Parental Internet Use and Health Information Seeking Behavior Comparing Elective and Emergency Pediatric Surgical Situations

 

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Abstract

Introduction This study evaluates usage patterns of online health information in parents with children undergoing elective or emergency surgical procedures.

Materials and Methods We prospectively surveyed parents of children admitted to our institution for common emergency (appendicectomy, abscess drainage, gonadal torsion) or elective (herniotomy, orchidopexy) operations between March and September 2016. Each completed an anonymized modification of a previously published survey comprising 19 questions on demographic data, Internet usage, and review of Internet resources. Chi-square tests were used for categorical data with p < 0.05 considered significant.

Results Eighty-four parents were surveyed: 50(59.5%) elective and 34(40.5%) emergency procedures, with no refusals. Majority were mothers (n = 53; 63.1%). Despite high home Internet availability (n = 81; 96.4%) and high casual Internet usage rates (74 parents, 88.1%, reported daily use), just 38 (76%) parents from the elective group and 24 (70.6%) from the emergency group went online to access their child's admitting condition. Friends and family were more likely to be approached for information in elective (n = 27; 54%) and emergency groups (n = 24;70.6%) than general practitioners or other health care workers. When condition-specific online information was sought, more than 95% felt that the information concurred with the doctor's. Most common reasons were for more information on the condition (n = 56; 90.3%) and on medical treatment (n = 52; 83.9%). Eighteen (18/62; 29%) parents reported excessively technical information. No significant difference in behavior was found comparing elective and emergency groups.

Conclusion Approximately one quarter of parents do not access condition-specific online medical information despite high Internet penetration rates. More than half depend on friends and family for additional information, reflecting societal and cultural norms in our population. Surgeons must incorporate awareness of these behaviors during counselling

• References

• 1 Feathers A, Yen T, Yun L, Strizich G, Swaminath A. Internet searches about therapies do not impact willingness to accept prescribed therapy in inflammatory bowel disease patients. Dig Dis Sci 2016; 61 (04) 1013-1020
  CrossrefPubMedGoogle Scholar
• 2 Lee K, Hoti K, Hughes JD, Emmerton LM. Consumer use of “Dr Google”: a survey on health information-seeking behaviors and navigational needs. J Med Internet Res 2015; 17 (12) e288
  CrossrefPubMedGoogle Scholar
• 3 McLeod J, Yu I, Ingledew PA. Peering into the deep: characterizing the internet search patterns of patients with gynecologic cancers. J Cancer Educ 2017; 32 (01) 85-90
  CrossrefPubMedGoogle Scholar
• 4 Park E, Kim H, Steinhoff A. Health-related internet use by informal caregivers of children and adolescents: an integrative literature review. J Med Internet Res 2016; 18 (03) e57
  PubMedGoogle Scholar
• 5 Sim NZ, Kitteringham L, Spitz L. , et al. Information on the World Wide Web--how useful is it for parents?. J Pediatr Surg 2007; 42 (02) 305-312
  CrossrefPubMedGoogle Scholar
• 6 Semere W, Karamanoukian HL, Levitt M. , et al. A pediatric surgery study: parent usage of the Internet for medical information. J Pediatr Surg 2003; 38 (04) 560-564
  CrossrefPubMedGoogle Scholar
• 7 Goldman RD, Macpherson A. Internet health information use and e-mail access by parents attending a paediatric emergency department. Emerg Med J 2006; 23 (05) 345-348
  CrossrefPubMedGoogle Scholar
• 8 Khoo K, Bolt P, Babl FE, Jury S, Goldman RD. Health information seeking by parents in the Internet age. J Paediatr Child Health 2008; 44 (7-8): 419-423
  CrossrefPubMedGoogle Scholar
• 9 Pehora C, Gajaria N, Stoute M, Fracassa S, Serebale-O'Sullivan R, Matava CT. Are parents getting it right? A Survey of parents' Internet use for children's health care information. Interact J Med Res 2015; 4 (02) e12
  CrossrefPubMedGoogle Scholar
• 10 Wainstein BK, Sterling-Levis K, Baker SA, Taitz J, Brydon M. Use of the Internet by parents of paediatric patients. J Paediatr Child Health 2006; 42 (09) 528-532
  CrossrefPubMedGoogle Scholar
• 11 Sebelefsky C, Karner D, Voitl J, Klein F, Voitl P, Böck A. Internet health seeking behaviour of parents attending a general paediatric outpatient clinic: a cross-sectional observational study. J Telemed Telecare 2015; 21 (07) 400-407
  CrossrefPubMedGoogle Scholar
• 12 Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW. Patients' use of the Internet for medical information. J Gen Intern Med 2002; 17 (03) 180-185
  CrossrefPubMedGoogle Scholar
• 13 Ipsos APAC. . Toluna. Online Medical Information. How much is it trusted by consumers? Ipsos Asia Pacific. 2015 . Available at http://ipsosasiapacific.com/wp-content/uploads/sites/3/2015/01/Press-Release-APAC-Online-Healthcare-FINAL.pdf . Accessed April 7, 2017
  PubMedGoogle Scholar
• 14 Iverson SA, Howard KB, Penney BK. Impact of internet use on health-related behaviors and the patient-physician relationship: a survey-based study and review. J Am Osteopath Assoc 2008; 108 (12) 699-711
  PubMedGoogle Scholar
• 15 Tanis M, Hartmann T, Te Poel F. Online health anxiety and consultation satisfaction: a quantitative exploratory study on their relations. Patient Educ Couns 2016; 99 (07) 1227-1232
  CrossrefPubMedGoogle Scholar
• 16 van der Gugten AC, de Leeuw RJ, Verheij TJ, van der Ent CK, Kars MC. E-health and health care behaviour of parents of young children: a qualitative study. Scand J Prim Health Care 2016; 34 (02) 135-142
  CrossrefPubMedGoogle Scholar