Cargando…

Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach

Low socioeconomic status (SES) is associated with a higher prevalence of unhealthy lifestyles compared to a high SES. Health interventions that promote a healthy lifestyle, like eHealth solutions, face limited adoption in low SES groups. To improve the adoption of eHealth interventions, their alignm...

Descripción completa

Detalles Bibliográficos
Autores principales: Faber, Jasper S., Al-Dhahir, Isra, Reijnders, Thomas, Chavannes, Niels H., Evers, Andrea W. M., Kraal, Jos J., van den Berg-Emons, H. J. G., Visch, Valentijn T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8521920/
https://www.ncbi.nlm.nih.gov/pubmed/34713165
http://dx.doi.org/10.3389/fdgth.2021.690182
_version_ 1784584987804172288
author Faber, Jasper S.
Al-Dhahir, Isra
Reijnders, Thomas
Chavannes, Niels H.
Evers, Andrea W. M.
Kraal, Jos J.
van den Berg-Emons, H. J. G.
Visch, Valentijn T.
author_facet Faber, Jasper S.
Al-Dhahir, Isra
Reijnders, Thomas
Chavannes, Niels H.
Evers, Andrea W. M.
Kraal, Jos J.
van den Berg-Emons, H. J. G.
Visch, Valentijn T.
author_sort Faber, Jasper S.
collection PubMed
description Low socioeconomic status (SES) is associated with a higher prevalence of unhealthy lifestyles compared to a high SES. Health interventions that promote a healthy lifestyle, like eHealth solutions, face limited adoption in low SES groups. To improve the adoption of eHealth interventions, their alignment with the target group's attitudes is crucial. This study investigated the attitudes of people with a low SES toward health, healthcare, and eHealth. We adopted a mixed-method community-based participatory research approach with 23 members of a community center in a low SES neighborhood in the city of Rotterdam, the Netherlands. We conducted a first set of interviews and analyzed these using a grounded theory approach resulting in a group of themes. These basic themes' representative value was validated and refined by an online questionnaire involving a different sample of 43 participants from multiple community centers in the same neighborhood. We executed three focus groups to validate and contextualize the results. We identified two general attitudes based on nine profiles toward health, healthcare, and eHealth. The first general attitude, optimistically engaged, embodied approximately half our sample and involved light-heartedness toward health, loyalty toward healthcare, and eagerness to adopt eHealth. The second general attitude, doubtfully disadvantaged, represented roughly a quarter of our sample and was related to feeling encumbered toward health, feeling disadvantaged within healthcare, and hesitance toward eHealth adoption. The resulting attitudes strengthen the knowledge of the motivation and behavior of people with low SES regarding their health. Our results indicate that negative health attitudes are not as evident as often claimed. Nevertheless, intervention developers should still be mindful of differentiating life situations, motivations, healthcare needs, and eHealth expectations. Based on our findings, we recommend eHealth should fit into the person's daily life, ensure personal communication, be perceived usable and useful, adapt its communication to literacy level and life situation, allow for meaningful self-monitoring and embody self-efficacy enhancing strategies.
format Online
Article
Text
id pubmed-8521920
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-85219202021-10-27 Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach Faber, Jasper S. Al-Dhahir, Isra Reijnders, Thomas Chavannes, Niels H. Evers, Andrea W. M. Kraal, Jos J. van den Berg-Emons, H. J. G. Visch, Valentijn T. Front Digit Health Digital Health Low socioeconomic status (SES) is associated with a higher prevalence of unhealthy lifestyles compared to a high SES. Health interventions that promote a healthy lifestyle, like eHealth solutions, face limited adoption in low SES groups. To improve the adoption of eHealth interventions, their alignment with the target group's attitudes is crucial. This study investigated the attitudes of people with a low SES toward health, healthcare, and eHealth. We adopted a mixed-method community-based participatory research approach with 23 members of a community center in a low SES neighborhood in the city of Rotterdam, the Netherlands. We conducted a first set of interviews and analyzed these using a grounded theory approach resulting in a group of themes. These basic themes' representative value was validated and refined by an online questionnaire involving a different sample of 43 participants from multiple community centers in the same neighborhood. We executed three focus groups to validate and contextualize the results. We identified two general attitudes based on nine profiles toward health, healthcare, and eHealth. The first general attitude, optimistically engaged, embodied approximately half our sample and involved light-heartedness toward health, loyalty toward healthcare, and eagerness to adopt eHealth. The second general attitude, doubtfully disadvantaged, represented roughly a quarter of our sample and was related to feeling encumbered toward health, feeling disadvantaged within healthcare, and hesitance toward eHealth adoption. The resulting attitudes strengthen the knowledge of the motivation and behavior of people with low SES regarding their health. Our results indicate that negative health attitudes are not as evident as often claimed. Nevertheless, intervention developers should still be mindful of differentiating life situations, motivations, healthcare needs, and eHealth expectations. Based on our findings, we recommend eHealth should fit into the person's daily life, ensure personal communication, be perceived usable and useful, adapt its communication to literacy level and life situation, allow for meaningful self-monitoring and embody self-efficacy enhancing strategies. Frontiers Media S.A. 2021-07-08 /pmc/articles/PMC8521920/ /pubmed/34713165 http://dx.doi.org/10.3389/fdgth.2021.690182 Text en Copyright © 2021 Faber, Al-Dhahir, Reijnders, Chavannes, Evers, Kraal, van den Berg-Emons and Visch. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Digital Health
Faber, Jasper S.
Al-Dhahir, Isra
Reijnders, Thomas
Chavannes, Niels H.
Evers, Andrea W. M.
Kraal, Jos J.
van den Berg-Emons, H. J. G.
Visch, Valentijn T.
Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title_full Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title_fullStr Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title_full_unstemmed Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title_short Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach
title_sort attitudes toward health, healthcare, and ehealth of people with a low socioeconomic status: a community-based participatory approach
topic Digital Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8521920/
https://www.ncbi.nlm.nih.gov/pubmed/34713165
http://dx.doi.org/10.3389/fdgth.2021.690182
work_keys_str_mv AT faberjaspers attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT aldhahirisra attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT reijndersthomas attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT chavannesnielsh attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT eversandreawm attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT kraaljosj attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT vandenbergemonshjg attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach
AT vischvalentijnt attitudestowardhealthhealthcareandehealthofpeoplewithalowsocioeconomicstatusacommunitybasedparticipatoryapproach