Perceptions of low income HIV plus persons about finding accurate web-based health information
Perceptions of low income HIV plus persons about finding accurate web-based health information
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DOI：
10.1016/j.apnr.2018.06.002
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发表时间：
2018-08-01
影响因子：
2.2
通讯作者：
Hickey, Dorothy E.
中科院分区：
文献类型：
--
作者：
Nokes, Kathleen M.;Reyes, Darcel M.;Hickey, Dorothy E.
目的：探讨低收入艾滋病病毒/艾滋病感染者和药物滥用史对他们如何决定互联网网站是否是健康相关信息的可靠来源的看法。背景：任何消费者都很难确定互联网上提供的信息是否可信，对于健康素养低和计算机素养技能不足的消费者来说更具挑战性。序贯解释设计的混合方法。电子健康素养的测量与eHEALS和一个新的工具来衡量选择一个可信的互联网网站的健康相关信息的信心。定性数据收集在纽约市的高患病率社区举行的三个焦点小组，并在参与者观看了16分钟的视频由美国国家医学图书馆制作的。结果：参与者的电子健康素养低，有没有关系的电子健康素养和信心，在确定一个可信的互联网网站。出现了六个主题：我还没有从Medline视频中学到足够的东西;我不懂电脑;互联网有太多的骗局;互联网激发了学习健康相关信息的兴趣;更喜欢与可信的健康信息源进行1：1的互动;你不必暴露HIV状态来获取信息。结论：低收入人群对使用互联网获取健康信息感兴趣，但由于多重复杂的障碍而不愿意这样做。后续干预措施将包括技能培训，教人们如何确定可靠的地点。
Aim: To explore perceptions of low income persons living with HIV/AIDS and history of substance abuse about how they decide whether an internet site is a credible source of health-related information.Background: It is hard for any consumer to determine whether the information that is available on the internet is trustworthy and even more challenging for consumers with low health literacy and insufficient computer literacy skills.Methods: Mixed methods with sequential explanatory design. Electronic health literacy was measured with eHEALS and a new instrument to measure confidence in choosing a credible internet site for health-related information was developed. Qualitative data were collected during three focus groups held in high prevalence neighborhoods in New York City and after participants watched a 16-minute video produced by the United States National Library of Medicine.Results: Participants had low electronic health literacy and there was no relationship between electronic health literacy and confidence in identifying a credible internet site. Six themes emerged: I haven't learned enough from the Medline video; I am not computer literate; the Internet has too many scams; the Internet piques interest in learning health-related information; prefer 1:1 interactions with trusted source for health information; and you don't have to expose HIV status to get information.Conclusion: Low income persons are interested in using the internet for health information but reluctant to do so due to multiple complex barriers. Follow-up interventions would include skills training in which persons are taught how to identify credible sites.