Online health information seeking by adults hospitalized for acute coronary syndromes: Who looks for information, and who discusses it with healthcare providers
Department of Quantitative Health Sciences; Division of Cardiovascular Medicine, Department of Medicine; Meyers Primary Care Institute; Department of Emergency Medicine
Cardiovascular Diseases | Health Communication | Health Information Technology | Health Services Administration | Information Literacy | Public Health Education and Promotion | Translational Medical Research
OBJECTIVE: To describe characteristics associated with online health information-seeking and discussing resulting information with healthcare providers among adults with acute coronary syndromes (ACS).
METHODS: Consecutive patients hospitalized with ACS in 6 hospitals in Massachusetts and Georgia who reported Internet use in the past 4 weeks (online patients) were asked about online health information-seeking and whether they discussed information with healthcare providers. Participants reported demographic and psychosocial characteristics; clinical characteristics were abstracted from medical records. Logistic regression models estimated associations with information-seeking and provider communication.
RESULTS: Online patients (N=1142) were on average aged 58.8 (SD: 10.6) years, 30.3% female, and 82.8% non-Hispanic white; 56.7% reported online health information-seeking. Patients with higher education and difficulty accessing medical care were more likely to report information-seeking; patients hospitalized with myocardial infarction, and those with impaired health numeracy and limited social networks were less likely. Among information-seekers, 33.9% discussed information with healthcare providers. More education and more frequent online information-seeking were associated with provider discussions.
CONCLUSION: Over half of online patients with ACS seek health information online, but only 1 in 3 of these discuss information with healthcare providers.
PRACTICE IMPLICATIONS: Clinician awareness of patient information-seeking may enhance communication including referral to evidence-based online resources.
Acute coronary syndromes, Health information-seeking, Internet, Patient-provider communication, UMCCTS funding
DOI of Published Version
Patient Educ Couns. 2018 Nov;101(11):1973-1981. doi: 10.1016/j.pec.2018.06.016. Epub 2018 Jun 30. Link to article on publisher's site
Patient education and counseling
Waring ME, McManus DD, Amante DJ, Darling CE, Kiefe CI. (2018). Online health information seeking by adults hospitalized for acute coronary syndromes: Who looks for information, and who discusses it with healthcare providers. UMass Center for Clinical and Translational Science Supported Publications. https://doi.org/10.1016/j.pec.2018.06.016. Retrieved from https://escholarship.umassmed.edu/umccts_pubs/155