What Is the Impact of the Internet on Decision-Making in Pregnancy? A Global Study
What Is the Impact of the Internet on Decision-Making in Pregnancy? A Global Study
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DOI：
10.1111/j.1523-536x.2011.00488.x
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发表时间：
2011-12-01
影响因子：
2.5
通讯作者：
Kernohan, W. George
中科院分区：
文献类型：
--
作者：
Lagan, Briege M.;Sinclair, Marlene;Kernohan, W. George
背景：妇女需要获得基于证据的信息，以便在怀孕期间做出知情选择。搜索健康信息是全世界人们访问互联网的主要原因之一。近年来，越来越多的女性使用互联网寻求与怀孕有关的信息。这项研究的目的是在以前的定量研究的基础上，探讨妇女使用互联网检索与怀孕有关的信息的经验和看法，及其对其决策过程的影响。方法：这项全球性的研究借鉴了解释性质的传统，并结合了信息寻求的理论模型，以了解怀孕期间互联网的使用及其在决策中的作用。在三个月的时间里，来自五个国家的13个非同步在线焦点小组对92名上网获取怀孕相关信息的妇女进行了调查。数据很容易转移并进行演绎分析。结果：总体分析表明，互联网对女性怀孕各方面的决策产生了明显的影响。出现的关键主题是对信息的巨大需求。四个广泛的主题也出现了：“验证信息”、“授权”、“分享经验”和“辅助决策”。女性还报告了互联网是如何提供支持的，它的消极和积极方面，以及作为准确、及时的信息来源。结论：保健专业人员有责任承认妇女通过互联网获得支持和与怀孕有关的信息，以协助其决策。卫生专业人员必须学会与妇女合作，引导她们访问以证据为基础的网站，并准备好讨论随后的信息。（出生日期：2011年12月4日）
Background: Women need access to evidence-based information to make informed choices in pregnancy. A search for health information is one of the major reasons that people worldwide access the Internet. Recent years have witnessed an increase in Internet usage by women seeking pregnancy-related information. The aim of this study was to build on previous quantitative studies to explore womens experiences and perceptions of using the Internet for retrieving pregnancy-related information, and its influence on their decision-making processes. Methods: This global study drew on the interpretive qualitative traditions together with a theoretical model on information seeking, adapted to understand Internet use in pregnancy and its role in relation to decision-making. Thirteen asynchronous online focus groups across five countries were conducted with 92 women who had accessed the Internet for pregnancy-related information over a 3-month period. Data were readily transferred and analyzed deductively. Results: The overall analysis indicates that the Internet is having a visible impact on women's decision making in regards to all aspects of their pregnancy. The key emergent theme was the great need for information. Four broad themes also emerged: "validate information,'' "empowerment,'' "share experiences,'' and "assisted decision-making.'' Women also reported how the Internet provided support, its negative and positive aspects, and as a source of accurate, timely information. Conclusion: Health professionals have a responsibility to acknowledge that women access the Internet for support and pregnancy-related information to assist in their decision-making. Health professionals must learn to work in partnership with women to guide them toward evidence-based websites and be prepared to discuss the ensuing information. (BIRTH 38: 4 December 2011)