Adolescent Access to Online Health Services: Perils and Promise

Moreno, Megan A.; Ralston, James D.; Grossman, David C.

doi:10.1016/j.jadohealth.2008.07.015

Cited by 35 publications

(34 citation statements)

References 44 publications

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“…Adolescents are generally healthy and, as such, they do not navigate the health care system as extensively as adults 2 . Understanding and promoting health literacy among adolescents, however, is essential for multiple reasons: (1) adolescents are developing lifelong health behaviors and habits, and adequate health literacy skills may support informed health‐seeking lifestyles; (2) adolescents are future independent health care system users, and young adults who are health literate may contribute to a generation‐level reduction of poor health outcomes known to be associated with low health literacy among adults; 3–7 (3) adolescents are gradually being provided with access to online health services as more health systems rely on Internet‐based services; 8 and (4) the few studies investigating adolescent literacy and health literacy have shown that low literacy/health literacy is associated with risky behaviors including tobacco use, 9 problem behaviors (eg, aggression, gun carrying), 10,11 obesity, 12 and lower levels of health‐promoting behaviors 13 …”

mentioning

confidence: 99%

Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

Ghaddar¹,

Valerio

García

et al. 2011

Journal of School Health

244

196

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mentioning

confidence: 99%

Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

Ghaddar¹,

Valerio

García

et al. 2011

Journal of School Health

244

196

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show abstract

“…However, previous studies of young people's use of internet-mediated interventions have found low exposure rates (Crutzen et al, 2008) and use in real life can be even lower (Evers, Cummins, Prochaska, & Prochaska, 2005). Giving young people the opportunity to increase their influence over their own health can contribute to an easier transition to adult responsibility (Moreno, Ralston, & Grossman, 2009). Furthermore, getting young people involved in the development of health promotion research may lead to increased well-being and empowerment, resulting in a different perspective than an adult view (Kostenius, 2008).…”

mentioning

confidence: 99%

“Peers, parents and phones”—Swedish adolescents and health promotion

Lindqvist

Kostenius

Gard

2012

International Journal of Qualitative Studies on Health and Well

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Many unhealthy behaviors are created during adolescence and follow the individual into adulthood. In addition, health behaviors often occur in clusters as those who are inactive are more likely to eat unhealthy food and smoke. This makes the early foundation of healthy behaviors vital. The aim was to describe and develop an understanding of adolescents’ awareness and experiences concerning health promotion. Data was collected using focus groups with a total of 28 seventh graders and was analysed with latent qualitative content analysis. One main theme was identified; being competent, ambivalent and creative at the same time. The following three subthemes also emerged: being a digital native for better and for worse, knowing what is healthy, and sometimes doing it, and considering change and having ideas of how change could be supported. The main theme elucidates how the majority of students were informed and able but they did not always prioritize their health. The concept of health promotion relies upon the engagement of the individual; however, although the students had clear ideas about how they would like to change their own behaviors, they felt a need for support. Interestingly, the students were able to make several suggestions about the kind of support that would make a difference to their adoption to more healthy modes of living. They suggested information and communication technology (ICT), for example encouraging text messages (SMS), and social support, for example parents setting rules and peers inspiring them to adhere to a healthy behavior. The knowledge gained from this study echoes our view of inclusion and this could be helpful for those who encounter the challenge of promoting health among adolescents.

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“…The evaluation of childfocused websites and exploration of how children and youth assess the trustworthiness and quality of online information detailed here contribute to the call for both the provision of high-quality websites (Stinson et al, 2011) and empowering children and young people to carefully consider the health information they find online (Gray et al, 2005b;Moreno, Ralston, & Grossman, 2009 However, the study has a number of limitations. Only Google and Yahoo were used to search for relevant websites in Phase 1, potentially biasing the search.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Seeing Is Believing? A Mixed-Methods Study Exploring the Quality and Perceived Trustworthiness of Online Information About Chronic Conditions Aimed at Children and Young People

McPherson

Gofine

Stinson

2013

Health Communication

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The numbers of children and young people with chronic conditions are increasing. While their information needs may vary, providing health care information can have considerable benefits, including better emotional health, less distress during treatments, and greater satisfaction with medical care. The Internet is increasingly being used to communicate health-related information to children about a range of chronic conditions. However, the quality of such websites is underexplored. Thus, the objectives of this study were to evaluate the reliability and quality of online information for children about chronic conditions using a standardized evaluation tool, and to explore children's and young people's perceptions of quality and trustworthiness regarding online health information. The study consisted of two phases. In Phase 1, websites about common pediatric chronic conditions aimed at children and containing treatment or management options were identified and the quality assessment tool DISCERN was completed. Test-retest and interrater reliability were calculated. In Phase 2, two focus groups with laptop computers were conducted with children and young people with a chronic condition to explore their perceptions of trustworthiness of online health information. In Phase 1, 165 websites were identified and 100 met the criteria and were assessed. The mean DISCERN score of all sites was 48.16 out of 75 (SD = 7.97, range 28-71, min 15 to max 75). Quality scores varied widely across the sample. The internal consistency and interrater reliability scores were both lower than previously reported in studies using the DISCERN to assess information for adults. In Phase 2, two focus groups with a total of six participants aged 11-23 years revealed a relative lack of concern about the quality and trustworthiness of online health information. Older participants reported judging the source and authorship of websites, but other participants did not question the source of the information they found online. Although personal websites were perceived to be less reliable than those from well-known medical institutions, they were still valued by many of the participants. Overall, there were relatively few websites about pediatric chronic conditions aimed at children, with variable quality and reliability. However, DISCERN's use with pediatric websites across a broad spectrum of developmental stages is limited. Children and young people demonstrated a need for more guidance around assessing trustworthiness of online information. A more appropriate quality assessment tool is warranted, which could usefully be employed by health care professionals, children, and parents.

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Adolescent Access to Online Health Services: Perils and Promise

Cited by 35 publications

References 44 publications

Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

“Peers, parents and phones”—Swedish adolescents and health promotion

Seeing Is Believing? A Mixed-Methods Study Exploring the Quality and Perceived Trustworthiness of Online Information About Chronic Conditions Aimed at Children and Young People

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