图书情报工作

图书情报工作 >

2021 , Vol. 65 >Issue 11: 24 - 32

DOI: https://doi.org/10.13266/j.issn.0252-3116.2021.11.003

专题：用户在线健康信息行为研究

冲突性健康信息对用户健康信息搜寻的影响:基于不确定性视角的探究

  • 宋士杰 ,
  • 齐云飞 ,
  • 赵宇翔 ,
  • 朱庆华
展开
  • 1. 南京大学信息管理学院 南京, 210023;
    2. 郑州航空工业管理学院信息管理学院 郑州, 450046;
    3. 南京理工大学经济管理学院 南京, 210094
宋士杰(ORCID:0000-0002-4544-2027),博士研究生;赵宇翔(ORCID:0000-0001-9281-3030),教授,博士生导师;朱庆华(ORCID:0000-0002-4879-399X),副院长,教授,博士生导师。

收稿日期: 2020-12-20

  修回日期: 2021-03-11

  网络出版日期: 2021-06-10

基金资助

本文系河南省教育厅人文社会科学研究项目"社交媒体用户双路径冲突健康信息决策影响因素与干预机制研究"（项目编号：2021-ZZJH-427）研究成果之一。

收起

The Impact of Conflicting Health Information in Consumers’ Health Information Seeking: An Investigation of Uncertainty

  • Song Shijie ,
  • Qi Yunfei ,
  • Zhao Yuxiang ,
  • Zhu Qinghua
Expand
  • 1. School of Information Management, Nanjing University, Nanjing 210023;
    2. School of Information Management, Zhengzhou University of Aeronautics, Zhengzhou 450046;
    3. School of Economics and Management, Nanjing University of Science and Technology, Nanjing 210094

Received date: 2020-12-20

  Revised date: 2021-03-11

  Online published: 2021-06-10

Fold

摘要

[目的/意义] 近年来，由于互联网上针对各类健康话题的信息体量激增、信息质量参差不齐等，用户在健康信息搜寻过程中遭遇冲突性健康信息已成为一种常见的体验，然而冲突性健康信息对用户的相关影响却鲜有研究。本文从经典信息搜寻理论出发，梳理信息搜寻与不确定性的关系，并针对冲突性健康信息提出研究问题。[方法/过程] 以实验方法为手段构建实验组与控制组，以单因素方差分析检验冲突性健康信息对用户的知识概念状态、困惑感、健康信念的影响。[结果/结论] 实验结果表明，在健康信息搜寻过程中遭遇冲突性健康信息会使用户针对某一健康话题的知识概念状态变得模糊，困惑感上升，健康信念下降，因此用户所面临的不确定性上升。在实验结果基础上，着重讨论相关理论与实践启示。

关键词： 冲突性健康信息; 健康信息搜寻; 健康信息行为; 不确定性; 实验方法

本文引用格式

宋士杰 , 齐云飞 , 赵宇翔 , 朱庆华 . 冲突性健康信息对用户健康信息搜寻的影响:基于不确定性视角的探究[J]. 图书情报工作, 2021 , 65(11) : 24 -32 . DOI: 10.13266/j.issn.0252-3116.2021.11.003

Abstract

[Purpose/significance] Recently, health information has become prevalent on the Internet. The extensive information volume and heterogeneity in information quality increased the probability of encountering conflicting information in users’ health information seeking. However, it has been insufficiently explored how conflicting health information may impact users. This study departs from the relationship between information seeking and uncertainty reduction, as indicated by many classic information behavior theories. We raised a research question of whether the hypothesized relationship still stands in conflicting health information contexts. [Method/process] By employing the experimental approach and one-way analysis of variance (ANOVA), we examine the effects of conflicting health information on individuals regarding knowledge states, confusion, and health beliefs. [Result/conclusion] The results suggested that conflicting health information blurred knowledge states, increased confusion, and decreased health belief. Thus, we inferred that uncertainty increased when they encountered conflicting health information. Based on the results, several theoretical and practical implications were discussed.

Key words： conflicting health information; health information seeking; health information behavior; uncertainty experiment

参考文献

[1] 杨梦晴, 赵宇翔, 宋士杰, 等. 国外健康行为研究中信息框架理论的源流、应用与发展 [J]. 情报学报, 2020, 39(6): 662-674.
[2] 闫慧, 余章馗, 姜怡婷. 国内外消费者健康信息学研究进展 [J]. 图书情报工作, 2017, 61(6): 134-141.
[3] PIAN W J, SONG S J, ZHANG Y. Consumer health information needs: a systematic review of measures [EB/OL]. [2021-05-09]. https://www.sciencedirect.com/science/article/pii/S0306457319300512.
[4] 李月琳, 王姗姗, 阮妹. 跨源健康信息搜寻的动机、信息源选择及行为路径 [J]. 情报学报, 2021, 40(1): 77-87.
[5] 宋士杰, 赵宇翔, 宋小康, 等. 信息源对数字原住民健康信息可信度判断的启发式实验研究 [J]. 情报学报, 2020, 39(4): 399-408.
[6] 李月琳, 张秀, 王姗姗. 社交媒体健康信息质量研究:基于真伪健康信息特征的分析 [J]. 情报学报, 2018, 37(3): 294-304.
[7] 赵宇翔, 范哲, 朱庆华. 用户生成内容(UGC)概念解析及研究进展 [J]. 中国图书馆学报, 2012, 38(5): 68-81.
[8] 宋士杰, 赵宇翔, 宋小康, 等. 互联网环境下失真健康信息可信度判断的影响因素研究 [J]. 中国图书馆学报, 2019, 45(4): 72-85.
[9] 宋小康, 赵宇翔, 宋士杰, 等. 基于MOA理论的健康谣言分享意愿影响因素研究 [J]. 情报学报, 2020, 39(5): 511-520.
[10] BELKIN N J. Anomalous states of knowledge as a basis for information retrieval [J]. Canadian journal of information science, 1980, 5(1): 133-143.
[11] CARPENTER D M, GERYK L L, CHEN A T, et al. Conflicting health information: a critical research need [J]. Health expectations, 2016, 19(6): 1173-1182.
[12] SONG S J, ZHANG Y, YU B. Interventions to support consumer evaluation of online health information credibility: a scoping review [EB/OL]. [2021-05-09].https://www.sciencedirect.com/science/article/pii/S1386505620308704?via%3Dihub.
[13] CARPENTER D M, DEVELLIS R F, FISHER E B, et al. The effect of conflicting medication information and physician support on medication adherence for chronically ill patients [J]. Patient education and counseling, 2010, 81(2): 169-176.
[14] CLARK D, NAGLER R H, NIEDERDEPPE J. Confusion and nutritional backlash from news media exposure to contradictory information about carbohydrates and dietary fats [J]. Public health nutrition, 2019, 22(18): 3336-3348.
[15] KOBAYASHI K. Effects of conflicting scientific arguments on belief change: argument evaluation and expert consensus perception as mediators [J]. Journal of applied social psychology, 2018, 48(4): 177-187.
[16] CARPENTER D M, ELSTAD E A, BLALOCK S J, et al. Conflicting medication information: prevalence, sources, and relationship to medication adherence [J]. Journal of health communication, 2014, 19(1): 67-81.
[17] HÄMEEN-ANTTILA K, NORDENG H, KOKKI E, et al. Multiple information sources and consequences of conflicting information about medicine use during pregnancy: a multinational internet-based survey [EB/OL]. [2021-05-09]. https://pubmed.ncbi.nlm.nih.gov/24565696/.
[18] EYSENBACH G. The impact of the Internet on cancer outcomes [J]. CA-A cancer journal for clinicians, 2003, 53(6): 356-371.
[19] ZAPKA J G, PULEO E, TAPLIN S H, et al. Processes of care in cervical and breast cancer screening and follow-up-the importance of communication [J]. Preventive medicine, 2004, 39(1): 81-90.
[20] POLLOCK K, GRIME J, BAKER E, et al. Meeting the information needs of psychiatric inpatients: staff and patient perspectives [J]. Journal of mental health, 2004, 13(4): 389-401.
[21] HAN P K, MOSER R P, KLEIN W M P. Perceived ambiguity about cancer prevention recommendations: relationship to perceptions of cancer preventability, risk, and worry [J]. Journal of health communication, 2006, 11(S1): 51-69.
[22] MCINTOSH A, SHAW C F. Barriers to patient information provision in primary care: patients’ and general practitioners’ experiences and expectations of information for low back pain [J]. Health expectations, 2003, 6(1): 19-29.
[23] WILSON T D. Models in information behaviour research [J]. Journal of documentation, 1999, 55(3): 249-270.
[24] BABROW A S, KASCH C R, FORD L A. The many meanings of uncertainty in illness: toward a systematic accounting [J]. Health communication, 1998, 10(1): 1-23.
[25] BRASHERS D E. Communication and uncertainty management [J]. Journal of communication, 2001, 51(3): 477-497.
[26] YOON K. The use of certainty and the role of topic and comment in interpersonal information seeking interaction [EB/OL]. [2021-05-09]. http://www.informationr.net/ir/4-2/isic/yoon.html.
[27] 夏宏. 社会现象学与历史唯物主义的融通——基于马克思"实践"与"感性世界"概念的思考 [J]. 南京大学学报(哲学·人文科学·社会科学), 2019, 56(1): 19-26,158.
[28] KUHLTHAU C C. A principle of uncertainty for information seeking [J]. Journal of documentation, 1993, 49(4): 339-355.
[29] SCHUTZ A. The phenomenology of the social world [M]. Evanston: Northwestern University Press, 1967.
[30] WILSON T. Exploring models of information behaviour: the'uncertainty’ project [J]. Information processing & management, 1999, 35(6): 839-849.
[31] SUN Y L, ZHANG Y, GWIZDKA J, et al. Consumer evaluation of the quality of online health information: systematic literature review of relevant criteria and indicators [EB/OL]. [2021-05-09]. https://www.jmir.org/2019/5/e12522/PDF.
[32] GENUIS S K. Constructing "sense" from evolving health information: a qualitative investigation of information seeking and sense making across sources [J]. Journal of the American Society for Information Science and Technology, 2012, 63(8): 1553-1566.
[33] RIEH S Y. Judgment of information quality and cognitive authority in the Web [J]. Journal of the American Society for Information Science and Technology, 2002, 53(2): 145-161.
[34] 姜婷婷, 傅诗婷, 郭倩. 信息偶遇研究方法:现状剖析和趋势探索 [J]. 信息资源管理学报, 2020, 10(2): 48-58,90.
[35] CHOWDHURY S, GIBB F. Relationship among activities and problems causing uncertainty in information seeking and retrieval [J]. Journal of documentation, 2009, 65(3): 470-499.
[36] CHAIKEN S. Heuristic versus systematic information processing and the use of source versus message cues in persuasion [J]. Journal of personality and social psychology, 1980, 39(5): 752-766.
[37] CHAIKEN S. The heuristic model of persuasion [M] // ZANNA M P, OLSON J M, HERMAN C P. Social influence: the Ontario symposium, volume 5. New York: Lawrence Erlbaum Associates, Inc., 1987: 3-39.
[38] NICKERSON R S. Confirmation bias: a ubiquitous phenomenon in many guises [J]. Review of general psychology, 1998, 2(2): 175-220.
[39] HART W, ALBARRACÍN D, EAGLY A H, et al. Feeling validated versus being correct: a meta-analysis of selective exposure to information [J]. Psychological bulletin, 2009, 135(4): 555-588.
[40] RICHTER T, MAIER J. Comprehension of multiple documents with conflicting information: a two-step model of validation [J]. Educational psychologist, 2017, 52(3): 148-166.
[41] AMUNDSEN S, ØVREBØ T G, AMBLE N M S, et al. Use of antimigraine medications and information needs during pregnancy and breastfeeding: a cross-sectional study among 401 Norwegian women [J]. European journal of clinical pharmacology, 2016, 72(12): 1525-1535.
[42] HENRY A, CROWTHER C. Sources of advice on medication use in pregnancy and reasons for medication uptake and cessation during pregnancy [J]. Australian and New Zealand journal of obstetrics and gynaecology, 2000, 40(2): 173-175.
[43] KIENHUES D, STADTLER M, BROMME R. Dealing with conflicting or consistent medical information on the web: when expert information breeds laypersons’ doubts about experts [J]. Learning and instruction, 2011, 21(2): 193-204.
[44] 陈琼, 宋士杰, 赵宇翔. 突发公共卫生事件中信息过载对用户信息规避行为的影响:基于COVID-19信息疫情的实证研究 [J]. 情报资料工作, 2020, 41(3): 76-88.
[45] SONG S J, YAO X L, WEN N N. What motivates Chinese consumers to avoid information about the COVID-19 pandemic?: the perspective of the stimulus-organism-response model [EB/OL]. [2021-05-09].https://www.sciencedirect.com/science/article/pii/S030645732030902X?via%3Dihub.
[46] 姜婷婷, 权明喆, 魏子瑶. 信息规避研究:边界、脉络与动向 [J]. 中国图书馆学报, 2020, 46(4): 99-114.
[47] SEKARAN U, BOUGIE R. Research methods for business: a skill building approach [M]. Chichester: John Wiley & Sons, 2016.
[48] MCNEISH D. Thanks coefficient alpha, we’ll take it from here [J]. Psychological methods, 2018, 23(3): 412-433.
[49] ARORA N K, HESSE B W, RIMER B K, et al. Frustrated and confused: the American public rates its cancer-related information-seeking experiences [J]. Journal of general internal medicine, 2008, 23(3): 223-228.
[50] JANZ N K, BECKER M H. The health belief model: a decade later [J]. Health education quarterly, 1984, 11(1): 1-47.
[51] MISHRA J, ALLEN D, PEARMAN A. Information seeking, use, and decision making [J]. Journal of the Association for Information Science and Technology, 2015, 66(4): 662-673.
[52] CHOWDHURY S, GIBB F, LANDONI M. Uncertainty in information seeking and retrieval: a study in an academic environment [J]. Information processing & management, 2011, 47(2): 157-175.
[53] ZHANG Y, SUN Y L, KIM Y. The influence of individual differences on consumer’s selection of online sources for health information [J]. Computers in human behavior, 2017, 67:303-312.
[54] 宋士杰, 赵宇翔, 朱庆华. 健康信息获取渠道对健康素养培育的影响——基于城乡异质性视角 [J]. 图书与情报, 2018 (5): 36-43.
[55] ZHAO Y C, ZHANG Y, TANG J, et al. Affordances for information practices: theorizing engagement among people, technology, and sociocultural environments [J]. Journal of documentation, 2021,77(1):229-250.
[56] NAGLER R H, YZER M C, ROTHMAN A J. Effects of media exposure to conflicting information about mammography: results from a population-based survey experiment [J]. Annals of behavioral medicine, 2019, 53(10): 896-908.
[57] 张秀, 李月琳. 健康信息素养:概念辨析与相关研究进展 [J]. 文献与数据学报, 2020, 2(2): 78-88.
[58] 张秀, 李月琳, 章小童. "健康中国2030"规划框架下我国健康信息政策内容分析 [J]. 情报理论与实践, 2020, 43(9): 24-31.
[59] 邓胜利, 付少雄. 健康信息服务的供给侧结构性改革研究 [J]. 情报科学, 2019, 37(4): 144-149,177.
[60] 周晓英, 宋丹, 张秀梅. 健康素养与健康信息传播利用的国家战略研究 [J]. 图书与情报, 2015 (4): 2-10.
[61] 胡蓉, 唐振贵, 赵宇翔, 等. 移动经验取样法:促进真实情境下的用户信息行为研究 [J]. 情报学报, 2018, 37(10): 1046-1059.
[62] 吴丹, 李一喆. 老年人网络健康信息检索行为实验研究 [J]. 图书情报工作, 2014, 58(12): 102-108.
[63] 吴丹, 李一喆. 不同情境下老年人网络健康信息检索行为与认知研究 [J]. 图书馆论坛, 2015, 35(2): 38-43.
Options
文章导航

/

〈 〉