Health literacy in a complex digital media landscape: Pediatric obesity patients’ experiences with online weight, food, and health information

Holmberg, Christopher; Berg, Christina; Dahlgren, Jovanna; Lissner, Lauren; Chaplin, John

doi:10.1177/1460458218759699

Cited by 43 publications

(36 citation statements)

References 48 publications

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“…All studies ( table 2 ) were published between 2009 and 2019 and undertaken in Australia 13–15 (n=3), Canada 16–22 (n=7), England 23–31 (n=9), Italy 32 (n=1), the Netherlands 33 (n=1), New Zealand 34 (n=1), Nigeria 35 (n=1), Spain 36 (n=1), Sweden 37 38 (n=2), USA 39–49 (n=11) and Wales 50 (n=1). Studies included CYP with the following LTCs: asthma (n=7), type 1 diabetes (n=5), chronic kidney disease (n=3), cancer (n=3), obesity (n=3), cerebral palsy/spina bifida (n=2), attention deficit hyperactivity disorder (ADHD) (n=2) and HIV, idiopathic scoliosis, colorectal conditions, chronic fatigue syndrome/myalgic encephalitis with n=1 study each.…”

Section: Resultsmentioning

confidence: 99%

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Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

et al. 2020

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BackgroundThe use of patient-facing health technologies to manage long-term conditions is increasing; however, children and young people may have particular concerns or needs before deciding to use different health technologies.AimsTo identify children and young people’s reported concerns or needs in relation to using health technologies to self-manage long-term conditions.MethodsA scoping review was conducted. We searched MEDLINE, PsycINFO and CINAHL in February 2019. Searches were limited to papers published between January 2008 and February 2019. We included any health technology used to manage long-term conditions. A thematic synthesis of the data from the included studies was undertaken. We engaged children with long-term conditions (and parents) to support review design, interpretation of findings and development of recommendations.ResultsThirty-eight journal articles were included, describing concerns or needs expressed by n=970 children and/or young people aged 5–18 years. Most included studies were undertaken in high-income countries with children aged 11 years and older. Studies examined concerns with mobile applications (n=14), internet (n=9), social media (n=3), interactive online treatment programmes (n=3), telehealth (n=1), devices (n=3) or a combination (n=5). Children and young people’s main concerns were labelling and identity; accessibility; privacy and reliability; and trustworthiness of information.DiscussionThis review highlights important concerns that children and young people may have before using technology to self-manage their long-term condition. In future, research should involve children and young people throughout the development of technology, from identifying their unmet needs through to design and evaluation of interventions.

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Section: Resultsmentioning

confidence: 99%

“… 23 26 29 36 38 They also raised concerns about images or content that could be perceived as overly negative or alarmist about their condition, 36 48 although some CYP were concerned about images that they perceived to be unrealistic or idealised (particularly in relation to body image). 37 …”

Section: Resultsmentioning

confidence: 99%

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

et al. 2020

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“…Mesmo tendo baixa representatividade nas postagens, os erros propagados por informações não qualificadas comprometem a utilização não organizada das redes sociais nas ações de promoção da saúde. Principalmente, as mídias que permitem informações praticamente em tempo real, como o Instagram, possuem potencial para intervir de maneira tanto benéfica quanto maléfica no bem-estar e na saúde do indivíduo, e por isso, a utilização como ferramenta de intervenção de promoção de saúde, deve ser avaliada com cuidado (HOLMBERG et al, 2018).…”

Section: Categoriasunclassified

INSTAGRAM & SAÚDE: ANÁLISE E CLASSIFICAÇÃO DOS POSTS MAIS RELEVANTES SOBRE OBESIDADE

Vicente¹,

Rossini²,

Membrive³

et al. 2018

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“…Current online technologies present a multitude of ways to engage youth in obesity management strategies; these strategies may allow for broader reach compared with traditional in person approaches (Direito A, 2015). Indeed, multiple studies have demonstrated that adolescents are interested in or respond positively to technology-based interventions such as email communications with a health coach and receiving advice/assistance on lifestyle changes via social media (Holmberg C, 2018) (Patrick K, 2014). Indeed, several small studies using social media and online platforms have shown promising results for behavior change and weight loss (Wang Y, 2017).…”

Section: Introductionmentioning

confidence: 99%

Adolescent Obesity Management: Understanding the Communication and Support Preferences of Underserved Youth

Zavala

Ahrens

Evans

et al. 2018

Journal of Adolescent Health

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Adolescent obesity management: Understanding the communication and support preferences of underserved youth School of Public Health-Health Services PURPOSE: Adolescence is a time when health decisions can have a major impact in creating habits that affect youth for rest of their lives. Poor nutrition, insufficient physical activity, and sleep deficits are associated with increased risk for weight gain. Less than half of adolescents in this country meet the daily recommended amount of physical activity and a significant number of adolescents do not have healthy eating or sleep habits. Consequently, approximately 20.5% of US adolescents are overweight or obese. Ethnic/racial minorities and families of lower socioeconomic status are disproportionately affected by the obesity epidemic and have limited access to obesity prevention and treatment interventions; living outside of an urban center may also reduce access to interventions. Understanding communication preferences of diverse populations can improve impact of clinical interventions. Few studies exist focusing on what youth from disenfranchised backgrounds view as useful modalities to receive guidance regarding making healthy lifestyle changes. In this study, we sought to learn about communication and support preferences related to nutrition, physical activity, and sleep, to inform development of equitable strategies that fit the needs of youth who are currently from globally diverse and underserved backgrounds. METHODS: We qualitatively interviewed 20 adolescents attending an obesity managementprogram at a tertiary referral center in Seattle using a semi-structured script. We deliberately sought to include a high proportion of youth who lived outside of Seattle. Sessions were audio recorded and transcribed. Responses were coded using thematic analysis techniques to identify similarities and differences amongst the groups. Subjects received $10 for participation, and all materials/procedures were approved by an institutional review board. RESULTS: Participants' ages ranged between 15 to 21 years; 70% were 18 years or younger. Participants were from diverse backgrounds; half were from disenfranchised racial/ethnic communities (30% Latino/Hispanic, 5% African American/Black, 5% Asian, 10% multiracial), 1 participant was transgender female, 1 participant was gender non-binary, 20% of participants spoke Spanish at home, 40% lived in an apartment and the vast majority, 80%, lived in a city other than Seattle. Some common co-morbidities amongst participants include hypertension, anxiety, depression, pre-diabetes and elevated lipids.Main themes regarding communication and support preferences included that patients desired: 1.Written health recommendations and healthy lifestyle tips in electronic form such as social media, website or email rather than paper form. 2.Desire for representative images that are reflective of a diverse group of youth from different racial/ethnic backgrounds, genders, and body types. 3.Tips or examples for nutrition and physical activity that ...

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Health literacy in a complex digital media landscape: Pediatric obesity patients’ experiences with online weight, food, and health information

Cited by 43 publications

References 48 publications

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

INSTAGRAM & SAÚDE: ANÁLISE E CLASSIFICAÇÃO DOS POSTS MAIS RELEVANTES SOBRE OBESIDADE

Adolescent Obesity Management: Understanding the Communication and Support Preferences of Underserved Youth

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