@文章{info:doi/10.2196/29609，作者=“邱燕琳蔡振中梁志崇”，标题=“外行在线健康信息搜索策略与健康问题使用:横截面调查”，期刊=“J医学互联网研究”，年=“2022”，月=“9”，日=“2”，卷=“24”，数=“9”，页=“e29609”，关键词=“决策;电子健康素养;信息搜索策略;互联网;病人;信息寻求行为;非专业人员;网上健康信息;背景:随着越来越多的人使用互联网搜索与健康相关的健康信息，医疗保健专业人员有必要更好地了解患者如何搜索和使用可能影响其医疗决策的在线健康信息。目的:本研究旨在探讨非专业人士的网上健康信息搜索策略，并探讨其搜索策略与网上健康信息利用行为之间的关系。 Methods: Two scales, namely match and elaboration, were used to measure patients' basic search strategies (ie, simple approach) and advanced search strategies (ie, integrative approach), respectively. In addition, the consultation scale was used to evaluate the participants' use of online health information to consult doctors and others. A total of 253 outpatients without university education were purposely selected and surveyed. The participants were outpatients at a university-affiliated teaching hospital. Partial least squares-structural equation modeling (PLS-SEM) was performed to analyze the measurement model to specify the measurement validation. In addition, the structure model of PLS-SEM was evaluated to examine the path correlations between variables and to execute interaction effect and curvilinear relationship analyses. Results: The results of the path correlation analysis by PLS-SEM showed that both elaboration strategy (path coefficient=0.55, P<.001) and match strategy (path coefficient=0.36, P<.001) were positively correlated with consultation on online health information with doctors and others. In addition, interaction effect and curvilinear relationship analyses indicated that there was a significant interaction effect between elaboration and match on consultation (path coefficient=--0.34, P<.001) and a significant curvilinear relationship between match and consultation (path coefficient=--0.09, P=.046). Conclusions: Increasing patients' exposure to online health information through both a simple search approach (ie, match strategy) and a complex search approach (ie, elaboration strategy) may lead them to appropriately use the information to consult doctors and others. However, the results of interaction effect and curvilinear relationship analyses highlighted the essential role of the elaboration strategy to properly locate, evaluate, and apply online health information. The findings of this study may help health care professionals better understand how to communicate with their patients through the health information on the internet. ", issn="1438-8871", doi="10.2196/29609", url="//www.mybigtv.com/2022/9/e29609", url="https://doi.org/10.2196/29609", url="http://www.ncbi.nlm.nih.gov/pubmed/36053561" }