Department of Communications and New Media, National University of Singapore, Blk AS6, 11 Computing Drive, Singapore 117416, Singapore.
Health Educ Res. 2021 Apr 12;36(2):248-260. doi: 10.1093/her/cyab005.
The existing research routinely measures the influence of health information-seeking behavior (HISB) as a whole, which does not capture the complexity and diversity of media channel usage in HISB. The influence of HISB on patient's lifestyle behaviors and the mediation process through patient-centered communication (PCC) in medical encounters has been understudied in previous literature. Drawing from Street's three-stage model, this study conducted a secondary analysis of the Health Information National Trends Survey in China to investigate the influences of HISB across five different media outlets (e.g. information-oriented media, entertainment-oriented media, search engines, social media and mobile health applications) on two types of healthy lifestyles (e.g. physical activity, fruit and vegetable consumption), by the mediation of PCC. PROCESS path-analysis with bootstrapping estimation was used to test the hypothesized relationships. The results revealed that HISB is positively related to PCC, and PCC positively predicts frequent engagement in healthy lifestyles. Moreover, PCC partially mediates the effect of information-oriented media HISB on healthy lifestyles and fully mediates the effect of HISB through the other four media sources. This study highlights the essential stage of PCC transferring HISB to engagement in healthy lifestyles and draws attention to the varying influences of media channels carrying different characteristics.
现有研究通常将健康信息寻求行为 (HISB) 作为一个整体来衡量，这并不能捕捉 HISB 中媒体渠道使用的复杂性和多样性。先前的文献中对 HISB 对患者生活方式行为的影响以及在医患沟通中通过以患者为中心的沟通 (PCC) 的中介过程研究较少。本研究借鉴 Street 的三阶段模型，对中国健康信息国家趋势调查进行了二次分析，通过中介的 PCC ，研究了来自五种不同媒体渠道（如信息导向型媒体、娱乐导向型媒体、搜索引擎、社交媒体和移动健康应用程序）的 HISB 对两种健康生活方式（如身体活动、水果和蔬菜摄入）的影响。采用 PROCESS 路径分析和自举估计来检验假设关系。结果表明，HISB 与 PCC 呈正相关，PCC 积极预测经常参与健康的生活方式。此外，PCC 部分中介了信息导向型媒体 HISB 对健康生活方式的影响，完全中介了通过其他四个媒体来源的 HISB 的影响。本研究强调了 PCC 将 HISB 转移到参与健康生活方式的重要阶段，并引起了对携带不同特征的媒体渠道的不同影响的关注。
