Guo Caiqiang, Si Li, Sun Yifan
School of Information Management, Wuhan University, Wuhan 430072, China.
Behav Sci (Basel). 2023 Mar 17;13(3):267. doi: 10.3390/bs13030267.
Users' avoidance behavior of health information has received growing attention recently, but research into users' avoidance behavior of diabetes information remains limited. This paper aims to reveal the process and the factors of avoiding online diabetes information. The interview, conducted with the critical incident technique, and the diary methods were used to collect 40 true incidents of online diabetes information avoidance from 17 participants. Based on the thematic analysis method and grounded theory, the data were analyzed to identify the key phases of the avoidance process and obtain the factors influencing the occurrence of avoidance behavior. The results showed that the macro-process of online diabetes information avoidance comprised three phases: pre-encountering, encountering, and avoiding after encountering. First, browsing, searching, or social interaction provide the context for encountering; second, the encountering occurrence consists of three steps-noticing the stimuli, reacting to stimuli, and examining the content; and third, to avoid the online diabetes information encountered, users will adopt avoidance strategies, such as avoiding information sources, controlling attention, delaying access, forgetting information, and denying information, which is manifested as general avoidance and strong avoidance, and has positive, negative, or no effect on users. The 14 influencing factors of avoidance behavior obtained were divided into four clusters. User-related factors include demographic characteristics, health-behavior perception, perceived threat, perceived control, and information sufficiency; information-related factors include information quality, information overload, and information dissemination; environment-related factors include context type, behavior place, time pressure, and social factors, and emotion-related factors include the pre-encountering and post-encountering emotional states. These findings can guide the intervention of information avoidance behavior.
用户对健康信息的回避行为近来受到越来越多的关注，但对用户回避糖尿病信息行为的研究仍然有限。本文旨在揭示回避在线糖尿病信息的过程及影响因素。采用关键事件技术进行访谈，并运用日记法，从17名参与者中收集了40个真实的在线糖尿病信息回避事件。基于主题分析法和扎根理论，对数据进行分析，以确定回避过程的关键阶段，并获取影响回避行为发生的因素。结果表明，在线糖尿病信息回避的宏观过程包括三个阶段：接触前、接触中和接触后回避。首先，浏览、搜索或社交互动为接触提供了背景；其次，接触的发生包括三个步骤——注意到刺激、对刺激做出反应以及审视内容；第三，为了回避所接触到的在线糖尿病信息，用户会采取回避策略，如回避信息来源、控制注意力、延迟访问、遗忘信息和否认信息，这些表现为一般回避和强烈回避，对用户有积极、消极或无影响。所获得的14个回避行为影响因素分为四类。与用户相关的因素包括人口统计学特征、健康行为认知、感知威胁、感知控制和信息充分性；与信息相关的因素包括信息质量、信息过载和信息传播；与环境相关的因素包括情境类型、行为场所、时间压力和社会因素，与情绪相关的因素包括接触前和接触后的情绪状态。这些发现可为信息回避行为的干预提供指导。
