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Medical Help-Seeking Strategies for Perinatal Women With Obstetric and Mental Health Problems and Changes in Medical Decision Making Based on Online Health Information: Path Analysis

Authors
 Kyungmi Chung  ;  Hee Young Cho  ;  Young Ran Kim  ;  Kyungun Jhung  ;  Hwa Seon Koo  ;  Jin Young Park 
Citation
 JOURNAL OF MEDICAL INTERNET RESEARCH, Vol.22(3) : e14095, 2020 
Journal Title
 JOURNAL OF MEDICAL INTERNET RESEARCH 
ISSN
 1439-4456 
Issue Date
2020
Keywords
consultation ; decision making ; health literacy ; help-seeking behavior ; information seeking behavior ; internet ; mental health ; obstetrics ; perinatal care ; self efficacy
Abstract
BACKGROUND: Previous studies have revealed that most pregnant women rarely discuss informal information found on the internet with health professionals and have frequently expressed concerns for medical experts' reactions to the online information they shared, as well as the lack of time to consult the medical experts in general. To date, little information is available on the effect of individual differences in utilizing medical help-seeking strategies on their medical decisions during the perinatal period. OBJECTIVE: The objectives of this study were (1) to determine associations among perinatal women's medical help-seeking strategies, changes in medical decision making, and online health information utilization with a focus on the mediating effect of self-efficacy in perinatal health literacy on the intent to consult health professionals, and (2) to clarify these associations in perinatal women with two different medical problems: obstetric and mental health. METHODS: A total of 164 perinatal women aged 24 to 47 years (mean 34.64, SD 3.80) repeatedly completed the Problem Solving in Medicine and Online Health Information Utilization questionnaires to examine the moderating effect of two types of medical problems on their decision-making processes. To validate the hypothesized relationships in the proposed conceptual model encompassing obstetric and mental health problem-solving models, path analyses were performed. RESULTS: This study found that some perinatal women, who use an online informal medical help-seeking (OIMH) strategy, would be more likely to change their medical decisions based only on internet-based information without consulting health professionals (P<.001), compared to other women using different medical help-seeking strategies. Particularly, this concern is significantly prevalent when encountering obstetric problems during the perinatal period (obstetric problem-solving: P<.001; mental health problem-solving: P=.02). Furthermore, perinatal women with mental health issues using the OIMH strategy showed a significant difference in intent to consult health professionals based on online health information when the medical problem they had to solve was different (obstetric problem-solving: P=.94; mental health problem-solving: P=.003). CONCLUSIONS: Despite the positive mediating effects of perinatal women's enhanced health literacy on the intent to discuss personal medical issues with health professionals based on online health information, the strategy used is of fundamental importance for understanding their help-seeking and decision-making processes during the perinatal period. Beyond a short consultation to steer patients quickly and authoritatively towards an obstetric doctor's choice of action, it is recommended in this study that obstetricians attempt to provide their patients with needed context for the information found online. To fully explain this information with an open mind, they should actively develop or support information and communications technology (ICT)-based health information services.
Files in This Item:
T202000881.pdf Download
DOI
10.2196/14095
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Chung, Kyungmi(정경미) ORCID logo https://orcid.org/0000-0003-2754-7631
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175638
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