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.


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CKGROUND: The quantum increases in home Internet access and available online health information with limited control over information quality highlight the necessity of exploring decision making processes in accessing and using online information, specifically in relation to children who do not make their health decisions. The aim of this study was to understand the processes explaining parents' decisions to use online health information for child health care.METHODS: Parents (N = 391) completed an initial questionnaire assessing the theory of planned behaviour constructs of attitude, subjective norm, and perceived behavioural control, as well as perceived risk, group norm, and additional demographic factors. Two months later, 187 parents completed a follow-up questionnaire assessing their decisions to use online information for their child's health care, specifically to 1) diagnose and/or treat their child's suspected medical condition/illness and 2) increase understanding about a diagnosis or treatment recommended by a health professional.RESULTS: Hierarchical multiple regression showed that, for both behaviours, attitude, subjective norm, perceived behavioural control, (less) perceived risk, group norm, and (non) medical background were the significant predictors of intention. For parents' use of online child health information, for both behaviours, intention was the sole significant predictor of behaviour. The findings explain 77% of the variance in parents' intention to treat/diagnose a child health problem and 74% of the variance in their intentions to increase their understanding about child health concerns.CONCLUSIONS: Understanding parents' socio-cognitive processes that guide their use of online information for child health care is important given the increase in Internet usage and the sometimes-questionable quality of health information provided online. Findings highlight parents' thirst for information; there is an urgent need for health professionals to provide parents with evidence-based child health websites in addition to general population education on how to evaluate the quality of online health information.

Resumo Limpo

ckground quantum increas home internet access avail onlin health inform limit control inform qualiti highlight necess explor decis make process access use onlin inform specif relat children make health decis aim studi understand process explain parent decis use onlin health inform child health caremethod parent n complet initi questionnair assess theori plan behaviour construct attitud subject norm perceiv behaviour control well perceiv risk group norm addit demograph factor two month later parent complet followup questionnair assess decis use onlin inform child health care specif diagnos andor treat child suspect medic conditionil increas understand diagnosi treatment recommend health professionalresult hierarch multipl regress show behaviour attitud subject norm perceiv behaviour control less perceiv risk group norm non medic background signific predictor intent parent use onlin child health inform behaviour intent sole signific predictor behaviour find explain varianc parent intent treatdiagnos child health problem varianc intent increas understand child health concernsconclus understand parent sociocognit process guid use onlin inform child health care import given increas internet usag sometimesquestion qualiti health inform provid onlin find highlight parent thirst inform urgent need health profession provid parent evidencebas child health websit addit general popul educ evalu qualiti onlin health inform

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