Skilful Surfing Online for Anxiety Reduction (SO-FAR) in Pregnancy

2022 ◽  
pp. 102-132
Author(s):  
Amy Leigh Rathbone ◽  
Duncan Cross ◽  
Julie Prescott

The development of the Skilful surfing Online For Anxiety Reduction (SO-FAR) in pregnancy (SO-FAR) mental health (mHealth) application (app) was supported by previous research which modelled the theory of Skilful Surfing. The model informed the app development, with each facet of the model corresponding to a different intervention included in the app. The aim of this chapter was to report the development of an mHealth app to relieve pregnancy-specific health anxiety. App content inclusion was based on previous literature and recommendations for mHealth app inclusions. Overall, the chapter provides the reader with a comprehensive account of the development of the SO-FAR app which may reduce levels of pregnancy-specific HA by encouraging women to become more adept when navigating through online health information, self-aware, and educated and promoting the ability to identify triggers and understand when and why they are experiencing maladaptive cognition and rumination in a self-guided manner.

2019 ◽  
Author(s):  
Fabiana Coglianese ◽  
Giulia Beltrame Vriz ◽  
Nicola Soriani ◽  
Gianluca Niccolò Piras ◽  
Rosanna Irene Comoretto ◽  
...  

BACKGROUND There are approximately 1,000,000 pregnant women at high risk for obstetric complications per year, more than half of whom require hospitalization. OBJECTIVE The aim of this study was to determine the relation between online health information seeking and anxiety levels in a sample of hospitalized woman with pregnancy-related complications. METHODS A sample of 105 pregnant women hospitalized in northern Italy, all with an obstetric complication diagnosis, completed different questionnaires: Use of Internet Health-information (UIH) questionnaire about use of the internet, EuroQOL 5 dimensions (EQ-5D) questionnaire on quality of life, State-Trait Anxiety Inventory (STAI) questionnaire measuring general anxiety levels, and a questionnaire about critical events occurring during hospitalization. RESULTS Overall, 98/105 (93.3%) of the women used the internet at home to obtain nonspecific information about health in general and 95/105 (90.5%) of the women used the internet to specifically search for information related to their obstetric disease. Online health information-seeking behavior substantially decreased the self-reported anxiety levels (<i>P</i>=.008). CONCLUSIONS Web browsing for health information was associated with anxiety reduction, suggesting that the internet can be a useful instrument in supporting professional intervention to control and possibly reduce discomfort and anxiety for women during complicated pregnancies.


Author(s):  
Bassel H. Al Wattar ◽  
Connie Pidgeon ◽  
Hazel Learner ◽  
Javier Zamora ◽  
Shakila Thangaratinam

Author(s):  
M Dastani ◽  
M Mokhtarzadeh ◽  
M Eydi ◽  
A Delshad

Introduction: Electronic health literacy is the skill to seek, find, understand and evaluate health information from electronic information sources and utilize this information to determine or resolve specific health problems. This study investigates the level of electronic health literacy in students of Gonabad University of Medical Sciences. Methods: In this descriptive research, 430 students were selected randomly.115 students were from the Faculty of Public Health, 110 from the Faculty of Nursing, 93 from Faculty of Medicineand 112 from the Faculty of Paramedicine were selected and interviwed during six months from August 2018 to March 2019. The data collection tool was the Persian version of the EHEALS questionnaire. The obtained data were analyzed using SPSS-V. 20. Result: The findings indicated that the level of electronic literacy in 45.1% of students was moderate, in 31.6% was good and in 9.1% students was very good. 12.3% of the students had poor health literacy and 1.9% had a very poor level of electronic health literacy (P=0.270). Conclusion: To improve the level of electronic health literacy of students of Gonabad University of Medical Sciences we recommend informing them about having access to online, comprehensive and validated online health information, and training them on web health information


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Kubb ◽  
H Foran

Abstract Background Parents use the Internet commonly for themselves and to search for information about their children's health. However, health-related information from the web has the potential to trigger anxiety and stress. The understanding of contributing factors for distress during health-related information search processes and which factors could be targeted for prevention is still limited. Methods Parents living in Austria with a child between 0 and 6 years were randomly assigned to search the web for current somatic health issues related to self- or child-symptoms. The task was performed on a desktop computer with a timeframe of 15 minutes. The stress level was assessed immediately before and after the search task with the State-Trait Anxiety-Inventory (STAI). Recruitment was terminated early due to the coronavirus disease 2019 pandemic outbreak (sample size prior to COVID-19, N = 53). Results Multiple linear regression was used to predict parents' stress change during the search task based on health anxiety, attitude towards online health information, eHealth literacy, couple satisfaction and parental burden. Health anxiety, attitude towards online health information and eHealth literacy did not significantly contribute to predict parents' stress change (STAI state anxiety change), however couple satisfaction (β = -.393, t = -2.46, p = .018) and parental burden (β = -.388, t = -2.30, p = .026) did. Higher parents' baseline level of stress immediately before the search task was only associated with higher levels of parental burden (β = .882, t = 4.00, p &lt; .001). Conclusions The results of this study indicate the importance of the relational level, rather than the individual level, in understanding stress during online health information seeking among parents. Future research should incorporate relational variables like parental burden and couple satisfaction into theoretical models and test their influence on online health distress in larger samples. Key messages Family and relational variables should be considered in future research investigating distress during online health information seeking for oneself or by proxy. Fostering parents' couple satisfaction and reducing parental burden may can contribute to lower stress levels after symptom-related online searches.


2019 ◽  
Author(s):  
Kyungmi Chung ◽  
Hee Young Cho ◽  
Young Ran Kim ◽  
Kyungun Jhung ◽  
Hwa Seon Koo ◽  
...  

BACKGROUND Previous studies have revealed that most pregnant women rarely discuss informal information found on the internet with health professionals and have frequently expressed concerns for medical experts’ reactions to the online information they shared, as well as the lack of time to consult the medical experts in general. To date, little information is available on the effect of individual differences in utilizing medical help-seeking strategies on their medical decisions during the perinatal period. OBJECTIVE The objectives of this study were (1) to determine associations among perinatal women’s medical help-seeking strategies, changes in medical decision making, and online health information utilization with a focus on the mediating effect of self-efficacy in perinatal health literacy on the intent to consult health professionals, and (2) to clarify these associations in perinatal women with two different medical problems: obstetric and mental health. METHODS A total of 164 perinatal women aged 24 to 47 years (mean 34.64, SD 3.80) repeatedly completed the Problem Solving in Medicine and Online Health Information Utilization questionnaires to examine the moderating effect of two types of medical problems on their decision-making processes. To validate the hypothesized relationships in the proposed conceptual model encompassing obstetric and mental health problem-solving models, path analyses were performed. RESULTS This study found that some perinatal women, who use an online informal medical help-seeking (OIMH) strategy, would be more likely to change their medical decisions based only on internet-based information without consulting health professionals (<i>P</i>&lt;.001), compared to other women using different medical help-seeking strategies. Particularly, this concern is significantly prevalent when encountering obstetric problems during the perinatal period (obstetric problem-solving: <i>P</i>&lt;.001; mental health problem-solving: <i>P</i>=.02). Furthermore, perinatal women with mental health issues using the OIMH strategy showed a significant difference in intent to consult health professionals based on online health information when the medical problem they had to solve was different (obstetric problem-solving: <i>P</i>=.94; mental health problem-solving: <i>P</i>=.003). CONCLUSIONS Despite the positive mediating effects of perinatal women’s enhanced health literacy on the intent to discuss personal medical issues with health professionals based on online health information, the strategy used is of fundamental importance for understanding their help-seeking and decision-making processes during the perinatal period. Beyond a short consultation to steer patients quickly and authoritatively towards an obstetric doctor’s choice of action, it is recommended in this study that obstetricians attempt to provide their patients with needed context for the information found online. To fully explain this information with an open mind, they should actively develop or support information and communications technology (ICT)-based health information services.


10.2196/16793 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e16793
Author(s):  
Fabiana Coglianese ◽  
Giulia Beltrame Vriz ◽  
Nicola Soriani ◽  
Gianluca Niccolò Piras ◽  
Rosanna Irene Comoretto ◽  
...  

Background There are approximately 1,000,000 pregnant women at high risk for obstetric complications per year, more than half of whom require hospitalization. Objective The aim of this study was to determine the relation between online health information seeking and anxiety levels in a sample of hospitalized woman with pregnancy-related complications. Methods A sample of 105 pregnant women hospitalized in northern Italy, all with an obstetric complication diagnosis, completed different questionnaires: Use of Internet Health-information (UIH) questionnaire about use of the internet, EuroQOL 5 dimensions (EQ-5D) questionnaire on quality of life, State-Trait Anxiety Inventory (STAI) questionnaire measuring general anxiety levels, and a questionnaire about critical events occurring during hospitalization. Results Overall, 98/105 (93.3%) of the women used the internet at home to obtain nonspecific information about health in general and 95/105 (90.5%) of the women used the internet to specifically search for information related to their obstetric disease. Online health information-seeking behavior substantially decreased the self-reported anxiety levels (P=.008). Conclusions Web browsing for health information was associated with anxiety reduction, suggesting that the internet can be a useful instrument in supporting professional intervention to control and possibly reduce discomfort and anxiety for women during complicated pregnancies.


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