Patients' cognitive and behavioral paradoxes in the process of adopting conflicting health information: A dynamic perspective

IF 7.4 1区管理学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS

Information Processing & Management Pub Date : 2024-11-15 DOI:10.1016/j.ipm.2024.103939

Yan Jin , Di Zhao , Zhuo Sun , Chongwu Bi , Ruixian Yang , Shengli Deng

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引用次数: 0

Abstract

Diversified access to health information has increased the likelihood of encountering conflicting health messages, making it more difficult for patients to adopt information rationally. Prior research has primarily focused on the outcomes of patients' information adoption and responded to concerns by exploring the influences that led to these outcomes, overlooking a crucial aspect. Specifically, patients' cognitive and behavioral responses are continuously fluctuating during the process of information adoption. A total of 336 subjects (valid sample) participated in this study. A combination of situational experiments, grounded theory, and questionnaires was employed to develop a model of patients' adoption of conflicting health information. The concept of "trans-theory" was introduced to explain how patients' cognitive and behavioral responses changed at different segments of adoption. In contrast to prior studies viewing information adoption as a whole, we propose that the process can be divided into four distinct segments: information attention, comprehension, evaluation, and decision. Moreover, the sequential influence of information, ability, psychological, and environmental factors in the adoption process produces three common paradoxes in patients' cognitive and behavioral responses, affecting their ability to make rational adoption decisions. This study explores the dynamics of information adoption from the patient's perspective, providing novel insights into the study of conflicting health information adoption and offering guidance for designing more effective interventions for facilitating rational adoption by patients. Additionally, it can help the healthcare system better understand patients' cognitive and behavioral responses to deliver more effective healthcare services.

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患者在接受相互矛盾的健康信息过程中的认知和行为悖论：动态视角

健康信息获取渠道的多样化增加了遇到相互矛盾的健康信息的可能性，使患者更难理性地采纳信息。以往的研究主要关注患者采用信息的结果，并通过探讨导致这些结果的影响因素来回应人们的担忧，但忽略了一个重要方面。具体来说，在信息采纳过程中，患者的认知和行为反应是不断波动的。共有 336 名受试者（有效样本）参与了本研究。研究综合运用了情景实验、基础理论和问卷调查等方法，建立了患者采用相互冲突的健康信息的模型。研究引入了 "跨理论 "的概念，以解释患者在采用信息的不同阶段的认知和行为反应是如何变化的。与之前将信息采纳视为一个整体的研究不同，我们建议将这一过程分为四个不同的环节：信息注意、理解、评估和决策。此外，在采纳过程中，信息、能力、心理和环境因素的先后影响会在患者的认知和行为反应中产生三种常见的悖论，影响他们做出理性采纳决策的能力。本研究从患者的角度探讨了信息采纳的动态变化，为研究健康信息采纳的矛盾提供了新的见解，为设计更有效的干预措施促进患者理性采纳提供了指导。此外，它还能帮助医疗系统更好地了解患者的认知和行为反应，从而提供更有效的医疗服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Information Processing & Management 工程技术-计算机：信息系统

CiteScore

17.00

自引率

11.60%

发文量

276

审稿时长

39 days

期刊介绍： Information Processing and Management is dedicated to publishing cutting-edge original research at the convergence of computing and information science. Our scope encompasses theory, methods, and applications across various domains, including advertising, business, health, information science, information technology marketing, and social computing. We aim to cater to the interests of both primary researchers and practitioners by offering an effective platform for the timely dissemination of advanced and topical issues in this interdisciplinary field. The journal places particular emphasis on original research articles, research survey articles, research method articles, and articles addressing critical applications of research. Join us in advancing knowledge and innovation at the intersection of computing and information science.