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- Title
- Exploring digital divides: An examination of eHealth technology use in health information seeking, communication and personal health information management in the USA.
- Creator
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Lustria, Mia, Smith, Scott, Hinnant, Charles
- Abstract/Description
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Recent government initiatives to deploy health information technology in the USA, coupled with a growing body of scholarly evidence linking online heath information and positive health-related behaviors, indicate a widespread belief that access to health information and health information technologies can help reduce healthcare inequalities. However, it is less clear whether the benefits of greater access to online health information and health information technologies is equitably...
Show moreRecent government initiatives to deploy health information technology in the USA, coupled with a growing body of scholarly evidence linking online heath information and positive health-related behaviors, indicate a widespread belief that access to health information and health information technologies can help reduce healthcare inequalities. However, it is less clear whether the benefits of greater access to online health information and health information technologies is equitably distributed across population groups, particularly to those who are underserved. To examine this issue, this article employs the 2007 Health Information National Trends Survey (HINTS) to investigate relationships between a variety of socio-economic variables and the use of the web-based technologies for health information seeking, personal health information management and patient-provider communication within the context of the USA. This study reveals interesting patterns in technology adoption, some of which are in line with previous studies, while others are less clear. Whether these patterns indicate early evidence of a narrowing divide in eHealth technology use across population groups as a result of the narrowing divide in Internet access and computer ownership warrants further exploration. In particular, the findings emphasize the need to explore differences in the use of eHealth tools by medically underserved and disadvantaged groups. In so doing, it will be important to explore other psychosocial variables, such as health literacy, that may be better predictors of health consumers' eHealth technology adoption.
Show less - Date Issued
- 2011
- Identifier
- FSU_migr_slis_faculty_publications-0023, 10.1177/1460458211414843
- Format
- Citation
- Title
- Transitioning from the Out Date: Information Seeking Behavior of Junior Enlisted Army Veterans of Operation Iraqi and Enduring Freedom.
- Creator
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Hannaford, Leah, Gross, Melissa, Lustria, Mia, Oh, Sanghee, School of Library and Information Studies, Florida State University
- Abstract/Description
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This thesis is an exploratory study of the information seeking behavior of junior enlisted United States Army veterans of Operation Iraqi and Enduring Freedom. During this study, twenty-five qualitative interviews were conducted with veterans residing in the vicinity of Fayetteville, North Carolina. Veterans in this study discussed their experiences with the Army Career and Alumni Program (ACAP), the Veterans Affairs Office, non-profit agencies, and extended families as primary sources of...
Show moreThis thesis is an exploratory study of the information seeking behavior of junior enlisted United States Army veterans of Operation Iraqi and Enduring Freedom. During this study, twenty-five qualitative interviews were conducted with veterans residing in the vicinity of Fayetteville, North Carolina. Veterans in this study discussed their experiences with the Army Career and Alumni Program (ACAP), the Veterans Affairs Office, non-profit agencies, and extended families as primary sources of information during and after transition using their reported "out date" as a frame of reference. The types of information that the veterans sought prior to transition and currently seek were discussed and compared to analyze their information seeking behavior and how it changes as veterans seek to contextualize and make sense of their place in the civilian world.
Show less - Date Issued
- 2013
- Identifier
- FSU_migr_etd-7409
- Format
- Thesis
- Title
- Gifted Youth and Their Hobbies: An Exploration of Information Behavior.
- Creator
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Carruth, Debi, Latham, Don, Rice, Diana, Mardis, Marcia, Lustria, Mia, School of Library and Information Studies, Florida State University
- Abstract/Description
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This study was conducted as a way to begin to fill a gap in the literature regarding young people and hobby pursuit. Through intensive exploratory research, the study sought to explicate the information behaviors of gifted young people related to their hobby pursuit. Focus groups and home visits were conducted and participants were given the opportunity to review the results for accuracy. Thirty two young people participated in focus groups, twelve in home visits, and three in review of data...
Show moreThis study was conducted as a way to begin to fill a gap in the literature regarding young people and hobby pursuit. Through intensive exploratory research, the study sought to explicate the information behaviors of gifted young people related to their hobby pursuit. Focus groups and home visits were conducted and participants were given the opportunity to review the results for accuracy. Thirty two young people participated in focus groups, twelve in home visits, and three in review of data analysis. It was found that three different themes are commonly at play in the hobby pursuit of gifted young people: "Always Activated," or the idea that even when participants are not actively engaged in hobby pursuit, hobbies still play an important role in their everyday behavior; "Adult Facilitated Access," referring to the ways that adults facilitate hobby pursuit in young people's lives - this theme speaks to the mediating role that adults must play in order to introduce young people to potential hobby interests and to support hobby pursuit once it has germinated; and "Autonomy," or the ways that gifted youth make choices about what to do at any given time, how to solve problems, and who to consult when outside help is deemed necessary. It was also found that the participants are very independent, preferring to address challenges on their own. They use a variety of information sources and they make complex decisions about how to share information about their hobbies based on the recipient's level of expertise. In addition, they make decisions about the extent to which feedback should be heeded, based on the level of expertise of the person providing the feedback. As a result of the study, it was determined that Everyday Life Information Seeking, Serious Leisure, and theories of intrinsic motivation can be used effectively with younger subjects, although the idea of adult facilitation needs to be addressed. It was also determined that a large number of young people are introduced to their hobbies through school programs, either special classes held once or twice a week (such as chorus or art) or after-school activities like debate clubs. This provides an argument for retaining funding for these programs. Further research will replicate the current study with a wider range of ages and will examine such factors as race and family make-up to determine their potential impact on phenomena related to hobbies and information behavior. In addition, more attention will be paid to hobby genesis and hobby development over time.
Show less - Date Issued
- 2013
- Identifier
- FSU_migr_etd-8536
- Format
- Thesis
- Title
- The Role of Mass Media Related Risk Factors in Predicting Sexually Risky Intentions and Behaviors Among Adolescents: A Model of Sexual Risk Taking.
- Creator
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Sarkar, Madhurima, Heald, Gary, Eberstein, Isaac, Mayo, John, Lustria, Mia, Cortese, Juliann, School of Communication, Florida State University
- Abstract/Description
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Although a number of studies have demonstrated the effects of mass media on various behaviors the systematic process of examining media related risk factors in sexual health behavior models has not been fully explored. This study offers a rationale, and several propositions and hypotheses for a more inclusive model of sexual risk taking integrating two mass media-related variables with five traditional health risks factors that appear in the current literature. The study also explores gender...
Show moreAlthough a number of studies have demonstrated the effects of mass media on various behaviors the systematic process of examining media related risk factors in sexual health behavior models has not been fully explored. This study offers a rationale, and several propositions and hypotheses for a more inclusive model of sexual risk taking integrating two mass media-related variables with five traditional health risks factors that appear in the current literature. The study also explores gender differences among the proposed relationships in the model. The study tests the proposed integrated model using a secondary analysis via structural equation statistical methods applied to the Teen Media and Health Survey data. The final model supported relationships that were hypothesized based on a rationale linking several mass communication and health-related behavior theories. Findings from this study suggest that sexual intentions that are risky are strong predictor of self-reported sexual behaviors that are risky. In addition, permissive attitudes regarding sex, perceptions of peer norms that are risky, and sexual self efficacy also predict sexual intentions that are risky. This results from the study futher support the utility of impulsive decision making and sensation seeking when predicting sexual risks. The current model and study results indicate that overall exposure to mass media was a significant antecedent of adolescents' perceptions that media messages encourage sexual behaviors. Perceptions that media messages encourage sexual behaviors is also succesfully used to predict adolescent's permissive attitudes regarding sex, their perceptions of peer norms that are risky, and the adolsecents' perceptions of sexual self efficacy. The overall model is also tested in separate male/female models to examine the potential generality of the model across gender subgroups. The results indicate more similarities than differences in sexual risk taking among males and females. One notable difference is the path from mass media exposure to perceptions that media messages encourage sexual behaviors, which is appreciably stronger among females than among males. Another notable difference is that the pathway from sexual intentions that are risky to sexual behaviors that are risky, which again is stronger among females than among males. There are several implications for interventions that arise from this study. Media exposure and perceptions of sexuality through media play an important role in adolescents' attitudes, norms and perceptions of self efficacy. Parents, educators, health practitioners should discuss with adolescents the content of popular mass media, along with the ways that the popular media influence young audiences. Parents, teachers and health practitioners need to pay particular attention to creating messages that can combat the information that adolescent receive from mass media about sex and sexual behaviors. The most important implication may be that adults in U.S. society should take children's exposure to media seriously, pay attention to what their children are viewing and to become active in their communities advocating for more socially responsible media. A concerted effort can be made to reduce sexual innuendos, images and portrayals in the media.
Show less - Date Issued
- 2011
- Identifier
- FSU_migr_etd-2074
- Format
- Thesis
- Title
- A Meta-Analysis of Web-Delivered, Tailored Health Behavior Change Interventions.
- Creator
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Lustria, Mia, Noar, Seth M., Cortese, Juliann, Van Stee, Stephanie, Glueckauf, Robert L., Lee, Junga
- Abstract/Description
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Background: Web-based, tailored intervention programs show considerable promise in effecting health-promoting behaviors and improving health outcomes across a variety of medical conditions and patient populations. Purpose: This meta-analysis compares the effects of tailored versus non-tailored, web-based interventions on health behaviors, and explores the influence of key moderators on treatment outcomes. Methods: Forty experimental and quasi-experimental studies (N = 20,180) met criteria for...
Show moreBackground: Web-based, tailored intervention programs show considerable promise in effecting health-promoting behaviors and improving health outcomes across a variety of medical conditions and patient populations. Purpose: This meta-analysis compares the effects of tailored versus non-tailored, web-based interventions on health behaviors, and explores the influence of key moderators on treatment outcomes. Methods: Forty experimental and quasi-experimental studies (N = 20,180) met criteria for inclusion and were analyzed using meta-analytic procedures. Results: The findings indicated that web- based, tailored interventions effected significantly greater improvement in health outcomes as compared to control conditions both at post-testing, d = .139 (95% CI = .111, .166, p<.001, k = 40) and at follow-up, d = .158 (95% CI = .124, .192, p<.001, k = 21). No evidence of publication bias was found. Conclusions: These results provided further support for the differential benefits of tailored web-based interventions over non-tailored approaches. Analysis of participant/descriptive, intervention, and methodological moderators shed some light on factors that may be important to the success of tailored interventions. Implications of these findings and directions for future research are discussed.
Show less - Date Issued
- 2013
- Identifier
- FSU_migr_slis_faculty_publications-0013, 10.1080/10810730.2013.768727
- Format
- Citation
- Title
- Participatory design of a health informatics system for rural health practitioners and disadvantaged women.
- Creator
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Lustria, Mia, Kazmer, Michelle M., Glueckauf, Robert L., Hawkins, Robert, Randeree, Ebrahim, Rosario, Ivee, McLaughlin, Casey, Redmond, Sarah
- Abstract/Description
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While advances in highly targeted therapies and increased use of mammogram services have contributed to the overall decline of breast cancer deaths in the United States, these benefits have not been distributed equitably. Less educated, poor, rural, non-Hispanic African American women have poorer access to cancer services and are less likely to have had a mammogram than are urban women. Lack of physician recommendations and perceived barriers in accessing diagnostic services are major factors...
Show moreWhile advances in highly targeted therapies and increased use of mammogram services have contributed to the overall decline of breast cancer deaths in the United States, these benefits have not been distributed equitably. Less educated, poor, rural, non-Hispanic African American women have poorer access to cancer services and are less likely to have had a mammogram than are urban women. Lack of physician recommendations and perceived barriers in accessing diagnostic services are major factors that hinder the uptake of regular mammograms in rural communities. This article reports results of formative research conducted as part of a larger study focused on the participatory development of an electronic reminder system for breast cancer screening. The article discusses insights gained from focus groups with rural patients and clinicians about their information needs, breast cancer screening behaviors, barriers to care, and mammography referral practices.
Show less - Date Issued
- 2010
- Identifier
- FSU_migr_slis_faculty_publications-0024, 10.1002/asi.21390
- Format
- Citation
- Title
- Distributed knowledge in an online patient support community: Authority and discovery.
- Creator
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Kazmer, Michelle M., Lustria, Mia, Cortese, Juliann, Burnett, Gary, Kim, Ji-Hyun, Ma, Jinxuan, Frost, Jeana
- Date Issued
- 2014
- Identifier
- FSU_migr_slis_faculty_publications-0012, 10.1002/asi.23064
- Format
- Citation