Abstract P135: The Role Of Digital Health In The Management Of Hypertension

Introduction: Digital health involves the use of technology to delivery health care. It is associated with improved clinical outcomes in various populations. We assessed its role in medication adherence in adults with hypertension. Methods: Data from the 2018 National Health Interview Survey data was used. We analyzed 8,224 respondents with hypertension representing about 69 million United States adults. The independent variables were: Use of the internet to (1) to look up health information (2) to fill a prescription and (3) to schedule a medical appointment and use of an email (4) to communicate with a healthcare provider. The dependent variable was anti-hypertensive medication adherence. Chi-square analysis was used to identify group differences and a logistic regression was used to analyze the association between digital health utilization and anti-hypertensive medication adherence. Results: Of the study population, 7,387/8,224 (89.8%) of the respondents reported adherence to anti-hypertensive medications. Those who were adherent were predominantly > 65 years of age, 4141/7387 (47.8%) and earned > $75,000/yearly, 580/2581 (25.2%). The use of internet to look up health information as compared to those who do not, was associated with 30% reduced odds of medication adherence [OR 0.71, 95% CI 0.59, 0.86, p=<.001]. However, this was insignificant after adjusting for covariates [AOR 0.92, 95% CI 0.89, 1.22, p=0.551]. Using the internet to fill up prescription as compared to those who do not, was associated with 47% odds of medication adherence [OR 1.47, CI 1.14,1.90, p=0.003]. This odd increased further after adjusting for covariates [AOR 1.95, CI 1.37,2.78, p=<.001]. No significant association was found in the relationship between medication adherence and scheduling a medical appointment with the internet or communicating with a provider via email even after adjusting for covariates. Conclusion: Increase adherence to anti-hypertensive medications is associated with online refill of prescriptions. This means that the use of digital health technologies in hypertensive populations can lead to better health outcomes. Future studies should evaluate other aspects of digital health use in hypertensive populations.

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The use of online health related information by medical students and their trust in the retrieved information

10.21203/rs.2.17619/v1 ◽

2019 ◽

Author(s):

Reza Khajouei ◽

Zahra Karbasi ◽

Moghaddameh Mirzaee ◽

Arefeh Ameri ◽

Leila Ahmadian

Keyword(s):

Medical Students ◽

Online Education ◽

Health Information ◽

The Internet ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Related Information ◽

Health Related ◽

Use Of The Internet

Abstract Background The Internet plays an important role in attaining health related information and its importance is growing worldwide. The majority of Internet users are university students. However, their use of the Internet for health information has not been well studied. The objective of this study was to examine the use of the Internet by medical students to search for health information. Methods This cross-sectional survey was performed on a sample of 400 Medicine, Dentistry and Pharmacology students selected from three faculties. The data were collected using a valid and reliable questionnaire designed based on the review of the published literature and advice of a panel of experts. Data were analyzed by SPSS 20 using Chi-square and Logistic regression.Results In this study 261 (65.2%) students used the Internet to search for health information. Most of them (n=175, 67%) somewhat trusted the reliability of information on the Internet. Women used the Internet to search for health information 1.74 times than men (p=0.016) and Medicine students 1.7 times than Pharmacology students (p=0.04). The majority of 20-30 years old students believed that using Internet had no effect on their visits to physicians(p=<0.0001). It reduced the number of visits in all students older than 30. Conclusions The content of online resources needs to be monitored in terms of its credibility for using by students especially those involved in health care domain. Based on our findings most students somewhat trusted the online health information. This is promising for the universities to plan for investment on online education and materials.

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Internet use and need for digital health technology among the elderly: a cross-sectional survey in China

BMC Public Health ◽

10.1186/s12889-020-09448-0 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Xinran Sun ◽

Wenxin Yan ◽

Hao Zhou ◽

Zhaoqing Wang ◽

Xueying Zhang ◽

...

Keyword(s):

Internet Use ◽

Digital Health ◽

Elderly Care ◽

The Elderly ◽

Influential Factors ◽

The Internet ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Technologies ◽

Use Of The Internet

Abstract Background China is becoming an aging society at the fastest pace in history, and there are a large number of empty nesters in the country. With economic and social development, internal support systems among families are gradually weakening. Supporting the elderly is thus emerging as a significant issue, and promoting digital health technologies is an effective way to help address it. Encouraging the application of Internet to elderly care and Internet use among the elderly are important means of promoting digital health technologies. This paper examines the current state of the use of the Internet by the elderly and factors influencing it (including physical, psychological, and social) as well as demand among the elderly for smart services. Methods A total of 669 subjects over the age of 60 years were randomly selected from 13 cities in Heilongjiang province and surveyed using questionnaires from May 1 to July 31, 2018. The questionnaires were collected for descriptive statistics, the chi-square test, and the analysis of influential factors. Results Of the people surveyed, 38.6% used the Internet. Their favorite online activity was online dating (74.2%), and the health information they obtained through the Internet was mainly related to diet (63.1%) and exercise (47.1%). The subjects demanded smart bracelets (MD = 2.80) and emergency callers (MD = 2.77). Gender, age, education, monthly income, quality of life, number of friends, and social participation were found to have an impact on Internet use. Conclusions More measures are needed to reduce barriers to the use of the Internet and promote digital health technologies. The society, equipment manufacturers, and family members of the elderly should work together to enable them to reap the benefits of online technologies.

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"A Survey on Addiction to the Internet and its Psychological/Social Effects among Female Internet Users in Esfahan City in the Year 2006 "

Artha - Journal of Social Sciences ◽

10.12724/ajss.13.4 ◽

2008 ◽

Vol 7 (2) ◽

pp. 31

Author(s):

Mohammadreza Lrvani

Keyword(s):

Age Groups ◽

Social Effects ◽

The Internet ◽

Cluster Sampling ◽

Chi Square ◽

Statistical Population ◽

The Troubles ◽

Internet Users ◽

Use Of The Internet ◽

Chi Square Analysis

The purpose of this investigation is to study the internet addition and its psychological-social effects in female internet users in Esfahan City, in the year 2006. The statistical population of this study was the whole population of the female internet users of the cities of Isfahan and Shaheenshar. 115 people (54 single females and 61 married females) who were the internet users of Isfahan City comprised the sample of this study. They were selected using the multistage cluster sampling method. The instrument of this investigation was a researcher-made questionnaire which contained 23 items measuring addiction to the Internet. The following four questions were suggested in this study:1. What are the characteristics of the population of the Internet-addicted users in Esfahan City?2. How is the addiction to the Internet among the female Internet users in Esfahan City?3. How are the common psychological disorders among the female Internet addicted users in Esfahan City?4. How are the social effects of using the internet among the Internet addicted females in Esfahan City?What follows is some of the obtained results. Addiction to the internet among the internet-addicted females is more than the average level. The percentage of addiction to the Internet is not the same in different female age groups. The internet-addicted female users prefer using the Internet to being with their family, walking around with others, and visiting the relatives and friends. Use of the Internet is interesting and different for the usual life of people who are emotionally depressed. It may also lead to the seclusion of some female Internet-dependent users. Most of the female Internet-addicted users believe that the use of the Internet is psychologically pacifying and the troubles caused by others or disruption in internet connection makes them nervous.Statistical methods used in this study: one-variable tests, Chi-square, Analysis of recognition

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A COMPARATIVE ANALYSIS OF UNDERGRADUATES USE OF INTERNET FOR SOCIO-ACADEMIC REASONS

International Journal of Advanced Research ◽

10.21474/ijar01/12707 ◽

2021 ◽

Vol 9 (04) ◽

pp. 446-450

Author(s):

Anthony N. Okwor ◽

◽

Olayanju K. Taiwo ◽

Keyword(s):

Internet Use ◽

Self Report ◽

The Internet ◽

Chi Square ◽

Tertiary Institutions ◽

Essential Services ◽

Use Of The Internet ◽

Chi Square Analysis ◽

Use Of Internet ◽

Report Measure

The internet today is a universal entity whose nature cannot be quickly defined. The internet has provided essential services in the education sector. Perhaps, people in academia rely heavily on the internet for academic purposes. However, observation suggests that a large number of students use the internet for purposes other than academics. The present study aimed to determine the differences in internet use for social or academic purposes among undergraduates in tertiary institutions in Nigeria. A total of two hundred undergraduates comprising male and female drawn from three tertiary institutions participated in the study. The participants completed a self-report measure on internet use for academic and non-academic purposes. A 2x2 contingency Chi-square analysis revealed that female participants used the internet more for non-academic purposes when compared to their male counterparts. A one-way ANOVA showed that the participants differ significantly on the use of the internet for academic purposes according to their levels of study. Discussion and conclusions are discussed.

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Pregnant women readiness to use the Internet to access health information about pregnancy and childbirth: A cross-sectional study (Preprint)

10.2196/preprints.16358 ◽

2019 ◽

Author(s):

Leila Ahmadian ◽

Reza Khajouei ◽

Sudabeh Kamali ◽

Moghaddameh Mirzaee ◽

Arefeh Ameri

Keyword(s):

Pregnant Women ◽

Health Information ◽

Demographic Characteristics ◽

T Test ◽

Descriptive Statistics ◽

The Internet ◽

Chi Square ◽

Readiness Assessment ◽

Pregnancy And Childbirth ◽

Chi Square Test

BACKGROUND Today, the Internet may be a promising tool for interventions for pregnant women. However, these kinds of tools are only helpful if users are ready to use them. OBJECTIVE The present study was conducted with the aim of readiness assessment of pregnant women to use the Internet to access health information about pregnancy and childbirth. METHODS This study was carried out on a sample of 384 pregnant women. Data were collected using a valid and reliable questionnaire. The first section of this questionnaire collected demographic characteristics of the participants. The second part of the questionnaire contains 27 questions covering the following components: infrastructure readiness (6 questions); affordability readiness (3 questions); and skill readiness (12 questions). Data were analyzed with SPSS 19.0 using descriptive statistics, Chi-square test, and T-test. RESULTS This study was carried out on a sample of 384 pregnant women. Data were collected using a valid and reliable questionnaire. The first section of this questionnaire collected demographic characteristics of the participants. The second part of the questionnaire contains 27 questions covering the following components: infrastructure readiness (6 questions); affordability readiness (3 questions); and skill readiness (12 questions). Data were analyzed with SPSS 19.0 using descriptive statistics, Chi-square test, and T-test. CONCLUSIONS The use of the Internet by pregnant women depends on factors such as infrastructure, affordability, and skills readiness. This study showed that speed and the quality of the Internet, hardware and software availability, affordability of the Internet, and access to the Internet training were factors in measuring E-health readiness assessment. CLINICALTRIAL Not applicable

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Health Information Accessed on the Internet: The Development in 5 European Countries

International Journal of Telemedicine and Applications ◽

10.1155/2012/297416 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 19

Author(s):

Per Egil Kummervold ◽

Rolf Wynn

Keyword(s):

Health Information ◽

Major Part ◽

Information Access ◽

European Countries ◽

Northern Europe ◽

The Internet ◽

Continuous Growth ◽

Media Source ◽

Use Of The Internet ◽

Near Future

The aim of this study was to summarize and analyse findings from four prior studies on the use of the Internet as a source of health information in five European countries (Norway, Denmark, Germany, Greece, and Portugal). A cross-study comparison of data was performed. All the studies included fit with a trend of a sharp and continuous growth in the use of the Internet for health information access in the major part of the last decade. Importantly, the Internet has become an important mass media source of health information in northern Europe. While the use of the Internet for health information is somewhat less common in the south European countries, its use is also clearly increasing there. We discuss the advantages of cross-study comparisons of data and methodological challenges. As the use of the Internet for health information is likely to peak in some countries in the near future, new population surveys on health information access should focus more on the details of information that is accessed and which sites that are most used and trusted.

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Use of the internet for health information: A study of Australians and New Zealanders

Informatics for Health and Social Care ◽

10.1080/17538150903102448 ◽

2009 ◽

Vol 34 (3) ◽

pp. 149-158 ◽

Cited By ~ 30

Author(s):

Robin Gauld ◽

Sheila Williams

Keyword(s):

Health Information ◽

The Internet ◽

Use Of The Internet ◽

New Zealanders

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Protocol paper for the ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study: a mixed qualitative methods study

BMJ Open ◽

10.1136/bmjopen-2018-024188 ◽

2018 ◽

Vol 8 (8) ◽

pp. e024188

Author(s):

Maureen Seguin ◽

Laura Hall ◽

Helen Atherton ◽

Rebecca Barnes ◽

Geraldine Leydon ◽

...

Keyword(s):

Health Information ◽

Current Evidence ◽

The Internet ◽

Online Health Information ◽

Online Information ◽

Wide Range ◽

Patient Questionnaires ◽

Ethical Approval ◽

Use Of The Internet ◽

Questionnaire Studies

IntroductionMany patients now turn to the internet as a resource for healthcare information and advice. However, patients’ use of the internet to manage their health has been positioned as a potential source of strain on the doctor–patient relationship in primary care. The current evidence about what happens when internet-derived health information is introduced during consultations has relied on qualitative data derived from interview or questionnaire studies. The ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study combines questionnaire, interview and video-recorded consultation data to address this issue more fully.Methods and analysisThree data collection methods are employed: preconsultation patient questionnaires, video-recorded consultations between general practitioners (GP) and patients, and semistructured interviews with GPs and patients. We seek to recruit 10 GPs practising in Southeast England. We aim to collect up to 30 patient questionnaires and video-recorded consultations per GP, yielding up to 300. Up to 30 patients (approximately three per participating GP) will be selected for interviews sampled for a wide range of sociodemographic characteristics, and a variety of ways the use of, or information from, the internet was present or absent during their consultation. We will interview all 10 participating GPs about their views of online health information, reflecting on their own usage of online information during consultations and their patients’ references to online health information. Descriptive, conversation and thematic analysis will be used respectively for the patient questionnaires, video-recorded consultations and interviews.Ethics and disseminationEthical approval has been granted by the London–Camden & Kings Cross Research Ethics Committee. Alongside journal publications, dissemination activities include the creation of a toolkit to be shared with patients and doctors, to guide discussions of material from the internet in consultations.

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