Health information needs and health information provider segmentation among chronically ill people with comorbidities (original) (raw)
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International Journal of Environmental Research and Public Health
Background: People with chronic illness are particularly dependent on adequate health literacy (HL), but often report difficulties in accessing, understanding, appraising, and applying health information. To strengthen the HL of people with chronic illness, in-depth knowledge about how they deal with health information is crucial. Methods: To this end, quantitative data from the Second Health Literacy Survey Germany (HLS-GER 2) and qualitative data from seven focus group discussions were used to examine the interest in health information, preferred sources of information as well as experiences and challenges with information management among people with chronic illness. Results: The results show that people with chronic illness have a great interest in health information and use very different sources of health information, preferring personal information from physicians most. The results also point to several challenges in health information management that seem to be influenced by...
Correlates of health information seeking between adults diagnosed with and without cancer
PloS one, 2018
To examine predictors of information seeking behavior among individuals diagnosed with cancer versus those without. Cross-sectional data from the Health Information National Trends Survey 4 Cycles 1-3 (October 2011 to November 2013) were analyzed for 10,774 survey respondents aged ≥18 years. Binary logistic regression was used to examine the effect of socio-demographic and behavioral factors on health information seeking. Cancer diagnosis did not predict health information seeking. However, respondents diagnosed with cancer were more likely to seek health information from a healthcare practitioner. Compared to males, females were more likely to seek health information irrespective of cancer diagnosis. Regardless of cancer diagnosis, those without a regular healthcare provider were less likely to seek health information. Likelihood of seeking health information declined across education strata, and significantly worsened among respondents without high school diplomas irrespective of ...
Assessing the significance of health information seeking in chronic condition management
Patient Education and Counseling, 2017
To examine the relationship between health information seeking and confidence in performing self-management activities, and to assess the influence of predisposing, enabling, and perceive need factors on confidence to perform self-management activities among adults with chronic conditions. Methods: The sample included 6724 adults from the 2007 Health Tracking Household Survey who were 18 years with a chronic condition. Binary logistic regression examined the relationship between health information seeking, predisposing, enabling, and perceive need factors and confidence in performing three self-management activities; prevent symptoms, tell doctor concerns, and know when to get medical care. Results: Analyses indicated that 63.7% of adults sought health information. Rural residents who sought health information had 50% (95% CI: 0.28-0.89) lower odds of being confident to tell doctor concerns compared to urban residents who did not seek health information. Conclusion: The relationship between health information seeking and confidence to perform selfmanagement varies by self-management activity. Rurality, education level, having a usual source of care, and perceived health status strongly predict confidence to perform self-management activities. Practice implications: Self-management strategies should incorporate health information seeking behavior that will enhance confidence to perform specific self-management activities, and should incorporate predisposing, enabling, and perceive need factors.
Journal of Aging and Health, 2017
This research examines health information (HI) seeking and use among middle-aged and older adults with chronic health conditions. Method: We used logistic regression models to analyze HI seeking (N = 7,822) and use (N = 4,541-4,547) among participants (aged 45+ years) with chronic conditions from the nationally-representative Health Tracking Household Survey. Results: Adults aged 45+ years with chronic conditions were significantly more likely to seek and use HI; however, these results varied based on the age and education. Compared with Whites, Latinos were less likely to seek HI but more likely to use HI to treat illness, and African Americans were more likely to use HI to maintain health. Conclusion: Middle-aged and older adults with chronic conditions are prominent HI seekers and users. Proficient HI seeking and use may have the potential to enhance control over one's own health, maintain independence in the community, and reduce the impact of negative health consequences on the health care system.
BMC Family Practice, 2018
Background: People use a variety of means to find health information, including searching the Internet, seeking print sources, and talking to healthcare providers, family members, and friends. Doctors are considered the most trusted source of health information, but people may be underutilizing them in favor of searching the Internet. Methods: A multinomial logistic regression of cross-sectional data from Cycle 4 of the Health Information National Trends Survey (HINTS) was conducted. Independent variables included gender, age, rurality, cancer history, general health, income, race, education level, insurance status, veteran status, Internet use, and data year; the dependent variable was the first chosen source of health information. Results: The most frequent initial source of health information was the Internet, and the second most frequent was healthcare providers. There were significant differences in odds of using healthcare providers as the first source of health information. Those likely to use doctors as their initial source of health information were older adults, black adults, adults with health insurance, those who do not use the Internet, and adults who do not have a college degree. Conclusions: People who use healthcare providers as the first source of health information may have better access to health care and be those less likely to use the Internet. Doctors may have to provide more information to those who do not use the internet and spend time verifying information for those who do use health information from the internet.
Health informatics journal, 2015
To synthesize findings from previous studies assessing information needs of primary care patients on the Internet and other information sources in a primary care setting. A systematic review of studies was conducted with a comprehensive search in multiple databases including OVID MEDLINE, CINAHL, and Scopus. The most common information needs among patients were information about an illness or medical condition and treatment methods, while the most common information sources were the Internet and patients' physicians. Overall, patients tend to prefer the Internet for the ease of access to information, while they trust their physicians more for their clinical expertise and experience. Barriers to information access via the Internet include the following: socio-demographic variables such as age, ethnicity, income, education, and occupation; information search skills; and reliability of health information. Further research is warranted to assess how to create accurate and reliable h...
Results of a factorial survey investigating the health information seeking behaviors of older adults
Proceedings of the American Society for Information Science and Technology, 2009
This paper presents the results of research of an experimental research method, the factorial survey, investigating the health information seeking preferences of older adults (60 years and older). Volunteer subjects from rural, urban, and suburban areas in Ohio participated in this study; 450 subjects responded to health information seeking vignettes (the key feature of factorial surveys) and provided demographic data. Using regression analysis and ANOVA, findings from this study address preferences for the format of materials, information on particular health topics, and, preferences for receiving assistance from information providers such as librarians, nurses, pharmacists, and, doctors.
Relationship between Patients’ Access to Health Information and Coping with Chronic Disease
Information Impact: Journal of Information and Knowledge Management
The research examined the association between patients' demographics, access to health information on coping and self-efficacy in managing chronic illness. This is a correlation study. The population for this study is seven hundred and eighty-four patients with chronic diseases in two Federal Government Teaching Hospitals in SouthEast , Nigeria. A Questionnaire and a Coping with Chronic Diseases Self-Efficacy Scale were instruments for data collection. Correlation analysis shows that access to coping information was positively and significantly correlated with self-efficacy in managing chronic diseases. Multiple Regression suggests that disease type was the only patient characteristics significantly associated with self-efficacy when patients have access to coping information. The study conclude that the significant associations indicate that health information can enable patients develop self-efficacy for coping with chronic diseases. Hospital administrators and all stakeholders involved in health care should create an enabling environment for information sharing and flow to patients with chronic diseases. Librarians should play some roles in creating access to health information for patients with chronic diseases through developing and promoting consumer health information resources.