Abstract
BackgroundAn online health-promoting community (OHPC) has the potential to promote health and advance new means of dialogue between public health representatives and the general public. The aim of this study was to examine what aspects of an OHPC that are critical for satisfying the needs of the user community and public health goals and service capabilities.MethodsCommunity-based participatory research methods were used for data collection and analysis, and participatory design principles to develop a case study OHPC for adolescents. Qualitative data from adolescents on health appraisals and perspectives on health information were collected in a Swedish health service region and classified into categories of user health information exchange needs. A composite design rationale for the OHPC was completed by linking the identified user needs, user-derived requirements, and technical and organizational systems solutions. Conflicts between end-user requirements and organizational goals and resources were identified.ResultsThe most prominent health information needs were associated to food, exercise, and well-being. The assessment of the design rationale document and prototype in light of the regional public health goals and service capabilities showed that compromises were needed to resolve conflicts involving the management of organizational resources and responsibilities. The users wanted to discuss health issues with health experts having little time to set aside to the OHPC and it was unclear who should set the norms for the online discussions.ConclusionsOHPCs can be designed to satisfy both the needs of user communities and public health goals and service capabilities. Compromises are needed to resolve conflicts between users’ needs to discuss health issues with domain experts and the management of resources and responsibilities in public health organizations.
Highlights
An online health-promoting community (OHPC) has the potential to promote health and advance new means of dialogue between public health representatives and the general public
The aim of this study was to examine what aspects of an OHPC that are critical for satisfying the needs of the user community and public health goals and service capabilities
The results indicated that obese adolescents would benefit from more specialized interventions; a need for an online public health intervention addressing the non-obese adolescent population was identified
Summary
An online health-promoting community (OHPC) has the potential to promote health and advance new means of dialogue between public health representatives and the general public. Health promotion denotes a set of principles for endorsement of the health of the population from an inclusive perspective. These principles differ from corresponding approaches for disease prevention, where epidemiological knowledge of specific health risks is used for prevention and early detection of particular diseases. Due to the advances in web technology, Internet-based applications are inexpensive alternatives for health promotion, e.g. by self-directed and informal learning in online communities. Self-directed learning, where the individual is in command of what should be learned, stands in contrast to health education, where health experts provide information that they think the recipients need [7]
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