Development of a Value Co-Creation Wellness Model: The Role of Physicians and Digital Information Seeking on Health Behaviors and Health Outcomes

2018 ◽  
Vol 52 (3) ◽  
pp. 562-594 ◽  
Author(s):  
Andrew J. Dahl ◽  
James W. Peltier ◽  
George R. Milne
Author(s):  
Jada G. Hamilton ◽  
Jennifer L. Hay ◽  
Colleen M. McBride

It was expected that personalized risk information generated by genetic discovery would motivate risk-reducing behaviors. However, though research in this field is relatively limited, most studies have found no evidence of strong negative nor positive psychological or behavioral influences of providing genetic information to improve individual health behaviors. As noted by systematic reviews and agenda-setting commentaries, these null findings may be due to numerous weaknesses in the research approaches taken to date. These include issues related to study samples and design, as well as the motivational potency of risk communications. Moreover, agenda-setting commentaries have suggested areas for improvement, calling for expanded consideration of health outcomes beyond health behaviors to include information exchange and information-seeking outcomes and to consider these influences at the interpersonal and population levels. A new generation of research is adopting these recommendations. For example, there is a growing number of studies that are using communication theory to inform the selection of potential moderating factors and their effects on outcomes in understanding interpersonal effects of shared genetic risk. Researchers are taking advantage of natural social experiments to assess the general public’s understanding of genetics and inform approaches to improve their facility with the information. Additionally, there are examples of risk communication approaches addressing the complexity of genetic and environmental contributors to health outcomes. Although the pace of this translation research continues to lag behind genetic discovery research, there are numerous opportunities for future communications research to consider how emerging genomic discovery might be applied in the context of health promotion and disease prevention.


2015 ◽  
Vol 64 (6/7) ◽  
pp. 468-479 ◽  
Author(s):  
Janet Mawby ◽  
Allen Foster ◽  
David Ellis

Purpose – The purpose of this paper is to describe one of the preliminary results from interviews conducted as part of a PhD study into examining the role of peer and family influences on information-seeking behaviour. Design/methodology/approach – The principal method of data collection was 38 semi-structured critical incident interviews, based on an interview guide and a short questionnaire to collect factual data. Some social network analysis of interviewees’ information sources is considered. Both quantitative and qualitative methods of analysis were used to code the interview transcripts. A naturalistic approach to everyday information seeking is taken. Findings – One of the preliminary findings of this research is that the notion of a new type of information has emerged – disposable information. A new type of information-seeking behaviour is also suggested here for disposable information – disposable information seeking. Disposable information is task specific and likely to only be required by an individual on a one-off basis, causing different everyday life information seeking (ELIS) patterns to emerge. Ultimately, people are only prepared to expend effort to get quality information if they perceive a value or further, continued use of that information. Research limitations/implications – Because of the research location and participant population, the results may lack transferability. Further research into this area is advised. Practical implications – The paper has implications about how people may search for and use information in certain situations where information is perceived as relevant to a particular task but unlikely to be needed in the future. Originality/value – This paper introduces the new concept of disposable information and disposable information-seeking behaviour.


2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.


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