Interview Schedule and Data Collection
After reviewing the article Consumer Informatics: Elderly
Persons and the Internet (Campbell, 2005), I developed a set of interview
questions addressing information presented in the tables 2 and 3 of the
article. These questions were presented to 10 consumers, ranging in the ages of
26-64, a total of five female and five male participants. One female was 26
years old, two females and three males were 31-39 years, one male was 48 years
old, two females were 54 & 57 years old, and one male was 64 years old. I
presented this information to the subjects requesting their voluntary participation
to gain more knowledge on their use of technology and accessing the internet as
a healthcare consumer to improve the quality of their care.
I developed several questions similar to the Campbell
study. The initial questions helped gain a general understanding of the participants
such as gender, employment status, and education level and the remainder of the
questions allowed me to collect data and formulate a better understanding of
how access to the internet impacts consumers in searching for health-related
information.
The
results of the interview questions are presented below:
|
Participants
|
5
Female (50%)
|
5
Male (50%)
|
|
|
Employment
Status
|
Total
|
Female
|
Male
|
|
Homemaker
|
1 (10%)
|
1 (10%)
|
0
|
|
Retired
|
1 (10%)
|
1 (10%)
|
0
|
|
Employed full-time
|
8 (80%)
|
3 (30%)
|
5 (50%)
|
|
Education
Level
|
|
|
|
|
High school diploma
|
3 (30%)
|
1 (10%)
|
2 (20%)
|
|
Some college or
technical training
|
5 (50%)
|
3 (30%)
|
2 (20%)
|
|
College degree
|
1 (10%)
|
1 (10%)
|
0
|
|
Postgraduate
training
|
1 (10%)
|
0
|
1 (10%)
|
|
Devices
Do You Own (select all that apply)
|
|
|
|
|
Desktop Computer
|
7 (70%)
|
4 (30%)
|
3 (30%)
|
|
Laptop
|
5 (50%)
|
2 (20%)
|
3 (30%)
|
|
iPad/Tablet
|
6 (60%)
|
4 (40%)
|
2 (20%)
|
|
Smartphone
|
8 (80%)
|
4 (40%)
|
4 (40%)
|
|
Smart Watch
|
0
|
0
|
0
|
|
Alexa or Google
Home
|
3 (30%)
|
1 (10%)
|
2 (20%)
|
|
Internet
access
|
Total
|
Female
|
Male
|
|
Multiple times a
day
|
6 (60%)
|
3 (30%)
|
3 (30%)
|
|
Multiple times per
week
|
2 (20%)
|
2 (20%)
|
0
|
|
Multiple times per
month
|
1 (10%)
|
0
|
1
|
|
Less than once per
month
|
1 (10%)
|
0
|
1
|
|
Searching
the internet for health information
|
|
|
|
|
Frequently
|
3 (30%)
|
2
|
1
|
|
Sometimes
|
3 (30%)
|
3
|
0
|
|
Rarely
|
4 (40%)
|
0
|
4
|
|
Never
|
0
|
0
|
0
|
|
Seen
a healthcare provider in last 6 mos.
|
|
|
|
|
Yes
|
8 (80%)
|
5
|
3
|
|
No
|
2 (20%)
|
0
|
2
|
|
Search
Internet for questions to ask Dr prior to last visit
|
|
|
|
|
Yes
|
3 (30%)
|
2
|
1
|
|
No
|
7 (70%)
|
3
|
4
|
|
Number
of questions asked at last visit
|
Total
|
Female
|
Male
|
|
One
|
2 (20%)
|
2
|
0
|
|
Two-Three
|
2 (20%)
|
1
|
1
|
|
Four-Five
|
0
|
0
|
0
|
|
Six+
|
1 (10%)
|
1
|
0
|
|
Unsure
|
5 (50%)
|
1
|
4
|
|
Active
participation in last visit
|
|
|
|
|
Doctor made all the
decisions
|
5 (50%)
|
3
|
2
|
|
I made some
decisions & asked doctor for opinions
|
2 (20%)
|
1
|
1
|
|
We worked together collaboratively
on making decisions
|
1 (10%)
|
1
|
0
|
|
Other/Unsure
|
2 (20%)
|
0
|
2
|
|
Search
Internet for information after visit
|
|
|
|
|
Yes
|
5 (50%)
|
4
|
1
|
|
No
|
5 (50%)
|
1
|
4
|
|
Can
Internet help find health info without contacting healthcare provider?
|
|
|
|
|
Yes
|
7 (70%)
|
4
|
3
|
|
No
|
0
|
0
|
0
|
|
Unsure
|
3 (30%)
|
1
|
2
|
|
If
info is accurate, how do you prefer to receive information
|
|
|
|
|
Healthcare provider
|
6 (60%)
|
3
|
3
|
|
Internet
|
0
|
0
|
0
|
|
Both
|
4 (40%)
|
2
|
2
|
These questions brought some valuable insight as to
how consumers gather health-related information. As it was not asked in the
Campbell study, I asked my participants about which devices they owned because consumers
who are more technologically inclined would be more likely to frequent the
internet. These results showed that only 30% searched for questions prior to
their last doctor’s visit, 40% asked three questions or less (although 50% were
unsure how many questions they asked), and 50% stated the doctor made all the
decisions during their visit. After their visit, 50% searched the internet for
information after their visit. This data shows that these consumers are not
getting the proper quality care during their visits with their doctor; not
enough information is being exchanged between consumer and healthcare
provider(s). Furthermore, 60% would still prefer to receive their health
information from their provider. These individuals need to be engaged in order
to improve their healthcare outcomes. As stated in the Campbell article, “Studies
have shown that patients who ask questions, elicit treatment options, express
opinions, and state their preferences regarding treatment during office visits
with their physicians have measurably better health outcomes than those who do
not communicate” (2005, p. 5).
Analysis
of Questions
What
is your gender?
The ten consumers consisted of five males and five
females.
What
is your employment status?
Most of the consumers (80%) worked full-time. There
was one homemaker and one who is retired.
What
is your level of education?
Half (50%) of the consumers had some college or technical
training. Three (30%) consumers had a high school diploma, one (10%) had a
college degree, and one (10%) had postgraduate training.
What
devices do you own? (select all that apply)
Most of the consumers had a smartphone. Half of the
consumers had a laptop and 70% had a desktop computer. 60% had a iPad or tablet
and only 30% had an Alexa or Google home device.
How
often do you access the internet? (choose which best fits)
The majority of the consumers (60%) accessed the internet
multiple times per day. The rest of the participants only accessed the internet
weekly, monthly, or less than once per month.
How
often do you search the internet for health information?
The 10 participants were evenly distributed amongst
this question, 3 chose frequently, 3 chose sometimes, and 4 chose rarely. No
participants said never.
Have
you seen a healthcare provider in the last six months?
Eight participants (80%) have seen a provider and two (20%)
have not.
Did you search the Internet for questions to ask the doctor prior to your
last visit?
Three
participants did search for questions and seven did not.
What is the number of questions you asked at your last visit?
40%
of the consumers asked three questions or less. Only one participant asked 6+ questions.
50% of the participants stated they were unsure how many questions they asked.
How active was your participation in your last visit?
Half
of the consumers (50%) stated the doctor made all the decisions during their
last visit. 20% stated they made some decisions and asked for opinions, only
one consumer stated they worked collaboratively with the doctor, and two
consumers stated they were unsure how to respond.
Did you search the internet for health information after your visit?
Half
of the consumers (50%) did search for health information after their visit and the
other half did not.
Can the internet help you find health information without contacting a
healthcare provider?
The
majority (70%) agreed the internet can help you find health information; the
other 30% stated they were unsure.
If you know the information is accurate, how do you prefer to get your
information?
Six consumers (60%) stated they prefer
to receive their information from their healthcare provider, four consumers
(40%) stated they would like to receive it from bother the internet and their healthcare
provider.
References
Campbell, R. (2005). Consumer Informatics: Elderly
Persons and the Internet. Perspectives
in Health Information Management, 2(2), 1-16. Retrieved January 5,
2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047318/pdf/phim0002-0002.pdf.
In your analysis of consumer health informatics you incorporated in your survey the type of devices consumers had for searching data. Eighty percent had smartphones, yet seventy percent of the consumers did not search for questions to ask their physician before their visit. Fifty percent searched the internet after the visit.
ReplyDeleteIn the Campbell Study (2005) sixty three point five percent searched the internet after visiting with their provider.
It makes me wonder if the elderly were afraid to ask their provider more questions or they did not understand the jargon of the physician regarding their health condition.
References:
Campbell, R. (2005). Consumer Informatics: Elderly Persons and the Internet. Perspectives in Health Information Management, 2(2), 1-16. Retrieved January 5, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047318/pdf/phim0002-0002.pdf.
Sal,
DeleteIt was surprising to me as well that 70% of my participants did not search for questions prior to their last doctor's visit, 50% allowed the doctor to make all the decisions, and 50% then searched the internet after the visit. These statistics led me to believe that consumers are not taking an active participation in their healthcare or the management of their care, or they possibly are not comfortable with asking their provider more questions, such as the elderly in the Campbell study. Perhaps if doctors were more open with their patients and made them aware of all the opportunities patients had to participate in their care, such as patient portals, smartphone apps, etc., patients would feel more comfortable in communicating in return and asking questions during their visits. "Given that patient participation causes improved health outcomes, enhanced quality of life, and delivery of more appropriate and cost effective services, if patients are regarded as equal partners in healthcare, they would actively participate in their own health care process, and more carefully monitor their own care" (Vahdat, Hamzehgardeshi, Hessam, & Hamzehgardeshi, 2014).
References
Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient Involvement in Health Care Decision Making: A Review. Iranian Red Crescent Medical Journal, 16(1). doi:10.5812/ircmj.12454
Ahsley,
ReplyDeleteYour questions that determined the level of patient engagement in their own care (number of questions asked, level of participation, etc) were excellent examples that furthered the study about how the internet is used in care. Regardless of whether patient is using the internet or not, if they are not participating in their care, then the research they discover may be less than useful. In reviewing the additional studies, my interview responses, and your and Sal's answers, I'm seeing that patients often don't understand how to communicate well with their providers (whether they do internet research or not); meaning they walk away from an appointment without fully understanding the full implications of the visit. In researching this, I found that the
Partnership for Clear Health Communication ( part of the National Patient Safety Foundation) developed a tool called "Ask me 3". The purpose of this is to get patients to ask the following questions: 1) What is my main problem? 2) What do I need to do? 3) Why is it important for me to do this? (PCHC, 2007). Being able to communicate at this level alone will help patients in understanding the nature of their illness and its implications. Armed with this, internet searches are likely to be more meaningful.
Reference:
Partnership for Clear Health Communication (PCHC). (2007). Ask Me 3. National Patient Safety Foundation: North Adams, MA. Retrieved from: www.npsf.org/pchc/index.php.
Karen,
DeleteThat is an excellent tool to help get health consumers engaged in their care. In gathering this data and comparing it to yours and Sal's results, I found as well that patients either are not comfortable with communicating with their healthcare provider or do not understand how to enhance the patient-healthcare provider relationship by working collaboratively with their provider in asking questions and making decisions in their care. In addition, with 50% of my participants searching the internet after their visit, this leaves the possibility of more questions unanswered. The internet can be an effective tool in providing health-related information if consumers use it properly, ensure the information is reliable, and keep an open line of communication with their healthcare providers.