scholarly journals The Relationship between Internet Health Information and Patient Compliance based on Trust: An Empirical Study (Preprint)

2017 ◽  
Author(s):  
Xinyi Lu ◽  
Runtong Zhang ◽  
Wen Wu ◽  
Xiaopu Shang ◽  
Manlu Liu
Keyword(s):  
Empirical Study ◽  
Health Information ◽  
Patient Compliance ◽  
Information Quality ◽  
Reliability And Validity ◽  
The Internet ◽  
Internet Health Information ◽  
The Relationship ◽  
Source Of Information ◽  
Cognition And Affect

BACKGROUND The Internet has become a major means of acquiring health information due to the increasing demand for health information and the development of the Internet. However, Internet health information is of mixed quality and may therefore significantly affects health-related behaviour and decisions. The trust of patients in their physicians may potentially change because of health information obtained from the Internet, thereby affecting their compliance to medical diagnoses and treatment. Hence, it is significant to discuss the relationship between Internet health information and patient compliance from the perspective of trust. OBJECTIVE This study aimed to discuss the relationship between Internet health information and patient compliance from the dimensions of quality and source through theoretical principle (i.e. cognition- and affect-based trust) and empirical study. METHODS An online survey involving 375 participants from 28 cities in China was conducted to assess the research model, which included two independent variables (i.e. Internet health information quality and source of Internet health information), two mediator variables (i.e. cognition- and affect-based trust) and one dependent variable (i.e. patient compliance). All variables were measured using multiple-item scales from previously validated instruments. The scales’ reliability and validity were analysed, demographic analysis was performed and hypotheses were tested using structural equation modelling (SEM). RESULTS The questionnaire response was 89.6%, and the reliability and validity was acceptable (Cronbach’s α = .950 > .700, KMO = .907 > .700, P < .001). This study indicated that the quality and source of Internet health information impacted cognition- and affect-based trust, consequently, patient compliance. In addition, Internet health information source also directly affected patient compliance, and the Internet health information quality was more important than the source of information. Furthermore, cognition- and affect-based trust had significant positive impacts on patient compliance, and cognition-based trust had a significant impact on affect-based trust. Unexpectedly, a nonsignificant relationship between source of Internet health information and affect-based trust was found. CONCLUSIONS The Internet health information quality plays a more important role than the source of information in impacting patient trust, consequently, patient compliance. Therefore, patient compliance should be improved by strengthening the management of Internet health information quality and urging physicians to focus on health websites, and acquire health information from these websites to understand the information accessed by patients and enrich their knowledge structure to show their specialization and reliability in their interaction with patients. Cognition- and affect-based trust directly impact patient compliance. Therefore, physicians can communicate with patients through health websites to allow patients to acquire health information from physicians online and establish cognition-based trust in advance. Furthermore, physicians should focus on providing care and respect for patients and foster a safe atmosphere in which patients can express themselves sufficiently.

scholarly journals Relationship Between Internet Health Information and Patient Compliance Based on Trust: Empirical Study

2018 ◽  
Vol 20 (8) ◽  
pp. e253 ◽  
Author(s):  
Xinyi Lu ◽  
Runtong Zhang ◽  
Wen Wu ◽  
Xiaopu Shang ◽  
Manlu Liu
Keyword(s):  
Empirical Study ◽  
Health Information ◽  
Patient Compliance ◽  
Internet Health Information

Quality of Health Information on the Internet

2009 ◽  
pp. 443-455
Author(s):  
Kleopatra Alamantariotou
Keyword(s):  
Health Information ◽  
Information Quality ◽  
Relevant Information ◽  
The Internet ◽  
High Quality ◽  
Related Information ◽  
Health Related ◽  
Use Of The Internet ◽  
Effective Use

Recent statistics show that the World Wide Web has now grown to over 100 million sites: a phenomenal expansion in only 15 years (Mulligan 2007). It has been estimated that there are 100,000 sites offering health related information (Wilson 2002). As the amount of health information increases, the public find it increasingly difficult to decide what to accept and what to reject (Burgess 2007). Searching for information on the internet is both deceptively easy and the same time frustratingly difficult (Kiley 2002). The challenge for consumers is to find high quality, relevant information as quickly as possible. There has been ongoing debate about the quality of information aimed at patients and the general public and opinions differ on how it can be improved (Stepperd 1999). The purpose of this chapter is to provide a brief overview of the different perspectives on information quality and to review the main criteria for assessing the quality of health information on the internet. Pointers are provided to enable both clinicians and patients find high quality information sources. An understanding of these issues should help health professionals and patients to make effective use of the internet.

The Internet, Health Information, and Managing Health

2009 ◽  
pp. 297-316
Author(s):  
Christopher G. Reddick
Keyword(s):  
Public Opinion ◽  
Health Information ◽  
Internet Access ◽  
The Elderly ◽  
The Internet ◽  
Online Health Information ◽  
Kaiser Family Foundation ◽  
Internet Health Information ◽  
Positive Feelings ◽  
Use Of The Internet

This article examines the use of the Internet for gathering health information by boomers and seniors. This study attempts to determine whether online health seekers (individuals that have Internet access and have searched for health information online) have changed their behaviors from the information they found online. Essentially, has online health information helped them to manage their health more effectively? This research analyzes the Kaiser Family Foundation e-Health and the Elderly public opinion dataset of access by boomers and seniors to online health information. The major results indicate that boomers marginally use online health information more than seniors for the management of their health. The most significant results indicated that boomers and seniors who are more aware and have positive feelings toward online health information would use it more to manage their health.

The Internet, Health Information, and Managing Health

2011 ◽  
pp. 1495-1513
Author(s):  
Christopher G. Reddick
Keyword(s):  
Public Opinion ◽  
Health Information ◽  
Internet Access ◽  
The Elderly ◽  
The Internet ◽  
Online Health Information ◽  
Kaiser Family Foundation ◽  
Internet Health Information ◽  
Positive Feelings ◽  
Use Of The Internet

This article examines the use of the Internet for gathering health information by boomers and seniors. This study attempts to determine whether online health seekers (individuals that have Internet access and have searched for health information online) have changed their behaviors from the information they found online. Essentially, has online health information helped them to manage their health more effectively? This research analyzes the Kaiser Family Foundation e-Health and the Elderly public opinion dataset of access by boomers and seniors to online health information. The major results indicate that boomers marginally use online health information more than seniors for the management of their health. The most significant results indicated that boomers and seniors who are more aware and have positive feelings toward online health information would use it more to manage their health.

Health information seeking preferences of Mexican cancer survivors: Creating an evidence base for the design of high-quality communication programs.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 190-190 ◽  
Author(s):  
Enrique Soto Perez De Celis ◽  
Edgar Baltazar-Avalos ◽  
Lorena Ali Guadalupe Rocha-Rojo ◽  
Patricia Rojo-Castillo ◽  
Yanin Chavarri Guerra
Keyword(s):  
Cancer Survivors ◽  
Health Information ◽  
Information Seeking ◽  
Evidence Base ◽  
The Internet ◽  
Cancer Type ◽  
Health Information Seeking ◽  
High Quality ◽  
Sources Of Health Information ◽  
Source Of Information

190 Background: In order to improve the quality of the communication between the healthcare system and cancer survivors, it is fundamental to understand their preferred sources of health information. In low and middle-income countries (LMICs), little is known regarding which sources are used and trusted the most. This information is crucial to develop effective communication aimed at achieving high-quality equitable cancer care. Our objective was to explore the preferred sources of health information in Mexico, and to understand which factors influence these choices. Methods: We examined sources of health information among cancer survivors in Mexico City using questions from the Spanish Version of the Health Information National Trends Survey (HINTS). The characteristics of survivors who preferred the internet were compared with those who preferred other sources (doctors, printed materials, family members, organizations) using Fisher’s exact test. Logistic regression was used to assess the effects of patient characteristics on health information-seeking. Results: Of 148 participants, 82 (56%) had internet access. Of the 88 patients who had sought health information, 61 (69%) listed the internet as their preferred source. Those 65 and older were less likely to seek health information, regardless of the source (OR 0.17, p < 0.0001). Survivors who preferred the internet were more likely to be younger (p = 0.001), male (p = 0.003) and to have a higher educational level (p = 0.009). Comorbidities, stage, cancer type, and time from diagnosis had no effect on patient preferences. Doctors were the most trusted source of information (85%), followed by the internet (28%) and government agencies (23%). Conclusions: Mexican patients who seek health information online are more likely to be young educated males. Doctors represent the most trusted source of information, particularly for patients from vulnerable populations (such as older women with low educational levels). High-quality healthcare information programs in LMICs should be designed taking these behaviors into account, and patients should continue to receive health information via their most trusted sources.

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