The Impact of Medical or Health-Related Internet Searches on Patient Compliance

2022 ◽  
pp. 72-97
Author(s):  
Sara Wilcox ◽  
Olha Huzo ◽  
Annu Minhas ◽  
Nicole Walters ◽  
Joel Ehis Adada ◽  
...  

Health-related Internet searches have been associated with cyberchondria and can impact how patients receive and react to medical advice. The purpose of this study was to analyze the relationships between patient compliance and the experiences of 191 Internet information seekers from >12 countries and 27 occupations, surveyed online between 2015 and 2016 using the ‘Dr. Net' questionnaire. After Internet search, 75% agreed with the diagnosis given by their doctor and 83% remained compliant with their doctor's orders. Statistical analysis using Kruskal-Wallis H test (“one-way ANOVA on ranks”) and Spearman correlation coefficient revealed strong positive correlations (p < 0.001) between compliance and each of the following: finding the search helpful (86%), being satisfied with Internet information (71%), becoming more cautious about health (60%), finding the information provided by their doctor comprehensible (71%), and agreement with physician. Recommendations are discussed for increasing ehealth literacy and patient-physician trust with improved online medical information.

Author(s):  
Hani H. Al-Nakhli ◽  
Hussein G. Bakheet

Recent data has shown increasing rates of musculoskeletal disorders among the working community. These health-related complications are considered to be amongst the leading causes of disability, and limitation of motion within modern office workers. Many of these disorders are commonly caused by improperly accommodated workplaces. The importance of this study surfaces around the challenges that will be faced during the implementation of Saudi vision's 2030; if this topic is not addressed adequately. The study aims to detect and prevent office related injuries by investigating their associations with improper workstation ergonomics. This was conducted within the framework of studying the current situation of office ergonomics with focus on sitting postures. Correlations between workers' musculoskeletal pains, and their habits were evaluated. For collecting the necessary data, a thirty-item questionnaire was distributed to more than one thousand randomly selected workers within Saudi Arabia. This questionnaire was developed to better study the personal demographics, medical information, muscular pain, physical therapy history, workstation ergonomics, and sitting practices. After filtering and analyzing the collected data, the results of the survey indicated that 78% of the total participants had experienced some sort of musculoskeletal pains, from which 84% of them stated that their sitting postures are awkward, during their working hours. Also, from the total number of musculoskeletal pain sufferers, approximately 32% visited a physical therapy clinic seeking relief for their pains. However, only 39% of them benefitted from the physical therapy interventions, whereas 61% did not. From the individuals whom did not respond to physical therapy, 80% of them identified that they were equipped with ergonomically inconvenient workstations or they were not aware of the correct way to occupy their workstations. To a greater extent, 74% of the total number of participants were supplied with ergonomically inconvenient workstations, which suggests that the employment of anthropometry and workstation ergonomics is not up to standards in Saudi Arabia, causing an extensive impact in escalating muscular pain. In conclusion, raising the awareness of the population regarding the importance of workplace ergonomics is critical; after highlighting the risks of awkward sitting postures. It is worth mentioning that the appropriate employment of office ergonomics requires the cooperation of both; employees and employers. Only by this alliance, ergonomics will contribute in increasing productivity, and decreasing time loss leading to the maintenance of healthy individuals.


1999 ◽  
Vol 38 (02) ◽  
pp. 75-79 ◽  
Author(s):  
O. Obst ◽  
K. Adelhard

AbstractA huge amount of medical information is available on the Internet for both experts and laypersons. These resources are frequently used to answer current medical questions and are thus likely to influence the behavior of the users. Criteria for assessing the quality of medical Internet resources have been established by a number of authors and institutions to provide reliable medical information on the Internet for both patients and physicians. Clinical studies on the impact of information on the Internet are still lacking. The next step is to evaluate the outcome of such information services and to prove that they affect health-related parameters. Due to different constraints, classical strategies of controlled clinical trials can only be partly applied. New methods have to be developed and validated in practice.


2021 ◽  
Author(s):  
Matthias Marsall ◽  
Gerrit Engelmann ◽  
Eva-Maria Skoda ◽  
Martin Teufel ◽  
Alexander Bäuerle

BACKGROUND The World Wide Web has become an essential source of health information. Especially the COVID-19 pandemic has shown that the amount and the quality of information provided can lead to an information overload. Therefore, people do need certain skills to search, identify and evaluate information from the internet. In the context of health information, these competences are described as eHealth literacy, which could be confirmed as predictor of various health-related outcomes. Existing instruments assessing eHealth literacy reveal limitation of methodological standards of test development and validation. Furthermore, existing scales do not cover the entire cognitive processes, which are proposed within the construct of eHealth literacy. OBJECTIVE The objective of this study is the development and validation of an extended eHealth literacy scale to provide an economic and empirically confirmed measurement of eHealth literacy in German language. METHODS For development, items from 2 international, validated instruments were merged to cover a wide bandwidth of the construct of eHealth literacy. Translation into German followed scientific guidelines and recommendations ensuring content validity. A convenience sample of N=470 German-speaking people was collected from October to November 2020. Validation was carried out by confirmatory factor analysis. Correlations were performed to examine for convergent, discriminant, and criterion validity. Additionally, analyses of measurement invariance of gender, age, and educational level were conducted. RESULTS Analyses revealed a 3-factorial model of eHealth literacy. By item-reduction, the 3 factors information seeking, information identification, and information evaluation were measured with 11 items reaching good model fits (CFI: 0.959 ; TLI: 0.945; RMSEA: 0 .068; SRMR: 0.045). Convergent validity was confirmed by positive correlations of information seeking, information identification, and information evaluation with health literacy (r=0.43, P<.001; r= 0.53, P<.001; r= 0.55, P<.001, respectively). No significant correlations with impulsivity (r=-0.06, P=.16; r=-0.08, P=.08; r=-0.08, P=.10, respectively) confirmed discriminant validity. Criterion validity was supported by positive correlations of information identification and information evaluation with mental health (r=0.29, P<.001; r= 0.21, P<.001, respectively). Analyses with further variables confirmed convergent, discriminant and criterion validity. Strict measurement invariance of gender (CFI: 0.941; TLI: 0.941 ; RMSEA: 0.073; SRMR: 0.059), age (CFI: 0.943; TLI: 0.943 ; RMSEA: 0.070; SRMR: 0 .053), and educational level (CFI: 0.956; TLI: 0.959 ; RMSEA: 0.059; SRMR: 0.060) was confirmed. CONCLUSIONS Following scientific suggestions for translation and performing analyses confirming 3-factorial structure, we developed the 3-factor eHealth literacy inventory (3F-EHLI) as an economic and valid assessment of eHealth literacy. By verifying measurement invariance of gender, age, and educational level, the 3F-EHLI is an applicable measurement independently of these main sociodemographic variables. The 3F-EHLI represents a valid and economic instrument international further development of the measurement of the important health-related construct of eHealth literacy.


2020 ◽  
pp. 7-9
Author(s):  
Dolli S. Aasani ◽  
Jayesh Kathiria ◽  
Mohit Chauhan

Introduction: The World‑Wide‑Web (WWW) or internet has become an important source of information including medical information globally. India stands second in the world with approximately 500 million internet users. Worldwide, about 4.5% of all internet searches are for health-related information and more than 70, 000 websites disseminate health information. Widespread use of internet as a source of health information has an effect on health-related knowledge, attitude and practices of general population as well as doctor-patient relationship. Objective: To assess the impact of health information available through internet on doctor-patient relationship from the doctor’s perspective. Methods: A web based study was conducted among the clinical doctors for the duration of 2 months. 16 questionnaires were prepared by authors and pre-validated by pilot study and expert’s opinion. Written informed consent from each 31 doctors participated in the study had taken. Result: 87% doctors agree that patient who had done internet search before the doctor's visit, takes more consultation time. 71% doctors believes that it is difficult to treat internet user patient because of distrustful behaviour and they suggest new investigations or ask for super-specialist's opinion. 90 % doctors agree that distrustful patients misuses the internet health information to test doctor's knowledge. 77% doctors believes that in spite of google search patients still have same faith on doctor. Conclusion: The impact of health information available through internet on doctor-patient relationship is both positive and negative and they perceive the overall effects on doctor-patient relationship as neutral.


Author(s):  
Phillippa Carnemolla ◽  
Catherine Bridge

The multi-dimensional relationship between housing and population health is now well recognised internationally, across both developing and developed nations. This paper examines a dimension within the housing and health relationship – accessibility – that to date has been considered difficult to measure. This paper reports on the mixed method results of larger mixed-method, exploratory study designed to measure the impact of home modifications on Health-Related Quality of Life, supported by qualitative data of recipients’ experiences of home modifications. Data was gathered from 157 Australian HACC clients, who had received home modifications. Measurements were taken for both before and after home modifications and reveal that home modifications were associated with an average 40% increase in Health-Related Quality of Life levels. The qualitative results revealed that participants positively associated home modifications across six effect themes: increased safety and confidence, improved mobility at home, increased independence, supported care-giving role, increased social participation, and ability to return home from hospital. This exploratory research gives an insight into the potential for accessible architecture to impact improvements in community health and wellbeing.


2020 ◽  
Author(s):  
Shaojie Li ◽  
Yongtian Yin ◽  
Lijun Chen ◽  
Guanghui Cui ◽  
Jiaqin Li ◽  
...  

BACKGROUND Older adults’ health literacy levels are crucial to improving health outcomes and health-related quality of life (HRQoL). However, the impact of eHealth literacy on HRQoL in older adults is unclear. OBJECTIVE The aim of this study was to examine the association between eHealth literacy and HRQoL of older adults and provide reference for the development of network intervention measures related to the health quality of life of the older adults. METHODS An anonymous cross-sectional survey was conducted among 1,201 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale and Short-Form Health Survey (SF-12) were used to measure eHealth literacy and HRQoL. We used linear regression to test the adjusted association between eHealth literacy and HRQoL. RESULTS Most participants (88.9%) had inadequate eHealth literacy. Lower eHealth literacy was related to older age ( F=12.618, P<.001), female gender( t=3.303, P<.01), living in rural areas( F=11.356, P<.001), having less education( F=59.084, P<.001), being unmarried, divorced or widowed( t=4.416, P<.001), having a lower family income( F=38.017, P<.001), living with others(χ2=4.319, P<.05), and not having health insurance( F=12.713, P<.001). There were significant differences across physical functioning( t=-4.862, P<.001), role- physical( t=-2.485, P<.05), bodily pain( t=-3.470, P<.01), general health( t=-4.449, P<.001), vitality( t=-3.498, P<.001), role-emotional( t=-2.654, P<.01), mental health( t=-4.150, P<.001), physical component summary( t=-6.350, P<.001) and mental component summary( t=-4.483, P<.001) between adequate eHealth literacy and inadequate eHealth literacy. After controlling for age, gender, and other covariates, adequate eHealth literacy was positively related to physical component summary ( beta=7.6, P<.001) and mental component summary(beta=4.6, P=.001). CONCLUSIONS This study showed that Chinese older adults with higher eHealth literacy were more likely to contribute to higher HRQoL. Thus, Older adults’ eHealth literacy levels need to be taken into account when formulating health education and promotion programs for older adults, especially when the expected outcome is to improve HRQoL.


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