Where else would I look for it? A five-country qualitative study on purposes, strategies, and consequences of online health information seeking

Background. Online health information (OHI) is widely available and consulted by many people in Western countries to gain health advice. The main goal of the present study is to provide a detailed account of the experiences among people from various demographic backgrounds living in high-income countries, who have used OHI. Design and methods. Thematic analysis of 165 qualitative semi-structured interviews conducted among OHI users residing in Australia, Israel, the Netherlands, Norway, and Switzerland was performed. Results. The lived experience of people using OHI seem not to differ across countries. The interviews show that searches for OHI are motivated from curiosity, sharing of experiences, or affirmation for actions already taken. Most people find it difficult to appraise the information, leading them to cross-check sources or discuss OHI with others. OHI seems to impact mostly some specific types of health behaviors, such as changes in diet or physical activity, while it only plays a complementary role for more serious health concerns. Participants often check OHI before seeing their GP, but are reluctant to discuss online content with health care personnel due to expected negative reception. Conclusions. This study adds to the body of knowledge on eHealth literacy by demonstrating how OHI affects overall health behavior, strengthens patients’ ability to understand, live with, and prepare themselves for diverse health challenges. The increasing digitalization of health communication and health care calls for further research on digital divides and patient-professional relations. Health care professionals should acknowledge OHI seeking and engage in discussions with patients to enable them to appreciate OHI, and to support shared decision making in health care. The professionals can utilize patient’s desire to learn as a resource for health prevention, promotion or treatment, and empowerment

Inter-party agenda-setting in the Belgian parliament : the role of party characteristics and competition

In this article we explore the inter-party agenda-setting dynamics in the Belgian parliament during the period 1993-2000 and investigate whether and when parties respond to the attention paid to issues by other parties in parliament. We rely on an elaborate coding of parliamentary questions and interpellations, as well as media coverage and government meetings. Pooled time series analyses demonstrate considerable agenda-setting effects from one party agenda to another. The results indicate that in particular parties from the same language community, parties that participate in government and extreme-right and environmental 'niche parties' have agenda-setting power

Stop and Think! Exploring the Role of News Truth Discernment, Information Literacy, and Impulsivity in the Effect of Critical Thinking Recommendations on Trust in Fake Covid-19 News

Covid-19-related fake news widely circulates on social media. This is problematic as people commonly do not process information on social media in a very critical manner. Also, when people encounter particular online content several times this tends to increase the content’s trustworthiness, sometimes irrespective of the accuracy of the provided information. Our study aims to explore whether, how, and for whom a simple critical thinking recommendation added to a social media newsfeed can aid people to better discern true news from fake news and reduce their trust in fake news. In an online experiment, 220 participants were exposed to a Twitter newsfeed with true and fake Covid-19-related news messages, either with or without critical thinking recommendations. The findings showed that participants who were exposed to the recommendations showed less trust in fake news messages, which was mediated by an increased accuracy in news truth discernment. Results showed no significant moderating effects of information literacy and impulsivity characteristics. Overall, the findings of this study are promising as this scalable, low-cost intervention might potentially help combat the effects of fake news on social media

Vaccination narratives

In this research we study cognitive mechanisms underlying the potentially persuasive effects of vaccination narrative

Combating Online Misinformation Regarding Vaccinations: The Influence of a Warning Tool on Information Choice

An increasing number of parents refrain from vaccinating their children. This causes lower immunisation coverage, resulting in disease outbreaks. Online misinformation about early-childhood vaccination is a potential cause of this problem. This study tests whether a warning tool, with the appearance of a traffic light, can influence parents’ information choices. An online experiment was conducted with parents and expecting parents (N = 179) with varying pre-existing attitudes and in different decision stages. Participants were asked to select three vaccine-related web links on a Google search result page either with or without the warning tool present. Results showed that participants in the warning tool condition (i.e., who saw reliability labels) selected a higher number of links marked as reliable compared to participants in the control group. No significant moderating effect of decision stage and pre-existing attitude were found. As our findings suggest that a warning tool can lead to better-informed vaccination decisions, the implementation of such a warning tool may prove worthwhile

Where else would i look for it? A five-country qualitative study on purposes, strategies, and consequences of online health information seeking

Background. Online health information (OHI) is widely available and consulted by many people in Western countries to gain health advice. The main goal of the present study is to provide a detailed account of the experiences among people from various demographic backgrounds living in high-income countries, who have used OHI. Design and methods. Thematic analysis of 165 qualitative semi-structured interviews conducted among OHI users residing in Australia, Israel, the Netherlands, Norway, and Switzerland was performed. Results. The lived experience of people using OHI seem not to differ across countries. The interviews show that searches for OHI are motivated from curiosity, sharing of experiences, or affirmation for actions already taken. Most people find it difficult to appraise the information, leading them to cross-check sources or discuss OHI with others. OHI seems to impact mostly some specific types of health behaviors, such as changes in diet or physical activity, while it only plays a complementary role for more serious health concerns. Participants often check OHI before seeing their GP, but are reluctant to discuss online content with health care personnel due to expected negative reception. Conclusions. This study adds to the body of knowledge on eHealth literacy by demonstrating how OHI affects overall health behavior, strengthens patients\u27 ability to understand, live with, and prepare themselves for diverse health challenges. The increasing digitalization of health communication and health care calls for further research on digital divides and patient-professional relations. Health care professionals should acknowledge OHI seeking and engage in discussions with patients to enable them to appreciate OHI, and to support shared decision making in health care. The professionals can utilize patient\u27s desire to learn as a resource for health prevention, promotion or treatment, and empowerment

Validation of the short assessment of health literacy (SAHL-D) and short-form development: Rasch analysis

Background: Accurate measurement of health literacy is essential to improve accessibility and effectiveness of health care and prevention. One measure frequently applied in international research is the Short Assessment of Health Literacy (SAHL). While the Dutch SAHL (SAHL-D) has proven to be valid and reliable, its administration is time consuming and burdensome for participants. Our aim was to further validate, strengthen and shorten the SAHL-D using Rasch analysis. Methods: Available cross-sectional SAHL-D data was used from adult samples (N = 1231) to assess unidimensionality, local independence, item fit, person fit, item hierarchy, scale targeting, precision (person reliability and person separation), and presence of differential item functioning (DIF) depending on age, gender, education and study sample. Results: Thirteen items for a short form were selected based on item fit and DIF, and scale properties were compared between the two forms. The long form had several items with DIF for age, gender, educational level and study sample. Both forms showed lower measurement precision at higher health literacy levels. Conclusions: The findings support the validity and reliability of the SAHL-D for the long form and the short form, which can be used for a rapid assessment of health literacy in research and clinical practice

The Effectiveness of Health Animations in Audiences With Different Health Literacy Levels: An Experimental Study

Background: Processing Web-based health information can be difficult, especially for people with low health literacy. Presenting health information in an audiovisual format, such as animation, is expected to improve understanding among low health literate audiences. Objective: The aim of this paper is to investigate what features of spoken health animations improve information recall and attitudes and whether there are differences between health literacy groups. Methods: We conducted an online experiment among 231 participants aged 55 years or older with either low or high health literacy. A 2 (spoken vs written text) x 2 (illustration vs animation) design was used. Participants were randomly exposed to one of the four experimental messages, all providing the same information on colorectal cancer screening. Results: The results showed that, among people with low health literacy, spoken messages about colorectal cancer screening improved recall (P=.03) and attitudes (P=.02) compared to written messages. Animations alone did not improve recall, but when combined with spoken text, they significantly improved recall in this group (P=.02). When exposed to spoken animations, people with low health literacy recalled the same amount of information as their high health literate counterparts (P=.12), whereas in all other conditions people with high health literacy recalled more information compared to low health literate individuals. For people with low health literacy, positive attitudes mediated the relationship between spoken text and the intention to have a colorectal cancer screening (b=.12; 95% CI 0.02-0.25). Conclusions: We conclude that spoken animation is the best way to communicate complex health information to people with low health literacy. This format can even bridge the information processing gap between audiences with low and high health literacy as the recall differences between the two groups are eliminated. As animations do not negatively influence high health literate audiences, it is concluded that information adapted to audiences with low health literacy suits people with high health literacy as well