Impact of patient information behaviours in online health communities on patient compliance and the mediating role of patients’ perceived empathy

Lu, Xinyi; Zhang, Runtong

doi:10.1016/j.pec.2020.07.001

Cited by 24 publications

(12 citation statements)

References 68 publications

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“…Finally, we included 42 of 173 (24.2%) English papers in the study; see Table 1. From the perspective of literature research methods, most of the studies were carried out in the form of questionnaires and interviews, and there were 11 (26%) studies in which research models and hypotheses were first proposed and questionnaires were designed for verification to study the mechanism of OHI seeking affecting the physician-patient relationship from different perspectives [11,[23][24][25][26][27][28][29][30][31][32]. With searching in the CNKI and SinoMed, there were 5440 initially searched papers, of which 5219 (95.94%) exported papers in Chinese remained after duplication removal using Endnote 20.…”

Section: Characteristics Of the Papersmentioning

confidence: 99%

The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review

Luo¹,

Qin²,

Yuan³

et al. 2022

J Med Internet Res

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Background The internet has now become part of human life and is constantly changing people's way of life. With the increasing popularity of online health information (OHI), it has been found that OHI can affect the physician-patient relationship by influencing patient behaviors. Objective This study aims to systematically investigate the impact of OHI-seeking behavior on the physician-patient relationship. Methods Literature retrieval was conducted on 4 databases (Web of Science, PubMed, China National Knowledge Infrastructure, SinoMed), and the time limit for literature publication was before August 1, 2021. Results We selected 53 target papers (42 [79%] English papers and 11 [21%] Chinese papers) that met the inclusion criteria. Of these, 31 (58%) papers believe that patients’ OHI behavior can enable them to participate in their own medical care, improve patient compliance, and improve the physician-patient relationship. In addition, 14 (26%) papers maintain a neutral attitude, some believing that OHI behavior has no significant effect on doctors and patients and others believing that due to changes in the factors affecting OHI behavior, they will have a negative or a positive impact. Furthermore, 8 (15%) papers believe that OHI search behavior has a negative impact on doctors and patients, while 6 (11%) papers show that OHI reduces Chinese patients’ trust in doctors. Conclusions Our main findings showed that (1) OHI-seeking behavior has an impact on patients' psychology, behavior, and evaluation of doctors; (2) whether patients choose to discuss OHI with doctors has different effects on the physician-patient relationship; and (3) the negative impact of OHI on China’s internet users is worthy of attention. Due to the low quality of OHI, poor health information literacy, short physician-patient communication time, and various types of negative news, patients' trust in doctors has declined, thus affecting the physician-patient relationship. Improvement of people's health information literacy and the quality of OHI are important factors that promote the positive impact of OHI on the physician-patient relationship.

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Section: Characteristics Of the Papersmentioning

confidence: 99%

The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review

Luo¹,

Qin²,

Yuan³

et al. 2022

J Med Internet Res

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show abstract

“…Finally, our study focuses more on patients; however, it has been proven that the physician-patient communication is more physician-centric in online medical services than in face-to-face consultations [ 46 ]. If researchers are interested in the field of online physician-patient communication, especially the patient’s WTC, we suggest they explore more on physician-centric studies.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have discussed the effect of social presence on WTC online especially in the field of online learning [ 41 , 42 ] and revealed that students who perceive a higher level of social presence are usually more willing to communicate [ 43 - 45 ]. Although there is research showing that patients’ WTC may help the treatment to be more effective [ 46 ], few studies have discussed patients’ WTC in online medical services. Some scholars are interested in the relationship between social presence and WTC in the context of psychotherapy.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Perceived Social Presence on the Willingness to Communicate in Mobile Medical Consultations: Experimental Study

Chen¹,

Zhang²,

Hou³

2022

J Med Internet Res

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Background With the rise of online health care service, there is growing discussion on the relationship between physicians and patients online, yet few researchers have paid attention to patients’ perception of social presence, especially its influence on their willingness to communicate (WTC). Objective The goal of the research is to investigate the influence of perceived social presence (PSP) on WTC in mobile medical consultations. Methods Participants living in Yunnan province during the period of middle to high risk of COVID-19 infection were recruited via the internet. They were assigned randomly into 2 groups interacting with a virtual physician presenting high and low levels of social presence and then asked to complete a questionnaire. Based on the theoretical framework, the study puts forward a model evaluating the relationships among participants’ PSP, communication apprehension (CA), self-perceived communication competence (SPCC), and willingness to communicate about health (WTCH) in the computer-mediated communication between virtual physicians and patients. Results In total 206 (106 in group 1 and 100 in group 2) valid samples were gathered (from 276 log-ins) and 88.8% (183/206) of them were aged 18 to 44 years, which approximately resembles the age distribution of the main population engaging in online medical consultation in China. Independent t test shows that there is significant difference between the PSP of the 2 groups (P=.04), indicating a successful manipulation of social presence. The total effect of PSP on WTCH is 0.56 (P<.001), among which 74.4% is direct effect (P<.001). Among the indirect effects between PSP and WTCH, the mediating effect of SPCC accounts for 68.8% (P<.001) and the sequential mediating effect of CA→SPCC accounts for 19.2% (P<.001), while the mediating effect of CA alone is not significant (P=.08). Conclusions This study provides a comprehensible model, demonstrating that PSP is an important antecedent of WTCH, and the sequential mediating effect of CA and SPCC found in this study also proves that in the environment of online mobile medical services, CA cannot affect communication directly. The findings will provide some practical inspiration for the popularization of online medical service, especially for the promotion of online physician-patient communication.

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“…By searching for health information on the internet, members of the public can acquire health-related knowledge and improve their individual e-health literacy ( 21 , 30 , 31 ). Moreover, patients with different levels of eHealth literacy have different abilities to seek health information and judge information quality ( 40 ). When faced with a large amount of health information on the internet, members of the public with higher e-health literacy tend to behave more psychologically robustly.…”

Section: Discussionmentioning

confidence: 99%

The Chain Mediating Effect of the Public's Online Health Information-Seeking Behavior on Doctor-Patient Interaction

Luo

Yu²,

Liu³

et al. 2022

Front. Public Health

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ObjectiveThis paper aims to explore the influence mechanisms of online health information-seeking behavior (OHISB) on doctor-patient interactions from a psychological perspective, using theory as a guide, which can effectively guide the mode of doctor-patient interaction after search behavior in China.MethodsWe conducted a convenient web-based survey among members of the public who engage in searching behavior in China using a pretested structured questionnaire. Structural equation modeling was performed for path analysis and mediating effect testing.ResultsThe findings of the study show that (1) 4 control variables (education level, occupation, income, and diagnosed disease) had significant differences in online health information-seeking behavior; 7 control variables (age, gender, living area, education level, occupation, income, medical insurance) were significantly different in doctor-patient interaction behaviors. (2) perceived disease severity (95% CI: 0.003, 0.04, P < 0.001), perceived action benefits (95% CI: 0.059, 0.138, P < 0.001), and e-health literacy (95% CI: 0.061, 0.155, P < 0.001) were positive predictors between OHISB and doctor-patient interactions. (2) E-health literacy and perceived disease severity (95% CI: 0.001, 0.013, P < 0.05), and e-health literacy and perceived action benefits (95% CI: 0.082, 0.166, P < 0.001) play chain mediating roles between OHISB and doctor-patient interactions.ConclusionsE-health literacy, perceived disease severity, and perceived action benefits act as chain mediators between OHISB and doctor-patient interactions.

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Impact of patient information behaviours in online health communities on patient compliance and the mediating role of patients’ perceived empathy

Cited by 24 publications

References 68 publications

The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review

The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review

The Influence of Perceived Social Presence on the Willingness to Communicate in Mobile Medical Consultations: Experimental Study

The Chain Mediating Effect of the Public's Online Health Information-Seeking Behavior on Doctor-Patient Interaction

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