Do Older Hispanic Diabetics Use the Internet for Health-Related Information?

2.50
Hdl Handle:
http://hdl.handle.net/10755/602911
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Do Older Hispanic Diabetics Use the Internet for Health-Related Information?
Other Titles:
Culturally Diverse Health Behaviors in the Diabetic Patient [Session]
Author(s):
Nokes, Kathleen; Aponte, Judith; Aponte, Judith
Lead Author STTI Affiliation:
Alpha Phi
Author Details:
Kathleen Nokes, RN, PhD, FAAN, kathynokes@aol.com; Judith Aponte, RN, PhD
Abstract:
Session presented on Tuesday, November 10, 2015: Diabetes is a major cause of morbidity and mortality and a growing public health concern.  In 2012, Hispanics comprised 16.9% of the total 313.9 million US population; and 12.8% had diabetes.  Persons with diabetes and limited health literacy have worse health outcomes since they have less knowledge about their diabetes, difficulty in reading medication labels, and a poor understanding on ways to better management their health.  Health literacy influences a person’s ability to engage in self- management and the internet can be a resource for providing diabetes-related information for people to self-manage their diabetes more effectively.  The purpose of this mixed methods descriptive study was to provide insight about older Hispanics’ with type 2 diabetes use of the internet to access diabetes-related information.  Inclusion criteria included: 1) residing in East Harlem, a New York City community characterized by poverty and a large Hispanic population; 2) able to access the internet; 3) aged 60 or older; 4) either English or Spanish speaking; and 5) diagnosed with type 2 diabetes.  A convenience sample of 20 Hispanics participated in both phases of the research; the sample was equally divided between men and women; the average participant was 74 years; born in Puerto Rico;  preferred to speak in Spanish; lived with diabetes an average of 17 years and took medications to manage their diabetes.  Since access to the internet could be an issue, respondents were asked if they had a smart phone with internet access and the average participant had a smart phone for 3 years; made or received 3 calls daily; texted less than once daily; and 75% were either very or somewhat concerned with privacy and texting.  During the quantitative phase, participants completed a demographic (i.e., age, gender, country of origin), diabetes-related information, and smart phone use to access the internet survey along with the E-Health Literacy Scale (e-Heals) which measures comfort and skill in using internet technology for health information.  They then participated in the qualitative phase which was a focus group with questions framed around the E-Health literacy items using a diabetes orientation. The mean score on e-Heals was computed as 22.35 (SD=12.96) with a range from 8 to 40; respondents reported the most difficulty with knowing how to use the Internet to answer questions about their health.   Recognizing the small sample size and the descriptive purpose of the research, univariate exploratory analysis were conducted to determine if there were differences in electronic health literacy based on age or gender.  No significant differences were found based on age (F=.76, p.=.66) but an independent sample t-test found highly significant differences based on gender (t=-2.67, df=18, p=.015) in that the e-Heals scores of men were significantly lower than those of women (means=13.85 (9.69) and 25.77 (10.22) respectively). Using applied thematic analysis, five themes were identified from the responses provided by focus group participants who were asked about their experiences with the internet as a source of health-related information n.  The five themes were:  Useful information source; Family and friends help; Complex and confusing; Type words and get information; and Improved self-management. This research identified significant barriers in accessing the internet for health-related information about their diabetes self-management although all had a smart phone which provided internet access.  Older Hispanic men seemed to rely on family and friends rather than search the internet independently.  Use of different venues by culturally diverse groups and subpopulations within relatively homogeneous groups based on demographic variables such as gender – and perhaps gender roles – need to be explored in order to optimize the use of technology in populations who could benefit from enhanced self-management strategies but who may lack the technical skills to use available information.
Keywords:
Electronic health literacy; Gender differences in information seeking behaviors; Older Hispanics and Diabetes
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15G18
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleDo Older Hispanic Diabetics Use the Internet for Health-Related Information?en
dc.title.alternativeCulturally Diverse Health Behaviors in the Diabetic Patient [Session]en
dc.contributor.authorNokes, Kathleenen
dc.contributor.authorAponte, Judithen
dc.contributor.authorAponte, Judithen
dc.contributor.departmentAlpha Phien
dc.author.detailsKathleen Nokes, RN, PhD, FAAN, kathynokes@aol.com; Judith Aponte, RN, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/602911en
dc.description.abstractSession presented on Tuesday, November 10, 2015: Diabetes is a major cause of morbidity and mortality and a growing public health concern.  In 2012, Hispanics comprised 16.9% of the total 313.9 million US population; and 12.8% had diabetes.  Persons with diabetes and limited health literacy have worse health outcomes since they have less knowledge about their diabetes, difficulty in reading medication labels, and a poor understanding on ways to better management their health.  Health literacy influences a person’s ability to engage in self- management and the internet can be a resource for providing diabetes-related information for people to self-manage their diabetes more effectively.  The purpose of this mixed methods descriptive study was to provide insight about older Hispanics’ with type 2 diabetes use of the internet to access diabetes-related information.  Inclusion criteria included: 1) residing in East Harlem, a New York City community characterized by poverty and a large Hispanic population; 2) able to access the internet; 3) aged 60 or older; 4) either English or Spanish speaking; and 5) diagnosed with type 2 diabetes.  A convenience sample of 20 Hispanics participated in both phases of the research; the sample was equally divided between men and women; the average participant was 74 years; born in Puerto Rico;  preferred to speak in Spanish; lived with diabetes an average of 17 years and took medications to manage their diabetes.  Since access to the internet could be an issue, respondents were asked if they had a smart phone with internet access and the average participant had a smart phone for 3 years; made or received 3 calls daily; texted less than once daily; and 75% were either very or somewhat concerned with privacy and texting.  During the quantitative phase, participants completed a demographic (i.e., age, gender, country of origin), diabetes-related information, and smart phone use to access the internet survey along with the E-Health Literacy Scale (e-Heals) which measures comfort and skill in using internet technology for health information.  They then participated in the qualitative phase which was a focus group with questions framed around the E-Health literacy items using a diabetes orientation. The mean score on e-Heals was computed as 22.35 (SD=12.96) with a range from 8 to 40; respondents reported the most difficulty with knowing how to use the Internet to answer questions about their health.   Recognizing the small sample size and the descriptive purpose of the research, univariate exploratory analysis were conducted to determine if there were differences in electronic health literacy based on age or gender.  No significant differences were found based on age (F=.76, p.=.66) but an independent sample t-test found highly significant differences based on gender (t=-2.67, df=18, p=.015) in that the e-Heals scores of men were significantly lower than those of women (means=13.85 (9.69) and 25.77 (10.22) respectively). Using applied thematic analysis, five themes were identified from the responses provided by focus group participants who were asked about their experiences with the internet as a source of health-related information n.  The five themes were:  Useful information source; Family and friends help; Complex and confusing; Type words and get information; and Improved self-management. This research identified significant barriers in accessing the internet for health-related information about their diabetes self-management although all had a smart phone which provided internet access.  Older Hispanic men seemed to rely on family and friends rather than search the internet independently.  Use of different venues by culturally diverse groups and subpopulations within relatively homogeneous groups based on demographic variables such as gender – and perhaps gender roles – need to be explored in order to optimize the use of technology in populations who could benefit from enhanced self-management strategies but who may lack the technical skills to use available information.en
dc.subjectElectronic health literacyen
dc.subjectGender differences in information seeking behaviorsen
dc.subjectOlder Hispanics and Diabetesen
dc.date.available2016-03-21T16:39:18Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:39:18Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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