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.

Comments

  1. 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.

    In 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.




    ReplyDelete
    Replies
    1. Sal,

      It 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

      Delete
  2. Ahsley,
    Your 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.

    ReplyDelete
    Replies
    1. Karen,

      That 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.

      Delete

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