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Characterizing the Processes for Navigating Internet Health Information Using Real-Time Observations: A Mixed-Methods Approach.

Perez SL, Paterniti DA, Wilson M, Bell RA, Chan MS, Villareal CC, Nguyen HH, Kravitz RL - J. Med. Internet Res. (2015)

Bottom Line: Using multivariate regression, we found that System 2 processing was associated with higher education and younger age.System 2 processing, a methodical approach, most resembles the strategies for information processing that have been found in other studies to be associated with higher-quality decisions.We conclude that the quality of Internet health-information seeking could be improved through consumer education on methodical Internet navigation strategies and the incorporation of decision aids into health information websites.

View Article: PubMed Central - HTML - PubMed

Affiliation: Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States. susan.perez@gmail.com.

ABSTRACT

Background: Little is known about the processes people use to find health-related information on the Internet or the individual characteristics that shape selection of information-seeking approaches.

Objective: Our aim was to describe the processes by which users navigate the Internet for information about a hypothetical acute illness and to identify individual characteristics predictive of their information-seeking strategies.

Methods: Study participants were recruited from public settings and agencies. Interested individuals were screened for eligibility using an online questionnaire. Participants listened to one of two clinical scenarios—consistent with influenza or bacterial meningitis—and then conducted an Internet search. Screen-capture video software captured Internet search mouse clicks and keystrokes. Each step of the search was coded as hypothesis testing (etiology), evidence gathering (symptoms), or action/treatment seeking (behavior). The coded steps were used to form a step-by-step pattern of each participant's information-seeking process. A total of 78 Internet health information seekers ranging from 21-35 years of age and who experienced barriers to accessing health care services participated.

Results: We identified 27 unique patterns of information seeking, which were grouped into four overarching classifications based on the number of steps taken during the search, whether a pattern consisted of developing a hypothesis and exploring symptoms before ending the search or searching an action/treatment, and whether a pattern ended with action/treatment seeking. Applying dual-processing theory, we categorized the four overarching pattern classifications as either System 1 (41%, 32/78), unconscious, rapid, automatic, and high capacity processing; or System 2 (59%, 46/78), conscious, slow, and deliberative processing. Using multivariate regression, we found that System 2 processing was associated with higher education and younger age.

Conclusions: We identified and classified two approaches to processing Internet health information. System 2 processing, a methodical approach, most resembles the strategies for information processing that have been found in other studies to be associated with higher-quality decisions. We conclude that the quality of Internet health-information seeking could be improved through consumer education on methodical Internet navigation strategies and the incorporation of decision aids into health information websites.

No MeSH data available.


Related in: MedlinePlus

Example of coding process from interaction to meta-pattern.
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figure2: Example of coding process from interaction to meta-pattern.

Mentions: Next, unbroken sequences of one, two, or more identical SUs were deemed search patterns (SPs). SPs are higher-order categories consisting of one or more SUs. For example, if a participant entered a query for “asceptic meni”, selected a link titled “aseptic meningitis”, and selected a link titled “Aseptic meningitis – Wikipedia the free encyclopedia”, these three consecutive hypothesis testing SUs would be merged to form one hypothesis testing SP as shown in the middle panel of Figure 2.


Characterizing the Processes for Navigating Internet Health Information Using Real-Time Observations: A Mixed-Methods Approach.

Perez SL, Paterniti DA, Wilson M, Bell RA, Chan MS, Villareal CC, Nguyen HH, Kravitz RL - J. Med. Internet Res. (2015)

Example of coding process from interaction to meta-pattern.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4527005&req=5

figure2: Example of coding process from interaction to meta-pattern.
Mentions: Next, unbroken sequences of one, two, or more identical SUs were deemed search patterns (SPs). SPs are higher-order categories consisting of one or more SUs. For example, if a participant entered a query for “asceptic meni”, selected a link titled “aseptic meningitis”, and selected a link titled “Aseptic meningitis – Wikipedia the free encyclopedia”, these three consecutive hypothesis testing SUs would be merged to form one hypothesis testing SP as shown in the middle panel of Figure 2.

Bottom Line: Using multivariate regression, we found that System 2 processing was associated with higher education and younger age.System 2 processing, a methodical approach, most resembles the strategies for information processing that have been found in other studies to be associated with higher-quality decisions.We conclude that the quality of Internet health-information seeking could be improved through consumer education on methodical Internet navigation strategies and the incorporation of decision aids into health information websites.

View Article: PubMed Central - HTML - PubMed

Affiliation: Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States. susan.perez@gmail.com.

ABSTRACT

Background: Little is known about the processes people use to find health-related information on the Internet or the individual characteristics that shape selection of information-seeking approaches.

Objective: Our aim was to describe the processes by which users navigate the Internet for information about a hypothetical acute illness and to identify individual characteristics predictive of their information-seeking strategies.

Methods: Study participants were recruited from public settings and agencies. Interested individuals were screened for eligibility using an online questionnaire. Participants listened to one of two clinical scenarios—consistent with influenza or bacterial meningitis—and then conducted an Internet search. Screen-capture video software captured Internet search mouse clicks and keystrokes. Each step of the search was coded as hypothesis testing (etiology), evidence gathering (symptoms), or action/treatment seeking (behavior). The coded steps were used to form a step-by-step pattern of each participant's information-seeking process. A total of 78 Internet health information seekers ranging from 21-35 years of age and who experienced barriers to accessing health care services participated.

Results: We identified 27 unique patterns of information seeking, which were grouped into four overarching classifications based on the number of steps taken during the search, whether a pattern consisted of developing a hypothesis and exploring symptoms before ending the search or searching an action/treatment, and whether a pattern ended with action/treatment seeking. Applying dual-processing theory, we categorized the four overarching pattern classifications as either System 1 (41%, 32/78), unconscious, rapid, automatic, and high capacity processing; or System 2 (59%, 46/78), conscious, slow, and deliberative processing. Using multivariate regression, we found that System 2 processing was associated with higher education and younger age.

Conclusions: We identified and classified two approaches to processing Internet health information. System 2 processing, a methodical approach, most resembles the strategies for information processing that have been found in other studies to be associated with higher-quality decisions. We conclude that the quality of Internet health-information seeking could be improved through consumer education on methodical Internet navigation strategies and the incorporation of decision aids into health information websites.

No MeSH data available.


Related in: MedlinePlus