scholarly journals Romanian and German Seniors in Quest of Online Health-Related Information: An Exploratory Comparative Study

2018 ◽  
Vol 20 (1) ◽  
pp. 25
Author(s):  
Valentina Marinescu ◽  
Simona Rodat
Keyword(s):  
Internet Use ◽  
Online Communication ◽  
General Information ◽  
The Internet ◽  
Online Information ◽  
Medical Communication ◽  
Related Information ◽  
Starting Point ◽  
Two Samples ◽  
Health Related

In the last years a shift in the practice of medical communication has occurred and it leads to a displacement from a paternalistic model of patient-provider information toward a model implying an embeddedness of the medical and human values in the medical interaction and in the decision-taking process of the informed patient. Researches show that older adults respond differently to online communication than younger adults. In this context, seniors face new challenges as regards health-related information and medical communication. The present study deals comparatively with the health-related internet use by the seniors in two European countries: Romania and Germany. Using a qualitative methodology, which involved the in-depth semi-structured interviewing of twenty persons aged 65 years or over who used the internet including for health-related search, we tried to find out which are the similarities and differences between the two samples as concerns health-related online informing and medical communication. Our research has revealed a number of interesting results and inferences. Thus, while between the two samples there are similarities as regards using the internet as a starting point for general information related to health and making informed medical decisions, there exist also a series of differences as regards various aspects, such as the health-related internet use itself – the interest and the ways of searching, the accessed content and websites, the trust in the reliability of the online information, the online feedback and activism etc., as well as the openness to discuss with the physicians about the information gained by the internet consumption.

scholarly journals Betegpreferenciák az egészségügyi célú internethasználatban

2018 ◽  
Vol 159 (51) ◽  
pp. 2175-2182
Author(s):  
Zsuzsa Varga ◽  
Tamás Horváth
Keyword(s):  
Mobile Apps ◽  
Online Communication ◽  
Medical Society ◽  
The Internet ◽  
Online Information ◽  
Smartphone Applications ◽  
Related Information ◽  
Health Related ◽  
Use Of Internet ◽  
Monitoring Devices

Abstract: Introduction: More sophisticated implementation of the Internet in healthcare improves medical services innumerably. To better understand the patients’ preferences for health-related use of Internet is warranted. Aim: Our aim was to determine the patients’ health-related Internet use. Method: Patients attending our private clinic between October 2016 and April 2017 were surveyed. Results: 208 questionnaires have been evaluated. Most patients use Internet daily, primarily on mobiles. The majority have already searched for health-related information online, 19% do regularly. 53% are satisfied with online contents and open to websites recommended by physicians. 32% of patients have already communicated with doctors online and 93% are satisfied doing so. 8% of patients use health-related smartphone applications regularly, 6% use other Internet-based health-monitoring devices. 60% of patients have already chosen a physician based on web information, while 17% do regularly. 82% of respondents have not yet shared health-related information on the Internet. Conclusions: The Internet is widely used by patients seeking information about their health, yet they are dissatisfied with the quality. Many patients are open to recommendations offered by physicians regarding sources of online information. Online communication between physician and patient might increase patient satisfaction. There is no breakthrough in the use of health-related websites, mobile apps or devices in Hungary. The demand for such service could be considered moderate. Additionally, online patient forums are not specifically popular. The medical society in Hungary should accept that physician selection by patients depends more increasingly upon information made available online. Orv Hetil. 2018; 159(51): 2175–2182.

A cross-sectional survey among physicians on Internet use for epilepsy-related information (Preprint)

2019 ◽  
Author(s):  
Francesco Brigo ◽  
Simona Lattanzi ◽  
Giorgia Giussani ◽  
Laura Tassi ◽  
Nicola Pietrafusa ◽  
...  
Keyword(s):  
Internet Use ◽  
The Internet ◽  
Online Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Related Information ◽  
Internet Users ◽  
Therapeutic Decisions ◽  
The Individual ◽  
The Web

BACKGROUND The Internet has become one of the most important sources of health information, accessed daily by an ever-growing number of both patients and physicians, seeking medical advice and clinical guidance. A deeper insight into the current use of the Web as source of information on epilepsy would help in clarifying the individual attitude towards this medium by Internet users. OBJECTIVE We investigated views towards the Internet in a sample of Italian healthcare specialists involved in epilepsy field, to explore factors which explained the influence of information found on the internet. METHODS This study was a self-administered survey conducted in a group of members of the Italian Chapter of the International League Against Epilepsy (ILAE) in January 2018. RESULTS 184 questionnaires were analyzed. 97.8% of responders reported to seek online information on epilepsy. The Internet was most frequently searched to obtain new information (69.9%) or to confirm a diagnostic or therapeutic decision (37.3%). The influence of consulting the Internet on clinical practice was associated with registration to social network(s) (OR: 2.94; 95%CI: 1.28-6.76; p=0.011), higher frequency of Internet use (OR: 3.66; 95%CI: 1.56-9.21; p=0.006) and higher confidence in reliability of online information (OR: 2.61; 95%CI: 1.09-6.26; p=0.031). No association was found with age, sex, years in epilepsy practice or easiness to find online information. CONCLUSIONS Internet is frequently used among healthcare professionals involved in the epilepsy to obtain information about this disease. The attitude of being influenced by the Internet for diagnostic and/or therapeutic decisions in epilepsy is independent on age and years of experience in epilepsy, and probably reflects an individual approach towards the Web.

scholarly journals Internet Use in Old Age: Results of a German Population-Representative Survey

10.2196/15543 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e15543
Author(s):  
Janine Quittschalle ◽  
Janine Stein ◽  
Melanie Luppa ◽  
Alexander Pabst ◽  
Margrit Löbner ◽  
...  
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Internet Use ◽  
Age Groups ◽  
Well Being ◽  
The Internet ◽  
German Population ◽  
Regression Analyses ◽  
Related Information ◽  
Health Related

Background The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. Objective The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. Methods Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. Results Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; P<.001), male gender (OR 2.84, 95% CI 2.02-4.00; P<.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; P<.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; P=.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; P=.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; P=.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; P<.004). Conclusions This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.

scholarly journals Internet Use in Old Age: Results of a German Population-Representative Survey (Preprint)

2019 ◽  
Author(s):  
Janine Quittschalle ◽  
Janine Stein ◽  
Melanie Luppa ◽  
Alexander Pabst ◽  
Margrit Löbner ◽  
...  
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Internet Use ◽  
Age Groups ◽  
Well Being ◽  
The Internet ◽  
German Population ◽  
Regression Analyses ◽  
Related Information ◽  
Health Related

BACKGROUND The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. OBJECTIVE The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. METHODS Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. RESULTS Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; <i>P</i>&lt;.001), male gender (OR 2.84, 95% CI 2.02-4.00; <i>P</i>&lt;.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; <i>P</i>&lt;.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; <i>P</i>=.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; <i>P</i>=.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; <i>P</i>=.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; <i>P</i>&lt;.004). CONCLUSIONS This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.

scholarly journals Health-Related Internet Use in Hard-to-Reach Populations: Empirical Findings From a Survey in a Remote and Mountainous Province in China (Preprint)

2018 ◽  
Author(s):  
HongMin Li ◽  
Jin Xu ◽  
Lingui Li ◽  
Qingyue Meng
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Services ◽  
Health Care Services ◽  
Internet Use ◽  
The Internet ◽  
Web Based ◽  
Related Information ◽  
Care Services ◽  
Health Related

BACKGROUND The expanding use of the internet contributes to more effective searches for health-related information and opens up opportunities for direct Web-based communication with health care professionals. However, little is known about how users’ characteristics on the demand side influence health-related internet use, especially in remote and rural areas within developing countries. The absence of accurate estimates of users’ characteristics and their impact on adaptations of health care services in developing countries constrains focused policy-centered discussions and the design of appropriate policies. OBJECTIVE The aim of this study was to assess the prevalence of health-related internet use and to identify its determinants in a remote province in China. METHODS We conducted a cross-sectional survey in June and July of 2018 in Ningxia, located in northwestern China. Rural households were selected by multistage random sampling, and households’ key members were interviewed face-to-face at the respondents’ home. Dependent variables were whether the households use Web health services or not. Independent variables were chosen based on the Andersen behavioral model. Sociodemographic characteristics were compared between households that used health-related Web services with nonusers. We applied logistic regression models to evaluate multivariate associations between respondents’ characteristics and their usage of Web-based health services and obtained odds ratios with 95% CI. RESULTS A total of 1354 respondents from rural households were interviewed, of whom 707 (52.22%) were men. The mean age of the respondents was 44.54 years (SD 10.22). Almost half of the surveyed households (640/1354, 47.27%) reported using 1 or more Web-based health care services, whereas 37.8% (502/1354) reported using the internet to obtain health-related information, 15.51% (210/1354) used the internet to communicate with professionals about health issues, and 7.24% (98/1354) had engaged in Web-based consultations in the last year. After controlling for potential confounders, households engaged in health-related internet use were found to be wealthier, have higher health demands, and have less geographic access to high-quality health care compared with other households. CONCLUSIONS The internet has become a major health information resource in rural Ningxia. Social structures, family enabling factors, health needs, and characteristics relating to health care access were significant predictors of households’ health-related internet use in rural and remote areas in China. Those who belong to older age groups, have low income, and whose education levels do not extend beyond primary school education are significantly less likely to use Web-based health care services and to benefit from Web-based health care programs. A need for continued collaborative efforts involving multiple stakeholders, including communities, Web-based and other health care providers, family members, and the government is needed.

Online Communication and Healthcare

2010 ◽  
pp. 336-356
Author(s):  
Paola Falcone
Keyword(s):  
Virtual Communities ◽  
Online Communication ◽  
Peer To Peer ◽  
The Internet ◽  
Online Information ◽  
Health Organizations ◽  
Health Related

The chapter describes and analyses health-related virtual communities, which soon found their diffusion on the Internet. The chapter mainly focuses on those communities whose members are primarily or exclusively patients, exchanging online information and support, on a peer-to-peer base. It analyses their peculiarities, showing how they match users profile, desired and needs, providing them several benefits, despite initial concerns about their growth. Besides, the chapter identifies the nature and motives of the daily exchange happening among health related virtual communities members, and the peculiarities of their text-based communication, in terms of contents and style. In the last part, some implications for health organizations are identified.

The Impact of a Highly Publicized Celebrity Suicide on Suicide-Related Online Information Seeking

Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 207-209 ◽  
Author(s):  
Florian Arendt ◽  
Sebastian Scherr
Keyword(s):  
Suicide Prevention ◽  
Information Seeking ◽  
The Internet ◽  
Online Information ◽  
Search Queries ◽  
Related Information ◽  
Search Terms ◽  
Celebrity Suicide ◽  
Online Information Seeking ◽  
The Impact

Abstract. Background: Research has already acknowledged the importance of the Internet in suicide prevention as search engines such as Google are increasingly used in seeking both helpful and harmful suicide-related information. Aims: We aimed to assess the impact of a highly publicized suicide by a Hollywood actor on suicide-related online information seeking. Method: We tested the impact of the highly publicized suicide of Robin Williams on volumes of suicide-related search queries. Results: Both harmful and helpful search terms increased immediately after the actor's suicide, with a substantial jump of harmful queries. Limitations: The study has limitations (e.g., possible validity threats of the query share measure, use of ambiguous search terms). Conclusion: Online suicide prevention efforts should try to increase online users' awareness of and motivation to seek help, for which Google's own helpline box could play an even more crucial role in the future.

Executive Dysfunction Mediates the Association Between Older Age and Online Health Information Search Performance

2020 ◽  
Author(s):  
Victoria Kordovski ◽  
Savanna M. Tierney ◽  
Samina Rahman ◽  
Luis D. Medina ◽  
Michelle A. Babicz ◽  
...  
Keyword(s):  
Older Adults ◽  
Executive Functions ◽  
Information Search ◽  
Search Task ◽  
Executive Dysfunction ◽  
Older Age ◽  
The Internet ◽  
Younger Adults ◽  
Related Information ◽  
Health Related

Objective: Searching the Internet for health-related information is a complex and dynamic goal-oriented process that places demands on executive functions, which are higher-order cognitive abilities that are known to deteriorate with older age. This study aimed to examine the effects of older age on electronic health (eHealth) search behavior, and to determine whether executive functions played a mediating role in that regard. Method: Fifty younger adults (≤ 35 years) and 41 older adults (≥50 years) completed naturalistic eHealth search tasks involving fact-finding (Fact Search) and symptom diagnosis (Symptom Search), a neurocognitive battery, and a series of questionnaires. Results: Multiple regression models with relevant covariates revealed that older adults were slower and less accurate than younger adults on the eHealth Fact Search task, but not on the eHealth Symptom Search task. Nevertheless, executive functions mediated the relationship between older age and eHealth Fact Search and Symptom Search accuracy. Conclusions: Older adults can experience difficulty searching the Internet for some health-related information, which is at least partly attributable to executive dysfunction. Future studies are needed to determine the benefits of training in the organizational and strategic aspects of Internet search for older adults and whether these findings are applicable to clinical populations with executive dysfunction.

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