J. Med. Internet Res. - Analysis of ehealth search perspectives among female college students in the health professions using Q methodology.


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CKGROUND: The current "Millennial Generation" of college students majoring in the health professions has unprecedented access to the Internet. Although some research has been initiated among medical professionals to investigate the cognitive basis for health information searches on the Internet, little is known about Internet search practices among health and medical professional students.OBJECTIVE: To systematically identify health professional college student perspectives of personal eHealth search practices.METHODS: Q methodology was used to examine subjective perspectives regarding personal eHealth search practices among allied health students majoring in a health education degree program. Thirteen (n = 13) undergraduate students were interviewed about their attitudes and experiences conducting eHealth searches. From the interviews, 36 statements were used in a structured ranking task to identify clusters and determine which specific perceptions of eHealth search practices discriminated students into different groups. Scores on an objective measure of eHealth literacy were used to help categorize participant perspectives.RESULTS: Q-technique factor analysis of the rankings identified 3 clusters of respondents with differing views on eHealth searches that generally coincided with participants' objective eHealth literacy scores. The proficient resourceful students (pattern/structure coefficient range 0.56-0.80) described themselves as using multiple resources to obtain eHealth information, as opposed to simply relying on Internet search engines. The intermediate reluctant students (pattern/structure coefficient range 0.75-0.90) reported engaging only Internet search engines to locate eHealth information, citing undeveloped evaluation skills when considering sources of information located on the Internet. Both groups of advanced students reported not knowing how to use Boolean operators to conduct Internet health searches. The basic hubristic students (pattern/structure coefficient range 0.54-0.76) described themselves as independent procrastinators when searching for eHealth information. Interestingly, basic hubristic students represented the only cluster of participants to describe themselves as (1) having received instruction on using the Internet to conduct eHealth searches, and (2) possessing relative confidence when completing a search task.CONCLUSIONS: Subjective perspectives of eHealth search practices differed among students possessing different levels of eHealth literacy. These multiple perspectives present both challenges and opportunities for empowering college students in the health professions to use the Internet to obtain and appraise evidence-based health information using the Internet.

Resumo Limpo

ckground current millenni generat colleg student major health profess unpreced access internet although research initi among medic profession investig cognit basi health inform search internet littl known internet search practic among health medic profession studentsobject systemat identifi health profession colleg student perspect person ehealth search practicesmethod q methodolog use examin subject perspect regard person ehealth search practic among alli health student major health educ degre program thirteen n undergradu student interview attitud experi conduct ehealth search interview statement use structur rank task identifi cluster determin specif percept ehealth search practic discrimin student differ group score object measur ehealth literaci use help categor particip perspectivesresult qtechniqu factor analysi rank identifi cluster respond differ view ehealth search general coincid particip object ehealth literaci score profici resourc student patternstructur coeffici rang describ use multipl resourc obtain ehealth inform oppos simpli reli internet search engin intermedi reluct student patternstructur coeffici rang report engag internet search engin locat ehealth inform cite undevelop evalu skill consid sourc inform locat internet group advanc student report know use boolean oper conduct internet health search basic hubrist student patternstructur coeffici rang describ independ procrastin search ehealth inform interest basic hubrist student repres cluster particip describ receiv instruct use internet conduct ehealth search possess relat confid complet search taskconclus subject perspect ehealth search practic differ among student possess differ level ehealth literaci multipl perspect present challeng opportun empow colleg student health profess use internet obtain apprais evidencebas health inform use internet

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