Abstract

BackgroundOne of the largest groups of consumers who seek health information on the internet are parents of young children, as well as people in their social circle. The concept of proxy seeking (on behalf of others) has been explored in the literature, yet little is known about the outcomes.ObjectiveThe main aim of this study was to describe consumer health information outcomes reported by proxy seekers using a parenting website.MethodsWe conducted a 2-year quantitative observational study. Participants were parents of 0- to 8-year-old children and members of their entourage in Canada who had accessed Naître et Grandir through the website or through a weekly newsletter. For each Naître et Grandir webpage, participants’ perceptions regarding the outcomes of seeking and using specific webpages were gathered using a content-validated Information Assessment Method questionnaire. We compared the outcomes reported by parents with those reported by members of their entourage after consulting a parenting information website and explored if the method of accessing the information by the proxy seekers (website or weekly newsletter) changed the outcomes reported. For key primary survey items, the chi-square test was conducted, and differences in relative frequencies of responses were computed along with confidence intervals.ResultsA total of 51,325 completed questionnaires were included in the analysis, pertaining to 1079 Naître et Grandir webpages (mean 48; range 1-637). Compared to parents, individuals in the entourage are more likely to report using the information in discussion with others (mean difference 0.166, 95% CI 0.155-0.176). Parents, on the other hand, were more likely than the entourage to report using the information to better understand (mean difference 0.084, 95% CI 0.073-0.094), to decide to do something (mean difference 0.156, 95% CI 0.146-0.166), or to do something in a different manner (mean difference 0.052, 95% CI 0.042-0.061). In addition, results suggest that the differences in perceived benefits of parenting information by the entourage depend on how they access the information. Respondents who were actively seeking the information (through the website) were more likely to report that the information would help them be less worried (mean difference 0.047; 95% CI 0.024-0.069), handle a problem (mean difference 0.083; 95% CI 0.062-0.104), and decide what to do with someone else (mean difference 0.040, 95% CI 0.020-0.058). Respondents who passively acquired the information (through the newsletter) were more likely to report that the information would help improve the health or well-being of a child (mean difference 0.090; 95% CI 0.067-0.112).ConclusionsBy better understanding how consumers and their entourages use information, information providers can adapt information to meet both individual and group needs, and health care practitioners can target patients’ entourages with web-based health information resources for dissemination and use.

Highlights

  • BackgroundIn 2017, almost all (99.0%) Canadian households had fixed broadband internet access [1], and 75% to 96% of Canadians aged 15 to 64 years used the internet on a daily basis [2]

  • Questionnaires completed by participants outside the countries of interest in this study and by participants who did not identify as parents or entourage members were excluded (Figure 3)

  • JMIR Pediatr Parent 2022 | vol 5 | iss. 1 | e32406 | p. 4 completed Information Assessment Method questionnaires were included in the analysis, pertaining to 1079 Naître et Grandir webpages

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Summary

Introduction

In 2017, almost all (99.0%) Canadian households had fixed broadband internet access [1], and 75% to 96% of Canadians aged 15 to 64 years used the internet on a daily basis [2] This is in line with other Organization for Economic Cooperation and Development (OECD) countries, in which more than 80% of households have access to high-speed internet [3]. In these countries, the proportion of adults seeking consumer health information on the internet has more than doubled between 2008 and 2017 [4]. There are, still barriers to benefitting from consumer health information from the internet. The concept of proxy seeking (on behalf of others) has been explored in the literature, yet little is known about the outcomes

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