Digital Pathways to Positive Health Perceptions: Does Age Moderate the Relationship Between Medical Satisfaction and Positive Health Perceptions Among Middle-Aged and Older Internet Users?

Seçkin, Gül; Hughes, Susan M.; Yeatts, Dale; Degreve, Thomas

doi:10.1093/geroni/igy039

Cited by 22 publications

(21 citation statements)

References 66 publications

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“…Nonadherence with medical professionals was not a significant predictor of patient-reported outcomes. As Seckin et al [ 51 ] noted, prior to the 1980s, the passive patient was expected to accede to their physician’s authority by conforming to their physician’s stipulated treatment and advice. Socialization of older cohorts into medical paternalism, which promoted a doctor knows best approach for health care increased the tendency of older adults to show compliance with medical professional authority, which offers a potential explanation for this specific nonsignificant association in the older sample [ 1 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Internet use for health-related information is also associated with challenges in the doctor-patient relationship, when a health consumer believes that online information is as good as information provided by their provider [ 43 , 48 - 50 ]. Researchers found that trust in information sources affect patients’ attitudes and behaviors, and their satisfaction with interactional and communicational aspects of the clinical encounters [ 51 ]. Medical directives may come from providers, but health consumers’ choices are influenced by a wide range of alternative sources of information on the internet [ 24 , 48 , 52 , 53 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient-Reported Outcomes in a Nationally Representative Sample of Older Internet Users: Cross-sectional Survey

Seçkin¹,

Hughes²

2021

JMIR Aging

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Background The rapid diffusion of the internet has decreased consumer reliance on health care providers for health information and facilitated the patients’ ability to be an agent in control of their own health. However, empirical evidence is limited regarding the effects of health-related internet use among older adults, which is complicated by the proliferation of online health and medical sources of questionable scientific accuracy. Objective We explore the effects of health-related internet use, education, and eHealth literacy on medical encounters and patient-reported outcomes. Patient-reported outcomes are categorized into two dimensions: (1) self-reported health problem and (2) affective distress (feeling worried and anxious) due to information obtained. We were particularly interested in whether education and eHealth literacy moderate the association between perceived strain in medical encounters and patient-reported outcomes. Methods Our study sample consisted of online panel members who have used the internet as a resource for health information, randomly drawn from one of the largest probability-based online research panels. This paper specifically reports results obtained from older panel members (age≥60 years: n=194). First, we examined descriptive statistics and bivariate associations (Pearson correlations and independent samples t tests). We used hierarchical ordinary least squares regression analyses by running separate regressions for each patient-reported outcome. In model 1, we entered the main effects. In model 2, technology and medical encounter variables were included. Model 3 added the statistical interaction terms. Results Age (β=–.17; P=.02), gender (β=–.22; P=.01), and medical satisfaction (β=–.28; P=.01) were significant predictors of self-reported health problems. Affective distress was positively predicted by gender (β=.13; P=.05) and satisfaction with medical encounters (β=.34; P<.001) but negatively predicted by education (β=–.18; P=.03) and eHealth literacy (β=–.32; P=.01). The association between experiencing a health problem in relation to health-related internet use and perception of strained medical encounters was greater among respondents with lower levels of education (β=–.55; P=.04). There was also a significant interaction between education and eHealth literacy in predicting the level of affective distress (β=–.60; P=.05), which indicated that higher levels of education predicted lower averages of feeling anxiety and worry despite lower eHealth literacy. Older women reported higher averages of affective distress (β=.13; P=.05), while older men reported higher averages of experiencing a self-reported health problem (β=–.22; P=.01). Conclusions This study provides evidence for the effect of health-related internet use on patient-reported outcomes with implications for medical encounters. The results could be used to guide educational and eHealth literacy interventions for older individuals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcomes in a Nationally Representative Sample of Older Internet Users: Cross-sectional Survey

Seçkin¹,

Hughes²

2021

JMIR Aging

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“…Another significant point related to healthy longevity was the fact that the older population with cognitive and functionally independent abilities acquire healthy behaviors throughout life 2,24,26,29 and can even enjoy digital technology in health management 30 . Such statement reiterates the findings of this research, in which the interviewees considered robust showed a higher prevalence of walking habits, as well as absence of cognitive impairment or depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

Robust older adults in primary care: factors associated with successful aging

et al. 2020

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OBJECTIVE: To estimate the prevalence of robustness among older adults assisted in primary health care and identify factors in successful aging. METHODS: This is a cross-sectional study conducted with older adults in Northern Minas Gerais, Brazil. Two questionnaires were used for data collection: the Brazilian Older Americans Resources and Services Multidimensional Function Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index IVCF-20). The adjusted prevalence ratios were obtained by robust Poisson regression. Statistical analysis was performed for older adults in general (60 to 107 years) and stratified by age: from 60 to 79 years and 80 years or more. RESULTS: A total of 1,750 older adults aged 60 to 107 years participated; between them, 48.7% were robust. Older adults aged 60 to 79 years (n = 1,421) and 80 years or more (n = 329) had a prevalence of robustness of 55.4% and 19.3%, respectively. Some factors associated with successful aging were: positive self-perception of health, dancing habits, walking habits, absence of cognitive impairment, absence of depressive symptoms and polypathology, as well as daily life independence. After adjustment by age, the absence of polypathology and independence for activities of daily living stand out for robustness between 60 and 79 years; in those aged 80 years and over, independence for activities of daily living and dance practice presented greater strength of association. CONCLUSION: The prevalence of robust older adults in primary care is considered satisfactory for the older population in general but decreases with age and is associated with the absence of diseases and disabilities. These results denote the need to redesign the health care system, focusing on promoting and preventing clinical-functional vulnerability.

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“…Disinformation and misinformation online as public concerning issues have been raised [10,11]. eHealth literacy, de ned as "the ability to select, appraise, and utilize good quality health information from the Internet", is of great important to motivate health information seeking and scanning behaviors, evaluate health information, and maximize the potential bene ts of eHealth for their health-related lifestyle [12][13][14][15][16]. Moreover, it had reported that limited eHealth literacy was an obstacle for online health information-seeking behaviors in patients with chronic diseases [17].…”

Section: Introductionmentioning

confidence: 99%

The associations among individual factors, eHealth literacy, depression symptoms and health related quality of life among Chinese elderly: a cross-section study

Zhu¹,

Yang²

2021

Preprint

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Background: The higher level of eHealth literacy the elderly has, the easier it is to acquire benefits of health-seeking information online. The aim of this study is to evaluate the psychometric properties of the eHealth Literacy Scale (eHEALS) and examine the associations of eHEALS scores with depression, health-related quality of life (HRQoL), lifestyles among the elderly. Methods: A survey of 6183 participants (age 60 years and above) from 17 communities were conducted in June, 2019. Participants answered questions related to socio-demographics, eHEALS, geriatric depression scale and the short-form health survey (SF-36, assessing health-related quality of life). Two mediation models were conducted. A multi-linear regression analysis was performed to explore the association between the eHEALS scores and associated factors using Statistical Package for Social Science version 20.0. Significance was obtained at 95% CI and P < 0.05.Results: Exploratory factor analysis identified one component structure, accounting for 78.52% of the total variance. The factor loadings of eHEALS ranked from 0.832 to 0.905. The Cronbach α of overall scale was 0.961. eHEALS was significant higher in men (B = 0.616, 95%CI 0.235~0.997, P = 0.002), those with living in the city (B = 1.471, 95%CI 1.064~1.878, P < 0.000), those with high educated (B = 1.713, 95%CI 1.581~1.844, P < 0.000), and those with living with family (B = 6.436, 95%CI 4.574~8.298, P < 0.000), as compared to their counterparts, respectively. Moreover, chronic diseases (B = -2.218, 95%CI -2.632~-1.804, P < 0.000) and depression symptoms (B = -0.116, 95%CI 0.153~0.078, P < 0.000) were found negatively associated with eHEALS, while actively obtaining health information positively influenced eHEALS (B = 3.350, 95%CI 2.950~3.749, P < 0.000) after adjusting socio-demographics, lifestyles and HRQoL. Furthermore, depression symptoms had direct and indirect effects on HRQoL, as mediated by eHealth literacy.Conclusions: The eHEALS was a valid and reliable survey tool. As eHealth literacy was a protector for the aged, efforts to improve the older adults’ eHEALS scores can help to main health status. Therefore, healthcare providers formulate effective programs to improve eHealth literacy for the elderly, which can bring benefits for health aging.

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Digital Pathways to Positive Health Perceptions: Does Age Moderate the Relationship Between Medical Satisfaction and Positive Health Perceptions Among Middle-Aged and Older Internet Users?

Cited by 22 publications

References 66 publications

Patient-Reported Outcomes in a Nationally Representative Sample of Older Internet Users: Cross-sectional Survey

Patient-Reported Outcomes in a Nationally Representative Sample of Older Internet Users: Cross-sectional Survey

Robust older adults in primary care: factors associated with successful aging

The associations among individual factors, eHealth literacy, depression symptoms and health related quality of life among Chinese elderly: a cross-section study

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