Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
Patient Educ Couns. 2017 Oct;100(10):1918-1927. doi: 10.1016/j.pec.2017.05.033. Epub 2017 May 31.
To identify the variables affecting patients' online health information-seeking behaviours by examining the relationships between patient participation in their healthcare and online health information-seeking behaviours.
A cross-sectional survey of Italian chronic patients (N=352) was conducted on patient's online health information-seeking behaviours and patient participation-related variables. Structural equation modeling analysis was conducted to test the hypothesis.
This study showed how the healthcare professionals' ability to support chronic patients' autonomy affect patients' participation in their healthcare and patient's online health information-seeking behaviours. However, results do not confirm that the frequency of patients' online health-information seeking behavior has an impact on their adherence to medical prescriptions.
Assuming a psychosocial perspective, we have discussed how patients' engagement - conceived as the level of their emotional elaboration of the health condition - affects the patients' ability to search for and manage online health information.
To improve the effectiveness of patients' online health information-seeking behaviours and to enhance the effectiveness of technological interventions in this field, healthcare providers should target assessing and improving patient engagement and patient empowerment in their healthcare. It is important that health professionals acknowledge patients' online health information-seeking behaviours that they discuss the information offered by patients and guide them to reliable and accurate web sources.
通过考察患者参与医疗保健与在线健康信息搜索行为之间的关系，确定影响患者在线健康信息搜索行为的变量。
对意大利慢性病患者（N=352）进行了一项横断面调查，调查内容包括患者的在线健康信息搜索行为和与患者参与相关的变量。采用结构方程模型分析来检验假设。
本研究展示了医疗保健专业人员支持慢性病患者自主性的能力如何影响患者对其医疗保健的参与程度和患者的在线健康信息搜索行为。然而，结果并未证实患者在线健康信息搜索行为的频率对其遵守医嘱有影响。
基于心理社会观点，我们讨论了患者的参与——即他们对健康状况的情感阐述程度——如何影响患者搜索和管理在线健康信息的能力。
为了提高患者在线健康信息搜索行为的有效性，并增强该领域技术干预的效果，医疗保健提供者应评估和改善患者在医疗保健中的参与度和赋权。重要的是，卫生专业人员应承认患者的在线健康信息搜索行为，讨论患者提供的信息，并指导他们访问可靠和准确的网络资源。
