Perceived Credibility of Chinese Social Media: Toward an Integrated Approach

Li, Xiaojing; Zhang, Guoliang

doi:10.1093/ijpor/edw035

Cited by 24 publications

(15 citation statements)

References 23 publications

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“…All the above types of social media include almost all the social media platforms in China, and each media type is aimed at particular users. For instance, traditional official media represents the official voice of the government, while public or aggregated social media provides voices to grassroots organizations or individuals [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Social Media Use, eHealth Literacy, Disease Knowledge, and Preventive Behaviors in the COVID-19 Pandemic: Cross-Sectional Study on Chinese Netizens

Li¹,

Liu²

2020

J Med Internet Res

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229

200

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Background Since its outbreak in January 2020, COVID-19 has quickly spread worldwide and has become a global pandemic. Social media platforms have been recognized as important tools for health-promoting practices in public health, and the use of social media is widespread among the public. However, little is known about the effects of social media use on health promotion during a pandemic such as COVID-19. Objective In this study, we aimed to explore the predictive role of social media use on public preventive behaviors in China during the COVID-19 pandemic and how disease knowledge and eHealth literacy moderated the relationship between social media use and preventive behaviors. Methods A national web-based cross-sectional survey was conducted by a proportionate probability sampling among 802 Chinese internet users (“netizens”) in February 2020. Descriptive statistics, Pearson correlations, and hierarchical multiple regressions were employed to examine and explore the relationships among all the variables. Results Almost half the 802 study participants were male (416, 51.9%), and the average age of the participants was 32.65 years. Most of the 802 participants had high education levels (624, 77.7%), had high income >¥5000 (US $736.29) (525, 65.3%), were married (496, 61.8%), and were in good health (486, 60.6%). The average time of social media use was approximately 2 to 3 hours per day (mean 2.34 hours, SD 1.11), and the most frequently used media types were public social media (mean score 4.49/5, SD 0.78) and aggregated social media (mean score 4.07/5, SD 1.07). Social media use frequency (β=.20, P<.001) rather than time significantly predicted preventive behaviors for COVID-19. Respondents were also equipped with high levels of disease knowledge (mean score 8.15/10, SD 1.43) and eHealth literacy (mean score 3.79/5, SD 0.59). Disease knowledge (β=.11, P=.001) and eHealth literacy (β=.27, P<.001) were also significant predictors of preventive behaviors. Furthermore, eHealth literacy (P=.038) and disease knowledge (P=.03) positively moderated the relationship between social media use frequency and preventive behaviors, while eHealth literacy (β=.07) affected this relationship positively and disease knowledge (β=–.07) affected it negatively. Different social media types differed in predicting an individual’s preventive behaviors for COVID-19. Aggregated social media (β=.22, P<.001) was the best predictor, followed by public social media (β=.14, P<.001) and professional social media (β=.11, P=.002). However, official social media (β=.02, P=.597) was an insignificant predictor. Conclusions Social media is an effective tool to promote behaviors to prevent COVID-19 among the public. Health literacy is essential for promotion of individual health and influences the extent to which the public engages in preventive behaviors during a pandemic. Our results not only enrich the theoretical paradigm of public health management and health communication but also have practical implications in pandemic control for China and other countries.

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Section: Introductionmentioning

confidence: 99%

Social Media Use, eHealth Literacy, Disease Knowledge, and Preventive Behaviors in the COVID-19 Pandemic: Cross-Sectional Study on Chinese Netizens

Li¹,

Liu²

2020

J Med Internet Res

Self Cite

229

200

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“…Therefore, in this study, patients can be regarded as having obtained health information from physicians as long as they communicate with physicians, regardless of the quality and quantity of information. Compared with the health information from other sources, internet health information can be published on time and be obtained conveniently and quickly because of zero gatekeeping and zero-cost publishing [56]. However, internet health information lacks monitoring, and the quality of internet health information has become a serious problem [57].…”

Section: Introductionmentioning

confidence: 99%

Impact of Physician-Patient Communication in Online Health Communities on Patient Compliance: Cross-Sectional Questionnaire Study

Zhang

2019

J Med Internet Res

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Background In China, the utilization of medical resources is tense, and most hospitals are highly congested because of the large population and uneven distribution of medical resources. Online health communities (OHCs) play an important role in alleviating hospital congestions, thereby improving the utilization of medical resources and relieving medical resource shortages. OHCs have positive effects on physician-patient relationships and health outcomes. Moreover, as one of the main ways for patients to seek health-related information in OHCs, physician-patient communication may affect patient compliance in various ways. In consideration of the inevitable development of OHCs, although they have several shortcomings, identifying how physician-patient communication can impact patient compliance is important to improve patients’ health outcomes through OHCs. Objective This study aimed to investigate the impact of physician-patient communication on patient compliance in OHCs through the mediation of the perceived quality of internet health information, decision-making preference, and physician-patient concordance, using an empirical study based on the self-determination theory. Methods A research model was established, including 1 independent variable (physician-patient communication), 3 mediators (perceived quality of internet health information, decision-making preference, and physician-patient concordance), 1 dependent variable (patient compliance), and 4 control variables (age, gender, living area, and education level). Furthermore, a Web-based survey involving 423 valid responses was conducted in China to collect data, and structural equation modeling and partial least squares were adopted to analyze data and test the hypotheses. Results The questionnaire response rate was 79.2% (487/615) and the validity rate was 86.9% (423/487); reliability and validity are acceptable. The communication between physicians and patients in OHCs positively affects patient compliance through the mediation of the perceived quality of internet health information, decision-making preference, and physician-patient concordance. Moreover, physician-patient communication exhibits similar impacts on the perceived quality of internet health information, decision-making preference, and physician-patient concordance. Patients’ decision-making preference shows the weakest impact on patient compliance compared with the other 2 mediators. Ultimately, all 3 mediators play a partially mediating role between physician-patient communication and patient compliance. Conclusions We conclude that physician-patient communication in OHCs exhibits a positive impact on patient compliance; thus, patient compliance can be improved by guiding physician-patient communication in OHCs. Furthermore, our findings suggest that physicians can share high-quality health information with patients, discuss benefits, risks, and costs of tre...

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“…Pero ¿qué se entiende por credibilidad? 1 , nos encontramos ante un concepto multidimensional (Gaziano;McGrath, 1986;Li;Zhang, 2017), donde la acepción de mayor influencia en la bibliografía ha sido la propuesta por Hovland, Janis y Kelley (1953), quienes la definían como la percepción del consumidor de la veracidad, confianza, buena voluntad y experiencia del medio.…”

Section: Información En Medios Digitales Y Credibilidadunclassified

Credibilidad en la prensa online: estrategia para la diferenciación y generación de audiencias

Rodríguez-Fernández

Martínez

Juanatey-Boga

2020

EPI

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The regular paper publications sector has implemented significant business model transformations to embrace digitalization, with the press being the most affected of all. This has contributed not only to the migration of traditional mastheads to a digital format, in search of a hybridization process, but also to the development of new digital brands. In these circumstances, credibility emerges as a critical factor to consider when selecting sources of information. Along these lines and with regards to the online press, two research objectives arise: to analyze which factors can influence, and which factors are influenced by, the credibility of an online masthead. The methodology used in this study is based on quantitative research using surveys conducted with university students and structural equation modeling. The main conclusions demonstrate that coverage is the main variable in terms of generating credibility and that this also contributes to reader perception regarding greater confidence, accuracy, and sympathy. Resumen En el sector de las publicaciones periódicas en papel, donde la prensa ha sido la más afectada, la digitalización ha generado importantes transformaciones en sus modelos de negocio, lo que ha propiciado, por un lado, la migración digital de las cabeceras tradicionales en la búsqueda inicial de una hibridación y, por otro, la incorporación de nuevas cabeceras nativas digitales. Ante esta situación la credibilidad se erige como un factor relevante en el momento de seleccionar cabeceras para informarse. En este sentido, en lo que a prensa online se refiere, se plantean dos objetivos: analizar qué factores influyen y sobre cuáles incide la credibilidad de una cabecera online. La metodología se fundamenta en una investigación cuantitativa, basada en la realización de encuestas a jóvenes universitarios y el empleo de un modelo de ecuaciones estructurales. Las conclusiones evidencian que la cobertura es la principal variable en la generación de credibilidad y ésta a su vez contribuye a la percepción en el lector de una mayor confianza, precisión y simpatía.

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Perceived Credibility of Chinese Social Media: Toward an Integrated Approach

Cited by 24 publications

References 23 publications

Social Media Use, eHealth Literacy, Disease Knowledge, and Preventive Behaviors in the COVID-19 Pandemic: Cross-Sectional Study on Chinese Netizens

Social Media Use, eHealth Literacy, Disease Knowledge, and Preventive Behaviors in the COVID-19 Pandemic: Cross-Sectional Study on Chinese Netizens

Impact of Physician-Patient Communication in Online Health Communities on Patient Compliance: Cross-Sectional Questionnaire Study

Credibilidad en la prensa online: estrategia para la diferenciación y generación de audiencias

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