TAKING TIME FOR SOCIAL RISK ASSESSMENT: A CONTENT ANALYSIS OF BLOGS ABOUT INCONTINENCE

2.50
Hdl Handle:
http://hdl.handle.net/10755/211697
Type:
Research Study
Title:
TAKING TIME FOR SOCIAL RISK ASSESSMENT: A CONTENT ANALYSIS OF BLOGS ABOUT INCONTINENCE
Abstract:
Purpose: The purpose of this study is to explore the text of women’s social-networking blogs for insight into factors that may facilitate care-seeking and early intervention for urinary incontinence. Rationale: Urinary incontinence (UI) affects from 29-51% of mid-life women. Disclosure rates of UI concerns are relatively poor. Estimates of care-seeking for UI (in many cases, after years of living with symptoms) range from only 10-60% of affected women. Information-seeking, rather than pursuing surgical treatment, has been identified as a primary reason for midlife women’s incontinence-related visits to health care providers. Following the framework of Mishel’s Uncertainty in Illness Theory (RUIT), an exploration of the factors involved in moving from Danger to Opportunity when deciding to seek care will offer insight into effective nurse-patient relationships in the ambulatory setting. Prior content analyses of interviews, open-ended questionnaire responses, and focus groups with women living with UI revealed fears, feelings and activities as predominant themes. Social/emotional risk assessment has been identified as an antecedent to disclosure. The theme taking time has emerged as a means to create moral space in decision-making. Relationships among the concepts of social risk assessment, time as a means of creating decisional space, and exploring treatment options as factors influencing care seeking behavior by women who experience incontinence have not yet been explored, and may provide insight into reasons for delay in disclosing incontinence concerns or care-seeking behavior. Content analysis of social blogs written by women experiencing these issues will provide a rich and unique perspective on factors that may facilitate disclosure of UI. Methods: Content analysis will be used to explore content patterns present in publicly available, de-identified internet blogs written by women experiencing incontinence (n = 23). These data will be coded for social risk assessment, time as a means of creating decisional space, and exploring treatment options concepts derived from application of the RUIT theoretical, prior research as described above, and literature review of content and thematic analysis of women’s experiences living with UI. Results: Text from women’s blogs about incontinence will be purposively sampled and content analyzed (Neuendorf, 2002). Software programs General Inquirer, Yoshikoder, Linguistic Inquiry and Word Count (LIWC), and CATPAC II will be used to construct and apply the coding scheme for latent themes (social risk assessment, exploring treatment options, and time as a means to create decisional space). Descriptive statistical analysis will identify trends in textual content related to these latent themes. Relationships among latent themes will be explored by cluster analysis. The identification of content patterns in the blog text, as well as other less common but notable themes, will inform nursing practice in facilitating disclosure of incontinence. Implications: Content analysis of public, social blogs offers useful insight into the process of personal healthcare decision-making and care-seeking by women living with UI. The goal is to identify crucial factors that, when incorporated into nursing practice, will facilitate early disclosure of pelvic floor health concerns among mid-life women.
Keywords:
Urinary incontinence; Women; Care-seeking behaviors; Social networking
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4916
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleTAKING TIME FOR SOCIAL RISK ASSESSMENT: A CONTENT ANALYSIS OF BLOGS ABOUT INCONTINENCEen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211697-
dc.description.abstractPurpose: The purpose of this study is to explore the text of women’s social-networking blogs for insight into factors that may facilitate care-seeking and early intervention for urinary incontinence. Rationale: Urinary incontinence (UI) affects from 29-51% of mid-life women. Disclosure rates of UI concerns are relatively poor. Estimates of care-seeking for UI (in many cases, after years of living with symptoms) range from only 10-60% of affected women. Information-seeking, rather than pursuing surgical treatment, has been identified as a primary reason for midlife women’s incontinence-related visits to health care providers. Following the framework of Mishel’s Uncertainty in Illness Theory (RUIT), an exploration of the factors involved in moving from Danger to Opportunity when deciding to seek care will offer insight into effective nurse-patient relationships in the ambulatory setting. Prior content analyses of interviews, open-ended questionnaire responses, and focus groups with women living with UI revealed fears, feelings and activities as predominant themes. Social/emotional risk assessment has been identified as an antecedent to disclosure. The theme taking time has emerged as a means to create moral space in decision-making. Relationships among the concepts of social risk assessment, time as a means of creating decisional space, and exploring treatment options as factors influencing care seeking behavior by women who experience incontinence have not yet been explored, and may provide insight into reasons for delay in disclosing incontinence concerns or care-seeking behavior. Content analysis of social blogs written by women experiencing these issues will provide a rich and unique perspective on factors that may facilitate disclosure of UI. Methods: Content analysis will be used to explore content patterns present in publicly available, de-identified internet blogs written by women experiencing incontinence (n = 23). These data will be coded for social risk assessment, time as a means of creating decisional space, and exploring treatment options concepts derived from application of the RUIT theoretical, prior research as described above, and literature review of content and thematic analysis of women’s experiences living with UI. Results: Text from women’s blogs about incontinence will be purposively sampled and content analyzed (Neuendorf, 2002). Software programs General Inquirer, Yoshikoder, Linguistic Inquiry and Word Count (LIWC), and CATPAC II will be used to construct and apply the coding scheme for latent themes (social risk assessment, exploring treatment options, and time as a means to create decisional space). Descriptive statistical analysis will identify trends in textual content related to these latent themes. Relationships among latent themes will be explored by cluster analysis. The identification of content patterns in the blog text, as well as other less common but notable themes, will inform nursing practice in facilitating disclosure of incontinence. Implications: Content analysis of public, social blogs offers useful insight into the process of personal healthcare decision-making and care-seeking by women living with UI. The goal is to identify crucial factors that, when incorporated into nursing practice, will facilitate early disclosure of pelvic floor health concerns among mid-life women.en_GB
dc.subjectUrinary incontinenceen_GB
dc.subjectWomenen_GB
dc.subjectCare-seeking behaviorsen_GB
dc.subjectSocial networkingen_GB
dc.date.available2012-02-20T12:09:04Z-
dc.date.issued2012-02-20T12:09:04Z-
dc.date.accessioned2012-02-20T12:09:04Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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