J. Med. Internet Res. - Internet use and eHealth literacy of low-income parents whose children have special health care needs.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ age(1611) year(1155) adult(843) }
{ high(1669) rate(1365) level(1280) }
{ patient(2837) hospit(1953) medic(668) }
{ perform(1367) use(1326) method(1137) }
{ can(774) often(719) complex(702) }
{ drug(1928) target(777) effect(648) }
{ measur(2081) correl(1212) valu(896) }
{ research(1085) discuss(1038) issu(1018) }
{ decis(3086) make(1611) patient(1517) }
{ network(2748) neural(1063) input(814) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ state(1844) use(1261) util(961) }
{ patient(1821) servic(1111) care(1106) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ cost(1906) reduc(1198) effect(832) }
{ use(976) code(926) identifi(902) }
{ survey(1388) particip(1329) question(1065) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ method(1557) propos(1049) approach(1037) }
{ general(901) number(790) one(736) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ research(1218) medic(880) student(794) }
{ group(2977) signific(1463) compar(1072) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ use(1733) differ(960) four(931) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: The Internet has revolutionized the way in which many Americans search for health care information. Unfortunately, being able to use the Internet for this purpose is predicated on having access to the Internet and being able to understand and comprehend online health information. This is especially important for parents of children with special health care needs who are forced to make many medical decisions throughout the lives of their children. Yet, no information is available about this vulnerable group.OBJECTIVE: For parents of children with special health care needs we sought to (1) describe their Internet access and use, (2) determine which child and household factors were associated with Internet use, (3) describe eHealth literacy of Internet users, and (4) determine which child and household factors were associated with greater eHealth literacy.METHODS: This was a cross-sectional telephone survey of 2371 parents whose children with special health care needs were enrolled in Florida's Medicaid and State Children's Health Insurance Plan (SCHIP) programs (4072 parents were approached). To be enrolled in the program, families must have incomes that are less than or equal to 200% of the federal poverty level. The eHealth Literacy Scale (eHEALS) was used to measure eHealth literacy. Descriptive and multivariate analyses were conducted to address the study objectives.RESULTS: The survey response rate was 58.2%. Participating parents were mainly female (2154/2371, 91%), white non-Hispanic (915/2371, 39%), English speaking (1827/2371, 77%), high school graduates (721/2371, 30%), married (1252/2371, 53%), and living in a two-parent household (1212/2371, 51%). Additionally, 82% of parents (1945/2371) in the sample reported that they used the Internet, and 49% of those parents used it daily (1158/2371). Almost three-quarters of Internet users had access to the Internet at home while about one-half had access at work. Parents who were African American, non-English speaking, older, and not college graduates were less likely to use the Internet than their referent groups (P < .001). About 74% of Internet users (1448/1945) reported that they knew how to find health information for their children. However, only about one-half (1030/1945) reported that they can tell high quality from low quality resources online or that they feel confident in using information accessed online to make health decisions. Multivariate regression results consistently showed that being a non-English speaker, having less than a high school education, and being older were all significantly associated with lower eHealth literacy (all P < .001).CONCLUSION: Low-income parents of children with special health care needs have access to and use the Internet as a source of information about their children's health. However, some parents are unable to distinguish between high and low quality information and are not confident in using the Internet. This information is timely because as the pressure to use the Internet to empower consumers and exchange information increases, issues related to access and disparities must be better understood.

Resumo Limpo

ckground internet revolution way mani american search health care inform unfortun abl use internet purpos predic access internet abl understand comprehend onlin health inform especi import parent children special health care need forc make mani medic decis throughout live children yet inform avail vulner groupobject parent children special health care need sought describ internet access use determin child household factor associ internet use describ ehealth literaci internet user determin child household factor associ greater ehealth literacymethod crosssect telephon survey parent whose children special health care need enrol florida medicaid state children health insur plan schip program parent approach enrol program famili must incom less equal feder poverti level ehealth literaci scale eheal use measur ehealth literaci descript multivari analys conduct address studi objectivesresult survey respons rate particip parent main femal white nonhispan english speak high school graduat marri live twopar household addit parent sampl report use internet parent use daili almost threequart internet user access internet home onehalf access work parent african american nonenglish speak older colleg graduat less like use internet refer group p internet user report knew find health inform children howev onehalf report can tell high qualiti low qualiti resourc onlin feel confid use inform access onlin make health decis multivari regress result consist show nonenglish speaker less high school educ older signific associ lower ehealth literaci p conclus lowincom parent children special health care need access use internet sourc inform children health howev parent unabl distinguish high low qualiti inform confid use internet inform time pressur use internet empow consum exchang inform increas issu relat access dispar must better understood

Resumos Similares

J. Med. Internet Res. - Use of the internet as a health information resource among French young adults: results from a nationally representative survey. ( 0,958903902045023 )
Inform Health Soc Care - Internet use for health information among haematology outpatients: a cross-sectional survey. ( 0,956875509083282 )
J. Med. Internet Res. - Digital inequalities of family life information seeking and family well-being among Chinese adults in Hong Kong: a population survey. ( 0,955044884498536 )
Telemed J E Health - Factors affecting electronic health information needs in primary care patients. ( 0,953892879341365 )
Int J Med Inform - Health information seeking, diet and physical activity: an empirical assessment by medium and critical demographics. ( 0,950817956902306 )
Int J Med Inform - Market segmentation of health information use on the Internet in Korea. ( 0,942833660693806 )
J. Med. Internet Res. - eHealth literacy: extending the digital divide to the realm of health information. ( 0,941671266873504 )
J. Med. Internet Res. - Socioeconomic and geographic disparities in health information seeking and Internet use in Puerto Rico. ( 0,937261747189781 )
J. Med. Internet Res. - Multiple information sources and consequences of conflicting information about medicine use during pregnancy: a multinational Internet-based survey. ( 0,928877329973483 )
Int J Med Inform - An exploratory study of inactive health information seekers. ( 0,928861855056321 )
J. Med. Internet Res. - Parents seeking health-related information on the Internet: cross-sectional study. ( 0,927395032646238 )
Int J Med Inform - Internet use by the public to search for health-related information. ( 0,922968428365579 )
Inform Health Soc Care - Use of and trust in health information on the Internet: a nationwide eight-year follow-up survey. ( 0,922351362077532 )
J. Med. Internet Res. - Internet use for health-related information via personal computers and cell phones in Japan: a cross-sectional population-based survey. ( 0,91962351152654 )
BMC Med Inform Decis Mak - Use of the internet as a source of health information by Spanish adolescents. ( 0,919182417811369 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,918756907080611 )
J. Med. Internet Res. - What do web-use skill differences imply for online health information searches? ( 0,917014215752347 )
J. Med. Internet Res. - Content and functionality of alcohol and other drug websites: results of an online survey. ( 0,91256063981659 )
BMC Med Inform Decis Mak - Surfing the internet for health information: an italian survey on use and population choices. ( 0,910423449583211 )
J. Med. Internet Res. - Trust in the internet as a health resource among older adults: analysis of data from a nationally representative survey. ( 0,907091139067844 )
J. Med. Internet Res. - Online communication between doctors and patients in Europe: status and perspectives. ( 0,903952414394345 )
Int J Med Inform - Internet skill-related problems in accessing online health information. ( 0,899782574629772 )
Telemed J E Health - Rural adults' use of health-related information online: data from a 2006 National Online Health Survey. ( 0,899072473059619 )
Health Info Libr J - Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts. ( 0,89889390943254 )
Health Info Libr J - Use and value of information sources by parents of child psychiatric patients. ( 0,893417248997516 )
J. Med. Internet Res. - Internet skills performance tests: are people ready for eHealth? ( 0,890541940042815 )
J. Med. Internet Res. - Who uses physician-rating websites? Differences in sociodemographic variables, psychographic variables, and health status of users and nonusers of physician-rating websites. ( 0,887578953318152 )
Int J Med Inform - Who is NOT likely to access the Internet for health information? Findings from first-time mothers in southwest Sydney, Australia. ( 0,883360126594283 )
J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records. ( 0,882336491287728 )
Int J Med Inform - Online health information seeking by people with physical disabilities due to neurological conditions. ( 0,88222934915708 )
J. Med. Internet Res. - Review of extracting information from the Social Web for health personalization. ( 0,881555944675078 )
Health Informatics J - Spanish students' use of the Internet for mental health information and support seeking. ( 0,881210647978376 )
J. Med. Internet Res. - Acceptance of Internet-based health care services among households in Poland: secondary analysis of a population-based survey. ( 0,881081862663008 )
Inform Health Soc Care - A community education initiative to improve using online health information: participation and impact. ( 0,879372305992531 )
J. Med. Internet Res. - Internet use frequency and patient-centered care: measuring patient preferences for participation using the health information wants questionnaire. ( 0,879096070415529 )
Int J Med Inform - Internet health information seeking is a team sport: analysis of the Pew Internet Survey. ( 0,874172309208766 )
J. Med. Internet Res. - Can online consumers contribute to drug knowledge? A mixed-methods comparison of consumer-generated and professionally controlled psychotropic medication information on the internet. ( 0,871362686997565 )
AMIA Annu Symp Proc - Information is in the eye of the beholder: Seeking information on the MMR vaccine through an Internet search engine. ( 0,870933578287845 )
J. Med. Internet Res. - Seeking health information and support online: does it differ as a function of engagement in risky health behaviors? Evidence from the health information national trends survey. ( 0,86310500106167 )
AMIA Annu Symp Proc - A mobile/web app for long distance caregivers of older adults: functional requirements and design implications from a user centered design process. ( 0,860515646885108 )
Inform Health Soc Care - Seeking health advice on the Internet in patients with health problems: a cross-sectional population study in Slovenia. ( 0,850978225938921 )
Telemed J E Health - Attitudes and awareness of web-based self-care resources in the military: a preliminary survey study. ( 0,846248311202306 )
J. Med. Internet Res. - Consumers' perceptions about and use of the internet for personal health records and health information exchange: analysis of the 2007 Health Information National Trends Survey. ( 0,845601495982334 )
BMC Med Inform Decis Mak - Italian hospitals on the web: a cross-sectional analysis of official websites. ( 0,843474785367507 )
J. Med. Internet Res. - Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS). ( 0,841934398383167 )
Telemed J E Health - Health literacy and willingness to use online health information by teens with asthma and diabetes. ( 0,837899127558521 )
J. Med. Internet Res. - Physician choice making and characteristics associated with using physician-rating websites: cross-sectional study. ( 0,837219398683838 )
J. Med. Internet Res. - eMental health experiences and expectations: a survey of youths' Web-based resource preferences in Canada. ( 0,836199265325459 )
J. Med. Internet Res. - How patients with schizophrenia use the internet: qualitative study. ( 0,835682499299646 )
Telemed J E Health - Understanding the online health information user profiles in Korea: from a psychological perspective. ( 0,830215821193229 )
J. Med. Internet Res. - An international comparison of web-based reporting about health care quality: content analysis. ( 0,829184082510575 )
J. Med. Internet Res. - Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012. ( 0,828894310206341 )
Inform Health Soc Care - Health on the Web: An examination of health content and mobilising information on local television Websites. ( 0,828436913335684 )
BMC Med Inform Decis Mak - An analysis of online health information on schizophrenia or related conditions: a cross-sectional survey. ( 0,826705454801468 )
J. Med. Internet Res. - Young men, mental health, and technology: implications for service design and delivery in the digital age. ( 0,822968403393351 )
Health Info Libr J - 'Quality signposting': the role of online information prescription in providing patient information. ( 0,820529940382626 )
J. Med. Internet Res. - Dr Google and the consumer: a qualitative study exploring the navigational needs and online health information-seeking behaviors of consumers with chronic health conditions. ( 0,820440668268885 )
AMIA Annu Symp Proc - Do health care users think electronic health records are important for themselves and their providers?: Exploring group differences in a national survey. ( 0,816673411560242 )
Telemed J E Health - E-health use in african american internet users: can new tools address old disparities? ( 0,815190438760905 )
BMC Med Inform Decis Mak - Predictive modelling: parents' decision making to use online child health information to increase their understanding and/or diagnose or treat their child's health. ( 0,814409213804867 )
J. Med. Internet Res. - Impact of an online medical internet site on knowledge and practice of health care providers: a mixed methods study of the Spinal Cord Injury Rehabilitation Evidence project. ( 0,814388253589566 )
J. Med. Internet Res. - Munchausen by internet: current research and future directions. ( 0,810839847831419 )
Health Info Libr J - Information needs and information-seeking behaviour analysis of primary care physicians and nurses: a literature review. ( 0,807666501212751 )
J. Med. Internet Res. - Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. ( 0,806330717575787 )
J Am Med Inform Assoc - Seeking health information online: does limited healthcare access matter? ( 0,804443628055957 )
Inform Health Soc Care - UK doctors awareness and use of specified electronic evidence-based medicine resources. ( 0,802028333030364 )
J. Med. Internet Res. - Do online mental health services improve help-seeking for young people? A systematic review. ( 0,799939958546112 )
J. Med. Internet Res. - Promoting health in virtual worlds: lessons from second life. ( 0,799482066225583 )
J. Med. Internet Res. - Evaluating aspects of online medication safety in long-term follow-up of 136 Internet pharmacies: illegal rogue online pharmacies flourish and are long-lived. ( 0,798387223024264 )
Telemed J E Health - Delivering healthcare information via the internet: cardiac patients' access, usage, perceptions of usefulness, and web site content preferences. ( 0,796847094838368 )
J Med Syst - The differing privacy concerns regarding exchanging electronic medical records of internet users in Taiwan. ( 0,79650357906666 )
Comput Methods Programs Biomed - Automatic information timeliness assessment of diabetes web sites by evidence based medicine. ( 0,793824161978689 )
J. Med. Internet Res. - Effects of internet use on health and depression: a longitudinal study. ( 0,792551454302638 )
J. Med. Internet Res. - What explains usage of mobile physician-rating apps? Results from a web-based questionnaire. ( 0,78968991011373 )
J Biomed Inform - Implementation of a user-centered framework in the development of a web-based health information database and call center. ( 0,787839665228291 )
Inform Health Soc Care - Pregnant women's use of the internet in relation to their pregnancy in Izmir, Turkey. ( 0,787361555012452 )
Telemed J E Health - Is the digital divide an obstacle to e-health? An analysis of the situation in Europe and in Italy. ( 0,786520211261576 )
J. Med. Internet Res. - Internet use among older adults: association with health needs, psychological capital, and social capital. ( 0,780529753898196 )
J Am Med Inform Assoc - Comparing the information seeking strategies of residents, nurse practitioners, and physician assistants in critical care settings. ( 0,780143033187626 )
Health Info Libr J - Determining where physical therapists get information to support clinical practice decisions. ( 0,778437289907527 )
J Med Syst - Consumer support for health information exchange and personal health records: a regional health information organization survey. ( 0,77650832081416 )
J. Med. Internet Res. - Information-seeking at a caregiving website: a qualitative analysis. ( 0,775818022248825 )
Health Informatics J - Students' trust judgements in online health information seeking. ( 0,775691817591151 )
Perspect Health Inf Manag - Evaluation of dengue-related health information on the internet. ( 0,774694695344458 )
AMIA Annu Symp Proc - Social and behavioral history information in public health datasets. ( 0,774364608631607 )
Health Informatics J - Developing mental health mobile apps: Exploring adolescents' perspectives. ( 0,773737545317269 )
J. Med. Internet Res. - Internet access and use in adults with hearing loss. ( 0,772144849248571 )
J Telemed Telecare - Access, use and completion of a brief disaster mental health intervention among Hispanics, African-Americans and Whites affected by Hurricane Ike. ( 0,769888506777237 )
Inform Health Soc Care - Parental knowledge of coeliac disease. ( 0,767372151676441 )
J Am Med Inform Assoc - Factors influencing use of an e-health website in a community sample of older adults. ( 0,763231379533771 )
J Am Med Inform Assoc - Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. ( 0,762793987277486 )
Int J Med Inform - Information quality of a Nursing Information System depends on the nurses: a combined quantitative and qualitative evaluation. ( 0,762435498455074 )
Health Info Libr J - The role of health information kiosks in diverse settings: a systematic review. ( 0,761991748219105 )
BMC Med Inform Decis Mak - How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study. ( 0,761834656204941 )
J. Med. Internet Res. - Dirt cheap and without prescription: how susceptible are young US consumers to purchasing drugs from rogue internet pharmacies? ( 0,76045139225949 )
J. Med. Internet Res. - Improving access to information and support for patients with less common cancers: hematologic cancer patients' views about Web-based approaches. ( 0,754064753424727 )
J. Med. Internet Res. - Evaluating the process of online health information searching: a qualitative approach to exploring consumer perspectives. ( 0,749978538009181 )
J. Med. Internet Res. - Subdividing the digital divide: differences in internet access and use among rural residents with medical limitations. ( 0,749156630004317 )
AMIA Annu Symp Proc - What do patients search for when seeking clinical trial information online? ( 0,748677480896608 )
J. Med. Internet Res. - Older adult experience of online diagnosis: results from a scenario-based think-aloud protocol. ( 0,747883685909538 )