Song Mingming, Elson Joel, Haas Christian, Obasi Sharon N, Sun Xinyu, Bastola Dhundy
School of Interdisciplinary Informatics, University of Nebraska Omaha, Omaha, NE 68182, USA.
Department of Counseling, School Psychology and Family Science, University of Nebraska at Kearney, Kearney, NE 68849, USA.
Healthcare (Basel). 2025 May 24;13(11):1238. doi: 10.3390/healthcare13111238.
: The availability of accessible health information outside of traditional healthcare settings has transformed patient engagement in shared decision-making (SDM) with healthcare providers. However, the challenge of navigating misinformation complicates SDM, highlighting the critical role of trust, especially when patient-achieved information conflicts with professional advice. This study examines the association between patients' health information behavior (HIB) and SDM, emphasizing the role of patients' trust in healthcare providers. : Utilizing data from the Health Information National Trends Survey (HINTS), this research explores how trust mediates the relationship between HIB and SDM. We conducted factor analysis, mediation analysis, and moderated mediation analysis to assess our hypotheses. : Factor analysis identified two main HIB dimensions: emotional responses and utilization of social media. Emotional responses positively influenced SDM, enhancing trust and decision-making involvement. In contrast, utilization of social media negatively influenced SDM through decreased trust. Mediation analysis confirmed trust in physicians as a crucial mediator, particularly when emotional responses foster trust and engagement. Moderated mediation showed that high healthcare quality amplified the positive mediation effects of trust, underscoring its role in effective SDM. : This study highlights the significant role of trust in enhancing patient engagement in SDM through HIB. High perceived healthcare quality also strengthens trust, improving SDM outcomes. The study contributes to the literature by providing a comprehensive analysis of the interplay between HIB, trust, and SDM, suggesting that enhancing patient-centered care requires fostering trusted patient-physician relationships.
传统医疗环境之外可获取的健康信息改变了患者与医疗服务提供者共同参与决策（SDM）的方式。然而，应对错误信息的挑战使共同决策变得复杂，凸显了信任的关键作用，尤其是当患者获取的信息与专业建议相冲突时。本研究考察了患者的健康信息行为（HIB）与共同决策之间的关联，强调了患者对医疗服务提供者信任的作用。：利用来自《健康信息国家趋势调查》（HINTS）的数据，本研究探讨了信任如何调节健康信息行为与共同决策之间的关系。我们进行了因子分析、中介分析和调节中介分析以评估我们的假设。：因子分析确定了健康信息行为的两个主要维度：情绪反应和社交媒体的使用。情绪反应对共同决策有积极影响，增强了信任和决策参与度。相比之下，社交媒体的使用通过降低信任对共同决策产生负面影响。中介分析证实对医生的信任是一个关键中介，特别是当情绪反应促进信任和参与时。调节中介表明高医疗质量放大了信任的积极中介作用，突出了其在有效共同决策中的作用。：本研究强调了信任在通过健康信息行为增强患者参与共同决策方面的重要作用。高感知医疗质量也会加强信任，改善共同决策结果。该研究通过对健康信息行为、信任和共同决策之间的相互作用进行全面分析，为文献做出了贡献，表明加强以患者为中心的护理需要建立值得信赖的医患关系。
