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The daily dose of health information: A psychological view on the health information seeking process
(2021)
The search for health information is becoming increasingly important in everyday life, as well as socially and scientifically relevant Previous studies have mainly focused on the design and communication of information. However, the view of the seeker as well as individual
differences in skills and abilities has been a neglected topic so far. A psychological perspective on the process of searching for health information would provide important starting points for promoting the general dissemination of relevant information and thus improving health behaviour and health status. Within the present dissertation, the process of seeking health information was thus divided into sequential stages to identify relevant personality traits and skills. Accordignly, three studies are presented that focus on one stage
of the process respectively and empirically test potential crucial traits and skills: Study I investigates possible determinants of an intention for a comprehensive search for health information. Building an intention is considered as the basic step of the search process.
Motivational dispositions and self-regulatory skills were related to each other in a structural equation model and empirically tested based on theoretical investigations. Model fit showed an overall good fit and specific direct and indirect effects from approach and avoidance
motivation on the intention to seek comprehensively could be found, which supports the theoretical assumptions. The results show that as early as the formation of intention, the psychological perspective reveals influential personality traits and skills. Study II deals with the subsequent step, the selection of information sources. The preference for basic characteristics of information sources (i.e., accessibility, expertise, and interaction) is related to health information literacy as a collective term for relevant skills and intelligence as a personality trait. Furthermore, the study considers the influence of possible over- or underestimation of these characteristics. The results show not only a different predictive
contribution of health literacy and intelligence, but also the relevance of subjective and objective measurement.
Finally, Study III deals with the selection and evaluation of the health information previously found. The phenomenon of selective exposure is analysed, as this can be considered problematic in the health context. For this purpose, an experimental design was implemented in which a varying health threat was suggested to the participants. Relevant information was presented and the selective choice of this information was assessed. Health literacy was tested
as a moderator in a function of the induced threat and perceived vulnerability, triggering defence motives on the degree of bias. Findings show the importance of the consideration of the defence motives, which could cause a bias in the form of selective exposure. Furthermore, health literacy even seems to amplify this effect.
Results of the three studies are synthesized, discussed and general conclusions are drawn and implications for further research are determined.
Designing a Randomized Trial with an Age Simulation Suit—Representing People with Health Impairments
(2020)
Due to demographic change, there is an increasing demand for professional care services, whereby this demand cannot be met by available caregivers. To enable adequate care by relieving informal and formal care, the independence of people with chronic diseases has to be preserved for as long as possible. Assistance approaches can be used that support promoting physical activity, which is a main predictor of independence. One challenge is to design and test such approaches without affecting the people in focus. In this paper, we propose a design for a randomized trial to enable the use of an age simulation suit to generate reference data of people with health impairments with young and healthy participants. Therefore, we focus on situations of increased physical activity.
The dissertation includes three published articles on which the development of a theoretical model of motivational and self-regulatory determinants of the intention to comprehensively search for health information is based. The first article focuses on building a solid theoretical foundation as to the nature of a comprehensive search for health information and enabling its integration into a broader conceptual framework. Based on subjective source perceptions, a taxonomy of health information sources was developed. The aim of this taxonomy was to identify most fundamental source characteristics to provide a point of reference when it comes to relating to the target objects of a comprehensive search. Three basic source characteristics were identified: expertise, interaction and accessibility. The second article reports on the development and evaluation of an instrument measuring the goals individuals have when seeking health information: the ‘Goals Associated with Health Information Seeking’ (GAINS) questionnaire. Two goal categories (coping focus and regulatory focus) were theoretically derived, based on which four goals (understanding, action planning, hope and reassurance) were classified. The final version of the questionnaire comprised four scales representing the goals, with four items per scale (sixteen items in total). The psychometric properties of the GAINS were analyzed in three independent samples, and the questionnaire was found to be reliable and sufficiently valid as well as suitable for a patient sample. It was concluded that the GAINS makes it possible to evaluate goals of health information seeking (HIS) which are likely to inform the intention building on how to organize the search for health information. The third article describes the final development and a first empirical evaluation of a model of motivational and self-regulatory determinants of an intentionally comprehensive search for health information. Based on the insights and implications of the previous two articles and an additional rigorous theoretical investigation, the model included approach and avoidance motivation, emotion regulation, HIS self-efficacy, problem and emotion focused coping goals and the intention to seek comprehensively (as outcome variable). The model was analyzed via structural equation modeling in a sample of university students. Model fit was good and hypotheses with regard to specific direct and indirect effects were confirmed. Last, the findings of all three articles are synthesized, the final model is presented and discussed with regard to its strengths and weaknesses, and implications for further research are determined.
Flexibility and spatial mobility of labour are central characteristics of modern societies which contribute not only to higher overall economic growth but also to a reduction of interregional employment disparities. For these reasons, there is the political will in many countries to expand labour market areas, resulting especially in an overall increase in commuting. The picture of the various, unintended long-term consequences of commuting on individuals is, however, relatively unclear. Therefore, in recent years, the journey to work has gained high attention especially in the study of health and well-being. Empirical analyses based on longitudinal as well as European data on how commuting may affect health and well-being are nevertheless rare. The principle aim of this thesis is, thus, to address this question with regard to Germany using data from the Socio-Economic Panel. Chapter 2 empirically investigates the causal impact of commuting on absence from work due to sickness-related reasons. Whereas an exogenous change in commuting distance does not affect the number of absence days of those individuals who commute short distances to work, it increases the number of absence days of those employees who commute middle (25 " 49 kilometres) or long distances (50 kilometres and more). Moreover, our results highlight that commuting may deteriorate an individual- health. However, this effect is not sufficient to explain the observed impact of commuting on absence from work. Chapter 3 explores the relationship between commuting distance and height-adjusted weight and sheds some light on the mechanisms through which commuting might affect individual body weight. We find no evidence that commuting leads to excess weight. Compensating health behaviour of commuters, especially healthy dietary habits, could explain the non-relationship of commuting and height-adjusted weight. In Chapter 4, a multivariate probit approach is used to estimate recursive systems of equations for commuting and health-related behaviours. Controlling for potential endogeneity of commuting, the results show that long distance commutes significantly decrease the propensity to engage in health-related activities. Furthermore, unobservable individual heterogeneity can influence both the decision to commute and healthy lifestyle choices. Chapter 5 investigates the relationship between commuting and several cognitive and affective components of subjective well-being. The results suggest that commuting is related to lower levels of satisfaction with family life and leisure time which can largely be ascribed to changes in daily time use patterns, influenced by the work commute.