School of Health Science, Oakland University, Rochester, USA.
Department of Biostatistics and Bioinformatics, Tulane University's School of Public Health and Tropical Medicine, New Orleans, USA.
Patient Educ Couns. 2017 Aug;100(8):1519-1526. doi: 10.1016/j.pec.2017.03.012. Epub 2017 Mar 7.
To examine the relationship between health information seeking and confidence in performing self-management activities, and to assess the influence of predisposing, enabling, and perceive need factors on confidence to perform self-management activities among adults with chronic conditions.
The sample included 6724 adults from the 2007 Health Tracking Household Survey who were ≥18 years with a chronic condition. Binary logistic regression examined the relationship between health information seeking, predisposing, enabling, and perceive need factors and confidence in performing three self-management activities; prevent symptoms, tell doctor concerns, and know when to get medical care.
Analyses indicated that 63.7% of adults sought health information. Rural residents who sought health information had 50% (95% CI: 0.28-0.89) lower odds of being confident to tell doctor concerns compared to urban residents who did not seek health information.
The relationship between health information seeking and confidence to perform self-management varies by self-management activity. Rurality, education level, having a usual source of care, and perceived health status strongly predict confidence to perform self-management activities.
Self-management strategies should incorporate health information seeking behavior that will enhance confidence to perform specific self-management activities, and should incorporate predisposing, enabling, and perceive need factors.
研究健康信息搜索与自我管理活动信心之间的关系，并评估倾向因素、促成因素和感知需求因素对慢性病成人进行自我管理活动信心的影响。
该样本包括来自 2007 年健康追踪家庭调查的 6724 名≥18 岁的慢性病成年人。二元逻辑回归分析了健康信息搜索、倾向因素、促成因素和感知需求因素与进行三种自我管理活动（预防症状、告知医生关注点和何时就医）信心之间的关系。
分析表明，63.7%的成年人寻求健康信息。与未寻求健康信息的城市居民相比，寻求健康信息的农村居民在告知医生关注点方面的信心较低，odds 比为 0.28-0.89。
健康信息搜索与自我管理活动信心之间的关系因自我管理活动而异。农村、教育程度、有常规医疗服务来源和感知健康状况强烈预测自我管理活动的信心。
自我管理策略应纳入健康信息搜索行为，以增强对特定自我管理活动的信心，并应纳入倾向因素、促成因素和感知需求因素。
