Impact of patient information behaviours in online health communities on patient compliance and the mediating role of patients’ perceived empathy

2021 ◽  
Vol 104 (1) ◽  
pp. 186-193
Author(s):  
Xinyi Lu ◽  
Runtong Zhang
Keyword(s):  
Patient Compliance ◽  
Patient Information ◽  
Online Health Communities ◽  
Mediating Role ◽  
Health Communities

E-HEALTH AND ONLINE HEALTH COMMUNITIES IN THE DAILY LIVES OF OLDER RURAL RESIDENTS DURING THE PANDEMIC

2021 ◽  
pp. 538-544
Author(s):  
К. А. Галкин
Keyword(s):  
Older People ◽  
Medical Care ◽  
Rural Areas ◽  
Computer Literacy ◽  
Self Care ◽  
Leningrad Region ◽  
Rural Medicine ◽  
Online Health Communities ◽  
Health Communities

Ситуация пандемии COVID-19 в очередной раз напомнила о необходимости использования онлайн-сообществ здоровья, особенно в тех районах, где не хватает мест в местных больницах или существуют проблемы с получением качественной медицинской помощи. Это, например, сельские районы, где медицина ориентирована на лечение экстренно возникающих заболеваний и у врачей существуют сложности с возможностью лечения новой коронавирусной инфекции. Онлайн-сообщества здоровья в таком случае предоставляют возможность узнать необходимую информацию, а также общаться со специалистами, которые знают особенности нового коронавируса и могут дать необходимые советы. В настоящей статье на примере глубинных интервью с пожилыми людьми из сёл Ленинградской обл. и Республики Карелия рассмотрена роль телемедицины для пожилых людей и общения в онлайн-сообществах здоровья в контексте преодоления одиночества и изолированности, которая существует в сельской местности. В статье проанализированы особенности и основные препятствия для использования пожилыми людьми телемедицины и общения в онлайнсообществах здоровья - это проблемы с инфраструктурой и отключением электричества, отсутствие у пожилых людей компьютерной грамотности для общения и взаимодействия в онлайн-сообществах здоровья. Роль последних рассмотрена с точки зрения развития самозаботы пожилых людей в сельской местности в периферийных поселениях из-за отсутствия необходимой медицинской помощи. The situation of the COVID-19 pandemic has once again reminded of the need to use telemedicine and online health communities, especially in areas where there are not enough places in local hospitals or there are problems with obtaining quality medical care, such as rural areas where rural medicine is focused on treatment of emergency diseases and doctors have difficulties with the possibility of treatment, as well as explaining about the new coronavirus infection to patients and how this disease can be treated. In this case, online health communities provide an opportunity to find out the necessary information, as well as communicate with specialists who know the features of the new coronavirus and can give the necessary advice. Using the example of in-depth interviews with older people from villages in the Leningrad Region and the Republic of Karelia, the article examines the role of telemedicine for older people and communication in online health communities in the context of overcoming loneliness and isolation that exist in rural areas. The article analyzes the features of the use of telemedicine and the key barriers to the use of telemedicine and communication of older people in online disease communities. In rural areas the main barriers to telemedicine use are infrastructure problems and power outages, as well as the lack of computer literacy for communication and elder people’s interaction in online health communities. In the article the role of online health communities is considered in the context of the self-care of older people and from the point of view of the development of self-care of older people in rural peripheral settlements due to the lack of necessary medical care.

scholarly journals The Discursive Construction of Risk and Trust in Patient Information Leaflets

2017 ◽  
Vol 24 (46) ◽  
pp. 61
Author(s):  
Antoinette Mary Fage-Butler
Keyword(s):  
Discourse Analysis ◽  
Risk Communication ◽  
Patient Information ◽  
Discursive Construction ◽  
Corporate Accountability ◽  
Potential Harm ◽  
Mediating Role ◽  
Patient Information Leaflets ◽  
Information Leaflets

There is wide recognition that the communication of risk in Patient Information Leaflets (PILs) – the instructions that accompany medications in Europe – problematises the reception of these texts. There is at the same time growing understanding of the mediating role of trust in risk communication. This paper aims to analyse how risk is discursively constructed in PILs, and to identify and analyse discourses that are associated with trust-generation. The corpus (nine PILs chosen from the British online PIL bank, www.medicines.org.uk) is analysed using Foucauldian (1972) discourse analysis: specifically, this involves identifying the functions of the statements that constitute the discourses. A discourse analysis of the corpus of PILs reveals that the discourse of risk revolves around statements of the potential harm that may be caused by taking the medication, whilst trust is constructed through three discourses: the discourses that relate to competence and care, in accordance with the trust theories of Poortinga/Pidgeon (2003) and Earle (2010), and a third discourse, corporate accountability, which functions to construct an ethical (trustworthy) identity for the company. This paper contributes to PIL literature in the following ways: it introduces a methodology that has not been used before in relation to these texts, namely, Foucauldian discourse analysis; it helps to identify the presence of trust-generating discourses in PILs; and analysing the discourses of risk and trust at statement-level facilitates a better understanding of how these discourses function in texts that are generally not well-received by the patients for whom they are intended.

scholarly journals Effects of Three Antecedents of Patient Compliance for Users of Peer-to-Peer Online Health Communities: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Anne-Françoise Audrain-Pontevia ◽  
Loick Menvielle ◽  
Myriam Ertz
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Compliance ◽  
Patient Empowerment ◽  
Peer To Peer ◽  
Health Concern ◽  
Equation Modeling ◽  
Online Health Communities ◽  
Health Communities ◽  
The Impact

BACKGROUND Over the past 50 years, patient noncompliance has appeared as a major public health concern and focus of a great deal of research because it endangers patient recovery and imposes a considerable financial burden on health care systems. Meanwhile, online health communities (OHCs) are becoming more common and are commonly used by individuals with health problems, and they may have a role in facilitating compliance. Despite this growing popularity, little is known about patient compliance predictors for OHCs’ users. OBJECTIVE This study aimed to investigate the extent to which participating in OHCs may trigger higher levels of compliance. It identified 3 interrelated predictors that may affect patient compliance: patient empowerment gained through peer-to-peer OHCs, satisfaction with the physician, and commitment to the physician. METHODS A Web-based survey tested the conceptual model and assessed the effects of patient empowerment gained through OHCs on patient satisfaction and commitment to the physician, as well as the effects of these 3 predictors on patient compliance with the proposed treatment. Members of peer-to-peer OHCs were asked to answer an online questionnaire. A convenience sample of 420 patients experiencing chronic illness and using peer-to-peer OHCs was surveyed in August 2018 in Québec, Canada. A path analysis using structural equation modeling tested the proposed relationships between the predictors and their respective paths on patient compliance. The mediation effects of these predictor variables on patient compliance were estimated with the PROCESS macro in SPSS. RESULTS The findings indicated that patient empowerment gained through OHCs was positively related to patient commitment to the physician (beta=.69; <italic>P</italic>&lt;.001) and patient compliance with the proposed treatment (beta=.35; <italic>P</italic>&lt;.001). Patient commitment also positively influenced patient compliance (beta=.74; <italic>P</italic>&lt;.001). Patient empowerment did not exert a significant influence on patient satisfaction with the physician (beta=.02; <italic>P</italic>=.76), and satisfaction did not affect compliance (beta=−.07; <italic>P</italic>=.05); however, patient satisfaction was positively related to patient commitment to the physician (beta=.14; <italic>P</italic>&lt;.01). The impact of empowerment on compliance was partially mediated by commitment to the physician (beta=.32; 95% CI 0.22-0.44) but not by satisfaction. CONCLUSIONS This study highlights the importance of peer-to-peer OHCs for two main reasons. The primary reason is that patient empowerment gained through peer-to-peer OHCs both directly and indirectly enhances patient compliance with the proposed treatment. The underlying mechanisms of these effects were shown. Second, commitment to the physician was found to play a more critical role than satisfaction with the physician in determining patient-physician relationship quality. Overall, our findings support the assumption that health care stakeholders should encourage the use of peer-to-peer OHCs to favor patient empowerment and patient commitment to the physician to increase patient compliance with the proposed treatment.

scholarly journals Empowering patients to co‐design Covid‐19 responses: the role of online health communities

2021 ◽  
Author(s):  
Marian Garcia Martinez ◽  
Carlos Bezos Daleske ◽  
Áurea Benítez León ◽  
Simón Moisés Lalanza Rodelgo ◽  
Raquel Orive Espinosa ◽  
...  
Keyword(s):  
Online Health Communities ◽  
Health Communities

scholarly journals Collective Empowerment in Online Health Communities: Scale Development and Empirical Validation

10.2196/14392 ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. e14392 ◽  
Author(s):  
Sara Atanasova ◽  
Gregor Petric
Keyword(s):  
Factor Analysis ◽  
Predictive Validity ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Factorial Structure ◽  
Online Health Communities ◽  
Health Communities ◽  
Collective Empowerment

Background The role of online health communities (OHCs) in patient empowerment is growing and has been increasingly studied in recent years. Research has focused primarily on individualistic conception of patients’ empowerment, with much less attention paid to the role of OHCs in the development of patients’ collective empowerment. Although OHCs have immense potential for empowerment that goes beyond the individual, the concept and scale of collective empowerment in OHCs have not yet been developed or validated. Objective This study aimed to develop an instrument for measuring collective empowerment in online health communities (CE-OHC) and to test its quality by investigating its factorial structure, reliability, construct validity, and predictive validity. Methods The CE-OHC scale was developed according to a strict methodology for developing valid and reliable scales. An initial set of 20 items was first tested in the pilot study conducted in 2016 using a sample of 280 registered users of Slovenia’s largest OHC. A refined version with 11 items was tested in the main study conducted in 2018 on a random sample of 30,000 registered users of the same OHC. The final sample comprised 784 users. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to investigate the factorial structure, discriminant validity, and convergent validity of the scale. Cronbach alpha coefficient was used to determine the CE-OHC scale’s internal consistency. To establish the predictive validity, ordinary least squares regression was performed to test the role of CE-OHC in users’ civic participation. Results The EFA resulted in a two-factor solution, and the two factors—knowledge of resources and resource mobilization for collective action—together explain 63.8% of the variance. The second-order CFA demonstrated a good fit to the data (root mean square error of approximation=0.07) and the scale had a good internal consistency (alpha=.86). Although evidence of the scale’s convergent validity was partially provided, discriminant validity of the scale remained unconfirmed. Overall, CE-OHC was confirmed to be a predictor of users’ civic participation, but the influence was somewhat weak and inconsistent across two subscales. Conclusions The proposed CE-OHC scale is a reliable and relatively valid instrument and serves as a good baseline to advance the measurement of collective empowerment in OHC contexts. This is the first scale developed for this purpose, and future research should focus on the development of a clear nomological network of the collective empowerment construct in relation to the OHC settings.

scholarly journals Collective Empowerment in Online Health Communities: Scale Development and Empirical Validation (Preprint)

2019 ◽  
Author(s):  
Sara Atanasova ◽  
Gregor Petric
Keyword(s):  
Factor Analysis ◽  
Predictive Validity ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Factorial Structure ◽  
Online Health Communities ◽  
Health Communities ◽  
Collective Empowerment

BACKGROUND The role of online health communities (OHCs) in patient empowerment is growing and has been increasingly studied in recent years. Research has focused primarily on individualistic conception of patients’ empowerment, with much less attention paid to the role of OHCs in the development of patients’ collective empowerment. Although OHCs have immense potential for empowerment that goes beyond the individual, the concept and scale of collective empowerment in OHCs have not yet been developed or validated. OBJECTIVE This study aimed to develop an instrument for measuring collective empowerment in online health communities (CE-OHC) and to test its quality by investigating its factorial structure, reliability, construct validity, and predictive validity. METHODS The CE-OHC scale was developed according to a strict methodology for developing valid and reliable scales. An initial set of 20 items was first tested in the pilot study conducted in 2016 using a sample of 280 registered users of Slovenia’s largest OHC. A refined version with 11 items was tested in the main study conducted in 2018 on a random sample of 30,000 registered users of the same OHC. The final sample comprised 784 users. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to investigate the factorial structure, discriminant validity, and convergent validity of the scale. Cronbach alpha coefficient was used to determine the CE-OHC scale’s internal consistency. To establish the predictive validity, ordinary least squares regression was performed to test the role of CE-OHC in users’ civic participation. RESULTS The EFA resulted in a two-factor solution, and the two factors—knowledge of resources and resource mobilization for collective action—together explain 63.8% of the variance. The second-order CFA demonstrated a good fit to the data (root mean square error of approximation=0.07) and the scale had a good internal consistency (alpha=.86). Although evidence of the scale’s convergent validity was partially provided, discriminant validity of the scale remained unconfirmed. Overall, CE-OHC was confirmed to be a predictor of users’ civic participation, but the influence was somewhat weak and inconsistent across two subscales. CONCLUSIONS The proposed CE-OHC scale is a reliable and relatively valid instrument and serves as a good baseline to advance the measurement of collective empowerment in OHC contexts. This is the first scale developed for this purpose, and future research should focus on the development of a clear nomological network of the collective empowerment construct in relation to the OHC settings.

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