@文章{信息:doi/10.2196/39643,作者=“Chi, Yu和Thaker, Khushboo和He, Daqing和Hui, Vivian和Donovan, Heidi和Brusilovsky, Peter和Lee, Young Ji”,标题=“在线健康社区的知识获取和社会支持:在线卵巢癌社区分析”,期刊=“JMIR Cancer”,年=“2022”,月=“Sep”,日=“13”,卷=“8”,数=“3”,页=“e39643”,关键词=“在线健康社区”;卵巢癌;卫生信息需求;社会支持;知识获取”,摘要=“背景:患者和护理人员广泛使用在线健康社区(OHCs)从同行获取知识。ohc提出的问题反映了参与者的学习目标,并在他们的认知复杂程度上有所不同。然而,关于参与者学习目标的主题和水平以及他们从ohc成员那里得到的相应支持,人们知之甚少。目的:本研究旨在了解OHC患者和护理人员的知识获取情况。具体而言,我们调查了具有不同认知复杂程度学习目标的帖子的分布和主题,为满足不同认知复杂程度用户的学习目标而提供的社会支持的类型和数量,以及社会支持对学习目标变化的影响。方法:我们收集了一个最活跃的卵巢癌(OvCa) OHCs的10年讨论线程。 A mixed methods approach was used, including qualitative content analysis and quantitative statistical analysis. Initial posts with questions were manually classified into 1 of the 3 learning objectives with increasing cognitive complexity levels, from low to high, based on the Anderson and Krathwohl taxonomy: understand, analyze, and evaluate. Manual content analysis and automatic classification models were used to identify the types of social support in the comments, including emotional support and 5 types of informational support: advice, referral, act, personal experience, and opinion. Results: The original data set contained 909 initial posts and 14,816 comments, and the final data set for the analysis contained 560 posts with questions and 3998 comments. Our results showed that patients with OvCa and their caregivers mainly used OHCs to acquire knowledge for low- to medium-level learning objectives. Of the questions, 82.3{\%} (461/560) were either understand- or analyze-level questions, in which users were seeking to learn basic facts and medical concepts or draw connections among different situations and conditions. Only 17.7{\%} (99/560) of the questions were at the evaluate level, in which users asked other OHC members to help them make decisions or judgments. Notably, OvCa treatment was the most popular topic of interest among all the questions, regardless of the level of learning objectives. Regarding the social support received for different levels of learning objectives, significant differences were found in the advice (F2437.84=9.69; P<.001), opinion (F2418.18=11.56; P<.001), and emotional support (F2395.88=3.24; P=.01), as determined by one-way ANOVA, whereby questions at the evaluate level were more likely to receive advice, opinion, and emotional support than questions at the lower levels. Additionally, receiving social support tends to drive users to increase the cognitive complexity of the learning objective in the next post. Conclusions: Our study establishes that OHCs are promising resources for acquiring knowledge of OvCa. Our findings have implications for designing better OHCs that serve the growing OvCa community. ", issn="2369-1999", doi="10.2196/39643", url="https://cancer.www.mybigtv.com/2022/3/e39643", url="https://doi.org/10.2196/39643", url="http://www.ncbi.nlm.nih.gov/pubmed/36099015" }
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