Department of Communication, University of California, Davis, Davis, California 95616, USA.
J Health Commun. 2012;17(8):960-78. doi: 10.1080/10810730.2011.650828. Epub 2012 May 10.
The authors examined online support group members' reliance on their Internet community and other online and offline health resources as they prepare for a scheduled medical appointment. Adult members of an online support group (N = 505) with an upcoming medical appointment completed an online questionnaire that included measures of illness perceptions, control preference, trust in the physician, and eHealth literacy; a checklist of actions one could take to acquire health information; and demographic questions. A factor analysis identified 4 types of information seeking: reliance on the online support group, use of other online health resources, use of offline health resources, and personal network contacts. Previsit information seeking on the Internet was extensive and typically augmented with offline information. Use of online health resources was highest among those who believed they had control over their illness, who attributed many symptoms and negative emotions to it, and who were more eHealth literate. Reliance on the online support group was highest among those who believed they had personal control over their illness, expected their condition to persist, and attributed negative emotions to it. Trust in the physician and preferences for involvement in decision making were unrelated to online information seeking. Most respondents intended to ask their physician questions and request clinical resources based on online information.
作者研究了在线支持小组成员在准备预约的医疗时，对其互联网社区和其他在线及线下健康资源的依赖程度。一个即将进行医疗预约的在线支持小组成员（N=505）的成年成员完成了一份在线问卷，其中包括对疾病认知、控制偏好、对医生的信任和电子健康素养的衡量标准；一份获取健康信息的可采取行动清单；以及人口统计问题。一项因子分析确定了 4 种信息搜索类型：依赖在线支持小组、使用其他在线健康资源、使用线下健康资源和个人网络联系人。在互联网上的就诊前信息搜索非常广泛，通常会补充线下信息。在那些认为自己可以控制疾病、将许多症状和负面情绪归因于疾病、以及具有更高电子健康素养的人中，使用在线健康资源的比例最高。最依赖在线支持小组的是那些认为自己可以控制个人疾病、预计病情会持续并将负面情绪归因于疾病的人。对医生的信任和参与决策的偏好与在线信息搜索无关。大多数受访者打算根据在线信息询问医生问题并要求提供临床资源。
