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.

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 Digital Health Information as Friend or Foe: The Question of (Mis)Trust Among Older Internet Users

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 410-410
Author(s):  
Gul Seckin ◽  
Patricia Campbell ◽  
Megan Lawson
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Health Information ◽  
Internet Use ◽  
Digital Health ◽  
Self Care ◽  
Positive Association ◽  
Older Age ◽  
The Internet ◽  
Health Related

Abstract Gathering health information is among the major motivations for getting online among older adults who want to be better prepared with knowledge to manage their health and personal care. Prior research also showed significant gender differences in health-related use of the Internet. This research examined the effect of Internet use for health information on (a) mistrust of physician, (b) empowerment, (c) self-care, and (d) worry and/or anxiety. The sample (N=710; Mean= 48.82, SD=16.43) was randomly drawn from a national probability-based online panel. We performed gender-stratified sub-sample analyses of older respondents (age ≥60, N= 194). Hierarchical linear regression analyses showed that there is a negative association between older age and feeling empowered because of using the internet for health information (β = -.23, p &lt; .05) and a positive association between older age and mistrust of diagnosis and/or treatment of physician (β = .19, p &lt; .05). Study respondents did not report better self-care as a result of obtaining information from the Internet (β = -.15, p &gt; .05). Lastly, older adults reported less worry and/or anxiety because of information stumbled upon the Internet that may not be accurate (β = -.25, p &lt; .05). Sub-sample analyses showed that there are gender differences. Particularly, older men reported greater mistrust (β = .32, p &lt; .05), and less worry (β = -.44, p ≤ .01) while these associations were not significant among older women. Results call for examination of the synergy of age and gender in perceived benefits of health-related Internet use.

scholarly journals Elderly’s Attitude towards the Selected Types of e-Health

Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 38 ◽  
Author(s):  
Blanka Klimova ◽  
Petra Maresova ◽  
Sunwoo Lee
Keyword(s):  
Older Adults ◽  
Health Services ◽  
The Internet ◽  
Related Information ◽  
Health Domains ◽  
Health Related ◽  
Information And Communication ◽  
General Preference ◽  
To Receive ◽  
Selection Of

This current study was sought to explore how older adults’ adaptation of information and communication technology (ICT) devices was associated with their preference for e-Health services. A total of 224 Czech older adults aged 60+ were analyzed for the study. The sample comprised 21% male and 79% female. A self-reported survey questionnaire was employed to assess the prevalence of the use of ICT devices and the Internet and general preference for e-Health services. A series of t-tests were performed between and within two groups divided into e-Health supporters and non-supporters. The results indicated that nearly half of the respondents preferred to use the Internet for searching for health-related information. We found that older adults’ use of ICT devices and educational level was significantly associated with the selection of the e-Health services. However, gender, household type, and the place for a residence did not count additional variance for the preferred e-Health services. For those who express willingness to receive the e-Health service, the preferred e-Health services should be implemented across relevant health domains. To do so, health professionals ought to provide the necessary equipment and educational programs that help older adults better access and adapt to e-Health services.

scholarly journals The Internet as a source of health-related information among Internet users in the Lodz region, Poland

2017 ◽  
Vol 3 ◽  
pp. 221-224
Author(s):  
Grzegorz Kardas ◽  
Agnieszka Daszyńska ◽  
Małgorzata Koziarska-Rościszewska
Keyword(s):  
The Internet ◽  
Related Information ◽  
Internet Users ◽  
Health Related

scholarly journals The Quality of Online Health-Related Information – an Emergent Consumer Health Issue

2016 ◽  
Vol 62 (4) ◽  
pp. 408-421 ◽  
Author(s):  
Valentin Nădăşan
Keyword(s):  
Evaluation Criteria ◽  
The Internet ◽  
Consumer Health ◽  
Related Information ◽  
Quality Health ◽  
Health Related ◽  
Potential Risks ◽  
Treatment Procedures ◽  
The Relationship

AbstractThe Internet has become one of the main means of communication used by people who search for health-related information. The quality of online health-related information affects the users’ knowledge, their attitude, and their risk or health behaviour in complex ways and influences a substantial number of users in their decisions regarding diagnostic and treatment procedures.The aim of this review is to explore the benefits and risks associated with using the Internet as a source of health-related information; the relationship between the quality of the health-related information available on the Internet and the potential risks; the multiple conceptual components of the quality of health-related information; the evaluation criteria for quality health-related information; and the main approaches and initiatives that have been implemented worldwide to help improve users’ access to high-quality health-related information.

scholarly journals Lifestyle Segmentation to Explain the Online Health Information–Seeking Behavior of Older Adults: Representative Telephone Survey

10.2196/15099 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e15099 ◽  
Author(s):  
Winja Weber ◽  
Anne Reinhardt ◽  
Constanze Rossmann
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Information Seeking ◽  
Internet Use ◽  
Information Seeking Behavior ◽  
The Internet ◽  
Online Health Information ◽  
Sociodemographic Variables ◽  
Seeking Behavior ◽  
Health Related

Background As a result of demographic changes, the number of people aged 60 years and older has been increasing steadily. Therefore, older adults have become more important as a target group for health communication efforts. Various studies show that online health information sources have gained importance among younger adults, but we know little about the health-related internet use of senior citizens in general and in particular about the variables explaining their online health-related information–seeking behavior. Media use studies indicate that in addition to sociodemographic variables, lifestyle factors might play a role in this context. Objective The aim of this study was to examine older people’s health-related internet use. Our study focused on the explanatory potential of lifestyle types over and above sociodemographic variables to predict older adults’ internet use for health information. Methods A telephone survey was conducted with a random sample of German adults aged 60 years and older (n=701) that was quota-allocated by gender, age, educational status, and degree of urbanity of their place of residence. Results The results revealed that participants used the internet infrequently (mean 1.82 [SD 1.07]), and medical personnel (mean 2.89 [SD 1.11]), family and friends (mean 2.86 [SD 1.21]), and health brochures (mean 2.85 [SD 1.21]) were their main sources of health information. A hierarchical cluster analysis based on values, interests, and leisure time activities revealed three different lifestyle types for adults aged over 60 years: the Sociable Adventurer, the Average Family Person, and the Uninterested Inactive. After adding these types as second-step predictors in a hierarchical regression model with sociodemographic variables (step 1), the explained variance increased significantly (R2=.02, P=.001), indicating that the Average Family Person and the Sociable Adventurer use the internet more often for health information than the Uninterested Inactive, over and above their sociodemographic attributes. Conclusions Our findings indicate that the internet still plays only a minor role in the health information–seeking behavior of older German adults. Nevertheless, there are subgroups including younger, more active, down-to-earth and family-oriented males that may be reached with online health information. Our findings suggest that lifestyle types should be taken into account when predicting health-related internet use behavior.

Online Health Information Consumers’ Learning across Health-Related Search Tasks from the Perspective of Retrieval Platform Switching (Preprint)

2021 ◽  
Author(s):  
Yijing Chen ◽  
Hanming Lin ◽  
Jin Zhang ◽  
Yiming Zhao
Keyword(s):  
Information Retrieval ◽  
Health Information ◽  
Information Search ◽  
Health Knowledge ◽  
Online Health Information ◽  
Related Information ◽  
Search Tasks ◽  
Health Related ◽  
Platform Switching ◽  
Information Consumers

BACKGROUND Online health information retrieval has been a top choice for acquiring health information and knowledge by millions worldwide. OBJECTIVE This study aims to investigate consumers’ modification of retrieval platform switch paths across health-related search tasks and learning via such a change. METHODS A lab user experiment was designed to obtain data on consumers’ health information search behavior. Participants accomplished health-related information search tasks. Screen movements were recorded by EV screen-recording software. The participants underwent in-depth interviews immediately after finishing the tasks. Screen recordings and interview data were both coded and analyzed. RESULTS Three types of learning, including the similar transfer learning, optimizing learning, and SERP-guided learning were identified based on five change patterns of retrieval platform switch paths adopted by health information consumers from task 1 to task 2. Health information consumers’ retrieval platform switch based on information usefulness evaluation. And they accessed different amounts and types of health knowledge from different retrieval platforms. CONCLUSIONS The results suggest that health information consumers exhibit learning both through retrieval platform switching and the knowledge they consume during the search process. This facilitates the assessment of a certain retrieval platform’s usefulness by measuring the amount and types of health knowledge in each search result. This study also contributes to the enhancement of consumers’ health information retrieval abilities, and to helping optimize health information retrieval platforms by increasing their exposure to consumers and increasing the matching degree between knowledge types and consumer needs.

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.

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