Information Seeking and Receiving of Older Adults with Diabetes in the Online Health Community: An Information Need Contextualization Perspective.

Online health communities (OHCs) are important online health communication channels for older adults with diabetes to access health information. When seeking health information, they often disclose a variety of contextual information (e.g., socio-economic situations) in their questions. Selective contextual information disclosure is a type of communication strategy for users in OHCs to elicit replies from others. In this study, we adopted text analysis to investigate what contextual information older adults with diabetes disclose to articulate their information needs and used the fixed-effect Poisson model to examine the relationships between different types of contextual information disclosure and informational support receipt. Our analyses were based on a dataset of 4,505 questions and corresponding replies from an online diabetes community. The results showed that cognitive information is the most frequently disclosed contextual information, while older adults tend to disclose demographic information in their questions less. Providing demographic and situational details in questions can enhance informational support receiving, resulting in an increased number of informational supports. However, disclosing cognitive, affective, informational channels, or support information does not significantly affect the informational support receiving. These findings can contribute to extending our existing understanding of information seekers' communication strategies in OHCs.

Protective Restraint Nursing Interventions in ICU Patients: Assessing their Influence on Unplanned Extubation and Skin Injury Incidence.

Objective: This study aims to investigate the application of protective restraint nursing interventions in intensive care unit (ICU) patients and their impact on the incidence of unplanned extubation and skin damage. Methods: A total of 90 ICU patients admitted to Hai'an People's Hospital between January 2019 and December 2020 were randomly assigned to either the experimental group or the control group in a 1:1 ratio. The control group received conventional nursing care, while the experimental group received protective restraint nursing interventions. The Hospital Anxiety and Depression (HAD) scale, a clinical tool used to assess patients' levels of anxiety and depression, was employed to evaluate patients' emotional states before and after the intervention. A Patient Clinical Satisfaction Survey Questionnaire developed by our department was used to assess patient satisfaction after nursing. Compliance and the incidence of adverse reactions were compared between the two groups. Results: The experimental group exhibited significantly lower HADS scores, higher nursing satisfaction, and a lower incidence of unplanned extubation, skin damage, and adverse reactions compared to the control group (all P < .05). Conclusions: Protective restraint care demonstrates substantial benefits for ICU patients by reducing the incidence of unplanned extubation, preventing skin damage during treatment, improving compliance, and facilitating recovery. These findings support the clinical application and promotion of protective restraint nursing interventions.

Self-management behaviours of older adults with chronic diseases: comparative analysis based on the daily activity abilities.

Managing chronic diseases is an important issue for older adults to pursue healthy aging. Prior studies have found that self-management has positive results. A better understanding of the self-management behaviours of older adults with chronic diseases and different activities of daily living abilities will lead to effective support and assistance. This qualitative study used interview data from Chinese older adults with chronic diseases to compare self-management behaviours between different activities of daily living groups. A self-management behavioural model was constructed that included three behaviours: self-monitoring, self-evaluating and self-intervening. The similarities and differences in these behaviours between three types of older adults (i.e. energetic, self-care and semi self-care) were identified. Study findings enrich the research on self-management behaviour from a patient perspective, providing insights for older adults and care providers in understanding and supporting chronic disease self-management.

The Antecedents and Consequences of Health Care Professional-Patient Online Interactions: Systematic Review.

BACKGROUND: Online health care services effectively supplement traditional medical treatment. The development of online health care services depends on sustained interactions between health care professionals (HCPs) and patients. Therefore, it is necessary to understand the demands and gains of health care stakeholders in HCP-patient online interactions and determine an agenda for future work. OBJECTIVE: This study aims to present a systematic review of the antecedents and consequences of HCP-patient online interactions. It seeks to reach a better understanding of why HCPs and patients are willing to interact with each other online and what the consequences of HCP-patient online interactions are for health care stakeholders. Based on this, we intend to identify the gaps in existing studies and make recommendations for future research. METHODS: In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic retrieval was carried out from the Web of Science, PubMed, and Scopus electronic databases. The search results were confined to those papers published in English between January 1, 2000 and June 30, 2018. Selected studies were then evaluated for quality; studies that did not meet quality criteria were excluded from further analysis. Findings of the reviewed studies related to our research questions were extracted and synthesized through inductive thematic analysis. RESULTS: A total of 8440 records were found after the initial search, 28 papers of which were selected for analysis. Accessibility to HCPs, self-management, and unmet needs were the main triggers for patients to participate in online interaction. For HCPs, patient education, career needs, and self-promotion were the major reasons why they took the online approach. There were several aspects of the consequences of HCP-patient online interactions on health care stakeholders. Consequences for patients included patient empowerment, health promotion, and acquisition of uncertain answers. Consequences for HCPs included social and economic returns, lack of control over their role, and gaining more appointments. HCP-patient online interactions also improved communication efficiency in offline settings and helped managers of online health care settings get a better understanding of patients' needs. Health care stakeholders have also encountered ethical and legal issues during online interaction. CONCLUSIONS: Through a systematic review, we sought out the antecedents and consequences of HCP-patient online interactions to understand the triggers for HCPs and patients to participate and the consequences of participating. Potential future research topics are the influences on the chain of online interaction, specifications and principles of privacy design within online health care settings, and roles that sociodemographic and psychological characteristics play. Longitudinal studies and the adoption of text-mining method are worth encouraging. This paper is expected to contribute to the sustained progress of online health care settings.

Understanding the factors influencing health professionals' online voluntary behaviors: Evidence from YiXinLi, a Chinese online health community for mental health.

BACKGROUND: Normal users' voluntary behaviors (e.g., knowledge sharing) in virtual communities (VCs) has been well investigated; however, research on health professionals' voluntary behaviors in online health communities (OHCs) is limited. OBJECTIVE: This paper focuses on OHCs for mental health and aims to explore how intrinsic and extrinsic motivations influence mental health service providers' voluntary behaviors. METHODS: Based on motivation theory and prior studies, we incorporated technical competence as intrinsic motivation and online reputation and economic rewards as extrinsic motivations, and proposed five hypotheses. We crawled objective data from YiXinLi, a Chinese OHC for mental health, and tested the hypotheses based on the Poisson regression model. All hypotheses are supported. RESULTS: 1) Technical competence, online reputation, and economic rewards positively influence mental health service providers' voluntary behaviors; 2) the interaction effect between technical competence and online reputation negatively influences mental health service providers' voluntary behaviors; 3) the interaction effect between technical competence and economic rewards negatively influences mental health service providers' voluntary behaviors. CONCLUSIONS: Both intrinsic motivations and extrinsic motivations positively influence mental health service providers' voluntary behaviors, and their interaction effects negatively influence mental health service providers' voluntary behaviors. This study first contributes to the literature on health professionals' voluntary behaviors in OHCs by verifying the positive effect of economic rewards. It then contributes to motivation theory by incorporating a situation where intrinsic motivations and extrinsic motivations could negatively interact.

The role of organisational interdependencies and asset orchestration in business integration: A case study of M.com.

Business integration is an important determinant of business value and firm performance which enables a firm to respond to pressing competitive forces. Given its significant role, business integration in general has been an enduring research topic over the years. However, due to its complex nature, the ways to achieve this important organisational capability in firms are still not clearly understood. Hence, the present study is an attempt to 'open this black box' and examine the relevant issues through a case study of M.com, one of the largest e-commerce firms in China. The findings of this case study emphasise that the ability to coordinate organisational interdependencies and asset orchestration according to the needs of business processes is challenging but necessary in order to achieve business integration in e-commerce firms. It is found that asset orchestration in a firm is contingent on the organisational interdependencies such that different interdependence types demand different coordination methods at the very least. It also shows the significant role of IT in asset orchestration and the coordination of organisational interdependencies during business integration. With these capabilities, firms can experience growth and improve the quality of conformance to customer needs.