Assessing the Reproductive Health-Related Information-Seeking Behavior of Low-Income Women: Describing a Two-Step Information-Seeking Process

Zimmerman, Margaret S.

doi:10.1080/10810730.2017.1411996

Cited by 26 publications

(24 citation statements)

References 51 publications

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“…African American and Black women are at increased risk of poor maternal health outcomes, including risks impacted by nutrition and health status. African American and Black women are likely to seek health information predominately from informal sources, such as social media and members of their social network ( 8 , 9 ). Health disparities, longstanding institutional and structural barriers, and mistrust or lack of cultural awareness during the clinical encounter may contribute to the patient-provider communication gap.…”

Section: Introductionmentioning

confidence: 99%

Using Health Information Technology to Engage African American Women on Nutrition and Supplement Use During the Preconception Period

et al. 2021

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ImportanceHealthy nutrition and appropriate supplementation during preconception have important implications for the health of the mother and newborn. The best way to deliver preconception care to address health risks related to nutrition is unknown.MethodsWe conducted a secondary analysis of data from a randomized controlled trial designed to study the impact of conversational agent technology in 13 domains of preconception care among 528 non-pregnant African American and Black women. This analysis is restricted to those 480 women who reported at least one of the ten risks related to nutrition and dietary supplement use.InterventionsAn online conversational agent, called “Gabby”, assesses health risks and delivers 12 months of tailored dialogue for over 100 preconception health risks, including ten nutrition and supplement risks, using behavioral change techniques like shared decision making and motivational interviewing. The control group received a letter listing their preconception risks and encouraging them to talk to a health care provider.ResultsAfter 6 months, women using Gabby (a) reported progressing forward on the stage of change scale for, on average, 52.9% (SD, 35.1%) of nutrition and supplement risks compared to 42.9% (SD, 35.4) in the control group (IRR 1.22, 95% CI 1.03–1.45, P = 0.019); and (b) reported achieving the action and maintenance stage of change for, on average, 52.8% (SD 37.1) of the nutrition and supplement risks compared to 42.8% (SD, 37.9) in the control group (IRR 1.26, 96% CI 1.08–1.48, P = 0.004). For subjects beginning the study at the contemplation stage of change, intervention subjects reported progressing forward on the stage of change scale for 75.0% (SD, 36.3%) of their health risks compared to 52.1% (SD, 47.1%) in the control group (P = 0.006).ConclusionThe scalability of Gabby has the potential to improve women’s nutritional health as an adjunct to clinical care or at the population health level. Further studies are needed to determine if improving nutrition and supplement risks can impact clinical outcomes including optimization of weight.Clinical Trial RegistrationClinicalTrials.gov, identifier NCT01827215.

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Section: Introductionmentioning

confidence: 99%

Using Health Information Technology to Engage African American Women on Nutrition and Supplement Use During the Preconception Period

et al. 2021

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“…Many women in developed countries describe constantly going online for information and peer support about pregnancy and caring for infants and young children [ 15 – 21 ]. It is important to note, however, that research has found that some social groups, such as low-income women in areas of the USA, rarely use the internet for health information, preferring to call upon family and friends [ 22 , 23 ]. A survey of American middle-aged and older women with chronic health conditions [ 24 ] found that while 65% of them reported using the internet to find information or seek advice from others, older women were much less likely to use the internet for these purposes.…”

Section: Introductionmentioning

confidence: 99%

“You can explore it more online”: a qualitative study on Australian women’s use of online health and medical information

Maslen

Lupton

2018

BMC Health Serv Res

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BackgroundPrevious research has demonstrated the importance of search engines, websites, online discussion groups and social media groups for women in developed countries looking for health and medical information, but few studies have focused on Australian women. The Australian Women and Digital Health Project was designed to investigate how Australian women from a range of age groups and locations used digital health technologies across the full spectrum available to them. The findings on their use of online information and decision-making in relation to seeking face-to-face medical advice are discussed in this article.MethodsQualitative research, including focus group discussions (24 participants) and face-to-face (12 participants) and telephone (30 participants) semi-structured interviews was conducted with a total of 66 Australian women aged between 21 and 74. The focus groups and interviews were transcribed and analysed using inductive thematic analysis sensitised by a feminist new materialism theoretical standpoint. This involved identifying the dimensions of affordances, relational connections, affective forces and agential capacities in the women’s accounts.ResultsAll participants regularly used online sources to find health information, advice and support. We identified six key agential capacities relating to these ways in which the women enacted online health information seeking: 1) self-screening; 2) preparing for and following up a consultation; 3) selective engagement; 4) caring for others; 5) creating and sharing new information; and 6) challenging medical authority. The affordances of accessibility and convenience of online sources, relational connections between women and trusted sources (both online and offline) and between women and family members on whose behalf they sought information and affective forces such as trust, the need for reassurance and frustration and anger with deficient healthcare services contributed to these capacities.ConclusionsWomen engaged in complex interactions with online information, actively and creatively using it in diverse ways in their negotiations with seeking face-to-face medical expertise. Their online practices generated a set of agential capacities that help them to assess whether they or their family members need medical attention, supplement or challenge the medical advice they have already received or generate and share their own information.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3749-7) contains supplementary material, which is available to authorized users.

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“…This would facilitate the empowerment of women and self-management of their health. Internet tools are commonly used by women from all social strata [54, 62] and in some cases they represent the main source of information on pregnancy and the postpartum period, such as in the case of highly qualified and/or immigrant women, for whom going to maternal education sessions is not always feasible [8, 53].…”

Section: Resultsmentioning

confidence: 99%

Consensus on priorities in maternal education: results of Delphi and nominal group technique approaches

Paz-Pascual

Artieta-Pinedo

Grandes

2019

BMC Pregnancy Childbirth

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Background Maternal education is wide-ranging and covers many areas from pregnancy to the immediate postpartum period and childrearing. However, for it to be effective, more resources need to be assigned to key topics. The goal of this study was to identify and prioritize the most important issues in maternal education, so that specific objectives could subsequently be set and learning outcomes evaluated. Methods We drew up a comprehensive list of topics addressed in existing maternal education programs, based on a systematic review of information obtained from the Internet and the experience of the research team. The topics were presented to a multidisciplinary panel whose members were asked to rate them from 1 to 9, and consensus of opinion was reached using a two-round Delphi survey, with consensus defined beforehand as 80% agreement among panelists in awarding a score of 7, 8 or 9. The most highly-rated topics were then discussed and again prioritized by a multidisciplinary team of healthcare and non-healthcare experts, using a nominal group technique. Results Initially, 650 topics were identified and grouped into 80 categories which were then prioritized by 54 healthcare and non-healthcare experts using a Delphi survey with a study participation rate of around 20%. 63 topics were considered very important, so criteria were restricted and only the 24 highest-scoring selected (95% of agreement on scores ≥7 or 80% of agreement on scores ≥8). Using the nominal group technique, a group of 12 experts identified the following priorities: initiation and establishment of breastfeeding, development of a birth plan, identification of problems and self-care postpartum, nutrition and a healthy lifestyle, options for pain management in labor and birth and characteristics of a normal newborn/looking after a newborn baby. Conclusion This study, with a Delphi study and the Consensus among Experts: the nominal group technique, has succeeded in identifying priority topics in maternal education. We need to assess women’s needs in relation to these topics, design an intervention to respond to these needs and evaluate its effectiveness.

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Assessing the Reproductive Health-Related Information-Seeking Behavior of Low-Income Women: Describing a Two-Step Information-Seeking Process

Cited by 26 publications

References 51 publications

Using Health Information Technology to Engage African American Women on Nutrition and Supplement Use During the Preconception Period

Using Health Information Technology to Engage African American Women on Nutrition and Supplement Use During the Preconception Period

“You can explore it more online”: a qualitative study on Australian women’s use of online health and medical information

Consensus on priorities in maternal education: results of Delphi and nominal group technique approaches

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