Anxiety and internet searches before percutaneous ultrasound-guided diagnostic procedures (Preprint)

2020 ◽  
Author(s):  
Marcio Meira ◽  
Almir Galvão Vieira Bitencourt ◽  
Demian Jungklaus Travesso ◽  
Rubens Chojniak ◽  
Paula Nicole Vieira Pinto Barbosa

BACKGROUND Percutaneous image-guided procedures are among the most widely-used medical innovations. With the advent of the Internet, a profusion of information has become widely available, however, the reliability of its content is a relevant concern. OBJECTIVE Our study investigated anxiety in patients before undergoing ultrasound (US)-guided invasive procedures and its association with patient assessments of information provided by referring physicians and complementary sources of information, specifically the Internet. METHODS Patients undergoing US-guided invasive elective procedures completed two questionnaires. Before the procedure, the State-Trait Anxiety Inventory (STAI) was applied. After the intervention, another questionnaire that addressed sociodemographic characteristics and assessments of online information was administered. RESULTS One hundred thirty-three patients were evaluated. Higher anxiety scores were significantly observed in female patients (P < 0.001), in those who believe they had received inadequate information from the referring physician (P = 0.002), and in those who assessed the online information to be unreliable (P = 0.002) or difficult to access (P = 0.025). Patients who defined themselves as proactive in online searching reported lower anxiety (P = 0.044). CONCLUSIONS Our results show that the profile of an anxious patient before an US-guided invasive intervention can be established. Information about the procedure, whether provided by the doctor or available on the internet, is also directly related to anxious states.

2021 ◽  
Author(s):  
Marcio Meira ◽  
Almir Galvão Vieira Bitencourt ◽  
Demian Jungklaus Travesso ◽  
Rubens Chojniak ◽  
Paula Nicole Vieira Pinto Barbosa

Abstract Invasive procedures guided by ultrasound (US) are part of the routine medical diagnostic investigation. The lack of knowledge related to technical aspects about them can lead the patient to seek complementary information on the internet, which can trigger anxiety. However, the intersection between the areas of Radiology and Psychology is poorly studied. Here we show the profile of an anxious patient before an US-guided intervention. One hundred thirty-three patients were evaluated. The State-Trait Anxiety Inventory (STAI) was applied for psychometry. Higher anxiety scores were significantly observed in female patient, in those who believe they had received inadequate information from the referring physician, and in those who assessed the online information to be unreliable or difficult to access. Patients who defined themselves as proactive in online searching reported lower anxiety. Our results show that the profile of an anxious patient before an US-guided intervention can be established. The recognition of this profile can guide measures to reduce anxiety in patients who will undergo an US-guided invasive procedure.


2021 ◽  
Author(s):  
Frank Coyle Soltys ◽  
Kimi Spilo ◽  
Mary C Politi

BACKGROUND Congenital Diaphragmatic Hernia (CDH) diagnosis in an infant is distressing for parents. Parents often feel unable to absorb the complexities of CDH during prenatal consultations and use the Internet to supplement their knowledge and decision-making. OBJECTIVE We aimed to examine the content and quality of publicly-available, internet-based CDH information. METHODS We conducted internet searches across two popular search engines. Websites were included if they contained CDH information and were publicly available. We developed a coding instrument to evaluate websites. Two coders were trained, achieved interrater reliability, and rated remaining websites independently. Descriptive statistics were performed. RESULTS Searches yielded 520 websites; 91 met inclusion criteria and were analyzed. Most websites provided basic CDH information including describing the defect (94.1%), need for neonatal intensive care (83.5%) and surgical correction (86.8%). Few mentioned palliative care, decisions about pregnancy termination (14.2%), or support resources (23.1%). CONCLUSIONS Findings highlight the variability of information about CDH on the internet. Clinicians should work to develop and/or identify reliable, comprehensive information about CDH to support parents.


The paper presents the results of a number of author's studies on the possibilities of using new media and the Internet to design innovative social reality in the conditions of such a polyethnoconfessional region as the Republic of Tatarstan. Using an example of an analysis of online discussion and practices around two problematic cases (the obligation to learn the Tatar language by schoolchildren of the republic and the construction of a new incinerator in the territory of Tatarstan), we managed to obtain results, firstly, regarding typical areas of using the Internet by users, and models for their responding to online information; secondly, an assessment of the main sources of information about the Republic of Tatarstan in the network, representations of the positive and negative aspects of the life in the republic in the context of online discussion; thirdly, to identify groups of factors that determine the degree of activity demonstrated by users of social networks online and offline; and, finally, describe strategies for linking online and offline activity when discussing socially significant problems of the republic. The conclusions indicate the factors and necessary conditions for mobilizing users of online discussions for specific actions outside the Internet (participating in meetings, flash mobs, and charity events, joining various kinds of communities, and establishing new personal contacts).


Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 207-209 ◽  
Author(s):  
Florian Arendt ◽  
Sebastian Scherr

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.


2019 ◽  
Author(s):  
Francesco Brigo ◽  
Simona Lattanzi ◽  
Giorgia Giussani ◽  
Laura Tassi ◽  
Nicola Pietrafusa ◽  
...  

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.


2021 ◽  
pp. 1-41
Author(s):  
Ana Cristina Lindsay ◽  
Qun Le ◽  
Denise Lima Nogueira ◽  
Márcia M. T. Machado ◽  
Mary L. Greaney

Abstract Objectives: The objective of this study was to assess sources of information about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women in the United States (US). Design: Cross-sectional survey. Setting: Massachusetts, United States. Participants: First-time pregnant Brazilian women. Results: Eighty-six women, the majority of whom were immigrants (96.5%) classified as having low-acculturation levels (68%), participated in the study. Approximately two-thirds of respondents had sought information about GWG (72.1%), diet (79.1%), and exercise (74.4%) via the internet. Women classified as having low acculturation levels were more likely to seek information about GWG via the internet (OR = 7.55; 95% CI: 1.41, 40.26) than those with high acculturation levels after adjusting for age and receiving information about GWG from healthcare provider (doctor or midwife). Moreover, many respondents reported seeking information about GWG (67%), diet (71%), and exercise (52%) from family and friends. Women who self-identified as being overweight pre-pregnancy were less likely to seek information about diet (OR = 0.32; 95% CI: 0.11, 0.93) and exercise (OR = 0.33; 95% CI: 0.11, 0.96) from family and friends than those who self-identified being normal weight pre-pregnancy. Conclusions: This is the first study to assess sources of information about GWG, diet, and exercise among pregnant Brazilian immigrants in the US. Findings have implications for the design of interventions and suggest the potential of mHealth intervention as low-cost, easy access option for delivering culturally and linguistically tailored evidence-based information about GWG incorporating behavioral change practices to this growing immigrant group.


BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e024188
Author(s):  
Maureen Seguin ◽  
Laura Hall ◽  
Helen Atherton ◽  
Rebecca Barnes ◽  
Geraldine Leydon ◽  
...  

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.


Author(s):  
N. I. Briko ◽  
A. Ya. Mindlina ◽  
R. V. Polibin ◽  
N. P. Galina ◽  
A. S. Gorokhova ◽  
...  

Aim. The study the attitude of population towards the necessity of vaccination. Materials and methods. The survey about the attitude towards vaccination among different groups of population was held. In total there were 1209 respondents: 1031 students of medical, humanitarian and technical universities and 178 parents of children under 2. Results. The most positive attitude towards vaccination was shown by medical students (77%) and parents (71%) and only 33% and 37% of humanitarian and technical students correspondency realize the significance of vaccination. It is worth noting that large number of people could not define their attitude to vaccination. The majority of respondents notices the lack of knowledge about vaccination wherein less than 50% of respondents get the information from doctors. The rest gets it from different sources mostly from the Internet. About 80% of respondents would prefer to get answers to their questions about vaccination in the Internet. Conclusion. The adherence of population of Russia to vaccination has a rather low level. The main reason for it is the lack ofknowledge and availability of true information about vaccination. It is necessary to use diverse sources of information to provide the population with true facts about vaccination, its significance and safety via mass media and the Internet as well.


2019 ◽  
Vol 5 (6) ◽  
pp. 232-248
Author(s):  
Kathiane Benedetti Corso ◽  
Rodrigo de Oliveira Estela ◽  
Marina Valim Bandeira

O boom da internet nos últimos anos levou a sociedade a utilizar novas formas de comunicação. Seus usuários passaram de meros espectadores a produtores de conteúdo. Esta produção de conteúdo leva a uma evolução lógica dos métodos tradicionais de pesquisa, tanto no âmbito empresarial como nas instituições de ensino. Neste cenário, surge o método netnográfico ou, Netnografia. Esta nova ferramenta, focada na pesquisa online, e que favorece a coleta de informações on-line. Este estudo visa esclarecer o conceito básico a respeito da Netnografia, bem como demonstrar a utilização do método nos cursos de Pós-Graduação em Administração no Brasil.   PALAVRAS-CHAVE: Netnografia; Pós-Graduação; Metodologia da Pesquisa; Administração.   ABSTRACT The growing of the internet in recent years has led society to use new forms of communication. His users went from mere viewers to content producers. This leads to a logical evolution of traditional research methods, both in business and in educational institutions. In this scenario, the netnographic method appears. This new tool, focused on online research favors the collection of online information such as images, vídeos and comments. In this way, the presente study aims to clarify the basic concept regarding Netnography, as well as demonstrate the use of the method in the PostGraduate courses in Business in Brazil.   KEYWORDS: Netnography; Post-Graduation; Research Methodology; Business.   RESUMEN El boom de Internet en los últimos años ha llevado a la sociedad a utilizar nuevas formas de comunicación. Sus usuarios pasaron de meros espectadores a productores de contenido. Esta producción de contenido lleva a una evolución lógica de los métodos tradicionales de investigación, tanto en el ámbito empresarial como en las instituciones de enseñanza. En este escenario, surge el método netnográfico o, Netnografía. Esta nueva herramienta, enfocada en la búsqueda en línea, y que favorece la recolección de información en línea. Este estudio pretende esclarecer el concepto básico respecto a la Netnografía, así como demostrar la utilización del método en los cursos de Postgrado en Administración en Brasil.   PALABRAS CLAVE: Netnografía; Postgrado; Metodología de la Investigación; Administración  


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