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老年人个体应对方式与获取及寻求健康信息需求之间的关系:探索性混合方法研究

The Relationship Between Individual Coping and the Need to Have and Seek Health Information Among Older Adults: Exploratory Mixed Methods Study.

作者信息

Theis Sabine, Schäfer Katharina, Schäfer Dajana, Jochems Nicole, Nitsch Verena, Mertens Alexander

机构信息

Institut für Arbeitswissenschaft, RWTH Aachen University, Aachen, Germany.

Institut für Multimediale und Interaktive Systeme, Universität zu Lübeck, Lübeck, Germany.

出版信息

JMIR Hum Factors. 2021 Feb 1;8(1):e15858. doi: 10.2196/15858.

DOI:10.2196/15858
PMID:33522973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7884216/
Abstract

BACKGROUND

The need to have and seek information shapes the context of computing systems. When it comes to health, individual coping influences human behavior. Therefore, the relationship between individual coping and the need to have and seek health information plays a crucial role in the development of digital health systems.

OBJECTIVE

This study aims to examine the relationship between individual coping and the need to have and seek health information among older adults.

METHODS

Questionnaires and semistructured interviews investigated the health information need (HIN) and health information-seeking behavior (HISB) in relation to the individual coping strategies of 26 older Germans.

RESULTS

The mean age of the interviewed group was 71 years (SD 7). Quantitatively, a trend was found for a negative correlation between the avoidance-oriented coping and HIN (r=-0.37895; bias-corrected and accelerated bootstrap 95% BCa CI -0.730 to 0.092; P=.05). The qualitative results supported this finding. For some participants, information and exchange was part of dealing with their health situation, whereas others wanted to learn as little as possible to avoid a decline in their health status. The older adults acquired, collected, and exchanged paper-based health data to augment clinical information sources and support information exchange with professionals.

CONCLUSIONS

Individual coping strategies are relevant for the design of digital health systems. They can support older adults in coping with their health situation, although it remains unclear how systems must be designed for people with an avoidance coping strategy to achieve the same acceptance.

摘要

背景

获取和寻求信息的需求塑造了计算系统的背景。在健康方面,个体应对方式会影响人类行为。因此,个体应对方式与获取和寻求健康信息的需求之间的关系在数字健康系统的发展中起着至关重要的作用。

目的

本研究旨在探讨老年人个体应对方式与获取和寻求健康信息需求之间的关系。

方法

通过问卷调查和半结构化访谈,研究了26名德国老年人在个体应对策略方面的健康信息需求(HIN)和健康信息寻求行为(HISB)。

结果

被访谈组的平均年龄为71岁(标准差7)。在定量分析中,发现回避导向型应对方式与健康信息需求之间存在负相关趋势(r = -0.37895;偏差校正和加速自抽样95%BCa置信区间为-0.730至0.092;P = 0.05)。定性结果支持了这一发现。对于一些参与者来说,信息和交流是应对自身健康状况的一部分,而另一些人则希望尽可能少地了解信息以避免健康状况下降。老年人获取、收集和交换纸质健康数据,以增加临床信息来源并支持与专业人员的信息交流。

结论

个体应对策略与数字健康系统的设计相关。它们可以帮助老年人应对自身健康状况,尽管尚不清楚如何为采用回避应对策略的人群设计系统以获得同样的接受度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77bd/7884216/555540df0980/humanfactors_v8i1e15858_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77bd/7884216/d9c1ef9f561d/humanfactors_v8i1e15858_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77bd/7884216/555540df0980/humanfactors_v8i1e15858_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77bd/7884216/d9c1ef9f561d/humanfactors_v8i1e15858_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77bd/7884216/555540df0980/humanfactors_v8i1e15858_fig2.jpg

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