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dc.contributor.authorMenefee, Hannah K.en
dc.contributor.authorThompson, Morgan J.en
dc.contributor.authorGuterbock, Thomas M.en
dc.contributor.authorWilliams, Ishan C.en
dc.contributor.authorValdez, Rupa S.en
dc.description.abstractBackground: Consumer health information technology (IT) solutions are designed to support patient health management and have the ability to facilitate patients' health information communication with their social networks. However, there is a need for consumer health IT solutions to align with patients' health management preferences for increased adoption of the technology. It may be possible to gain an understanding of patients' needs for consumer health IT supporting their health information communication with social networks by explicating how they have adopted and adapted social networking sites, such as Facebook, for this purpose. Objective: Our aim was to characterize patients' use of all communication mechanisms within Facebook for health information communication to provide insight into how consumer health IT solutions may be better designed to meet patients' communication needs and preferences. Methods: This study analyzed data about Facebook communication mechanisms use from a larger, three-phase, sequential, mixed-methods study. We report here on the results of the study's first phase: qualitative interviews (N=25). Participants were over 18, used Facebook, were residents or citizens of the United States, spoke English, and had a diagnosis consistent with type 2 diabetes. Participants were recruited through Facebook groups and pages. Participant interviews were conducted via Skype or telephone between July and September 2014. Data analysis was grounded in qualitative content analysis and the initial coding framework was informed by the findings of a previous study. Results: Participants' rationales for the use or disuse of a particular Facebook mechanism to communicate health information reflected six broad themes: (1) characteristics and circumstances of the person, (2) characteristics and circumstances of the relationship, (3) structure and composition of the social network, (4) content of the information, (5) communication purpose, and (6) attributes of the technology. Conclusions: The results of this study showed that participants consider multiple factors when choosing a Facebook mechanism for health information communication. Factors included what information they intended to share, what they were trying to accomplish, attributes of technology, and attributes and communication practices of their social networks. There is a need for consumer health IT that allows for a range of choices to suit the intersectionality of participants' rationales. Technology that better meets patients' needs may lead to better self-management of health conditions, and therefore, improve overall health outcomes.en
dc.description.sponsorshipAgency for Healthcare Research and QualityUnited States Department of Health & Human ServicesAgency for Healthcare Research & Quality [R03 HS22930-01]en
dc.rightsCreative Commons Attribution 2.0 Genericen
dc.subjectconsumer health informationen
dc.subjectmedical informaticsen
dc.subjectsocial networksen
dc.subjecthealth communicationen
dc.titleMechanisms of Communicating Health Information Through Facebook: Implications for Consumer Health Information Technology Designen
dc.typeArticle - Refereeden
dc.description.notesThis study was sponsored by the Agency for Healthcare Research and Quality (R03 HS22930-01). The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. We would also like to thank the administrators of the Facebook groups and pages that supported our study and all of our participants. We thank Deborah Rexrode, Morgan Thompson, Jeremiah Reilly, and Claire Wellbeloved-Stone for their contributions to this study.en
dc.title.serialJournal of Medical Internet Researchen

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Creative Commons Attribution 2.0 Generic
License: Creative Commons Attribution 2.0 Generic