Abstract

BackgroundParents commonly use the internet to search for information about their child’s health-related symptoms and guide parental health-related decisions. Despite the impact of parental online health seeking on offline health behaviors, this area of research remains understudied. Previous literature has not adequately distinguished searched behaviors when searching for oneself or one`s child.ObjectiveThe purpose of this review is to examine prevalences and associated variables of parent-child online health information seeking; investigate parents’ health-related online behavior regarding how they find, use, and evaluate information; and identify barriers and concerns that they experience during the search. Based on this analysis, we develop a conceptual model of potentially important variables of proxy online health information seeking, with a focus on building an agenda for further research.MethodsWe conducted a comprehensive systematic literature review of the PsycINFO, JMIR, and PubMed electronic databases. Studies between January 1994 and June 2018 were considered. The conceptual model was developed using an inductive mixed methods approach based on the investigated variables in the study sample.ResultsA total of 33 studies met the inclusion criteria. Findings suggest that parents worldwide are heavy online users of health-related information for their children across highly diverse circumstances. A total of 6 studies found high parental health anxiety, with prevalences ranging from 14% to 52%. Although parents reported wishing for more guidance from their pediatrician on how to find reliable information, they rarely discussed retrieved information from the web. The conceptual model of proxy online health information seeking includes 49 variables.ConclusionsThis systematic review identifies important gaps regarding the influence of health-related information on parents’ health behavior and outcomes. Follow-up studies are required to offer parents guidance on how to use the web for health purposes in an effective way, as well as solutions to the multifaceted problems during or after online health information seeking for their child. The conceptual model with the number of studies in each model category listed highlights how previous studies have hardly considered relational variables between the parent and child. An agenda for future research is presented.

Highlights

  • The proportion of individuals looking for health-related topics online has increased significantly in recent years [1]

  • Findings suggest that parents worldwide are heavy online users of health-related information for their children across highly diverse circumstances

  • A total of 6 studies found high parental health anxiety, with prevalences ranging from 14% to 52%

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Summary

Introduction

The proportion of individuals looking for health-related topics online has increased significantly in recent years [1]. Large-scale studies suggest that about half of online health-related search sessions are not for one’s own health, but rather for someone else’s health situation [6,7] These online health seekers are described in the literature under various terms [8,9,10] and there is no consensus about the definition of OHIS on behalf of others. The term is misleading from an etymological point of view because it suggests that the search is a replacement or substitute for an action that would normally be done by the individual (Latin surrogatus means replace). This is not the case in the parent-child search relationship. Previous literature has not adequately distinguished searched behaviors when searching for oneself or ones child

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