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加拿大原住民母亲利用基于网络和应用程序的信息来源支持健康育儿和婴儿健康:诠释性描述

Indigenous Mothers' Use of Web- and App-Based Information Sources to Support Healthy Parenting and Infant Health in Canada: Interpretive Description.

作者信息

Wright Amy Lynn, VanEvery Rachel, Miller Vicky

机构信息

Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

McMaster University, Hamilton, ON, Canada.

出版信息

JMIR Pediatr Parent. 2021 May 21;4(2):e16145. doi: 10.2196/16145.

Abstract

BACKGROUND

Web-based sources of health information are widely used by parents to support healthy parenting and aid in decision making about their infants' health. Although fraught with challenges such as misinformation, if used appropriately, web-based resources can improve access to health education and promote healthy choices. How Indigenous mothers use web-based information to support their parenting and infants' health has not yet been investigated; however, web-based modalities may be important methods for mitigating the reduced access to health care and negative health care interactions that many Indigenous people are known to experience.

OBJECTIVE

This study aims to understand the experience of Indigenous mothers who use web-based information to support the health of their infants.

METHODS

This interpretive description qualitative study used semistructured interviews and a discussion group to understand how Indigenous mothers living in Hamilton, Ontario and caring for an infant aged <2 years experienced meeting the health needs of their infants. The data presented reflect their experiences of using web-based sources of health information to support their infants' health. The Two-Eyed Seeing approach was applied to the study design, which ensured that both western and Indigenous worldviews were considered throughout.

RESULTS

A total of 19 Indigenous mothers participated in this study. The resulting 4 themes included distrusting information, staying anonymous, using visual information to support decision making, and accessing a world of experiences. Although fewer Indigenous mothers used web-based sources of information compared to mothers in the general population in other studies, tailoring web-based modalities to meet the unique needs of Indigenous mothers is an important opportunity for supporting the health and wellness of both mothers and infants.

CONCLUSIONS

Web-based information sources are commonly used among parents, and ever-evolving web-based technologies make this information increasingly available and accessible. Tailoring web-based modalities to meet the unique preferences and needs of Indigenous mothers is an important method for improving their access to reliable and accurate health care information, thereby supporting healthy parenting and promoting infant health.

摘要

背景

家长广泛使用基于网络的健康信息来源,以支持健康育儿并辅助做出有关婴儿健康的决策。尽管充满诸如错误信息等挑战,但如果使用得当,基于网络的资源可以改善健康教育的获取并促进健康选择。原住民母亲如何利用基于网络的信息来支持她们的育儿及婴儿健康尚未得到研究;然而,基于网络的方式可能是缓解许多原住民所面临的医疗保健获取减少和负面医疗保健互动的重要方法。

目的

本研究旨在了解使用基于网络的信息来支持婴儿健康的原住民母亲的经历。

方法

这项解释性描述性定性研究采用半结构化访谈和一个讨论小组,以了解居住在安大略省汉密尔顿且照顾2岁以下婴儿的原住民母亲在满足婴儿健康需求方面的经历。所呈现的数据反映了她们使用基于网络的健康信息来源来支持婴儿健康的经历。“双眼看”方法应用于研究设计,确保在整个研究过程中兼顾西方和原住民的世界观。

结果

共有19位原住民母亲参与了本研究。得出的4个主题包括不信任信息、保持匿名、使用视觉信息来支持决策以及进入经验世界。尽管与其他研究中的普通人群母亲相比,使用基于网络的信息来源的原住民母亲较少,但调整基于网络的方式以满足原住民母亲的独特需求是支持母亲和婴儿健康与福祉的重要契机。

结论

基于网络的信息来源在家长中普遍使用,并且不断发展的网络技术使这些信息越来越容易获取。调整基于网络的方式以满足原住民母亲的独特偏好和需求,是改善她们获取可靠准确的医疗保健信息的重要方法,从而支持健康育儿并促进婴儿健康。

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