Investigation on reading behaviors and cognitive outcomes of Facebook health information

PurposeThis study aims to understand how college students' personal and health-related characteristics are related to their reading behaviors and cognitive outcomes of Facebook health information through eye tracking data and cognitive outcomes.Design/methodology/approachThis study analyzed users' gaze movement data and results of recall and recognition tests to investigate users' reading patterns and their consequences with cognitive outcomes. The gaze movements are analyzed with eye tracking data including the average fixation count and time to first fixation.FindingsThe results of reading patterns show that Texts and Images are highly viewed and viewed immediately by participants when the posts were presented. There was no clear pattern with fixation counts to determine cognitive outcomes. However, the findings of study suggest that there is a clear pattern of reading Facebook posts with areas of interest (AOIs). Among five AOIs observed, participants viewed Images first and then Texts when a Facebook post is presented. On the other hand, they read Texts more carefully than Images. The findings of this study suggest that while images contribute to gaining users' attention, a clear and precise message needs to be delivered in text message to ensure readers' correct understanding and application of health information.Originality/valueThe user-centered evidence on reading behaviors and cognitive outcomes will make contributions to how health professionals and health organizations can make optimal use of Facebook for effective health information communication.Peer reviewThe peer-review history for this article is available at: https://publons.com/publon/10.1108/OIR-05-2020-0177

[1]  C. Escoffery,et al.  Internet Use for Health Information Among College Students , 2005, Journal of American college health : J of ACH.

[2]  Ian Ruthven,et al.  You have e-mail, what happens next? Tracking the eyes for genre , 2014, Inf. Process. Manag..

[3]  M A Just,et al.  A theory of reading: from eye fixations to comprehension. , 1980, Psychological review.

[4]  Enmanuel A. Chavarria,et al.  eHealth Literacy Among College Students: A Systematic Review With Implications for eHealth Education , 2011, Journal of medical Internet research.

[5]  Geoffrey B. Duggan,et al.  Text skimming: the process and effectiveness of foraging through text under time pressure. , 2009, Journal of experimental psychology. Applied.

[6]  Hyun Jung Oh,et al.  Facebooking for health: An examination into the solicitation and effects of health-related social support on social networking sites , 2013, Comput. Hum. Behav..

[7]  Joseph Sharit,et al.  Older Adults and Internet Health Information Seeking , 2009 .

[8]  J. Cappella,et al.  Effect of message congruency on attention and recall in pictorial health warning labels , 2017, Tobacco Control.

[9]  Linden J. Ball,et al.  Eye tracking in HCI and usability research. , 2006 .

[10]  Hyojin Kim,et al.  Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts. , 2011, Health information and libraries journal.

[11]  Mohamed Gamal Aboelmaged,et al.  Predicting the success of Twitter in healthcare: A synthesis of perceived quality, usefulness and flow experience by healthcare professionals , 2018, Online Inf. Rev..

[12]  JungWon Yoon,et al.  Internet use by international graduate students in the USA seeking health information , 2014, Aslib J. Inf. Manag..

[13]  Susan Kemper,et al.  The use of illustration to improve older adults' comprehension of health-related information: is it helpful? , 2009, Patient education and counseling.

[14]  Meredith Ringel Morris,et al.  What do you see when you're surfing?: using eye tracking to predict salient regions of web pages , 2009, CHI.

[15]  Use of Social Media for Seeking Health Related Information – An Exploratory Study , 2017 .

[16]  Judy Mullan,et al.  The Role of Health Literacy and Social Networks in Arthritis Patients' Health Information-Seeking Behavior: A Qualitative Study , 2012, International journal of family medicine.

[17]  Edith G. Smit,et al.  Should We Be Afraid of Simple Messages? The Effects of Text Difficulty and Illustrations in People With Low or High Health Literacy , 2015, Health communication.

[18]  Gillian Fergie,et al.  Young adults' experiences of seeking online information about diabetes and mental health in the age of social media , 2015, Health expectations : an international journal of public participation in health care and health policy.

[19]  Kirsten R. Butcher Learning from Text with Diagrams: Promoting Mental Model Development and Inference Generation. , 2006 .

[20]  Rahila Iftikhar,et al.  Health-Seeking Influence Reflected by Online Health-Related Messages Received on Social Media: Cross-Sectional Survey , 2017, Journal of medical Internet research.

[21]  Sean Bechhofer,et al.  Investigating sighted users' browsing behaviour to assist web accessibility , 2008, Assets '08.

[22]  M. Ickes,et al.  Health Literacy in College Students , 2010, Journal of American college health : J of ACH.

[23]  Y. Dong,et al.  Health Literacy Level of Hispanic College Students , 2014, Southern medical journal.

[24]  K. Rayner The 35th Sir Frederick Bartlett Lecture: Eye movements and attention in reading, scene perception, and visual search , 2009, Quarterly journal of experimental psychology.

[25]  Haakon Lund,et al.  Eye tracking in library and information science: a literature review , 2016, Libr. Hi Tech.

[26]  J. Klein,et al.  Health information-seeking behaviour in adolescence: the place of the internet. , 2005, Social science & medicine.

[27]  S. Utz,et al.  Association of health literacy with health information‐seeking preference in older people: A correlational, descriptive study , 2018, Nursing & health sciences.

[28]  M. Numao,et al.  Effects of Individual Health Topic Familiarity on Activity Patterns During Health Information Searches , 2015, JMIR medical informatics.

[29]  L. G. Doak,et al.  The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. , 2006, Patient education and counseling.

[30]  Emily K. Vraga,et al.  Beyond Self-Reports: Using Eye Tracking to Measure Topic and Style Differences in Attention to Social Media Content , 2016 .

[31]  K. Rayner Eye movements in reading and information processing: 20 years of research. , 1998, Psychological bulletin.

[32]  Richard E. Mayer,et al.  When graphics improve liking but not learning from online lessons , 2012, Comput. Hum. Behav..

[33]  R. Thackeray,et al.  Adoption and use of social media among public health departments , 2012, BMC Public Health.

[34]  Y. Shneyderman,et al.  Investigating the Association of Health Literacy With Health Knowledge and Health Behavior Outcomes in a Sample of Urban Community College Undergraduates , 2015 .

[35]  Minsoo Jung Determinants of health information-seeking behavior: implications for post-treatment cancer patients. , 2014, Asian Pacific journal of cancer prevention : APJCP.

[36]  Alton Yeow-Kuan Chua,et al.  To share or not to share: The role of epistemic belief in online health rumors , 2017, Int. J. Medical Informatics.

[37]  Joshua Fogel,et al.  Sexual health information seeking on the Internet: comparisons between White and African American college students. , 2010, The ABNF journal : official journal of the Association of Black Nursing Faculty in Higher Education, Inc.

[38]  Cynthia Stohl,et al.  Topics and Sources of Memorable Breast Cancer Messages and Their Impact on Prevention and Detection Behaviors , 2009, Journal of health communication.

[39]  Christopher S. G. Khoo,et al.  The Criteria People Use in Relevance Decisions on Health Information: An Analysis of User Eye Movements When Browsing a Health Discussion Forum , 2016, Journal of medical Internet research.

[40]  Jennifer R. Banas A Tailored Approach to Identifying and Addressing College Students’ Online Health Information Literacy , 2008 .

[41]  Yan Zhang,et al.  College students' uses and perceptions of social networking sites for health and wellness information , 2012, Inf. Res..

[42]  Stephen A. Rains Seeking Health Information in the Information Age: The Role of Internet Self-Efficacy , 2008 .

[43]  Stephanie Wilson,et al.  Identifying web usability problems from eye-tracking data , 2007, BCS HCI.

[44]  Emily Dibble,et al.  Internet Use Among Community College Students: Implications in Designing Healthcare Interventions , 2004, Journal of American college health : J of ACH.

[45]  B. Hofer,et al.  Exploring the dimensions of personal epistemology in differing classroom contexts: Student interpretations during the first year of college , 2004 .

[46]  S. Shyam Sundar,et al.  Effects of Online Health Sources on Credibility and Behavioral Intentions , 2010, Commun. Res..

[47]  Nadine Bol,et al.  Exploring the role of health literacy on attention to and recall of text-illustrated health information: An eye-tracking study , 2015, Comput. Hum. Behav..

[48]  Lawrence T. Lam,et al.  Health Information-seeking Behaviour on the Internet and Health Literacy among Older Australians , 2012 .

[49]  Andrew J. Stewart,et al.  Integrating text and pictorial information: eye movements when looking at print advertisements. , 2001, Journal of experimental psychology. Applied.

[50]  Bing Pan,et al.  The determinants of web page viewing behavior: an eye-tracking study , 2004, ETRA.

[51]  S MeppelinkCorine,et al.  Exploring the role of health literacy on attention to and recall of text-illustrated health information , 2015 .

[52]  Daniel G. Morrow,et al.  Comprehension of multimedia health information among older adults with chronic illness , 2012 .