Advertisement
Research Brief| Volume 52, ISSUE 5, P522-527, May 2020

Download started.

Ok

How Children Search for Health Information Online: An Observational Study

      Abstract

      Objective

      To evaluate whether children could find the correct answers to obesity-related health questions on the Internet and observe the search strategies children use when searching for such information.

      Methods

      Twenty-five parent-child dyads, from a southwestern US summer day camp, participated in this cross-sectional study. Parents’ health literacy skills were evaluated. Children searched the Internet for 6 questions related to nutrition and physical activity. Search activities were recorded via Camtasia. Quantitative (ie, time spent per question) and qualitative data (ie, themes related to difficulties searching) were extracted by rewatching the recordings.

      Results

      All parents had either proficient or basic levels of health literacy. The question that had the highest rating for being correctly answered pertained to physical activity recommendations, whereas none of the children were able to find recommended servings of food groups.

      Conclusions and Implications

      Children were not successful in finding correct answers to most of the questions and used ineffective search strategies. Interventions that teach children effective search strategies for health information are needed.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Kutner M
        • Greenberg E
        • Jin Y
        • Paulsen C
        The Health Literacy of America's Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006-483).
        US Department of Education, National Center For Education Statistics, Washington, DC2006
        • Greenhalgh T
        Health literacy: towards system level solutions.
        BMJ. 2015; 350: h1026
        • Borzekowski D
        Considering children and health literacy: a theoretical approach.
        Pediatrics. 2009; 124: S282-S288
        • Rikard RV
        • Thompson MS
        • McKinney J
        • Beauchamp A
        Examining health literacy disparities in the United States: a third look at the National Assessment of Adult Literacy (NAAL).
        BMC Public Health. 2016; 16: 975
        • Quinn S
        • Bond R
        • Nugent C
        Quantifying health literacy and eHealth literacy using existing instruments and browser-based software for tracking online health information seeking behavior.
        Comput Hum Behav. 2017; 69: 256-267
      1. Fox S, Raine L.The web at 25 in the U.S. The overall verdict: the internet has been a plus for society and an especially good thing for individual users.http://www.pewinternet.org/2014/02/25/the-web-at-25-in-the-u-s. Accessed February 3, 2020.

        • KewalRamani A
        • Zhang J
        • Wang X
        • et al.
        Student Access to Digital Learning Resources Outside of the Classroom (NCES 2017-098).
        National Center for Education Statistics, Washington, DC2018
        • Branscum P
        • Hayes L
        • Wallace L
        Direct observation of searching for online health information: a systematic review of current evidence.
        Am J Health Stud. 2016; 31: 222-232
        • Allam A
        • Schulz P
        • Nakamoto K
        The impact of search engine selection and sorting criteria on vaccination beliefs and attitudes: two experiments manipulating Google output.
        J Med Internet Res. 2014; 16: e100
        • Buhi ER
        • Daley EM
        • Fuhrmann HJ
        • Smith SA
        An observational study of how young people search for online sexual health information.
        J Am Coll Health. 2009; 58: 101-111
        • Kim H
        • Park SY
        • Bozeman I
        Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts.
        Health Info Libr J. 2009; 28: 188-199
        • Senkowski V
        • Branscum P.
        How college students search the internet for weight control and weight management information: an observational study.
        Am J Health Educ. 2015; 46: 231-240
        • Zhang Y.
        Searching for specific health-related information in MedlinePlus: behavioral patterns and user experience.
        J Assoc Inf Sci Technol. 2014; 65: 53-68
        • Eysenbach G
        • Köhler C.
        How do consumers search for and appraise health information on the World Wide Web? Qualitative study using focus groups, usability tests, and in-depth interviews.
        BMJ. 2002; 324: 573-577
        • van Deursen AJ.
        Internet skill-related problems in accessing online health information.
        Int J Med Inform. 2012; 81: 61-72
        • Zhang Y.
        The effects of preference for information on consumers’ online health information search behavior.
        J Med Internet Res. 2013; 15: e234
        • Hansen DL
        • Derry HA
        • Resnick PJ
        • Richardson CR
        Adolescents searching for health information on the Internet: an observational study.
        J Med Internet Res. 2003; 5: e25
        • Birru MS
        • Monaco VM
        • Charles L
        • et al.
        Internet usage by low-literacy adults seeking health information: an observational analysis.
        J Med Internet Res. 2004; 6: e25
        • Ossebaard H
        • Seydel E
        • van Gemert-Pijnen L
        Online usability and patients with long-term conditions: a mixed-methods approach.
        Int J Med Inform. 2012; 81: 374-387
        • Bann CM
        • McCormack LA
        • Berkman ND
        • Squiers LB
        The Health Literacy Skills Instrument: a 10-item short form.
        J Health Commun. 2012; 17: 191-202
        • McCormack L.
        Health Literacy Skills Instrument User Guide.
        RTI, Research Triangle Park, NC2010
      2. US Department of Agriculture. Start simple with MyPlate. https://www.choosemyplate.gov/start-simple-myplate. Accessed February 3, 2020.

        • English L
        • Lasschuijt M
        • Keller KL
        Mechanisms of the portion size effect. What is known and where do we go from here.
        Appetite. 2015; 88: 39-49
        • Zlatevska N
        • Dubelaar C
        • Holden SS
        Sizing up the effect of portion size on consumption: a meta-analytic review.
        J Mark. 2014; 78: 140-154