Use of Discussion Boards in a Theory-Based Health Web Site for Older Adults
Use of Discussion Boards in a Theory-Based Health Web Site for Older Adults
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DOI：
10.1097/nnr.0b013e3181bee6c4
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发表时间：
2009-11-01
期刊：
影响因子：
2.5
通讯作者：
Brotemarkle, Rebecca
中科院分区：
文献类型：
--
作者：
Nahm, Eun-Shim;Resnick, Barbara;Brotemarkle, Rebecca
背景：髋部骨折是老年人中一个重要的公共卫生问题，可以使用多模式方法（例如，骨骼强化措施、预防跌倒）。然而，许多老年人不知道这些信息。随着对健康问题特别感兴趣的老年在线用户的迅速增长，网络可以作为传播这一信息的宝贵媒介。本研究的目的是通过分析讨论板的帖子来探讨基于社会认知理论的结构化髋部骨折预防网站（TSW）对健康行为的影响，并评估参与者对讨论板的体验。在一项在线随机对照研究中，测试了社会认知TSW（包括学习模块和有节制的讨论板）对老年人健康行为相关结果的影响。这是一项探索性的定性研究。TSW小组参与者使用学习模块和讨论板2周。通过一个开放式问题探讨了他们在讨论板方面的经验。讨论板的帖子和定性的答案进行了分析，使用内容analysis.Results：九十老年人积极参加了讨论板。对316篇帖子的分析揭示了八个主题。与会者分享了他们目前的健康行为，并讨论了具体的健康问题和担忧。许多人认识到改善的机会，并确定了改善健康行为的动机。他们还向其他人提供了支持性意见，并分享了有用和实用的信息。超过一半的参与者（n = 65，74.4%）报告说，讨论板增强了他们的学习experiences.Discussion：从帖子开发的主题表明，主持讨论板可以有效地用来改变老年人的健康行为。需要进一步的研究来探索在在线健康行为改变干预中使用该组件的长期影响。
Background: Hip fracture, a significant public health problem among older adults, can be prevented using multimodal approaches (e.g., bone-strengthening measures, fall prevention). Many older adults, however, are unaware of this information. With the rapid growth of older adult online users who have a specific interest in health, the Web can serve as a valuable medium to disseminate this information.Objectives: The purpose of this study was to explore the impact of the social cognitive theory-based structured hip fracture prevention Web site (TSW) on health behaviors through analysis of discussion board postings and to assess participants' experiences with the discussion board.Methods: In an online, randomized controlled study, the effects of a social cognitive TSW, including learning modules and a moderated discussion board, were tested on older adults' health behavior-related outcomes. This was an exploratory qualitative study. The TSW group participants used the learning modules and the discussion board for 2 weeks. Their experiences with the discussion board were explored using an open-ended question. Discussion board postings and qualitative answers were analyzed using content analysis.Results: Ninety older adults actively participated in the discussion board. Analysis of 316 postings revealed eight themes. Participants shared their current health behaviors and discussed specific health problems and concerns. Many recognized opportunities for improvement and identified motivators to improve health behaviors. They also offered supportive comments to others and shared helpful and practical information. More than half of the participants (n = 65, 74.4%) reported that the discussion board enhanced their learning experiences.Discussion: The themes developed from the postings showed that moderated discussion boards can be used effectively to change older adults' health behavior. Further research is needed to explore the long-ten impact of using this component in online health behavior change interventions.