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PubMed2001

Internet user profile in the field of parasitology.

This study determined a profile of current Internet users in parasitology, their use patterns on the Internet for parasitologic purposes, and the Web sites they would recommend. In a European survey, 689 parasitologically engaged scientists were asked to fill out a questionnaire about Internet access, current problems, current and future use, and which Web sites they would recommend as well as about the use of e-mail. In all, 153 (22.2%) of the interviewees returned the questionnaire. Only one participant had no access to the Internet. Time expenditure was considered the main problem involved in use of the Internet. The Internet was mainly used for e-mail (96.1%); for literature research (93.5%); for reading of electronic journals (51.6%); and for gathering of information, e.g., about institutes and colleagues (58.2%) and about congresses (49.7%). In the future, 71.9% of the respondents would like to read electronic journals more often and 49.7% would like to use the web more intensively for acquisition of information about congresses, universities, and institutions. Requests for the future included an easier application of the browser software (33%) and a shorter response time (47.7%). The survey demonstrates that the Internet has assumed a definite place in the lives of researchers in the field of parasitology. Survey responses indicate a need for electronic journals. In our opinion, universities and parasitology societies should be urged to publish journals electronically on the Web. To diminish current problems involved in the finding of relevant information on the Internet, we strongly recommend careful reading of the instructions regarding the search engines used. Web pages with clear structures, small file sizes, precise HTML (hypertext markup language) key-word editing, and page titles would facilitate more accurate discovery of specific sites. In addition, there seems to be a need for regular publication of reviewed parasitology-link collections.

Computer Literacy↗

PubMed2005

The internet and children: advantages and disadvantages.

This article examines how the Internet has entered children's lives and notes some of its potential positive and negative influences on children. Although the Internet's effects on a given child vary based on each child's characteristics and how the child uses the Internet, adults still must have a fundamental understanding of these general potentials. An awareness of the hazards inherent to children's Internet use is essential for all who work with children so they can apply preventive measures and help keep children safe. Whether a child uses the Internet and how a child uses the Internet significantly impact the Internet's influence on him or her. A child's personality and developmental needs also inevitably modify the Internet's influence on him or her.

Achievement↗

PubMed2006

The functionality and reliability of an Internet interface for assessments of endoscopic still images and video clips: distributed research in gastroenterology.

BACKGROUND: Validation studies of medical images are required before the general use of new imaging techniques, and they necessitate a substantial number of observers. Multicenter studies are desirable but the logistic challenges are considerable. OBJECTIVE: The aim of the present study was to develop and test the functionality and reliability of an Internet interface for distributed evaluation of endoscopic still images and video clips. DESIGN: An Internet site for assessment of endoscopic still images and video clips was developed. To avoid limitations of the bandwidth, a solution was developed to launch and score high-quality video clips on digital video disks (DVDs) from the Internet interface. SETTING: Fifty-five observers were enrolled in the randomized, prospective multicenter study of still images. The feasibility study of video clips included 7 observers. PATIENTS: Four patients presenting with various degree of ulcerative colitis, ranging from normal to severe, were included. MAIN OUTCOME MEASUREMENTS: We tested the reliability of the interface by dual-image assessment, as well as the feasibility of Internet assessment of endoscopic images. We physically distributed high-quality DVD video footage. RESULTS: We recorded 2084 assessments of endoscopic still images and 35 assessments of video clips. The reliability of the Internet interface was confirmed by adequate repeatability and intraobserver agreement of the assessments. Video clips running from a DVD were also successfully shown on the Internet interface. Thus, high-quality video may be assessed independently of the Internet bandwidth. CONCLUSIONS: The present Internet-based tool is functional, efficient, and reliable for high-volume assessment of endoscopic images and video clips.

Colitis, Ulcerative↗

PubMedDate not supplied

Do older adults use the Internet for information on heart attacks? Results from a survey of seniors in King County, Washington.

BACKGROUND: Early treatment can reduce mortality from heart attacks. However, patient delay, especially among the elderly, has slowed progress in this area. One of the reasons for delay may be because of a lack of knowledge about symptoms of acute myocardial infarction (AMI) and treatment benefits. The Internet is a new and promising source of heart health information, but we know little about how elderly people use this medium. METHODS: This study investigates the demographic and psychosocial variables that are related to Internet access, health information seeking, and information seeking about heart attacks from the Internet among seniors. We interviewed seniors (N = 323) aged more than 65 years and asked them questions about Internet access, health information seeking, and information seeking on heart attacks, as well as demographic information, risk perceptions for AMI, and personal experience with AMI. RESULTS: The results showed that several demographic variables were related to access to the Internet. Only 7% of the seniors who reported access to the Internet had sought information on heart attacks from the Internet. Age, history of AMI, and family history of AMI were significant predictors of information seeking on heart attacks. This suggests that to date only a very small, high-risk group of seniors actually seeks information on heart attack emergencies from the Internet.

Age Factors↗

PubMed2005

Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys.

This paper provides results from seven major nationally representative datasets (two in detail) from the Pew Internet and American Life Project to answer two primary questions: (1) what influences people to seek online health information and (2) what influences their perceived outcomes from having access to this information? Cross-tabulations, logistic regressions, and multidimensional scaling are applied to these survey datasets. The strongest and most consistent influences on ever, or more frequently, using the Internet to search for health information were sex (female), employment (not fulltime), engaging in more other Internet activities, more specific health reasons (diagnosed with new health problem, ongoing medical condition, prescribed new medication or treatment), and helping another deal with health issues. Internet health seeking is consistently similar to general Internet activities such as email, news, weather, and sometimes hobbies. A variety of outcomes from or positive assessments of searching for Internet health information are predicted most strongly by sex (female), engaging in other Internet activities, Internet health information seeking including more frequent health seeking, more specific health reasons, belonging to an online support group sharing health interests, and helping another deal with an illness or major health condition.

Adolescent↗

PubMed2002

Use of the internet as the only outlet for talking about infertility.

OBJECTIVE: To gather information about demographic characteristics, medical status, mode of Internet participation, and psychological well-being of participants whose only outlets (OOs) for talking about infertility are Internet medical and support forums and to compare them with persons who have additional outlets (AOs). DESIGN: Prospective Internet-based survey. SETTING: Website of a nonprofit international infertility organization. PATIENT(S): Five hundred eighty-nine persons submitting fully completed surveys. INTERVENTION(S): Internet-based survey with 134 items. MAIN OUTCOME MEASURE(S): Survey of types of Internet participation, benefits of participation, self-assessed ability to cope with aspects of infertility, perceived stress, perceived support from relatives and friends, and 21-item Beck Depression Inventory (BDI), which is an instrument designed to measure depressive symptomatology. RESULT(S): Only-outlet and AO participants were comparable in their medical history and treatments. Only-outlet participants had less formal education, were less wealthy, and more likely to be homemakers. Compared with AO participants, OO participants were more depressed and got less real-world support while feeling more supported on the Internet. CONCLUSION(S): Used properly, the Internet can help people facing infertility by educating, empowering, and diminishing their feelings of depression. But the Internet can also be used inappropriately to withdraw from real-world interactions.

Attitude to Health↗

PubMed2002

Using the Internet to teach consumers about quality care.

BACKGROUND: The Internet is an important source of health information for consumers. Patients can learn about their diagnoses, review treatments and medications, and locate other health information for themselves and their families. Information about quality care can also be found on the Internet. Few consumers, though, use these Web sites for learning about quality care. SEARCH FOR WEB SITES ON QUALITY CARE: In 2000 the investigators searched the Internet and generated a list of approximately 90 relevant Internet documents under the broad heading of quality health care. They then pared the list to 34, by using the Health Information Technology Institute (HITI) criteria. TESTING OF INTERNET DOCUMENTS BY CONSUMERS: In the second phase of the project, 5 of the 34 Internet documents were tested by a convenience sample of 32 consumers. Most of the participants had experience in using the Internet, although generally not in the area of quality care. They found the Web sites easy to use and indicated that the Internet resources would help them assess the quality of care they receive from physicians, nurses, and others. DISCUSSION: Web sites need to be evaluated to ensure that the information they provide is accurate and current, among other criteria. All patients should understand their health benefits and the importance of making informed decisions about their health care, as well as how quality care is measured, how to use quality reports, how to choose providers and hospitals, how to assess the quality of their own care and be more involved in it, and what they should do when faced with new diagnoses.

Community Participation↗

PubMedDate not supplied

A survey of selected Internet pharmacies in the United States.

OBJECTIVE: To determine whether differences in the provision of pharmacy services exist among different types of Internet pharmacies. DESIGN: Survey of selected pharmacies with a presence on the Internet. Data were abstracted onto a data collection form for further analysis. Data collection was limited to 3 weeks. SETTING: U.S.-based Internet pharmacies that allow patients to purchase prescription medications online. Pharmacies were identified using a metasearch engine with the search terms "Internet pharmacy" and "Internet pharmacist." INTERVENTION: Survey. MAIN OUTCOME MEASURES: Comparisons of availability of 10 commonly used products representing a variety of product categories, prescription verification methods, and privacy issues; and determinations of site navigability, drug information and provider access, and payment methods. Sites were categorized as "chain pharmacy extensions," "mail order pharmacies," "independent pharmacy extensions," and "online pharmacies." RESULTS: Thirty-three sites were reviewed. There was significant variation among the four types of pharmacies selling prescriptions over the Internet. Most pharmacies provided all of the drugs in the survey. Patients were required to provide their own prescription at 88% of the sites, and 75% of sites used mail or fax to verify prescription integrity. More than 50% of sites had privacy policies posted, and 64% used cookies. Chain pharmacy extensions required completion of an average of 10.2 pages to order drugs versus 2.4 to 4 pages for all other site types. Drug information was written at an eighth-grade reading level at 36% of the sites. More than two-thirds of the sites provided a toll-free telephone for a health care professional. Nearly 80% of the sites accepted health insurance, and 95% accepted credit cards; however, only 40% used a secure transmission mechanism for patient or payment information. CONCLUSION: Internet pharmacies provide varying levels of service. Policies regarding the use of the Internet for obtaining medications should focus on improving the privacy of consumer information and ensuring the secure transmission of financial information.

Analysis of Variance↗

PubMed2003

Health-related Internet use, coping, social support, and health indicators in people living with HIV/AIDS: preliminary results from a community survey.

Widespread Internet use has revolutionized health information and patient education for persons with chronic illnesses. The authors surveyed 147 HIV-positive persons to examine factors associated with Internet use and associations between Internet use and health. Information, motivation, and behavioral skills associated with using the Internet were related to Internet use. The authors found that health-related Internet use was associated with HIV disease knowledge, active coping, information seeking coping, and social support among persons who were using the Internet. These preliminary findings suggest an association between using the Internet for health-related information and health benefits among people living with HIV/AIDS, supporting the development of interventions to close the digital divide in HIV/AIDS care.

Acquired Immunodeficiency Syndrome↗

PubMed2003

Barrett's esophagus: patient information and the Internet. The patient's perspective.

Barrett's esophagus is being diagnosed more frequently in the UK. Today patients are encouraged to be actively involved in the treatment decision-making process. To do this they must receive adequate information and, more importantly, understand it. In patients with Barrett's, this information is often given to the patient immediately following an endoscopy, when patients find it difficult to absorb. The Internet can provide patients with up-to-the-minute information that they can digest in their own time. The aim of this study was to assess the current information given to patients and their views on using the Internet for these purposes. A postal questionnaire was devised, and sent to the 267 patients with Barrett's. The questionnaire sought to determine the source and quality of current patient information, and patients' willingness to use the Internet for medical information. One hundred and ninety-five (73%) questionnaires were returned. One hundred and fifty-three patients (78.5%) of those who responded stated they wanted more information about their condition. Sixty-eight patients (33.8%) had Internet access. One hundred and five (53.8%) patients stated that they would use an Internet site if access were available. The average age of this group was 58.7 years. Seventy-nine (40.5%) stated they would not use an Internet site; their average age was 69.4 years. Current patient information is often inadequate. A significant proportion of the patients would use the Internet. Those who had already used the Internet to access information found existing sites to be very 'American', and presented in a way that made them difficult for a layperson to understand. It is essential that patients have adequate information in a format they can access and understand.

Aged↗

PubMed2002

Patients' use of the Internet for medical information.

OBJECTIVES: To determine the percentage of patients enrolled in a primary care practice who use the Internet for health information, to describe the types of information sought, to evaluate patients' perceptions of the quality of this information, and to determine if patients who use the Internet for health information discuss this with their doctors. DESIGN: Self-administered mailed survey. SETTING: Patients from a primary care internal medicine private practice. PARTICIPANTS: Randomly selected patients ( N=1,000) were mailed a confidential survey between December 1999 and March 2000. The response rate was 56.2%. MEASUREMENTS AND MAIN RESULTS: Of the 512 patients who returned the survey, 53.5% (274) stated that they used the Internet for medical information. Those using the Internet for medical information were more educated ( P <.001) and had higher incomes ( P <.001). Respondents used the Internet for information on a broad range of medical topics. Sixty percent felt that the information on the Internet was the "same as" or "better than" information from their doctors. Of those using the Internet for health information, 59% did not discuss this information with their doctor. Neither gender, education level, nor age less than 60 years was associated with patients sharing their Web searches with their physicians. However, patients who discussed this information with their doctors rated the quality of information higher than those who did not share this information with their providers. CONCLUSIONS: Primary care providers should recognize that patients are using the World Wide Web as a source of medical and health information and should be prepared to offer suggestions for Web-based health resources and to assist patients in evaluating the quality of medical information available on the Internet.

Female↗

PubMed2006

In-center hemodialysis patients' use of the internet in the United States: a national survey.

BACKGROUND: Education is critical to help patients with chronic kidney disease self-manage their illness by thoroughly understanding their treatment options, medications, diet and fluids, and symptoms. METHODS: This study assesses in-center hemodialysis patients' use of the Internet in general and for health information seeking, both independently and by proxy-asking a family member or friend. Patients (n = 1,804) were recruited from 37 randomly selected dialysis clinics in 18 End-Stage Renal Disease Networks. Respondents completed a survey in English or Spanish. RESULTS: Across the entire sample, 34.7% had used the Internet themselves compared with 38% of disabled Americans. Internet use was more likely among patients who were younger, non-Hispanic, from the Southeast or Texas, and more highly educated. Median education level of English-reading respondents was 12th grade. Their total Internet health information use was 43.5% (24.7% independently, 18.8% by proxy). Median education level of Spanish-reading respondents was 6th grade; their total Internet health information use was only 25.5% (8.5% independently, 17% by proxy). Reasons for not using the Internet related more to not having access to a computer or knowledge (70.4%) than to lack of interest (21.3%). CONCLUSION: Alerting patients to Internet access at public libraries or providing a computer in dialysis clinic waiting rooms may help overcome this barrier. Proxy use may extend the reach of the Internet to patients who do not have access on their own.

Adolescent↗

PubMedDate not supplied

Comparison of Internet versus lecture instructional methods for teaching nursing research.

Although many higher education programs are using the Internet to teach classes, there are few published reports on the effectiveness of this method on test scores or student satisfaction. The purpose of this study was to compare test and student satisfaction scores of graduate nursing students who take a nursing research course via the Internet with those of students who take the same course via traditional lecture instruction. In addition, student technical support use and Internet student lecture attendance also were examined. A total of 97 students (Internet, 44; lectures, 53) participated. There were no significant differences in test scores and overall course student satisfaction (P > .05). However, the Internet students reported significantly higher (P = .04) stimulation of learning compared with the traditional lecture students. Technical support use by the Internet students was high initially and was related to software problems. Of interest were the large proportion of Internet students (73 percent) who attended at least 3 of the 10 lectures. Use of the Internet to teach graduate-level nursing research can provide comparable learning and student satisfaction to traditional lecture instructional methods.

Computer-Assisted Instruction↗

PubMed2005

Teratogen risk counselling by internet: a prospective cohort study.

Although the internet may play a role in providing proper teratogen-risk counselling for pregnant women, the experience with this type of service has not been reported. We aimed to compare the pregnancy outcome of women counselled by the internet to women that received typically in-clinic teratogen risk counselling in the clinic. In a prospective cohort design, 1,011 patients were counselled in the clinic and 235 patients were counselled via the internet. Teratogen risk counselling was provided according with the information obtained from medical literature and specialised software. Information about pregnancy outcome (delivery, spontaneous abortion, or termination of pregnancy and major malformations) was obtained from 903 (89.3%) patients from the clinic group and 141 (60%) from the internet group. The amount of alcohol, cigarettes smoked, and millirads of X-ray were greater ( p < 0.05) in patients counselled by internet than in clinic. The rate of deliveries, ongoing pregnancies, pregnancy terminations, and spontaneous abortions were similar between clinic and internet (chi2 = 1.32; p = 0.7). Of 498 babies born to mothers counselled in the clinic, major malformations were identified in 3.6%. Of 67 babies born to mothers counselled by internet, major malformations were present in 1.5% ( p = 0.6). Teratogen-risk counselling by internet and clinic seems to have a similar efficacy in pregnancy outcome.

Abnormalities, Drug-Induced↗

PubMed2006

Evaluation of internet use in university education by midwifery students.

The aim of our study was to evaluate the use of the medical Internet by midwifery students with analysis of influencing factors and students' preferences. A prospective cross-sectional questionnaire study was carried out with 180 midwifery students. The response rate was 83.8%, 82% use the Internet, and 79.3% use the medical resources in their education. The mean accession to the Web is 5.3 +/- 8.4 times per month. The mean evaluation of information resources for books, journals, conferences and university courses was 6.6 +/- 3.2, 4.8 +/- 3.1, 2.7 +/- 3.0, and 6.8 +/- 3.8, respectively, as measured with the Visual Analogue Scale (p < 0.001). Age did not correlate with Internet use and its evaluation but correlated with a self-evaluation of Internet skills as a user (Rs = -0.20, p = 0.016). The evaluation of the Internet as a source of medical knowledge correlated with self-evaluation of medical search skills (Rs = 0.66, p < 0.001) and user skills (Rs = 0.61, p < 0.001). The medical Internet is used by the majority of midwifery students, but it is still a secondary source of information, after university training and medical books. The higher evaluation of Internet correlated with general computer skills and medical search skills, which suggests the need for education on Internet use by students.

Adult↗

PubMed2001

The mind over the Web: the quest for the definition of a method for Internet research.

Psychology is increasingly interested in understanding the characteristics of the Internet and its effects on people, groups and organizations. However, studying the Internet is not a simple task. First, the Internet is a medium that can be experienced in many different ways. Though a computer and keyboard are usually the mediator of our Internet experience, there are different ways in which users can explore the Internet, present themselves, and communicate using it. Second, the Internet is a social and cognitive space. The handling of information is linked to the activation of psychosocial relationships in which cognitions are elaborated. This happens inside a rather special kind of container--Cyberspace--which tends to rarefy the structural and process features of communication. Third, the Internet experience is always situated in a specific context, even when we are chatting alone in a room. In this sense it can only be fully understood through detailed analysis of the social context in which it happens. Starting from a general three-level model of interpersonal interaction in the Web, this paper tries to define a model of data analysis (Complementary Explorative Multilevel Data Analysis--CEMDA) suited to the constraints of Internet research. The main characteristics of the model are: the focus on different frames and objects for each considered unit of research; the mixed use of quantitative and qualitative tools; and the final integration of results in a general framework.

Cognition↗

PubMed2001

Internet heavy use and addiction among Taiwanese college students: an online interview study.

This paper presents empirical qualitative results of Internet heavy-use and addiction among some college students in Taiwan. It offers in-depth, online interviews of student-subjects in order to facilitate an interdisciplinary understanding of Internet heavy use, addiction and its potential impacts. A total of 83 subjects were interviewed, both as individuals and in chat-room groups. The analysis of qualitative data presented in six major themes: (1) Internet use and reasons; (2) Internet features; (3) the Internet as replacement for other media; (4) impact of Internet overuse; (5) controlling Internet use; and (6) coping with Internet withdrawal. Discussions, explanations, along with examples and quotes from subjects, are provided in each section. Implications for student affairs administrators and further research directions are also addressed.

Adaptation, Psychological↗

PubMed2002

Comparison of internet attitudes between industrial employees and college students.

Most studies of attitudes toward the Internet have been focused on a single entity. There is a gap when it comes to comparative study of Internet attitudes between college students and employees in the workforce. This study explored Internet attitudes between two different samples-employees in the work force and college students on campus. Four Internet attitude subscales-namely, enjoyment, usefulness, anxiety, and self-efficacy-from 296 college students were compared with a sample from 680 industrial employees. Age differences were found in the enjoyment and self-efficacy subscales, where younger people expressed more enjoyment than older people with the exception of female college students. Younger people expressed more self-efficacy than the older people. Factorial ANOVA analyses detected statistically significant differences between two samples among all subscales. In general, industrial employees reported more positive attitudes than college students. The employees reported more enjoyable Internet experience, felt the Internet was more useful, had less anxiety, and had more self-efficacy on the Internet than college students. Female college students showed more positive attitudes than male students, and male employees showed more positive attitudes than female employees. Interaction effects of different sample groups, gender, and age were found to have significant differences in the Internet anxiety and self-efficacy subscales. Recommendations for future research on these types of comparisons were included.

Adult↗