How do users adopt health information from social media? The narrative paradigm perspective
How do users adopt health information from social media? The narrative paradigm perspective
复制标题
用户如何从社交媒体获取健康信息？
DOI：
10.1177/1833358318798742
复制
发表时间：
2019-09-01
影响因子：
3.2
通讯作者：
Ma, Ling
中科院分区：
文献类型：
--
作者：
Li, Jia;Tang, Jie;Ma, Ling
简介：健康信息搜索和共享的最新趋势是使用社交媒体。尽管使用社交媒体进行健康交流有很多好处，但由于其信息收集、共享和推广的非正式、不受监管的机制，社交媒体上交换的健康信息的质量令人担忧。因此，了解用户如何从社交媒体获取健康信息非常重要。方法：考虑到社交媒体消息的用户生成和讲故事的性质，本研究采用叙事范式视角来解释社交媒体健康信息采用现象。具体来说，假设叙述连贯性（NC）和叙述保真度（NF）对采用意图（IA）有积极影响。此外，社会经济地位（SES）被视为认知能力的代理变量，并被假设可以调节 NC 和 NF 的影响。进行了基于情景的调查来测试所提出的研究模型。结果：共获得有效问卷257份。结果表明，NF (p < 0.001) 对 IA 社交媒体健康信息有积极影响。 NC (p < 0.01) 对低 SES 用户没有影响，但对高 SES 用户有积极影响。此外，高 SES 用户的 NF (p < 0.01) 对 IA 的影响高于低 SES 用户。结论：NC 和 NF 是社交媒体健康信息采用的两个主要驱动力，这两个叙事范式变量的影响取决于 SES 用户。意义 这项研究的结果表明，注重讲故事的沟通方法而不是逻辑科学论证的叙事范式不仅可以解释社交媒体对健康信息的吸收，还可以为如何在社交媒体上创建更有效地针对最终用户的健康信息提供指导。
Introduction: A recent trend in health information seeking and sharing is the use of social media. Although there are several benefits to the use of social media for health communication, the quality of health information exchanged on social media is troubling due to its informal, unregulated mechanisms for information collection, sharing and promotion. Therefore, it is important to understand how users adopt health information from social media. Method: Considering the user-generated and storytelling nature of social media messages, this research employed the narrative paradigm perspective to explain the social media health information adoption phenomenon. Specifically, narrative coherence (NC) and narrative fidelity (NF) were hypothesised to have positive effects on the intention to adopt (IA). Additionally, socio-economic status (SES) was viewed as a proxy variable to cognitive capability and was hypothesised to moderate the effects of NC and NF. A scenario-based survey was conducted to test the proposed research model. Results: We obtained a total of 257 valid questionnaires. The results indicated that NF (p < 0.001) had a positive effect on the IA social media health information. The NC (p < 0.01) had no impact on the low SES users but a positive impact on the high SES users. Further, the effect of NF (p < 0.01) on the IA was higher for high SES users than low SES users. Conclusions: NC and NF are two major driving forces in social media health information adoption, and the effect of both narrative paradigm variables depends on the SES users. Implications Results of this study show how the narrative paradigm, with a focus on the storytelling method of communication rather than logical scientific argument, can not only explain the uptake of health messages from social media, but also provide guidance as to how to create health messages on social media that more effectively target end users.