The effects of situated learning and health knowledge involvement on health communications

Reproductive Health

Wei-Li Wu¹  Yi-Chih Lee¹ 

[1] Department of International Business, Chien Hsin University of Science and Technology, No.229, Jianxing Road, Zhongli City, Taoyuan County 320, Taiwan

关键词: Visiting a doctor;    Health communication;    Health knowledge involvement;    Situated learning;    Framing effects;   

Others  :  1131950
DOI  :  10.1186/1742-4755-11-93

 received in 2014-08-14, accepted in 2014-12-16,  发布年份 2014

【 摘 要 】

Background

Many patients use websites, blogs, or online social communities to gain health knowledge, information about disease symptoms, and disease diagnosis opinions. The purpose of this study is to use the online platform of blogs to explore whether the framing effect of information content, situated learning of information content, and health knowledge involvement would affect health communication between doctors and patients and further explore whether this would increase patient willingness to seek treatment.

Methods

This study uses a survey to collect data from patient subjects who have used online doctor blogs or patients who have discussed medical information with doctors on blogs. The number of valid questionnaire samples is 278, and partial least square is used to conduct structural equation model analysis.

Results

Research results show that situated learning and health knowledge involvement have a positive effect on health communication. The negative framing effect and health knowledge involvement would also affect the patient’s intention to seek medical help. In addition, situated learning and health knowledge involvement would affect the intention to seek medical help through communication factors.

Conclusions

Blogs are important communication channels between medical personnel and patients that allow users to consult and ask questions without time limitations and enable them to obtain comprehensive health information.

【 授权许可】

   
2014 Lee and Wu; licensee BioMed Central.

【 参考文献 】

• [1]Rimer BK, Kreuter MW: Advancing tailored health communication: a persuasion and message effects perspective. J Commun 2006, 56(s1):S184-S201.
• [2]Topaloglu H, Gumussoy CA, Bayraktaroglu AE, Calisir F: The relative importance of usability and functionality factors for E-health web sites. Hum Factors Ergon Manuf Serv Ind 2013, 23(4):336-345.
• [3]Fox S, Jones S: The social life of health information. [http://pewinternet.org/Reports/2009/8-The-Social-Life-of-Health-Information.aspx webcite]
• [4]Chen SF, Hu WC, Ho CJ: Analysis of Taiwan’s quality health information websites from the perspective of health literacy. Taiwan Health Care J 2011, 10:2-6.
• [5]Liang B, Scammon DL: E-Word-of-Mouth on health social networking sites: an opportunity for tailored health communication. J Consum Behav 2011, 10:322-331.
• [6]Ganzach Y, Karsahi N: Message framing and buying behavior: a field experiment. J Bus Res 1995, 32:11-17.
• [7]Chen IF: The influence of e-WOM on consumer purchase intention with prospect theory. J E-Bus 2010, 12(3):527-546.
• [8]O'Keefe DJ, Jensen JD: The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease detection behaviors: a meta-analytic review. J Commun 2009, 59(2):296-316.
• [9]Patient safety net. [http://www.patientsafety.mohw.gov.tw/big5/Content/Content.asp?cid=2 webcite]
• [10]Deledda G, Moretti F, Rimondini M, Zimmermann C: How patients want their doctor to communicate. A literature review on primary care patients’ perspective. Patient Educ Couns 2013, 90:297-306.
• [11]Hung D, Chen DT: Situated cognition, Vygotskian thought and learning from the communities of practice perspective: implications for the design of web-based E-learning. Educ Media Int 2001, 38(1):3-12.
• [12]Liu YC, Lan YL, Kao SP: The situated learning approach in clinical psychology education: the use and challenge of the standardized patient training method. Formosa J Mental Health 2011, 24(2):247-278.
• [13]Way J, Lilley E, Ruster C, Johnco S, Mauric L, Ochs L: Interactive whiteboards and pedagogy in primary classrooms. Canberra, Australia: A symposium for the Australian Association for Research in Education; 2009. [http://www.aare.edu.au/data/publications/2009/way091149.pdf webcite]
• [14]Wang RS, Chiou CJ, Shin SJ, Hwang FS: A survey of the relationships between children and their parents in chronic disease risk factors, health knowledge and lifestyles. Kaohsiung J Med Sci 1992, 8:679-691.
• [15]Lee RG, Garvin T: Moving from information transfer to information exchange in health and health care. Soc Sci Med 2003, 56:449-464.
• [16]Davison KP, Pennebaker JW, Dickerson SS: Who talks? The social psychology of illness support groups. Am Psychol 2000, 55:205-217.
• [17]Kuo SC, Lew-Ting CY, Chen YC: Lay perspectives of health education information: in-depth interviews with areca quid chewing taxi drivers. Taiwan J Public Health 2005, 24(3):239-253.
• [18]Palmer A, Koenig-Lewis N, Jones LEM: The effects of residents' social identity and involvement on their advocacy of incoming tourism. Tour Manag 2013, 38:142-151.
• [19]Rothman AJ, Salovey P: Shaping perceptions to motivate health behavior: the role of message framing. Psychol Bull 1997, 121:3-19.
• [20]Brown JS, Collins A, Duguid P: Situated cognition and the culture of learning. Educ Res 1989, 18(1):32-42.
• [21]Lee YC: The influence of personality traits, health knowledge, and product attributes on intent to purchase Taiwan’s healthcare tourism products. Soc Behav Pers 2013, 41(3):395-410.
• [22]Oh HJ, Lee B: The effect of computer-mediated social support in online communities on patient empowerment and doctor–patient communication. Health Commun 2012, 27:30-41.
• [23]Lin YC, Lee YC, Lin CH, Lin WT: Discount level, promotional type, and brand awareness on consumers' brand evaluation and purchase intention: an empirical study of handsets. Soochow J Econ Bus 2009, 67:1-46.
• [24]Cohen J: Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum; 1988.
• [25]Sobel ME: Asymptotic intervals for indirect effects in structural equations models. In Sociological methodology 1982. Edited by Leinhart S. San Francisco: Jossey-Bass; 1982:290-312.
• [26]Preacher KJ, Hayes AF: SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Inst Comput 2004, 36:717-731.
• [27]World Health Organization: 10 Facts on obesity. Geneva: WHO; 2014. http://www.who.int/features/factfiles/obesity/facts/en/index3.html webcite. Accessed 8 November 2014
• [28]Pakpour AH, Yekaninejad MS, Sniehotta FF: The effectiveness of gain-versus loss-framed health messages in improving oral health in Iranian secondary schools: a cluster-randomized controlled trial. Ann Behav Med 2014, 47(3):376-387.
• [29]Aadal L, Kirkevold M: Integrating situated learning theory and neuropsychological research to facilitate patient participation and learning in traumatic brain injury rehabilitation patients. Brain Inj 2011, 25(7–8):717-728.
• [30]Feng JY, Chang YT, Chang HY, Erdley WS, Lin CH, Chang YJ: Systematic review of effectiveness of situated e-learning on medical and nursing education. Worldviews Evid-Based Nurs 2013, 10(3):174-183.
• [31]Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM: Internet-based learning in the health professions: a meta-analysis. J Am Med Assoc 2008, 300(10):1181-1196.
• [32]Smits PB, de Graaf L, Radon K, de Boer AG, Bos NR, van Dijk FJ, Verbeek JH: Case-based e-learning to improve the attitude of medical students towards occupational health, a randomized controlled trial. Occup Environ Mental Med 2012, 69(4):280-283.
• [33]Vash JH, Yunesian M, Shariati M, Keshvari A, Harirchi I: Virtual patients in undergraduate surgery education: a randomized controlled study. ANZ J Surg 2007, 77(1–2):54-59.
• [34]Wenk M, Waurick R, Schotes D, Gerdes C, Van Aken HK, Popping DM: Simulation-based medical education is no better than problem-based discussions and induces misjudgment in self-assessment. Adv Health Sci Educ: Theory Pract 2009, 14(2):159-171.
• [35]Goodman PS, Mark FF, Javier L, Pamela RS: Customer-firm relationships, involvement and customer satisfaction. Acad Manag J 1995, 38(5):1310-1324.
• [36]Nielsen A, Lan PT, Marrone G, Phuc HD, Chuc NT, Stålsby Lundborg C: Reproductive tract infections in rural Vietnam, women's knowledge, and health-seeking behavior: a cross- sectional study. Health Care Women Int 2014, 21:1-20.
• [37]Kessels RP: Patients' memory for medical information. J R Soc Med 2003, 96(5):219-222.
• [38]Chang JC, Liu YC: The application of SMIL and development of interactive multimedia materials online. J Inf Educ 2001, 82:12-26.
• [39]Cassell MM, Jackson C, Cheuvront B: Health communication on the internet: an effective channel for health behavior change? J Health Commun 1998, 3:71-79.