The Internet is growing in popularity as a health information sourceespecially among young adults. Interactivity has been pinpointed as the keyfeature that makes the Internet a potentially powerful health communicationtool. It is being heralded as a hybrid channel that has the capacity not only todisseminate health information to mass audiences both asynchronously andsynchronously, but also has the capacity to provide an engaging and stimulatingenvironment that can promote exploratory learning and active processing ofinformation. Despite these exciting claims, there is still a dearth of theoreticallydrivenempirical studies providing support for or against these assumptions. Westill know very little about how interactive technologies actually influenceinformation use, learning and motivational processes.A popular view is that the communicative efficacy of interactivetechnologies is influenced more with their match with comprehension processesand individual differences than with the level of interactivity itself. This studywas designed to tease out the potential effects of different levels of interactivityon comprehension and to determine whether individual differences in need forcognition would moderate such effects. About 441 young adults (ages 18-26)from the University of Kentucky participated in a 2 by 2 factorial experimentdesigned to test the effects of two levels of interactivity and two levels of needfor cognition on the comprehension of a health website on skin cancer.Results showed a significant main effect for level of interactivity oncomprehension scores holding the covariates, time on task and reading style,constant. Those exposed to the high interactivity site had significantly highercomprehension scores than those exposed to the low interactivity site. Therewas, however, no significant main effect for need for cognition, neither was therea significant interaction effect between level of interactivity and need forcognition on comprehension scores. Implications of these results and suggestionsfor future research are also discussed.

Abstract Background: There is insufficient research about the health information seeking, access, and usage among immigrants to the United States, who, face health disparities associated with their immigrant status. Health-information seeking behaviors and attitudes, unique to immigrants, need to be considered as one set of factors contributing to health disparities. Objective: This thesis focused on identifying differences in information seeking behaviors and attitudes between natal and immigrant US residents and the subset who had either themselves had been diagnosed with cancer or who had a family member diagnosed with cancer. Methods/Analyses: Nationally representative Health Information National Trends Survey (HINTS) data (HINTS4Cycle 3), collected from a sample of respondents (N=3185) by mail between September and December 2013, was used for these analyses. Sample weights were applied during SAS data analysis to account for the complex survey design. Analyses assessed the frequencies of health information seeking behaviors and attitudes of natal versus immigrant US residents. Results: Both natal and immigrant US residents indicated that the Internet was the most popular choice for seeking health or medical information (69.9% and 69.8%, respectively), with the next highest being doctor, healthcare provider, or cancer organization combined (14.3% and 17.1%, respectively). These differences in use of information sources were not significant. Both natal and immigrant US residents “strongly agreed” or “agreed” that they were frustrated (68.1% and 65.8%, respectively) and were concerned about the quality of the information (52.9% and 54.8%, respectively) during the last time they searched for health information. Again, these differences in attitudes toward information were not significant. On the other hand, compared to natal US residents, immigrant US residents were more likely to state that their most recent search took a lot of effort (35.2% and 46.1%, respectively, p=.01). There were also moderate and significant differences between natal and immigrant respondents’ trust toward information from government health agencies (69.3% and 81.3%, respectively, p About one-third (30.2%) of immigrant US residents reported that they spoke English “not well” or “not well at all.” Among the immigrant US residents, the Internet was the source most commonly chosen by both groups (Speak English “very well,” or “well” and speak English “not well” or “not at all”) as the source they went to first during their most recent search for health or medical information (78.1% and 45.8%, respectively, p Conclusions: There are important differences between Internet-related health information seeking behaviors and attitudes of natal US residents and immigrant US residents.

Consumer behavior has long suggested the importance of prior knowledge in understanding behavior. In spite of the vast amount of research in this area, there is a vacuum regarding to what extent an individual applies his/her knowledge in decision-making situations (a concept from economic psychology). An individual may have the knowledge but might not use it or apply it when making decisions. This is of great importance, especially within a health context where decisions may result in life or death situations. In addition, operationalizations of dimensions of prior knowledge within the consumer behavior field have been inconsistent. To eliminate these gaps in prior research and extend the consumer behavior literature this dissertation draws upon the consumer behavior and economic-psychology literatures to investigate the impact of six dimensions of prior knowledge on health information-seeking and disease prevention behaviors. The case of HPV is used here to examine the theoretical relationships. This dissertation is also of particular interest to better understanding direct-to-consumer (DTC) advertising. DTC advertising usually provides information to consumers through the listing of sources consumers can go to, other than providing disease prevention information within the message itself. Hence, examining how prior knowledge impacts information-seeking and prevention behaviors can help guide the development of more effective DTC messages. Results show that information-seeking intentions are predicted by how much consumers think they know and how much of their knowledge they apply in decision-making situations. Also, consumers who have high confidence in using their knowledge are more likely to use external (as opposed to internal) sources of information. In addition, prevention behaviors are predicted by how much consumers know about the disease, how much they think they know and their experience with the disease. This investigation helps guide the development of future DTC campaigns, in terms of motivating consumers to seek additional information, and take the recommended preventative actions; based on consumers’ prior knowledge set. In conclusion, this dissertation extends the literature on the role of prior knowledge in consumer decision-making on multiple levels and provides interesting findings for future research. / text

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In this study health information seeking behaviour among young adults is investigated and attitudes toward available health information examined. Further, the electronic health record(EHR), ‘Journalen’, is investigated among young adults that use the health services in Sweden. The aim of this study is to gain insight in young adults’ health information seeking behaviour on the Internet.   A survey of health information seeking behaviour among young adults, 18-29 years old, reports that as well as searching for information for their own use, searching for information to help family and friends is also their practice. 95.4% say that they search for health information on the Web.   Overall, the top five categories of information searched are Personal Health, Symptoms, Healthy Diet, Mental Health and Treatment. For the Top five Information searches for themselves(’Self’), Mental Health is displaced by Disease Prevention. Health information categories sought the least by the young adults are information about Illegal Drugs, Allied Health, Alternative medicine and Support Groups. Respondents mostly report a high regard for the information they retrieve in their searches.   The majority rate the quality of health information as ‘Good’ or ‘Very Good’. Broadly speaking the young adults trust the health information found online but say that the quality of health information varies from source to source. 1177.se is often referred to as a trustworthy source among the respondents and according to them good quality information can be found there. The respondents use of support groups for themselves is reported, as well an altruistic motivation to support others. While the motivation for many searches is to avoid attending a health professional, approximately one-third report searching after their visit.   This study demonstrates that young adults are active consumers of health information on the Internet and their attitudes toward the available health information are generally positive. Of the respondents who are Swedish residents, 42% are unaware of the availability of their electronic health record in Sweden, Journalen, and of those 56.7% who know of it, 18% have never accessed their EHRs.  More research is needed to investigate the reason for the relatively low numbers of the young adults’ awareness and use of the Journelen. The aim of the study is discussed in the Introduction chapter and research questions identified. The research design is described in the methodology chapter and how data is collected through a survey. Results are presented in Tables and Figures and further analysed in the Analysis chapter in context of earlier research. Finally, the researcher concludes on the study and what could be learned from the findings.

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An increasing proportion of people in the United Kingdom are living longer with long-term conditions. The National Health Service is facing the challenge of increased pressure on its service provision. A number of key health policy initiatives encourage individuals to make informed choices and purport to give them rights and control over their own health and healthcare. Within this context, people are actively encouraged to self-care, manage diseases, and make decisions and choices about healthcare in an informed way. To facilitate this, it is important to gain an understanding of the health information seeking behaviours of older people. Health information is available from various sources but little is known about the health information seeking behaviours of older people and what affects this. By exploring this, it helps to reveal how health information is sought regarding on-going health conditions and provides greater depth in understanding the health information seeking process. The study explores older people's experiences and views on their health information seeking behaviours and endeavours to gain a better understanding of these experiences and views. The study draws on constructivist grounded theory with two phases to data collection: Nine participants completed un-structured diaries over two months with follow up semi-structured interviews, a further twenty participants participated in semi-structured interviews. Major categories were inductively drawn from participant's responses. Strategies of health information seeking behaviours are not necessarily fixed, but subject to change over time. The analysis suggested three main categories that explained the health information seeking behaviours of older people. Three interrelated conceptual categories were identified: (1) Regulating self (2) Self managing and (3) Self-mobilisation. These categories formed the basis of the emergent substantive theory called 'navigating later life'. There were different patterns of behaviours between participants which captured variations in information seeking; these informed the development of a typology of health information seekers. Ageing in the 21st century is a complex process; with older people inhabiting a world of more choice, multiple sources of knowledge, changed healthcare roles and increased self-care undertaken within the home. The study provides important insights for healthcare professionals and raises implications for strategies aimed at improving older people's access to appropriate health information. The navigation model provides a potentially valuable tool for policy makers when considering the support older people require to self-care.

This paper aims to describe health information seeking behaviour and identify its associated factors among undergraduate university students in developing countries. An online survey is used to collect data from 138 students. The data is analysed using the multivariate logistic regression analysis method. Results reveal that a substantial number of students have sought health information mostly from the Internet. Health literacy, perceived susceptibility to health problems and alcohol consumption are found to be the significant factors influencing health information seeking behaviour. Results provide an understanding of health information seeking behaviour in developing countries.

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The purpose of this research study is to examine the effect of public information sources on an individual's satisfaction with the search process undertaken to select a physician. A quasiexperimental research design was adopted to randomly divide the medical staff of a large central Florida medical group into control and intervention groups of approximately 77 physicians each. The intervention involved insertion of the website address to online physician report cards on to each intervention group physician’s profile in the physician directory on the medical group's website. After two months, data were collected consisting of all individuals who had scheduled first-time appointments with one of the medical group's physicians during the two-month intervention period. A random sample of patients was drawn from each group and sample members were mailed a 62-item questionnaire along with a cover letter, summary of the research and postage-paid reply envelope. A total of 706 questionnaires were mailed and 61 completed questionnaires were returned, an 8.64% response rate. Intent-to-treat analysis was conducted using independent-samples t-tests to compare the research study’s continuous variables' mean scores for control and intervention group participants. The analysis revealed no significant difference in scores for control and intervention groups with the exceptions that the control group was somewhat more committed to conducting a search and selecting a new physician. The control group said the physician's communications skills influenced their satisfaction with the search and selection of a new physician quite a lot while the intervention group said physician communication skills somewhat influenced their satisfaction with search and selection. iv Results of the covariance structure analysis demonstrated that information use and level of commitment to search and select a new physician independently predict search satisfaction. As information use and search commitment increase, a patient's satisfaction with the search increases as well. Furthermore, as information use increases, the variety of information sources relied upon or used also increases. The findings support the alternative hypothesis that the positive or direct effect of physician report cards is demonstrated in the time and cost of patient search for a physician for both intervention and control groups. One other alternative hypothesis was partially supported, i.e., the effect of household income is confirmed in patient search and satisfaction in selecting a physician. The alternative hypotheses that proposed that physician report cards are more likely to be used to search for a medical specialist and that physician experience, office location and accepted insurance effect patient search and selection of a physician were not tested. Two other alternative hypotheses were rejected. The research findings also indicated that predictors of health care information search satisfaction vary based upon the environment and contextual factors in which the search is conducted.