Preferred Information Sources Research Articles

The Influence of Interpersonal Communication Participants on Child Nutrition Promotion in Kilifi County, Kenya

Purpose: This study analyzed the influence of Interpersonal Communication participants in the promotion of child nutrition in Kilifi County, Kenya.
 Materials and Methods: The study which was guided by the Social Penetration Theory and employed the mixed methods research design. A sample of 10 Health Professionals drawn from Public Healthcare facilities and 247 residents with children aged 5 years and below was drawn from Ganze Constituency in Kilifi County. Data was collected through questionnaires and interviews. Quantitative data was analyzed using descriptive and inferential statistics while thematic analysis was used to analyze qualitative data. Data was presented in tabular form.
 Findings: The study found that multiple sources of child nutrition information existed and influenced the nutrition of a child in different degrees. Such sources included Health Professionals, Family members, Male care givers, opinion leaders and peers. Among these sources Health professionals were identified as the most preferred source of child nutrition information. Additionally, findings indicated that Interpersonal Communication participants largely contributed to the promotion of complementary feeding and an understanding of the effects of malnutrition.
 Implications to Theory, Practice and Policy: This study recommends that mechanisms should be put in place to monitor and evaluate messages emanating from informal sources of child nutrition information in order to negate any false narratives that can counter strides made in the promotion of child nutrition emanating from such sources. This study also recommends that Health Professionals should invest in developing a positive relationship with patients so as to increase the depth and breadth of child nutrition information they can provide.

Exploring Indonesian Primary Schoolgirls' Experiences of School-based HPV Vaccination, Knowledge of HPV Risks and Prevention, and Preferences for Cervical Cancer Education.

In 2016, Indonesia introduced its Human Papillomavirus (HPV) vaccination demonstration program for girls in grades 5 and 6 of primary school, to reduce cervical cancer (CC) burden in selected provinces and test the viability of nationwide vaccination. This study explored schoolgirls' experience of school-based HPV vaccination, their knowledge of HPV and HPV vaccination, and their preferences for cervical cancer (CC) education. An online survey was conducted with schoolgirls who experienced HPV vaccination between 2019 and 2021 through the demonstration program. Using purposive sampling, respondents were recruited through partnerships with primary public health centres and primary schools in Jakarta and Yogyakarta. Data analysis was conducted using Chi-square test, Independent-samples t-test, and one-way ANOVA. One hundred and forty primary schoolgirls with a mean age of 12.2 years (SD = 0.70) completed the survey. Schools and mothers were identified as key actors in socialising children about important health information and as girls' preferred sources of information. The average summed score for girls' knowledge of HPV, the HPV vaccine, and CC after being vaccinated was 5.07 out of 10 (SD 0.23). Significant differences in the mean knowledge scores among participants with different preferences regarding CC education in school were observed. While schoolgirls' experiences of HPV vaccination were largely positive, their knowledge of critical health information regarding HPV vaccination and CC prevention needs improving. Thus, it is necessary to provide parents, and school-based educators with culturally appropriate strategies and comprehensive evidence-based information about HPV vaccination and CC prevention more effectively to children.

ChatGPT Is Moderately Accurate in Providing a General Overview of Orthopaedic Conditions.

ChatGPT is an artificial intelligence chatbot capable of providing human-like responses for virtually every possible inquiry. This advancement has provoked public interest regarding the use of ChatGPT, including in health care. The purpose of the present study was to investigate the quantity and accuracy of ChatGPT outputs for general patient-focused inquiries regarding 40 orthopaedic conditions. For each of the 40 conditions, ChatGPT (GPT-3.5) was prompted with the text "I have been diagnosed with [condition]. Can you tell me more about it?" The numbers of treatment options, risk factors, and symptoms given for each condition were compared with the number in the corresponding American Academy of Orthopaedic Surgeons (AAOS) OrthoInfo website article for information quantity assessment. For accuracy assessment, an attending orthopaedic surgeon ranked the outputs in the categories of <50%, 50% to 74%, 75% to 99%, and 100% accurate. An orthopaedics sports medicine fellow also independently ranked output accuracy. Compared with the AAOS OrthoInfo website, ChatGPT provided significantly fewer treatment options (mean difference, -2.5; p < 0.001) and risk factors (mean difference, -1.1; p = 0.02) but did not differ in the number of symptoms given (mean difference, -0.5; p = 0.31). The surgical treatment options given by ChatGPT were often nondescript (n = 20 outputs), such as "surgery" as the only operative treatment option. Regarding accuracy, most conditions (26 of 40; 65%) were ranked as mostly (75% to 99%) accurate, with the others (14 of 40; 35%) ranked as moderately (50% to 74%) accurate, by an attending surgeon. Neither surgeon ranked any condition as mostly inaccurate (<50% accurate). Interobserver agreement between accuracy ratings was poor (κ = 0.03; p = 0.30). ChatGPT provides at least moderately accurate outputs for general inquiries of orthopaedic conditions but is lacking in the quantity of information it provides for risk factors and treatment options. Professional organizations, such as the AAOS, are the preferred source of musculoskeletal information when compared with ChatGPT. ChatGPT is an emerging technology with potential roles and limitations in patient education that are still being explored.

The impact of online health information source preference on intolerance to uncertainty and cyberchondria in a youthful generation.

The increasing utilization of the Internet to access health-related information is believed to heighten anxiety and trigger cyberchondria due to the presence of conflicting and sometimes overly detailed information. To investigate the levels of cyberchondria and intolerance of uncertainty among university students and their relationship with different online health information sources. Between June and July 2022, 420 university students (mean age = 21.5 ± 2 years, 54% female) participated in this cross-sectional study. The socio-demographic form, Uncertainty Intolerance Scale (IUS), and Cyberchondria Severity Scale (CSS) were used in data collection. Pearson correlation test and binary logistic regression analysis were used to identify factors associated with cyberchondria. Forums and private hospital/clinic websites were the most frequently utilized online health information sources, while governmental websites were the least. The mean scores for CSS and IUS were 81.5 and 41.0, respectively. There was no significant gender-based difference in CSS and IUS scores. Students who used newspapers/magazines and social media for health information had significantly higher scores on both scales. Cyberchondria had a negative association with age [odds ratio (OR) = 0.90], a positive significant relationship with newspaper/magazine website use (OR = 7.24), and IUS score (OR = 1.09). There was a positive and moderate correlation between CSS and IUS scores (r = 0.39, P < 0.001). Our results underline the susceptibility to cyberchondria and intolerance of uncertainty among young adults who used less reliable online health information sources and highlight promoting online health literacy to reduce vulnerabilities and the need for further research on socio-demographic determinants in both mental problems.

Abstract P238: A Multinational Analysis of Perceptions of Non-Communicable Diseases

Introduction: Understanding perceptions of non-communicable diseases (NCDs) is pivotal for enhancing primary prevention programs and health literacy. Objective: To assess perceptions and attitudes toward NCDs in five distinct countries. Methods: A cross-sectional study was conducted using the "Measuring Public Perceptions of Noncommunicable Diseases" survey by Gallup (2022). The sample encompassed 7,029 participants from the United States, Colombia, Jordan, Tanzania, and India, selected through probability-based sampling. The survey involved 15 sociodemographic variables and 97 questions related to knowledge, perceptions, and attitudes toward NCDs. We focused our analysis on cardiometabolic diseases and cancer. Results: Over 89% of respondents across all countries considered NCDs to be harmful, although perceptions were lower in India and Jordan, particularly for diabetes and stroke. Gender-based differences were notable in these countries; women in India and men in Jordan were less likely to view stroke as harmful. Support for public policies varied by country; participants from Jordan showed greater support for alcohol taxes, whereas India demonstrated lower support for tobacco control. Cancer was generally perceived as highly harmful, but along with stroke showed the least perceived empowerment for risk reduction. Television was the preferred source of health information, and high levels of trust were placed in healthcare personnel across countries. Individuals with higher education and income were more aware of the detrimental impacts of NCDs and felt more empowered to mitigate them, and older participants showed a diminished perception of their harm (Table 1). Conclusion: The data highlights varied perceptions of harm and empowerment across countries, affecting receptivity to different public policies such as taxation and advertising restrictions. Understanding these disparities is crucial for crafting efficient healthcare interventions tailored to specific populations.

Patient Perception on Osteoporosis in Korean Female Patients with Osteoporosis.

Patient perception is a key element in improving compliance with medications for osteoporosis. This study evaluated the awareness, perception, sources of information, and knowledge of osteoporosis among Korean women with osteoporosis. A questionnaire survey was conducted from July 22, 2021 to 13 August 2021. Patients who were followed up in endocrinology (Endo), orthopedic surgery (OS), and gynecology (GY) were recruited (N=40, 40, and 20 in each group). Patients were allocated according to their age, as follows: 15, 15, and 10 patients in their 60s, 70s, and 80s for Endo and OS, and 10 and 10 patients in their 60s and 70s for GY. The questionnaire was composed of the following topics: patient journey to the hospital, drug-related issues, communication with medical doctors, patient knowledge, and sources of information about osteoporosis. The results of medical check-ups were the most common reason for patient visits to the hospital for an initial diagnosis of osteoporosis (61%). A knowledge gap regarding mortality, refracture, and drug-induced osteoporosis was observed. Doctors were the most preferred and trustful source of information, while health-related TV shows were the second most common source of information. Patients with OS reported lower perceived severity and higher drug discontinuation, along with a higher proportion of fractures, as the initial reasons for hospital visits for osteoporosis. Variations in perceptions according to the issue and group were identified. These should be considered during patient consultations to improve compliance with osteoporosis treatment.

The impact of information needs satisfaction on the creativity of visual art teachers

PurposeThe aim of this study is to investigate how the information needs satisfaction of visual art teachers affects their creativity. Visual art teachers’ information seeking behaviour and specifically the association of information needs satisfaction with creativity has been an understudied area, despite competent information seeking being considered essential for high quality practices of art teachers.Design/methodology/approachA questionnaire survey was developed addressing the information seeking behaviour of art teachers, informed by Wilson’s model (1981), including visual art teachers’ information needs, information resources, obstacles faced while seeking information and the perceived impact of information needs satisfaction on visual art teachers’ creativity.FindingsThe study included 298 visual art teachers in Greece. The results demonstrated that the key information needs of art teachers were mainly related to materials’ properties, techniques for creating artwork and artwork promotion methods. Online information sources were the preferred sources of art information, followed by colleagues, personal collections and visits to galleries and museums. Our study identified lack of time, lack of specialized libraries and copyright, as the main barriers to information seeking.Originality/valueInformation about art plays a substantial role in visual art education, while visual art teachers’ information needs satisfaction positively influences their creative endeavours. There is a need to further explore the digital information needs of visual art teachers.

Mpox: Awareness, knowledge and information channels used by individuals accessing a sexually transmitted infections Helpline.

Up until recently, monkeypox (mpox) was considered to be a rare zoonotic infection restricted to Central and West Africa. However, in July 2022, the World Health Organization declared mpox to be a public health emergency of international concern, after there were several outbreaks in non-endemic countries. This study assessed the information channels used by individuals accessing the "Telefono Verde AIDS e Infezioni Sessualmente Trasmesse" of Istituto Superiore di Sanità (National Institute of Health in Italy) with regard to mpox. We also evaluated their awareness, and knowledge about mpox focusing on transmission and prevention. This is a cross-sectional study conducted on "Telefono Verde AIDS e Infezioni Sessualmente Trasmesse" users, between January and April 2023. The target population was helpline users who were older than 18 years of age, and were phoning the service for the first time (i.e. who have not phoned in the last 12 months). Participants were interviewed using a questionnaire containing 19 questions filled by the interviewer. Collected data were analysed through descriptive statistics, and significance testing. From January to April 2023, "Telefono Verde AIDS e Infezioni Sessualmente Trasmesse" received 2,389 phone calls, 216 of which participated in this study. Most of these were male (85.2%; n=186), single (79.2%; n=171) and in employment (72.2%; n=156). Awareness about mpox was high (71.3%; n=154), with the central and south/islands regional areas having the highest percentage of participants who heard about the virus (84.3%; n=43 vs 72.4%; n=42; p=0.078). Television was the most frequently mentioned source of information about mpox by participants (63%; n=97; p<0.001). This medium was also the most preferred source of information about mpox (39%; n=60; p=0.109). The majority of participants stated that they did not know what mpox is (67.6%; n=146), and less than half knew that it is preventable (42.4%; n=89). Of those who stated that mpox is a preventable illness, less than half knew about the existence of a vaccine (44.9%; n=40; p<0.001). This study provides insights into the awareness, knowledge, prevention tools and information channels of individuals who contacted the "Telefono Verde AIDS e Infezioni Sessualmente Trasmesse". Useful indications for defining future information campaigns were obtained.

COVID-19 information seeking and individuals’ protective behaviors: examining the role of information sources and information content

BackgroundSeeking COVID-19 information promotes individuals to adopt preventive behaviors, including wearing a mask, social distancing, staying away from risky places, and washing hands. This study aims to investigate which information and sources individuals relied on in seeking COVID-19 information and further examine their roles in individuals’ adoption of preventive behaviors.MethodsThrough a statistical analysis of 1027 valid responses from citizens in different Chinese cities in 2022 to the self-designed items in an online survey, this study identified individuals’ preferred information sources and content on COVID-19. Regarding the information sources and content, the study used multiple regression analysis to examine their associations with individuals’ preventive behaviors, and further applied fuzzy-set qualitative comparative analysis (fsQCA) to explore their configurations that increase the likelihood of individuals adopting preventive behaviors.ResultsIndividuals preferred information about the newest prevention and control policies, precautions and treatment, and symptoms from the sources of workplace and community, social media, and social live streaming services. Additionally, individuals’ preventive behaviors were positively related to the workplace and community (β = 0.202, p <.001), social live streaming services (β = 0.089, p <.01), government department websites (β = 0.079, p <.05), television (β = 0.073, p <.05), and online news media (β = 0.069, p <.05), but were negatively associated with newspapers (β=-0.087, p <.05). Regarding information content, precautions and treatments (β = 0.211, p <.001), the newest prevention and control policies (β = 0.173, p <.001), symptoms (β = 0.152, p <.001), and official rumor-dispelling information (β = 0.082, p <.05) had a positive relationship with individuals’ preventive behaviors. In addition, fsQCA results presented eight configurations that promote individuals to adopt preventive behaviors. The total coverage and solution consistency values were 0.869 and 0.987, respectively. Furthermore, COVID-19 information content, the sources of social media and interpersonal sources, and official news media played an essential role in increasing the likelihood of individuals adopting preventive behaviors.ConclusionsOur findings demonstrated that individuals seek various COVID-19 information from multiple sources. The direct and degree of association of information sources and content with individuals’ preventive behaviors vary from source to source and from content to content. Information sources and content could combinatorially promote individuals to adopt preventive behaviors through several configurations.

Everyday Life Information Seeking

The purpose of this paper is to elaborate the everyday information seeking practices of urban teens and the benefits they get from these practices; moreover, demographic details of participants are also elaborated. In Pakistan many studies have been carried out on information need and seeking behavior of diverse groups, but not a single study has been done so far on everyday information seeking of Pakistani urban teens. This research is a humble endeavor to understand their daily practices that may lead to design systems for fulfilling their everyday information needs. For this purpose, a quantitative study was conducted employing a sample of 1000 urban teen participants who responded to the survey. Cluster sampling was done and the Likert scale was used to assess the written questionnaires, which were analyzed on the statistical software SPSS-21. These teens were from public and private schools of Pakistan. This data was collected by using Google forms. The results indicated that an easy access to teen’s preferred sources would play important role in their lives. It would be helpful for academicians to understand the teens’ ELIS behavior and reasons of their preferred information sources. This study will also be helpful for policy

On the brink: Examining preemptive indicators of preparedness inequity and social vulnerability to climate change hazards in Connecticut, USA

The current study is part of an ongoing effort to combine environmental, infrastructural, and socioeconomic data tied to specific locations to identify sites of preparedness-inequity, and generate information for crisis communication practitioners, emergency services, and state level disaster management. A cross-sectional survey was administered to a sample of 519 residents in four counties in Connecticut identified as vulnerable to climate-related hazard events using projected climate risk data from the US Climate and Economic Justice Screening Tool (CJEST) (Justice40.gov) and socially vulnerable per the Social Vulnerability Index (SoVI). Geospatial analysis was used to map SoVI data and identify the Justice 40 risk factors of individual municipalities. These data were triangulated with participant data concerning risk awareness, information needs, preferred information sources, and trust in local emergency services. The results reveal racial and socioeconomic disparities in information sufficiency, self-identified preparedness, risk awareness, and trust and underline the need for emergency management to identify the sources of information sought by underprivileged residents and residents of color at the local level. While past studies have taken a variable-analytic approach to examining risk communication, this study aimed to inform our knowledge of the most underserved individuals when it comes to emergency messages and planning. The results have implications for developing effective and equitable messaging concerning environmental risks that consider vulnerability and audience behaviors within and across municipalities; and highlight the utility of combining social and geospatial data to develop new insights into best practices to improve crisis and risk communication in advance of disaster scenarios.

Women with ovarian cancer's information seeking and avoidance behaviors: an interview study.

Despite the importance of using information for ovarian cancer (OvCa) disease management and decision-making, some women with OvCa do not actively seek out information. The purpose of this study is to investigate factors that influence information seeking behaviors and information avoidance behaviors and information resources among women with OvCa and their caregivers. We conducted in-depth interviews with OvCa patients or caregivers of OvCa (n = 20) and employed deductive and inductive coding methodologies for analysis. Our analysis revealed 5 emerging themes associated with active information seeking behavior, 5 themes of passive information acquisition, and 4 themes of information avoidance behavior. Additionally, we identified participants' preferred information sources for OvCa management, such as health organization or government operated resources and web-based social groups. To enhance information access, strategies should be developed to motivate people with OvCa to seek rather than avoid information. The study emphasizes the significance of promoting patient-provider communication and leveraging strong social support networks for effective information acquisition. Our findings provide valuable implications for clinical practice and policymaking, emphasizing the need to improve access to information for individuals with OvCa. By addressing the identified factors influencing information seeking behaviors, healthcare professionals and policymakers can better support patients and caregivers in their information-seeking journey, ultimately enhancing disease management and decision-making outcomes.

Effective public health messaging for university students: lessons learned to increase adherence to safety guidelines during a pandemic

Variation in compliance with recommended safety behaviors early in the COVID-19 pandemic was especially concerning in places where people aggregated after traveling from a range of geographical areas, such as many universities. Understanding variation in these behaviors is important for continuing to address the COVID-19 pandemic and planning for future disease outbreaks. We examined the relationship between safety behaviors, risk perception, COVID-19-related knowledge, and information sources among university students during the Fall 2020 semester. A person’s preferred information sources were associated with differences in knowledge, risk perception, and protective behaviors. Furthermore, people with higher COVID knowledge practiced more protective behaviors. Providing reliable information can reduce harm during future global health crises, particularly at universities where interventions on campus can also protect the larger community, as spillover from universities has impacted the most vulnerable members of the surrounding communities. Our study adds to public health literature on factors influencing personal behaviors.

Knowledge, Attitudes, Practices on Antimicrobial Use in Animals Among Livestock Sector Stakeholders in Kenya.

Background: Antimicrobials are used on farms to manage livestock diseases. In many developing countries, antimicrobial use (AMU) is insufficiently controlled, and antimicrobials are prone to misuse and abuse, thereby fostering the emergence of antimicrobial resistance (AMR). AMR remains a challenge in Kenya, and the extent remains unknown. This study assessed the knowledge, attitudes, and practices (KAP) regarding AMU among multisectoral stakeholders in Kenya. Methods: The cross-sectional survey was conducted in August 2021 among 381 livestock farmers in Busia, Nakuru, and Isiolo Counties, while 47 animal health service providers (AHSPs) and 32 One Health practitioners (OHPs) were enrolled across Kenya. The data collection tool uploaded on KoBoCollect software was used to collect information on demographics, farming systems, KAP on AMR and AMU, and sources of information. Descriptive statistics were performed. Knowledge was either correct or incorrect, while practices were assigned as desirable or undesirable. Bivariable analysis to assess factors associated with KAP using odds ratio (OR) at 95% confidence level (CL). The Pearson correlation test was conducted to test the correlation between demographic independent variables and farmers' KAP, p < 0.05. Results: Most farmers, 234 (61.4%), were young adults between 30 and 49 years old. Additionally, 48.9% of the farmers had less than 5 years of experience in farming. Among the AHSPs, 76.6% were male, with 21 (44.7%) having 2-5 years of experience. All (32) OHPs had over 15 years of experience. Correct knowledge in AMR/AMU was observed in 52.6% of the farmers, 88.2% of AHSPs, and all OHPs. Desirable practices were observed in 133 (34.9%) of farmers, 22 (45.1%) of AHSPs, and 25 (76.4%) of OHPs. Among the farmers, having basic education was associated with correct knowledge (OR 4.07, p=0.0007); however, being male (OR 1.584, p=0.0456) and having a higher education level (OR 1.582, p=0.0165) were associated with desirable practices. There was a significant positive correlation between having correct knowledge and level of education (p < 0.0001), years of farming, and correct knowledge (p < 0.0001). However, years of farming negatively correlated with the desirable practices (p < 0.0001). Farmers' preferred sources of information regarding AMR/AMU were friends 130 (33.9%), farmer meetings/workshops 99 (25.9%), and radio 41 (10.7%). AHSPs obtain information from scientific conferences/trainings (17) (65.4%), workshops (13) (50.0%), and TV and radio (12) (46.2%), while OHSPs mostly get information through college training (14) (58.3%) and workshops (8) (33.3%). Conclusion: Correct knowledge of AMR/AMU did not result in adopting the desirable practices. A better understanding of the socioeconomic aspects of welfare, good livestock production measures, and AMU stewardship will be desired. This study provides a foundation for developing effective antimicrobial stewardship, best farm practices, and intervention programs to reduce inappropriate AMU. Public Implication: Farmers' AHSP practices are likely to promote the emergence of AMR, a health challenge for animals and humans.

Awareness, knowledge, and attitude about shaken baby syndrome among parents in Qassim Region: a cross-sectional study

Objective: This study aimed to determine the level of knowledge, awareness, and attitude about shaken baby syndrome (SBS) among parents in the Qassim region, Saudi Arabia. Methods: A cross-sectional descriptive study was conducted that evaluated the SBS knowledge and attitude among the Qassim population by distributing a questionnaire to a sample that matched the criteria. Results: In total, 373 parents participated in the study, with 82.0% mothers, 49.1% over 40 years old, 98.1% Saudi citizens, and 95.7% married. Out of the 373 participants, 70% were not aware of SBS. The majority (85%) had poor knowledge about SBS, while only 15% had an excellent understanding. However, 85.3% of the individuals expressed interest in learning more about SBS. The preferred sources of information were the internet and social media (39.2%) and doctors or medical personnel during vaccination visits (31%). Interestingly, there were no significant differences in parental knowledge based on gender (p = 0.722) or nationality (p = 0.957). Conclusions: Parents in the studied region had low knowledge of SBS. Educational programs and awareness campaigns are needed to inform them about the grave consequences of this form of child abuse.

IPM messaging: who, what, how?—Insights from a survey of farmers and agronomists in Scotland

Abstract Enhanced awareness and knowledge among arable (field crop) farmers and agronomists are pivotal for making informed integrated pest management (IPM) decisions. In this study, we had 3 primary objectives: (i) identifying the key factors influencing the adoption of IPM, (ii) gathering insights into the currently perceived pest threats, and (iii) identifying any necessary intervention tools or methods for modifying the flow of information. In 2021, a telephone survey involving 267 arable and arable/livestock farmers and 26 agronomists was conducted in Scotland. The survey was designed to gather information on the perceived invertebrate pest, disease, and weed threats, the extent of IPM implementation, and the sources of information consulted. Several factors influenced the uptake of IPM, including farm type, location, agronomist engagement, farmer’s age, education, and membership in schemes promoting IPM. Notably, there were disparities in perceptions of the most significant pest threats between arable farmers and agronomists. This points to a division of decision-making responsibilities and, consequently, varying information needs. Agronomists typically require technical information related to pesticide effectiveness and disease management, whereas arable farmers seek guidance on cultural approaches for managing weeds and invertebrate pests. Furthermore, preferences for information sources also differed, with agronomists showing a preference for social media as a source of IPM information, while farmers favored the farming press. Ultimately, a deeper understanding of IPM practices equips farmers to actively participate in IPM discussions with their agronomists. This enables the collaborative development of an effective IPM strategy and, in turn, increases the adoption of IPM practices.

Preferred Information Sources and Covid-19 Vaccine Acceptance: A Comparative Analysis of Television vs. Social Media

Preferred Information Sources and Covid-19 Vaccine Acceptance: A Comparative Analysis of Television vs. Social Media

Bridging the Gap: Communicating with Emergency Management Professionals in the Midst of Climate-Related Disasters

Abstract Objective The objective of this research is to assess how New York City Health + Hospitals emergency management professionals (EMPs) perceive climate change-related events, to a.) improve communication for increased receptivity and b.) identify gaps in perceived risks. Methods The study surveys EMPs from 13 geographically different healthcare facilities in NYC about their perceptions on climate change and its related emergency scenarios, preferred information sources on climate change, and the best modes of communication during climate-related extreme weather events. Results The results of this study support a.) the importance of official hospital-system guidance regarding climate risks b.) the use of a diverse array of terminology, including messaging that refrains from the phrase ‘climate change’ and instead refers to the ‘future’ c.) the incorporation of clear actionable deliverables and d.) the inclusion of expert voices into messaging. Overall, recent events and upcoming seasonal hazards appear to affect perception of risk more than objective measures. Knowledge of city and temporal factors that impact perceived risk can be mobilized to harness engagement. Conclusions The results of this study inform best practices for climate communications to EMPs, critical in preparing our health systems for future climate disasters.

Exploring trust dynamics in health information systems: the impact of patients' health conditions on information source preferences.

Health information systems (HISs) should provide accessible and high-quality information to patients. However, the challenge lies in understanding patients' trust preferences for health information. This study explores how different information sources (e.g., online platforms, interpersonal sources) are trusted under varying health conditions, focusing on symptom intensity and disease type. Using a 2 × 2 × 4 between-subject design, 243 participants from a US college were presented with vignettes of acute or chronic diseases with varying symptom intensities and information sources. Participants rated their trust levels, including both cognitive and behavioral trust, in the health information and recommendations provided by one of the information sources, which was randomly assigned. Logistic regression and ANOVA were employed for the statistical analysis. The analysis results revealed that trust is generally higher for interpersonal sources like doctors and family/friends compared to online sources like WebMD and Wikipedia when patients are making health decisions. Doctors are the most trusted source during health-related decision making. However, there are no significant differences in cognitive trust among interpersonal sources or among online sources. Furthermore, symptom intensity and disease type did not significantly alter trust levels across various information sources. These findings suggest that people prefer professional medical advice regardless of their health conditions. The study highlights the need for HIS to incorporate features that provide "doctor-verified" information and promote interactive engagement to enhance patients' trust in information source. Additionally, it distinguishes between cognitive and behavioral trust, revealing distinct trust patterns that can inform the strategic development of HIS for varied health conditions. Understanding these trust dynamics can inform the design of effective, patient-centered HIS that better support health education, information seeking, and decision-making.

Exploring preferences to accessing sexual and reproductive health services: A qualitative study of adolescents' and service provider perspectives.

Understanding what adolescents want and how preferences are likely to vary among different groups is important to make the healthcare system responsive to the needs of adolescents and to maximize service utilization. Despite this, evidence is scarce in this aspect. Therefore, this study aimed to explore preferences for accessing Sexual and Reproductive Health (SRH) services from the perspective of adolescents and health care providers in the South Ethiopia Regional State. A phenomenological qualitative study was conducted from September 04 to October 15, 2023. Seven Focus Group Discussions (FGDs) and ten Key Informant Interviews (KIIs) were conducted with purposively selected seventy-five adolescents and ten healthcare providers respectively. A semi-structured interview guide was used to explore their lived experiences. All interviews and discussions were audio-recorded. The research team transcribed the collected data verbatim and translated it into English. The data was analyzed using a thematic analysis approach. In this study, five main themes were identified. The identified main themes were preferred SRH services provider, preferred SRH services venue, preferred SRH services provision time, preferred SRH services information sources, and preferred strategies to improve access to SRH services. Regarding preferred SRH service providers, adolescents prefer males by sex, younger health care providers by age, and not neighborhood health providers by residence. Concerning preferred SRH services venue, adolescents prefer pharmacies as a venue to access condoms and emergency pills, while they prefer traditional medical centers as a source of abortion services. Besides this, schools are a preferred venue for adolescents to access SRH information. Moreover, sexual partners, close friends, and peers who experienced similar problems are the preferred sources of SRH information for adolescents. Furthermore, engagement of private health facilities, strengthening engagement of faith-based organization, and strengthening community-based SRH services provision were identified as preferred strategies to improve access to SRH services. Improving access to sexual and reproductive health services necessitates the implementation of innovative and responsive strategies that address the diverse preferences and needs of adolescents. Prioritizing adolescent engagement in healthcare is vital, as it fosters a better understanding of their unique perspectives and ultimately enhances the accessibility and utilization of these essential services.