scholarly journals Relating health information literacy self-efficacy to information technology use and health status: A large-scale study among Chinese undergraduates

Author(s):  
Shengli Deng ◽  
Xiaoyu Chen ◽  
Shaoxiong Fu

The purpose of this paper is to relate individuals’ health information literacy (HIL) self-efficacy to their information technology (IT) use and health status. Using a large-scale field survey with 6,160 valid respondents from undergraduates in a Chinese university, we found that individuals’ HIL self-efficacy was significantly related to some socio-demographics and lifestyle features, IT use, and health status. Meanwhile, some socio-demographics and lifestyle features and health status help identify low HIL self-efficacy individuals, while moderate daily IT use may improve HIL self-efficacy. Theoretical and practical implications, as well as limitations and future work, are also discussed.  

2021 ◽  
Author(s):  
Nikhila Gandrakota ◽  
Mohammed K Ali ◽  
Megha K Shah

BACKGROUND The pandemic forced clinicians to pivot to offering services via telehealth, but it is unclear whether and which patients (users of care) were equipped to use digital health. This is especially pertinent for those adults managing chronic diseases, such as obesity, hypertension, and diabetes, which require regular follow medication management, and self-monitoring. OBJECTIVE To measure the trends and assess factors affecting Health Information Technology Use among US population with and without cardiovascular risk factors. METHODS We used serial cross-sectional National Health Interview Survey (NHIS) data from the years 2012 and 2018 was used to assess trends in health information technology (HIT) use among adults, stratified by age and cardiovascular risk factor status. A linear trend analysis was performed to observe the annual percentage change (APC) in HIT use from the years 2012 to 2018 by age, education, and cardiovascular risk status. We developed multivariate logistic regression models adjusted for age, sex, race, insurance status, marital status, geographic region, and perceived health status to assess the likelihood of HIT use among patients with and without cardiovascular disease risk factors. RESULTS 14,304 (44.6%) and 14,644 (58.7%) participants reported using HIT in 2012 and 2018, respectively. When comparing the rates of HIT use for the years 2012 and 2018 respectively, among participants without cardiovascular risk factors, the HIT use proportion increased from 51.1% to 65.8%, with one risk factor increased from 43.9% to 59%, and with more than one risk factor increased from 41.3% to 54.7%. Increasing trends in HIT use were highest among adults aged >65 years (APC: 8.3%), who had more than one CVD risk factors (APC: 5%), and among those who did not have high school graduation (APC: 8.8%). Likelihood of HIT use was significantly higher in younger, female, non-Hispanic white, higher education and income, married, and individuals reporting very good or excellent health status. In 2018, college graduates were 7.18 (95% CI: 5.86,8.79), 6.25 (5.02,7.78), 7.80 (5.87,10.36) times more likely to use HIT compared to adults without high school education among people with multiple, one, or no cardiovascular risk factors, respectively. CONCLUSIONS Over 2012-2018, HIT use increased nationally, with greater use noted among younger and higher educated U.S. adults. Targeted strategies are needed to engage a wider age-, race-, education-, and socioeconomic groups through lowering barriers to HIT access and utilization.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Vicki Koltsida ◽  
Lise-Lotte Jonasson

Abstract Background The work of registered nurses in home health care is complicated and extensive, and information technology (IT) is used in everyday activities. Coordination between care and resource efficiency is important. There is a wealth of information that supports the notion of sustainable development, but what sustainable development means from the perspective of the registered nurse in home health care when using IT is limited. The term “sustainable development” is not clearly defined and is poorly researched in nursing. Sustainable development in this study includes the ecological, economic, social, technical and ethical dimensions. The aim of this study was to describe registered nurses’ experience of IT use in home health care through a sustainable development model. Methods This study was conducted using ten semi-structured lifeworld interviews with registered nurses. The method employed was a qualitative content analysis with a deductive approach. The deductive approach consisted of a model of sustainable development. Results Analysis of the interviews and the model of sustainable development provided categories: using IT from an ecological dimension, the registered nurses experienced reduced consumption and damage to the environment; using IT in the economical dimension, saving of time and resources was experienced; the use of IT affected social aspects such as the work environment and patient safety, and positive consequences, such as accessibility, were also mentioned; using IT from a technical dimension was characterized by the nurse’s attitude towards it – the registered nurses felt it improved the quality of care and gave users an overview of the organization; and from an ethical dimension, the registered nurses expressed the need for IT to be adaptable to the patient’s well-being and indicated that more awareness of risks in the care meeting may be needed. Conclusion The findings are discussed based on the synergies and conflicts that arise between the different dimensions of sustainable development. IT intertwines and overlaps with, and within, the environment, economy, society, technology and ethics. Registered nurses in home health care want to conduct good and safe care, while using IT could benefit patients.


Author(s):  
Jason J. Saleem ◽  
Kyle Maddox ◽  
Jennifer Herout ◽  
Kurt Ruark

This practice-oriented paper presents a human-centered design (HCD) framework that we developed to perform a comprehensive evaluation of a new health information technology (HIT) system under development, intended to replace a legacy system. The Department of Veterans Affairs (VA) Veteran Crisis Line (VCL) program provides a vital service in crisis intervention and suicide prevention. VCL staff rely on a Customer Relationship Management (CRM) legacy system, Medora. VCL intended to replace Medora with Microsoft Dynamics 365 (D365) CRM system. Due to wide-spread criticism of D365, the VA Human Factors Engineering (HFE) team engaged in a multi-study, mixed-method HCD evaluation to investigate the legacy system and intended replacement in terms of ability to support VCL staff needs. The HCD framework we developed to perform this evaluation may be adapted for other large-scale HIT transitions and may provide human factors practitioners with guidance to make evidence-based decisions to support (or abandon) such transitions.


2013 ◽  
Vol 24 (1A) ◽  
pp. 15-19 ◽  
Author(s):  
Meagan A. Brown ◽  
Lauren Bloodworth ◽  
Leigh Ann Ross ◽  
Leonard Jack ◽  
Kathleen Kennedy

2005 ◽  
Vol 48 (1) ◽  
pp. 105-133 ◽  
Author(s):  
Hiroshi Ono ◽  
Madeline ZavodnY

This study examines whether there are differences in men's and women's use of computers and the Internet in the United States and Japan and, if so, how this gender gap has changed over time. We focus on these two countries because information technology is widely used in both, but there are substantial differences in institutions and social organizations. We use microdata from several surveys during 1997–2001 to examine differences and trends in computer and Internet usage in the two countries. Controlling for socioeconomic characteristics, our results indicate that there were significant gender differences in computer and Internet usage in both countries during the mid-1990s. By 2001 these gender differences had disappeared or were even reversed in the United States but persisted in Japan. People not currently working have lower levels of information technology (IT) use and skills in both countries regardless of gender, but working women in Japan have lower levels of IT use and skills than working men, a difference that generally does not occur in the United States. This suggests that employment status per se does not play a large role in the gender gap in Japan, but type of employment does. The prevalence of nonstandard employment among female workers in Japan can explain much of the gender gap in information technology use and skills in that country.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Albert Liu ◽  
Joy Lee ◽  
Michael Weiner

Background: Transgender people face many potential barriers in healthcare, such as real or perceived discrimination, inability to pay for healthcare services, and misinformation about transgender health needs. It has been hypothesized that, because of these barriers, transgender people may be more receptive to using health information technology than other populations. The purpose of this scoping review was to understand the ways transgender people use health information technology. Methods: This scoping review included English studies that addressed use of technology by transgender people in health sciences literature. The inclusion criteria was studies that documented transgender technology use and did not include studies that only focused on technology use by healthcare providers. Included studies were sorted into categories based on the type of technology transgender participants used. Results: Twenty-nine articles met the study inclusion criteria from an initial pool of 1,276 articles searched from online databases. Many studies were involved with multiple categories. Fourteen articles addressed websites targeting transgender people, twelve included the usage of online social media sites, seven articles involved transgender usage of online surveys, and four articles discussed transgender usage of smartphones in health management. Conclusion and potential impact: Twenty-two studies focused on the application of interventions through websites and social media sites, nineteen of which concluded that web-based health information or interventions were feasible methods to affect the health of transgender people. Sixteen studies concluded that online interactions were accepted, if not preferred, by their transgender participants. This review suggests that further integration of online interventions and healthcare information into these mediums may increase transgender engagement in healthcare and reduce healthcare barriers. Future research to improve understanding of the outcomes of health information technology on the health of transgender people would be an asset for treating a historically medically underserved community.


2019 ◽  
Author(s):  
Hyeyoung Hah ◽  
Deana Goldin

BACKGROUND A telehealth technology education curriculum designed to integrate information technology and telecommunication well has great potential to prepare care providers for health care delivery across space, time, and social and cultural barriers. It is important to assess the readiness level of care providers to use and maximize the benefits of telehealth technology in the health care delivery process. Therefore, this study explored care providers’ existing experience using technology in various use contexts and compared their familiarity with telehealth technology’s relevant features. OBJECTIVE This study’s objective was to explore care providers’ familiarity with using technology in different settings and their perceptions of telehealth-driven care performance to lay a foundation for the design of an effective telehealth education program. METHODS The study used quantitative and qualitative analyses. The online survey included four items that measured care providers’ perceptions of care performance when using telehealth technology. Advanced practice registered nurse students rated each item on a 7-point Likert scale, ranging from 1 (“strongly disagree”) to 7 (“strongly agree”). They also responded to three open-ended questions about what kinds of health information technology they use at work, after work, and in their current educational program. RESULTS A total of 109 advanced practice registered nurse students responded to the online survey and open-ended questionnaire. Most indicated that using telehealth technology enhances care performance (mean 5.67, median 6.0, SD 1.36), helps make their care tasks more effective (mean 5.73, median 6.0, SD 1.30), improves the quality of performing care tasks (mean 5.71, median 6.0, SD 1.30), and decreases error in communicating and sharing information with others (mean 5.35, median 6.0, SD 1.53). In addition, our qualitative analyses revealed that the students used the electronic health records technology primarily at work, combined with clinical decision support tools for medication and treatment management. Outside work, they primarily used video-text communication tools and were exposed to some telehealth technology in their education setting. Further, they believe that use of nonhealth technology helps them use health information technology to access health information, confirm their diagnoses, and ensure patient safety. CONCLUSIONS This research highlights the importance of identifying care providers’ existing experience of using technology to better design a telehealth technology education program. By focusing explicitly on the characteristics of care providers’ existing technology use in work, nonwork, and educational settings, we found a potential consistency between practice and education programs in care providers’ requirements for technology use, as well as areas of focus to complement their frequent use of nonhealth technologies that resemble telehealth technology. Health policymakers and practitioners need to provide compatible telehealth education programs tailored to the level of care providers’ technological familiarity in both their work and nonwork environments.


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