineChicagoIllinoisUSA
| | - Lauren M. Westafer
- Department of Emergency Medicine, Department of Healthcare Delivery and Population ScienceUniversity of Massachusetts Chan Medical School–BaystateSpringfieldMassachusettsUSA
| | - Michael A. Gisondi
- The Precision Education and Assessment Research Lab, Department of Emergency MedicineStanford UniversityPalo AltoCaliforniaUSA
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Galea G, Chugh R, Luck J. Why should we care about social media codes of conduct in healthcare organisations? A systematic literature review. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2023:1-13. [PMID: 37361317 PMCID: PMC10088715 DOI: 10.1007/s10389-023-01894-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 03/17/2023] [Indexed: 06/28/2023]
Abstract
Background The conduct of healthcare organisation employees on social media can impact both their personal reputation and that of the organisation. However, social media has blurred the lines between professional and personal communication, and what is acceptable and ethical conduct is not always clear. Furthermore, the global COVID-19 pandemic has changed how healthcare organisations and their employees approach the use of social media, expediting the need to ensure that employees communicating health-related information adhere to employee codes of conduct. Aims This review aims to investigate the challenges associated with healthcare organisation employees' use of social media for sharing health-related information, identify the crucial elements for inclusion in social media codes of conduct for healthcare organisations, and examine the enablers for good codes of conduct. Methods A systematic review of the literature from six research database platforms on articles related to codes of conduct addressing the use of social media for healthcare organisation employees was conducted. The screening process yielded 52 articles. Results The key finding in this review focuses on privacy, protecting both patients and healthcare organisation employees. While maintaining separate professional and personal social media accounts is a much-discussed approach, training and education on social media codes of conduct can clarify acceptable behaviour both personally and professionally. Conclusion The results raise essential questions about healthcare organisation employees' use of social media. It is evident that organisational support and a constructive culture will enable healthcare organisations to fully realise the benefits of using social media.
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Affiliation(s)
- Gitte Galea
- School of Engineering and Technology, Central Queensland University, 45 Abbott Street, Cairns, QLD 4879 Australia
| | - Ritesh Chugh
- School of Engineering and Technology, Central Queensland University, Bruce Highway, North, Rockhampton, QLD 4702 Australia
| | - Jo Luck
- School of Engineering and Technology, Central Queensland University, Bruce Highway, North, Rockhampton, QLD 4702 Australia
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12
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Czerniak K, Pillai R, Parmar A, Ramnath K, Krocker J, Myneni S. A scoping review of digital health interventions for combating COVID-19 misinformation and disinformation. J Am Med Inform Assoc 2023; 30:752-760. [PMID: 36707998 PMCID: PMC10018269 DOI: 10.1093/jamia/ocad005] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 12/15/2022] [Accepted: 01/25/2023] [Indexed: 01/29/2023] Open
Abstract
OBJECTIVE We provide a scoping review of Digital Health Interventions (DHIs) that mitigate COVID-19 misinformation and disinformation seeding and spread. MATERIALS AND METHODS We applied our search protocol to PubMed, PsychINFO, and Web of Science to screen 1666 articles. The 17 articles included in this paper are experimental and interventional studies that developed and tested public consumer-facing DHIs. We examined these DHIs to understand digital features, incorporation of theory, the role of healthcare professionals, end-user experience, and implementation issues. RESULTS The majority of studies (n = 11) used social media in DHIs, but there was a lack of platform-agnostic generalizability. Only half of the studies (n = 9) specified a theory, framework, or model to guide DHIs. Nine studies involve healthcare professionals as design or implementation contributors. Only one DHI was evaluated for user perceptions and acceptance. DISCUSSION The translation of advances in online social computing to interventions is sparse. The limited application of behavioral theory and cognitive models of reasoning has resulted in suboptimal targeting of psychosocial variables and individual factors that may drive resistance to misinformation. This affects large-scale implementation and community outreach efforts. DHIs optimized through community-engaged participatory methods that enable understanding of unique needs of vulnerable communities are urgently needed. CONCLUSIONS We recommend community engagement and theory-guided engineering of equitable DHIs. It is important to consider the problem of misinformation and disinformation through a multilevel lens that illuminates personal, clinical, cultural, and social pathways to mitigate the negative consequences of misinformation and disinformation on human health and wellness.
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Affiliation(s)
- Katarzyna Czerniak
- Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Raji Pillai
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Abhi Parmar
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Kavita Ramnath
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Joseph Krocker
- Department of Surgery, McGovern Medical School, Center for Translational Injury Research, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Sahiti Myneni
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA
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Sheng AY, Gottlieb M, Bautista JR, Trueger NS, Westafer LM, Gisondi MA. The Role of Graduate Medical Education in the Fight Against Health Misinformation. J Grad Med Educ 2023; 15:9-14. [PMID: 36817520 PMCID: PMC9934835 DOI: 10.4300/jgme-d-22-00383.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Affiliation(s)
- Alexander Y. Sheng
- Alexander Y. Sheng, MD, MHPE, at the time of writing was the Associate Residency Program Director and Assistant Professor Department of Emergency Medicine, Boston Medical Center, and is now Residency Program Director and Associate Professor, Department of Emergency Medicine, Warren Alpert Medical School of Brown University
| | - Michael Gottlieb
- Michael Gottlieb, MD, is the Director of the Emergency Ultrasound Division, Program Director for the Clinical Ultrasound Fellowship, and Associate Professor of Emergency Medicine, Department of Emergency Medicine, Rush University Medical Center
| | - John Robert Bautista
- John Robert Bautista, RN, MPH, PhD, is a Postdoctoral Fellow, School of Information, the University of Texas at Austin
| | - N. Seth Trueger
- N. Seth Trueger, MD, MPH, is Associate Professor, Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, and Digital Media Editor, JAMA Network Open
| | - Lauren M. Westafer
- Lauren M. Westafer, DO, MPH, MS, is Assistant Professor, Department of Emergency Medicine and Department of Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School–Baystate
| | - Michael A. Gisondi
- Michael A. Gisondi, MD, is Associate Professor and Vice Chair of Education, Department of Emergency Medicine, Stanford University
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14
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Segado-Fernández S, Lozano-Estevan MDC, Jiménez-Gómez B, Ruiz-Núñez C, Jiménez Hidalgo PJ, Fernández-Quijano I, González-Rodríguez L, Santillán-García A, Herrera-Peco I. Health Literacy and Critical Lecture as Key Elements to Detect and Reply to Nutrition Misinformation on Social Media: Analysis between Spanish Healthcare Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:23. [PMID: 36612345 PMCID: PMC9819553 DOI: 10.3390/ijerph20010023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/29/2022] [Accepted: 12/12/2022] [Indexed: 06/17/2023]
Abstract
Health misinformation about nutrition and other health aspects on social media is a current public health concern. Healthcare professionals play an essential role in efforts to detect and correct it. The present study focuses on analyzing the use of competencies associated with training in methodology, health literacy, and critical lecture in order to detect sources of health misinformation that use scientific articles to support their false information. A qualitative study was conducted between 15 and 30 January 2022, wherein the participants were recruited from active users from a nutrition conversation on Twitter, diets, and cancer and defined themselves as healthcare professionals. This study demonstrates that health literacy and critical lecture competencies allow for the detection of more misinformation messages and are associated with a high rate of responses to users that spread the misinformation messages. Finally, this study proposes the necessity of developing actions to improve health literacy and critical lecture competencies between healthcare professionals. However, in order to achieve this, health authorities must develop strategies to psychologically support those healthcare professionals faced with bullying as a result of their activity on social media debunking health hoaxes.
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Affiliation(s)
- Sergio Segado-Fernández
- Department of Health Sciences, Universidad Europea de Canarias, Calle Inocencio García, 1, La Orotava, 38300 Santa Cruz de Tenerife, Spain
| | - María del Carmen Lozano-Estevan
- VALORNUT-UCM (920030) Research Group, Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Beatriz Jiménez-Gómez
- Nursing Department, Faculty of Medicine, Alfonso X el Sabio University, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Carlos Ruiz-Núñez
- Phd Student Program in Biomedicine, Translational Research and New Health Technologies, School of Medicine, University of Malaga Blvr. Louis Pasteur, 29010 Málaga, Spain
| | - Pedro Jesús Jiménez Hidalgo
- Traumatology and Orthopedic Surgery Service, Hospital Universitario Nuestra Señora de Candelaria, Ctra. Gral. del Rosario, 145, 38010 Santa Cruz de Tenerife, Spain
| | - Invención Fernández-Quijano
- Faculty of Psychology, Universidad Alfonso X el Sabio, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Liliana González-Rodríguez
- VALORNUT-UCM (920030) Research Group, Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Azucena Santillán-García
- Nursing Department, Valencia International University, C/Pintor Sorolla 21, 46002 Valencia, Spain
| | - Ivan Herrera-Peco
- Faculty of Health Sciences, Universidad Alfonso X el Sabio, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
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15
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Alibudbud R, Cleofas JV. Global utilization of online information for substance use disorder: An infodemiological study of Google and Wikipedia from 2004 to 2022. J Nurs Scholarsh 2022; 55:665-680. [PMID: 36345730 DOI: 10.1111/jnu.12844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 10/14/2022] [Accepted: 10/23/2022] [Indexed: 11/11/2022]
Abstract
INTRODUCTION The increasing number of people who use drugs (PWUDs) can be attributed to the rising online sales of drugs and other related substances. Information on drugs and drug markets has also become easily accessible in web-search engines and social media. Aside from providing direct care, nurses have essential roles in preventing substance use disorder. These roles include health education, liaison, and researcher. Thus, nurses must examine and utilize the Internet, where information and transactions related to these substances are increasing. DESIGN/METHODS This study utilized an infodemiological design in exploring the worldwide information utilization for substance use disorder. Data were gathered from Google Trends and Wikimedia Pageview. The data included relative search volumes (RSV), top and rising related queries and topics, and Wikipedia page views between 2004 and 2022. After describing the data, autoregressive integrated mean averaging (ARIMA) models were used to predict future utilization of online information from Google and Wikipedia. RESULTS Google trends ranked 37 countries based on the search volumes for substance use disorder. Ethiopia, Finland, the United States, Kenya, and Canada have the highest RSVs, while the lowest-ranked country is Turkey, followed by Mexico, Spain, Japan, and Indonesia. Google searches for substance use disorder-related information increased by more than 900% between 2004 and 2022. In addition, Wikipedia page views for substance use disorder-related information increased by almost 200% between 2015 and 2022. Based on the ARIMA models, RSVs and page views are predicted to increase by about 150% and 120% by December 2025. Top and rising search-related topics and queries revealed that the public increasingly utilized online information to understand specific substances and the possible mental health comorbidities related to substance use disorders. Their recent concerns revolved around diagnostics, specific substances, and specific disorders. CONCLUSION The Internet can be of paradoxical use in substance use disorder. It has been previously reported to be increasingly used in drug trades, contributing to the increasing prevalence of substance use disorder. Likewise, the present study's findings revealed that it is increasingly utilized for substance use disorder-related information. Thus, nurses and other healthcare professionals should ensure that online information regarding substance use disorders is accurate and up-to-date. CLINICAL RELEVANCE Nurse informaticists can form and lead Internet- and social-media-based health teams that perform national infodemiological investigations to assess online information. In doing so, they can inform, expand, and contextualize ehealth substance use education and strengthen the accessibility and delivery of substance use healthcare. In addition, public health nurses can collaborate to engage patients and communities in identifying harmful substance use disorder information online and creating culturally-appropriate messages that will correct misinformation and improve ehealth literacy, specifically in substance use disorder.
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Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Sciences De La Salle University Manila Philippines
| | - Jerome V. Cleofas
- Department of Sociology and Behavioral Sciences De La Salle University Manila Philippines
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16
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Royan R, Pendergrast TR, Del Rios M, Rotolo SM, Trueger NS, Bloomgarden E, Behrens D, Jain S, Arora VM. Use of Twitter Amplifiers by Medical Professionals to Combat Misinformation During the COVID-19 Pandemic. J Med Internet Res 2022; 24:e38324. [PMID: 35839387 PMCID: PMC9311387 DOI: 10.2196/38324] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/10/2022] [Accepted: 07/13/2022] [Indexed: 11/30/2022] Open
Abstract
Social media is an important tool for disseminating accurate medical information and combating misinformation (ie, the spreading of false or inaccurate information) and disinformation (ie, spreading misinformation with the intent to deceive). The prolific rise of inaccurate information during a global pandemic is a pressing public health concern. In response to this phenomenon, health professional amplifiers such as IMPACT (Illinois Medical Professional Action Collaborative Team) have been created as a coordinated response to enhance public communication and advocacy around the COVID-19 pandemic.
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Affiliation(s)
- Regina Royan
- Department of Emergency Medicine, Northwestern University, Chicago, IL, United States
| | | | - Marina Del Rios
- Department of Emergency Medicine, Roy J and Lucille A Carver College of Medicine, University of Iowa, Iowa City, IA, United States
| | - Shannon M Rotolo
- Department of Pharmacy, University of Chicago Medicine, Chicago, IL, United States
| | - N Seth Trueger
- Department of Emergency Medicine, Northwestern University, Chicago, IL, United States.,JAMA Network Open, Chicago, IL, United States
| | - Eve Bloomgarden
- Division of Endocrinology, Northshore University Health System, Evanston, IL, United States
| | - Deanna Behrens
- Department of Pediatric Critical Care Medicine, Advocate Children's Hospital, Park Ridge, IL, United States
| | - Shikha Jain
- Division of Hematology and Oncology, University of Illinois, Chicago, IL, United States
| | - Vineet M Arora
- Department of Medicine, Pritzker School of Medicine, University of Chicago, Chicago, IL, United States
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17
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Predicting healthcare professionals’ intention to correct health misinformation on social media. TELEMATICS AND INFORMATICS 2022. [DOI: 10.1016/j.tele.2022.101864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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18
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Mourali M, Drake C. Debunking Health Misinformation on Social Media: The Challenge of Dynamic Conversations (Preprint). J Med Internet Res 2021; 24:e34831. [PMID: 35156933 PMCID: PMC8893717 DOI: 10.2196/34831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 01/08/2022] [Accepted: 02/13/2022] [Indexed: 01/22/2023] Open
Abstract
Background The spread of false and misleading health information on social media can cause individual and social harm. Research on debunking has shown that properly designed corrections can mitigate the impact of misinformation, but little is known about the impact of correction in the context of prolonged social media debates. For example, when a social media user takes to Facebook to make a false claim about a health-related practice and a health expert subsequently refutes the claim, the conversation rarely ends there. Often, the social media user proceeds by rebuking the critic and doubling down on the claim. Objective The aim of this study was to examine the impact of such extended back and forth between false claims and debunking attempts on observers’ dispositions toward behavior that science favors. We tested competing predictions about the effect of extended exposure on people’s attitudes and intentions toward masking in public during the early days of the COVID-19 pandemic and explored several psychological processes potentially underlying this effect. Methods A total of 500 US residents took part in an online experiment in October 2020. They reported on their attitudes and intentions toward wearing masks in public. They were then randomly assigned to one of four social media exposure conditions (misinformation only vs misinformation+correction vs misinformation+correction+rebuke vs misinformation+correction+rebuke+second correction), and reported their attitudes and intentions for a second time. They also indicated whether they would consider sharing the thread if they were to see it on social media and answered questions on potential mediators and covariates. Results Exposure to misinformation had a negative impact on attitudes and intentions toward masking (β=–.35, 95% CI –.42 to –.29; P<.001). Moreover, initial debunking of a false claim generally improved attitudes and intentions toward masking (β=.35, 95% CI .16 to .54; P<.001). However, this improvement was washed out by further exposure to false claims and debunking attempts (β=–.53, 95% CI –.72 to –.34; P<.001). The latter result is partially explained by a decrease in the perceived objectivity of truth. That is, extended exposure to false claims and debunking attempts appear to weaken the belief that there is an objectively correct answer to how people ought to behave in this situation, which in turn leads to less positive reactions toward masking as the prescribed behavior. Conclusions Health professionals and science advocates face an underappreciated challenge in attempting to debunk misinformation on social media. Although engaging in extended debates with science deniers and other purveyors of bunk appears necessary, more research is needed to address the unintended consequences of such engagement.
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Affiliation(s)
- Mehdi Mourali
- Haskayne School of Business, University of Calgary, Calgary, AB, Canada
| | - Carly Drake
- Department of Management and Marketing, North Central College, Naperville, IL, United States
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