چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| ژیلا خامنیان | اول |
| مریم سپهری | دوم |
| ویدا جهدی کلوانق | سوم |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Background and aim: Older people need different health information compared to other age groups since they experience age-related changes. The internet is a good source of information these people can use to seek for health information and self-care without leaving home. However, older adults use internet for health information support less than other age groups. Therefore, in order to enhance the chance of the older adults to get the most out of the internet, it seems necessary to understand how the online health information seeking behavior is formed in them and what factors affect it. This study aimed to explore the process of searching for online health information and test the emerging theory of related behavior in the older people in Tabriz, Iran. Material and methods: The current exploratory sequential mixed-methods study was conducted among the older people in Tabriz from 2018 to 2020. The first stage was a qualitative study with grounded theory method in which 19 older adults with online health information seeking, two children of them, one physician, one psychologist, four gerontologists, and one expert of health education were selected by purposeful and theoretical sampling method. In-depth individual interviews were used as the main method of data collection and Strauss and Corbin (2008) method was used for data analysis. In the second phase of the study, through a cross-sectional study, we tested the grounded theory. At this stage, the data were collected through a multistage cluster sampling method and a researcher-made questionnaire completed by 320 older people. SPSS software version 23 and Mplus version 7.4 were used to analyze the data. Results: In qualitative phase, 5 main categories and 14 subcategories around were extracted. Analysis of interviews showed that online health information seeking in the older adults is a process in which the desire for healthy survival is a central category and dependency avoidance, seeking a reliable source of information, and motivators and inhibitors of using the internet were identified as the underlying factors of this behavior. The extracted actions and interactions are strategies for elderly self-reliance in their health care, and finally, the online health information seeking is the final outcome of the present study. The theory developed in the first phase of this study was ‘the desire for healthy survival: the use of self-reliance strategies in health care’. The results of testing this theory showed that among the demographic variables, educational status (high school diploma and lower), drug use, and having a history of surgery reduced the chance of online health information seeking in the older adults by 86% (OR=0.14; CI=0.31-0.06), 94% (OR=0.06; CI=0.01-0.31), and 55% (OR=0.45; CI=0.24-0.82), respectively (P<0.05). Moreover, alcohol use increased the chances of behavior among participants by 6.28 times (OR=6.28; CI=1.90-20.77) (P<0.05). Examining the predictive effect of the variables of behavior formation, we found that the chances of online health information seeking behavior in the older adults is increased by 8%(OR=1.08; CI=1.02-1.15) in complete lack of trust in health care providers, by 19% (OR=1.19; CI=1.01-1.41) in complete certainty of obtaining reliable information, by 27% (OR=1.27; CI=1.07-1.49) in technology-dependent life, by 12% % (OR=1.12; CI=1.24-1.00) in internet benefits, and by 11% % (OR=1.11; CI=1.00-1.23) in self-efficacy of online information search. Meanwhile, internet inhibitors reduced the chances of this behavior by 15% % (OR=0.85; CI=0.91-0.78) (P<0.05). Conclusion: This study provides important insights for health care professionals and introduces some strategic implications for improving older people’s access to appropriate health information. The online health information seeking model presented in this study is a potentially valuable tool for policymakers to take measures to support the older adults in need of self-care. |
| کلمات کلیدی | keywords: Online; Health; Information; Older adult |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| article khamnian 1.png | 1403/08/28 | 275351 | دانلود |
| article 1.png | 1403/08/28 | 472926 | دانلود |
| 1 (1).png | 1403/08/28 | 535621 | دانلود |
