Seeking Medical Information Using Mobile Apps and the Internet: Are Family Caregivers Different from the General Public?

Family caregivers play an important role to care cancer patients since they exchange medical information with health care providers. However, relatively little is known about how family caregivers seek medical information using mobile apps and the Internet. We examined factors associated with medical information seeking by using mobile apps and the Internet among family caregivers and the general public using data from the 2014 Health Information National Trends Survey 4 Cycle 1. The study sample consisted of 2425 family caregivers and 1252 non-family caregivers (the general public). Guided by Comprehensive Model of Information Seeking (CMIS), we examined related factors’ impact on two outcome variables for medical information seeking: mobile apps use and Internet use with multivariate logistic regression analyses. We found that online medical information seeking is different between family caregivers and the general public. Overall, the use of the Internet for medical information seeking is more common among family caregivers, while the use of mobile apps is less common among family caregivers compared with the general public. Married family caregivers were less likely to use mobile apps, while family caregivers who would trust cancer information were more likely to use the Internet for medical information seeking as compared to the general public. Medical information seeking behavior among family caregivers can be an important predictor of both their health and the health of their cancer patients. Future research should explore the low usage of mobile health applications among family caregiver population.

[1]  R. J. Cline,et al.  Consumer health information seeking on the Internet: the state of the art. , 2001, Health education research.

[2]  Jonathan White,et al.  ‘It's on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study , 2012, BMJ Open.

[3]  Jennifer L. Bevan,et al.  Understanding the impact of family caregiver cancer literacy on patient health outcomes. , 2008, Patient education and counseling.

[4]  Y. Oh,et al.  Examining the Relationships Between Resources and Online Health Information Seeking Among Patients With Chronic Diseases and Healthy People , 2015, Social work in health care.

[5]  Bo Xie,et al.  Health literacy and internet‐ and mobile app‐based health services: A systematic review of the literature , 2015, ASIST.

[6]  Ambarish Pandey,et al.  Smartphone Apps as a Source of Cancer Information: Changing Trends in Health Information-Seeking Behavior , 2012, Journal of Cancer Education.

[7]  A. Monteiro Mobile health , 2014, Radiologia brasileira.

[8]  Susannah Fox,et al.  Mobile health 2012 , 2012 .

[9]  B. Gregory-Head,et al.  Patients and the Internet: guidance for evidence-based choices. , 1999, The Journal of the American College of Dentists.

[10]  Henry Been-Lirn Duh,et al.  A study on Singaporean women's acceptance of using mobile phones to seek health information , 2011, Int. J. Medical Informatics.

[11]  Mohan J. Dutta-Bergman Primary Sources of Health Information: Comparisons in the Domain of Health Attitudes, Health Cognitions, and Health Behaviors , 2004, Health communication.

[12]  S. Cotten,et al.  Characteristics of online and offline health information seekers and factors that discriminate between them. , 2004, Social science & medicine.

[13]  J. Pennbridge,et al.  Questionnaire survey of California consumers' use and rating of sources of health care information including the Internet. , 1999, The Western journal of medicine.

[14]  Deborah Richards,et al.  Security and Privacy Issues Related to the Use of Mobile Health Apps , 2014 .

[15]  J. D. Johnson Cancer-Related Information Seeking , 1997 .

[16]  Xiaoquan Zhao,et al.  The Role of Risk, Efficacy, and Anxiety in Smokers' Cancer Information Seeking , 2009, Health communication.

[17]  J. D. Johnson,et al.  A Comprehensive Model of Cancer-Related Information Seeking Applied to Magazines , 1993 .

[18]  M. Arrington "She's Right Behind Me All the Way": An Analysis of Prostate Cancer Narratives and Changes in Family Relationships , 2005 .

[19]  Ágústa Pálsdóttir,et al.  Information behaviour, health self-efficacy beliefs and health behaviour in Icelanders' everyday life , 2008, Inf. Res..

[20]  E. Basch,et al.  Use of information resources by patients with cancer and their companions , 2004, Cancer.

[21]  G D Lundberg,et al.  Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor--Let the reader and viewer beware. , 1997, JAMA.

[22]  C Anthony Ryan,et al.  Smartphone technology enhances newborn intubation knowledge and performance amongst paediatric trainees. , 2013, Resuscitation.

[23]  Richard J. Holden,et al.  The Technology Acceptance Model: Its past and its future in health care , 2010, J. Biomed. Informatics.

[24]  R. Rimal Perceived Risk and Self-Efficacy as Motivators: Understanding Individuals' Long-Term Use of Health Information. , 2001 .

[25]  Ning Lu,et al.  Use of Mobile Health Applications for Health-Seeking Behavior Among US Adults , 2016, Journal of Medical Systems.

[26]  Gary L. Kreps,et al.  Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. , 2005, Archives of internal medicine.

[27]  MHealth for Alzheimer's Disease: Regulation, Consent, and Privacy Concerns , 2016 .

[28]  Steve Wheeler,et al.  How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX , 2011, Biomedical engineering online.

[29]  Y. Oh Predictors of Self and Surrogate Online Health Information Seeking in Family Caregivers to Cancer Survivors , 2015, Social work in health care.

[30]  M. Putt,et al.  Racial/ethnic differences in physician distrust in the United States. , 2007, American journal of public health.

[31]  David Aspinall,et al.  On the Privacy, Security and Safety of Blood Pressure and Diabetes Apps , 2015, SEC.

[32]  S. Bellamy,et al.  Cancer Information Seeking Preferences and Experiences: Disparities Between Asian Americans and Whites in the Health Information National Trends Survey (HINTS) , 2006, Journal of health communication.

[33]  W. Chou,et al.  Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003–2008 , 2011, Journal of cancer survivorship : research and practice.

[34]  Donna M Zulman,et al.  Facilitating Out-of-Home Caregiving Through Health Information Technology: Survey of Informal Caregivers’ Current Practices, Interests, and Perceived Barriers , 2013, Journal of medical Internet research.

[35]  David K. Wyant,et al.  Too Much or Too Little? How Much Control Should Patients Have Over EHR Data? , 2016, Journal of Medical Systems.

[36]  C. Manfredi,et al.  Factors Influencing Medical Information Seeking Among African American Cancer Patients , 2002, Journal of health communication.

[37]  Katrina Armstrong,et al.  Cancer Information Scanning and Seeking in the General Population , 2010, Journal of health communication.