Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Health and social correlates of Internet use for diabetes information: findings from Australia’s Living with Diabetes Study

Chi-Wai Lui A B , Joseph R. Coll A , Maria Donald A , Jo Dower A and Frances M. Boyle A
+ Author Affiliations
- Author Affiliations

A School of Population Health, University of Queensland, Herston Road, Brisbane, Qld 4006, Australia.

B Corresponding author. Email: c.lui@sph.uq.edu.au

Australian Journal of Primary Health 21(3) 327-333 https://doi.org/10.1071/PY14021
Submitted: 3 February 2014  Accepted: 8 June 2014   Published: 10 July 2014

Abstract

This study investigated the relationship between online information seeking and a broad range of health and social characteristics among a large sample of Australian adults with type 2 diabetes. One in four participants used the Internet for diabetes-related purposes and Internet searching was associated with high patient activation, poor metabolic control, signs of peripheral nerve damage, a recent diagnosis of diabetes and poorer patient-assessed coordination of care. No relationship was found between Internet use and treatment complexity and the presence of comorbid conditions. The findings underline the importance of providing better online health resources and support to diabetes patients, and of targeting potential intervention points where services and information may be particularly beneficial.

Additional keywords: disease management, information technology, patient activation.


References

Australian Institute of Health and Welfare (2009) Diabetes prevalence in Australia: an assessment of national data sources. Diabetes series no. 12. Cat. No. CVD 46. Australian Institute of Health and Welfare, Canberra.

Ayers SL, Kronenfeld JJ (2007) Chronic illness and health-seeking information on the Internet. Health 11, 327–347.

Bass SB, Ruzek SB, Gordon TF, Fleisher L, McKeown-Conn N, Moore D (2006) Relationship of Internet health information use with patient behavior and self-efficacy: experiences of newly diagnosed cancer patients who contact the National Cancer Institute’s Cancer Information Service. Journal of Health Communication 11, 219–236.
Relationship of Internet health information use with patient behavior and self-efficacy: experiences of newly diagnosed cancer patients who contact the National Cancer Institute’s Cancer Information Service.Crossref | GoogleScholarGoogle Scholar | 16537289PubMed |

Bull SS, Gaglio B, McKay HG, Glasgow RE (2005) Harnessing the potential of the Internet to promote chronic illness self-management: diabetes as an example of how well we are doing. Chronic Illness 1, 143–155.
Harnessing the potential of the Internet to promote chronic illness self-management: diabetes as an example of how well we are doing.Crossref | GoogleScholarGoogle Scholar | 17136920PubMed |

Cho AH, Arar NH, Edelman DE, Hartwell PH, Oddone EZ, Yancy WS (2010) Do diabetic veterans use the Internet? Self-reported usage, skills, and interest in using My HealtheVet Web portal. Telemedicine Journal and e-Health 16, 595–602.
Do diabetic veterans use the Internet? Self-reported usage, skills, and interest in using My HealtheVet Web portal.Crossref | GoogleScholarGoogle Scholar | 20575727PubMed |

Chorbev I, Sotirovska M, Mihajlov D (2011) Virtual communities for diabetes chronic disease healthcare. International Journal of Telemedicine and Applications 2011, 721 654
Virtual communities for diabetes chronic disease healthcare.Crossref | GoogleScholarGoogle Scholar |

Comino EJ, Tran DT, Haas M, Flack J, Jalaludin B, Jorm L, Harris MF (2013) Validating self-report of diabetes use by participants in the 45 and up study: a record linkage study. BMC Health Services Research 13, 481
Validating self-report of diabetes use by participants in the 45 and up study: a record linkage study.Crossref | GoogleScholarGoogle Scholar | 24245780PubMed |

Corcoran TB, Haigh F, Seabrook A, Schug SA (2010) A survey of patients’ use of the Internet for chronic pain-related information. Pain Medicine 11, 512–517.
A survey of patients’ use of the Internet for chronic pain-related information.Crossref | GoogleScholarGoogle Scholar | 20202143PubMed |

Dolce MC (2011) The Internet as a source of health information: experiences of cancer survivors and caregivers with healthcare providers. Oncology Nursing Forum 38, 353–359.
The Internet as a source of health information: experiences of cancer survivors and caregivers with healthcare providers.Crossref | GoogleScholarGoogle Scholar | 21531685PubMed |

Donald M, Dower J, Ware R, Mukandi B, Parehk S, Bain C (2012) Living with diabetes: rationale, study design and baseline characteristics for an Australian prospective cohort study. BMC Public Health 12, 8
Living with diabetes: rationale, study design and baseline characteristics for an Australian prospective cohort study.Crossref | GoogleScholarGoogle Scholar | 22216947PubMed |

Ewing S, Thomas J (2012) The Internet in Australia. (ARC Centre of Excellence for Creative Industries and Innovation, Swinburne University of Technology: Melbourne)

Fox S, Purcell K (2010) Chronic disease and the Internet. (Pew Research Centre’s Internet & American Life Project: Washington, DC)

Giménez-Pérez G, Gallach M, Acera E, Prieto A, Carro O, Ortega E, González-Clemente J-M, Mauricio D (2002) Evaluation of accessibility and use of new communication technologies in patients with type 1 diabetes mellitus. Journal of Medical Internet Research 4, E16
Evaluation of accessibility and use of new communication technologies in patients with type 1 diabetes mellitus.Crossref | GoogleScholarGoogle Scholar | 12554547PubMed |

Gonzalez JS, Schneider HE, Wexler DJ, Psaros C, Delahanty LM, Cagliero E, Safren SA (2013) Validity of medication adherence self-reports in adults with type 2 diabetes. Diabetes Care 36, 831–837.
Validity of medication adherence self-reports in adults with type 2 diabetes.Crossref | GoogleScholarGoogle Scholar | 23204245PubMed |

Grant RW, Cagliero E, Chueh HC, Meigs JB (2005) Internet use among primary care patients with type 2 diabetes: the generation and education gap. Journal of General Internal Medicine 20, 470–473.
Internet use among primary care patients with type 2 diabetes: the generation and education gap.Crossref | GoogleScholarGoogle Scholar | 15963175PubMed |

Greene JA, Choudhry NK, Kilabuk E, Shrank WH (2011) Online social networking by patients with diabetes: a qualitative evaluation of communication with Facebook. Journal of General Internal Medicine 26, 287–292.
Online social networking by patients with diabetes: a qualitative evaluation of communication with Facebook.Crossref | GoogleScholarGoogle Scholar | 20945113PubMed |

Hibbard JH, Mahoney ER, Stockard J, Tusler M (2005) Development and testing of a short form of the patient activation measure. Health Services Research 40, 1918–1930.
Development and testing of a short form of the patient activation measure.Crossref | GoogleScholarGoogle Scholar | 16336556PubMed |

Hibbard JH, Mahoney ER, Stock R, Tusler M (2007) Do increases in patient activation result in improved self-management behaviors? Health Services Research 42, 1443–1463.
Do increases in patient activation result in improved self-management behaviors?Crossref | GoogleScholarGoogle Scholar | 17610432PubMed |

Jackson CL, Batts-Turner ML, Falb MD, Yeh H-C, Brancati FL, Gary TL (2005) Computer and Internet use among urban African Americans with type 2 diabetes. Journal of Urban Health 82, 575–583.
Computer and Internet use among urban African Americans with type 2 diabetes.Crossref | GoogleScholarGoogle Scholar | 16221917PubMed |

Kaufman N (2010) Internet and information technology use in treatment of diabetes. International Journal of Clinical Practice 166, 41–46.
Internet and information technology use in treatment of diabetes.Crossref | GoogleScholarGoogle Scholar | 20377663PubMed |

Khechine H, Pascot D, Prémont P (2008) Use of health-related information from the Internet by English-speaking patients. Health Informatics Journal 14, 17–28.
Use of health-related information from the Internet by English-speaking patients.Crossref | GoogleScholarGoogle Scholar | 18258672PubMed |

Kummervold PE, Chronaki CE, Lausen B, Prokosch H-U, Rasmussen J, Santana S, Staniszewski A, Wangberg SC (2008) eHealth trends in Europe 2005–2007: a population-based survey. Journal of Medical Internet Research 10, e42
eHealth trends in Europe 2005–2007: a population-based survey.Crossref | GoogleScholarGoogle Scholar | 19017584PubMed |

Longo DR, Schubert SL, Wright BA, Lemaster J, Williams CD, Clore JN (2010) Health information seeking, receipt, and use in diabetes self-management. Annals of Family Medicine 8, 334–340.
Health information seeking, receipt, and use in diabetes self-management.Crossref | GoogleScholarGoogle Scholar | 20644188PubMed |

Margolis KL, Qi L, Brzyski R, Bonds DE, Howard BV, Kempainen S, Liu S, Robinson JG, Safford MM, Tinker LT, Phillips LS, Women Health Initiative Investigators (2008) Validity of diabetes self-reports in the Women’s Health Initiative: comparison with medication inventories and fasting glucose measurements. Clinical Trials 5, 240–247.
Validity of diabetes self-reports in the Women’s Health Initiative: comparison with medication inventories and fasting glucose measurements.Crossref | GoogleScholarGoogle Scholar | 18559413PubMed |

Mayberry LS, Kripalani S, Rothman RL, Osborn CY (2011) Bridging the digital divide in diabetes: family support and implications for health literacy. Diabetes Technology & Therapeutics 13, 1005–1012.
Bridging the digital divide in diabetes: family support and implications for health literacy.Crossref | GoogleScholarGoogle Scholar |

Mosen DM, Schmittdiel J, Hibbard J, Sobel D, Remmers C, Bellows J (2007) Is patient activation associated with outcomes of care for adults with chronic conditions? The Journal of Ambulatory Care Management 30, 21–29.
Is patient activation associated with outcomes of care for adults with chronic conditions?Crossref | GoogleScholarGoogle Scholar | 17170635PubMed |

Nohr EA, Frydenberg M, Henriksen TB, Olsen J (2006) Does low participation in cohort studies induce bias? Epidemiology 17, 413–418.
Does low participation in cohort studies induce bias?Crossref | GoogleScholarGoogle Scholar | 16755269PubMed |

Nordfeldt S, Johansson C, Carlsson E, Hammersjö J-A (2005) Use of the Internet to search for information in type 1 diabetes children and adolescents: a cross-sectional study. Technology and Health Care 13, 67–74.

Powell J, Inglis N, Ronnie J, Large S (2011) The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. Journal of Medical Internet Research 13, e20
The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study.Crossref | GoogleScholarGoogle Scholar | 21345783PubMed |

Powers MA, March SB, Evert A (2008) Use of Internet technology to support nutrition and diabetes self-management care. Diabetes Spectrum 21, 91–99.
Use of Internet technology to support nutrition and diabetes self-management care.Crossref | GoogleScholarGoogle Scholar |

Rains SA (2008) Seeking health information in the Information Age: the role of Internet self-efficacy. Western Journal of Communication 72, 1–18.
Seeking health information in the Information Age: the role of Internet self-efficacy.Crossref | GoogleScholarGoogle Scholar |

Ramadas A, Quek KF, Chan CKY, Oldenburg B (2011) Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence. International Journal of Medical Informatics 80, 389–405.
Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3MvmvVOqsA%3D%3D&md5=7c35feb72789811ef56842d2800292ebCAS | 21481632PubMed |

Rasmussen B, Dunning P, O’Connell B (2007) Young women with diabetes: using Internet communication to create stability during life transitions. Journal of Clinical Nursing 16, 17–24.
Young women with diabetes: using Internet communication to create stability during life transitions.Crossref | GoogleScholarGoogle Scholar | 17518865PubMed |

Sarkar U, Karter AJ, Liu JY, Adler NE, Nguyen R, López A, Schillinger D (2011) Social disparities in Internet patient portal use in diabetes: evidence that the digital divide extends beyond access. Journal of the American Medical Informatics Association 18, 318–321.
Social disparities in Internet patient portal use in diabetes: evidence that the digital divide extends beyond access.Crossref | GoogleScholarGoogle Scholar | 21262921PubMed |

Shaw RJ, Johnson CM (2011) Health information seeking and social media use on the Internet among people with diabetes. Online Journal of Public Health Informatics 3, 1–9.
Health information seeking and social media use on the Internet among people with diabetes.Crossref | GoogleScholarGoogle Scholar |

Shrank WH, Choudhry NK, Swanton K, Jain S, Greene JA, Harlam B, Patel KP (2011) Variations in structure and content of online social networks for patients with diabetes. Archives of Internal Medicine 171, 1589–1591.
Variations in structure and content of online social networks for patients with diabetes.Crossref | GoogleScholarGoogle Scholar | 21949173PubMed |

Stevenson FA, Kerr C, Murray E, Nazareth I (2007) Information from the Internet and the doctor–patient relationship: the patient perspective. BMC Family Practice 8, 47
Information from the Internet and the doctor–patient relationship: the patient perspective.Crossref | GoogleScholarGoogle Scholar | 17705836PubMed |

Suris JC, Akre C, Berchtold A, Belanger RE, Michaud PA (2010) Chronically connected? Internet use among adolescents with chronic conditions. The Journal of Adolescent Health 46, 200–202.
Chronically connected? Internet use among adolescents with chronic conditions.Crossref | GoogleScholarGoogle Scholar | 20113927PubMed |

van Uden-Kraan CF, Drossaert CH, Taal E, Smit WM, Moens HJ, Siesling S, Seydel ER, van de Laar MA (2009) Health-related Internet use by patients with somatic diseases: frequency of use and characteristics of users. Informatics for Health & Social Care 34, 18–29.
Health-related Internet use by patients with somatic diseases: frequency of use and characteristics of users.Crossref | GoogleScholarGoogle Scholar |

Wagner TH, Baker LC, Bundorf MK, Singer S (2004) Use of the Internet for health information by the chronically ill. Preventing Chronic Disease 1, A13

Weitzman ER, Cole E, Kaci L, Mandl KD (2011) Social but safe? Quality and safety of diabetes-related online social networks. Journal of the American Medical Informatics Association 18, 292–297.
Social but safe? Quality and safety of diabetes-related online social networks.Crossref | GoogleScholarGoogle Scholar | 21262920PubMed |

Ziebland S, Wyke S (2012) Health and illness in a connected world: How might sharing experiences on the internet affect people’s health? The Milbank Quarterly 90, 219–249.
Health and illness in a connected world: How might sharing experiences on the internet affect people’s health?Crossref | GoogleScholarGoogle Scholar | 22709387PubMed |