利用社交媒体平台提高巴基斯坦的健康意识并加强健康教育:结构方程模型分析与问卷调查研究

Using Social Media Platforms to Raise Health Awareness and Increase Health Education in Pakistan: Structural Equation Modeling Analysis and Questionnaire Study.

作者信息

Munir Malik Mamoon, Ahmed Nabil

机构信息

Integral Global Consulting LLC, 3541 Habersham at Northlake Parkway Road, Building E, Tucker, GA, 30084, United States, 1 678-427-0014.

出版信息

JMIR Hum Factors. 2025 Apr 7;12:e65745. doi: 10.2196/65745.

Abstract

BACKGROUND

Current health care education methods in Pakistan use traditional media (eg, television and radio), community health workers, and printed materials, which often fall short of reach and engagement among most of the population. The health care sector in Pakistan has not yet used social media effectively to raise awareness and provide education about diseases. Research on the impact social media can have on health care education in Pakistan may expand current efforts, engage a wider audience, and reduce the disease burden on health care facilities.

OBJECTIVE

This study aims to evaluate the perceptions of health care professionals and paramedic staff regarding social media use to raise awareness and educate people about diseases as a potential means of reducing the disease burden in Pakistan.

METHODS

The study used two-stage structural equation modeling (SEM). Data analysis used AMOS 26.0 software, adopting scales from previous literature. Four-item scales for each social media usefulness and health awareness construct and 8-item scales for health care education constructs were adopted on the basis of their higher loading in alignment with psychometric literature. A 7-point Likert scale was used to measure each item. Data collection used convenience sampling, with questionnaires distributed to more than 450 health care professionals and paramedic staff from 2 private hospitals in Lahore, Pakistan. There were 389 useful responses received. However, 340 completed questionnaires were included in the data analysis.

RESULTS

The study found that all the squared multiple correlation (SMC) values were greater than 0.30. Furthermore, convergent validity was measured using (1) standardized factor loading (found greater than 0.5), (2) average variance explained (found greater than 0.5), and (3) composite reliability (found greater than 0.7). The confirmatory factor analysis (CFA) of the measurement model indicated the fitness of the constructs (Chi-square minimum [CMIN]=357.62; CMIN/degrees of freedom [DF]=1.80; Goodness of Fit [GFI]=0.90; Adjusted Goodness of Fit Index [AGFI]=0.89; Buntler-Bonett Normed Fit Index [NFI]=0:915; Comparative Fit Index [CFI]=0:93; Root Mean Square Residual [RMR]=0:075; Root Mean Square Error of Approximation [RMSEA]=0:055). Moreover, the structural model fitness was also confirmed (CMIN=488.6; CMIN/DF=1.85; GFI=0.861; AGFI=0.893; NFI=0.987; CFI=0.945; RMR=0:079; RMSEA=0.053). Hence, the results indicated that social media usefulness has a positive and significant effect on health awareness (hypothesis 1: β=.669, P<.001), and health awareness has a positive and significant effect on health care education in Pakistan (hypothesis 2: β=.557, P<.001).

CONCLUSIONS

This study concludes that health care professionals and paramedic staff in private hospitals support the use of social media to raise awareness and provide health care education. It is considered an effective tool for reducing the disease burden in Pakistan. The study results also revealed that young health care professionals are more inclined toward social media usage and express the need for legislation to support it and establish a monitoring process to avoid misinformation.

摘要

背景

巴基斯坦目前的医疗保健教育方法使用传统媒体(如电视和广播)、社区卫生工作者和印刷材料,但这些方法往往无法覆盖大多数人群,也难以引起他们的参与。巴基斯坦的医疗保健部门尚未有效利用社交媒体来提高疾病意识并提供相关教育。关于社交媒体对巴基斯坦医疗保健教育可能产生的影响的研究,可能会扩大当前的努力范围,吸引更广泛的受众,并减轻医疗保健设施的疾病负担。

目的

本研究旨在评估医疗保健专业人员和护理人员对使用社交媒体提高疾病意识并教育人们的看法,将其作为减轻巴基斯坦疾病负担的一种潜在手段。

方法

本研究采用两阶段结构方程模型(SEM)。数据分析使用AMOS 26.0软件,采用先前文献中的量表。根据与心理测量文献一致的更高载荷,采用每个社交媒体有用性和健康意识结构的四项量表以及医疗保健教育结构的八项量表。使用7点李克特量表来测量每个项目。数据收集采用便利抽样,向来自巴基斯坦拉合尔两家私立医院的450多名医疗保健专业人员和护理人员分发问卷。共收到389份有效回复。然而,数据分析纳入了340份完整的问卷。

结果

研究发现所有平方复相关(SMC)值均大于0.30。此外,使用以下方法测量收敛效度:(1)标准化因子载荷(大于0.5),(2)平均方差解释(大于0.5),以及(3)组合信度(大于0.7)。测量模型的验证性因子分析(CFA)表明结构的拟合度(卡方最小值[CMIN]=357.62;CMIN/自由度[DF]=1.80;拟合优度[GFI]=0.90;调整后拟合优度指数[AGFI]=0.89;邦特勒-博内特规范拟合指数[NFI]=0.915;比较拟合指数[CFI]=0.93;均方根残差[RMR]=0.075;近似均方根误差[RMSEA]=0.055)。此外,结构模型的拟合度也得到了证实(CMIN=488.6;CMIN/DF=1.85;GFI=0.861;AGFI=0.893;NFI=0.987;CFI=0.945;RMR=0.079;RMSEA=0.053)。因此,结果表明社交媒体有用性对健康意识有积极且显著的影响(假设1:β=0.669,P<0.001),并且健康意识对巴基斯坦的医疗保健教育有积极且显著的影响(假设2:β=0.557,P<0.001)。

结论

本研究得出结论,私立医院的医疗保健专业人员和护理人员支持使用社交媒体来提高意识并提供医疗保健教育。它被认为是减轻巴基斯坦疾病负担的有效工具。研究结果还显示,年轻的医疗保健专业人员更倾向于使用社交媒体,并表示需要立法支持以及建立监测程序以避免错误信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a65a/11996147/46e22308b51b/humanfactors-v12-e65745-g001.jpg

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