Tuil W S, Verhaak C M, De Vries Robbé P F, Kremer J A M
Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Hum Reprod. 2008 Nov;23(11):2501-5. doi: 10.1093/humrep/den275. Epub 2008 Jul 25.
The internet introduces new ways to deal with stress. However, it is unclear how its resources are used in everyday life. Using a web-based personal health record (PHR), we observed the patient's online behaviour and linked this to distress, theories on dealing with stress and demographics.
Between 2004 and 2007, all viewed web-pages were logged and categorized into 14 content types. Behavioural styles were elicited using factor analysis. These behavioural styles were subsequently correlated to data on demographics, coping mechanisms and distress from the female partner of the first 53 patient couples that used the PHR.
One thousand and fifty patient couples viewed 588 887 web pages during their first treatment cycle. Factor analysis elicited three online behavioural styles explaining 66.9% of all variance in usage of the website: an 'individual information style', a 'generic information style' and a 'communication style'. The 'individual information style' correlated negatively to having paid employment (Spearman = -0.364, P = 0.007) and emotional coping mechanisms (Spearman = -0.305, P = 0.028). The 'communication style' correlated positively to having paid employment (Spearman = 0.318, P = 0.021) and anxiety (Spearman = 0.381, P = 0.005).
IVF patients show three types of online behaviour. Only limited correlations exist between these styles and demographics, coping mechanisms or distress. When planning a website or portal for IVF patients, content should be adopted accordingly.
互联网引入了应对压力的新方式。然而，尚不清楚其资源在日常生活中是如何被利用的。通过使用基于网络的个人健康记录（PHR），我们观察了患者的在线行为，并将其与痛苦、应对压力的理论以及人口统计学特征联系起来。
在2004年至2007年期间，记录所有浏览过的网页并将其分为14种内容类型。使用因子分析得出行为风格。随后，将这些行为风格与使用PHR的前53对患者夫妇中女性伴侣的人口统计学数据、应对机制和痛苦程度数据进行相关性分析。
1050对患者夫妇在其第一个治疗周期内浏览了588887个网页。因子分析得出三种在线行为风格，解释了网站使用情况中66.9%的方差：“个人信息风格”、“一般信息风格”和“交流风格”。“个人信息风格”与有带薪工作（斯皮尔曼相关系数=-0.364，P=0.007）和情绪应对机制（斯皮尔曼相关系数=-0.305，P=0.028）呈负相关。“交流风格”与有带薪工作（斯皮尔曼相关系数=0.318，P=0.021）和焦虑（斯皮尔曼相关系数=0.381，P=0.005）呈正相关。
体外受精（IVF）患者表现出三种在线行为类型。这些行为风格与人口统计学特征、应对机制或痛苦程度之间仅存在有限的相关性。在为IVF患者规划网站或门户时，应相应地采用相关内容。
