scholarly journals A Revised Model of Trust in Internet-Based Health Information and Advice: Cross-Sectional Questionnaire Study

10.2196/11125 ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. e11125
Author(s):  
Elizabeth Sillence ◽  
John Matthew Blythe ◽  
Pam Briggs ◽  
Mark Moss

Background The internet continues to offer new forms of support for health decision making. Government, charity, and commercial websites increasingly offer a platform for shared personal health experiences, and these are just some of the opportunities that have arisen in a largely unregulated arena. Understanding how people trust and act on this information has always been an important issue and remains so, particularly as the design practices of health websites continue to evolve and raise further concerns regarding their trustworthiness. Objective The aim of this study was to identify the key factors influencing US and UK citizens’ trust and intention to act on advice found on health websites and to understand the role of patient experiences. Methods A total of 1123 users took part in an online survey (625 from the United States and 498 from the United Kingdom). They were asked to recall their previous visit to a health website. The online survey consisted of an updated general Web trust questionnaire to account for personal experiences plus questions assessing key factors associated with trust in health websites (information corroboration and coping perception) and intention to act. We performed principal component analysis (PCA), then explored the relationship between the factor structure and outcomes by testing the fit to the sampled data using structural equation modeling (SEM). We also explored the model fit across US and UK populations. Results PCA of the general Web trust questionnaire revealed 4 trust factors: (1) personal experiences, (2) credibility and impartiality, (3) privacy, and (4) familiarity. In the final SEM model, trust was found to have a significant direct effect on intention to act (beta=.59; P<.001), and of the trust factors, only credibility and impartiality had a significant direct effect on trust (beta=.79; P<.001). The impact of personal experiences on trust was mediated through information corroboration (beta=.06; P=.04). Variables specific to electronic health (eHealth; information corroboration and coping) were found to substantially improve the model fit, and differences in information corroboration were found between US and UK samples. The final model accounting for all factors achieved a good fit (goodness-of-fit index [0.95], adjusted goodness-of-fit index [0.93], root mean square error of approximation [0.50], and comparative fit index [0.98]) and explained 65% of the variance in trust and 41% of the variance in intention to act. Conclusions Credibility and impartiality continue to be key predictors of trust in eHealth websites. Websites with patient experiences can positively influence trust but only if users first corroborate the information through other sources. The need for corroboration was weaker in the United Kingdom, where website familiarity reduced the need to check information elsewhere. These findings are discussed in relation to existing trust models, patient experiences, and health literacy.

2018 ◽  
Author(s):  
Elizabeth Sillence ◽  
John Matthew Blythe ◽  
Pam Briggs ◽  
Mark Moss

BACKGROUND The internet continues to offer new forms of support for health decision making. Government, charity, and commercial websites increasingly offer a platform for shared personal health experiences, and these are just some of the opportunities that have arisen in a largely unregulated arena. Understanding how people trust and act on this information has always been an important issue and remains so, particularly as the design practices of health websites continue to evolve and raise further concerns regarding their trustworthiness. OBJECTIVE The aim of this study was to identify the key factors influencing US and UK citizens’ trust and intention to act on advice found on health websites and to understand the role of patient experiences. METHODS A total of 1123 users took part in an online survey (625 from the United States and 498 from the United Kingdom). They were asked to recall their previous visit to a health website. The online survey consisted of an updated general Web trust questionnaire to account for personal experiences plus questions assessing key factors associated with trust in health websites (information corroboration and coping perception) and intention to act. We performed principal component analysis (PCA), then explored the relationship between the factor structure and outcomes by testing the fit to the sampled data using structural equation modeling (SEM). We also explored the model fit across US and UK populations. RESULTS PCA of the general Web trust questionnaire revealed 4 trust factors: (1) personal experiences, (2) credibility and impartiality, (3) privacy, and (4) familiarity. In the final SEM model, trust was found to have a significant direct effect on intention to act (beta=.59; <italic>P</italic>&lt;.001), and of the trust factors, only credibility and impartiality had a significant direct effect on trust (beta=.79; <italic>P</italic>&lt;.001). The impact of personal experiences on trust was mediated through information corroboration (beta=.06; <italic>P</italic>=.04). Variables specific to electronic health (eHealth; information corroboration and coping) were found to substantially improve the model fit, and differences in information corroboration were found between US and UK samples. The final model accounting for all factors achieved a good fit (goodness-of-fit index [0.95], adjusted goodness-of-fit index [0.93], root mean square error of approximation [0.50], and comparative fit index [0.98]) and explained 65% of the variance in trust and 41% of the variance in intention to act. CONCLUSIONS Credibility and impartiality continue to be key predictors of trust in eHealth websites. Websites with patient experiences can positively influence trust but only if users first corroborate the information through other sources. The need for corroboration was weaker in the United Kingdom, where website familiarity reduced the need to check information elsewhere. These findings are discussed in relation to existing trust models, patient experiences, and health literacy.


2021 ◽  
Vol 34 (1) ◽  
Author(s):  
Dian Veronika Sakti Kaloeti ◽  
Ayu Kurnia S ◽  
Valentino Marcel Tahamata

Abstract Background This study’s main purpose was to examine the psychometric properties of FoMOs’ adaptation among the Indonesian adolescents’ population. The second aim was to investigate the concurrent validity of the Indonesian version to provide evidence for the validity. Also, FoMOs’ difference level between demographic variance analyses was performed. Method The study involved a cross-sectional online survey design with 638 Indonesian adolescents aged 16–24 (M = 19.08, SD = 14.70). FoMO was measured by a 16-item that has been modified from the original 10-item. Exploratory and confirmatory factor analyses were carried out to study its scores’ evidence of structural validity. Besides, to study its scores’ evidence of convergent, discriminant, and predictive validity concerning other variables such as stress, anxiety, and depression (Depression and Anxiety Stress Scale-21), and general health condition (General Health Questionnaire Scale-12), correlation analyses were conducted. To study the sensitivity, we assessed the effect of sociodemographic and social media use on the scale’s ability to identify the population’s risk to the FoMO by conducting analyses of variance. The Cronbach alpha values (α = .93) indicated that internal consistency of the scale was at an adequate level. Results Exploratory factorial analyses revealed adequate adjustment for the new version of the scale showing the three factorial structures. Confirmatory factor analyses showed that the 12-item of Indonesian FoMO had a good fit (χ2/df = 289.324/51; goodness-of-fit index (GFI) = 0.928; RMSEA = 0.086; comparative fit index (CFI) = 0.915; normed fit index (NFI) = 0.899; parsimony normed fit index (PNFI) = .695; Tucker–Lewis index (TLI) = 0.890). Conclusion This study has shown that the modified 12-item Fear of Missing Out Scale is a valid and reliable instrument for Indonesian adolescents. It showed that the Indonesian version of Fear of Missing Out Scale has adequate psychometric properties to measure Indonesian adolescents’ online behavior.


2015 ◽  
Vol 25 (5) ◽  
pp. 485-492 ◽  
Author(s):  
L. Pingani ◽  
S. Evans-Lacko ◽  
M. Luciano ◽  
V. Del Vecchio ◽  
S. Ferrari ◽  
...  

Background.Many instruments have been developed and validated to assess the stigma associated with mental disorders and its various domains across different populations. To our knowledge, the Reported and Intended Behaviour Scale (RIBS) is the only validated questionnaire to analyse the presence of reported and intended stigmatising/discriminatory behaviours towards people with mental health problems in the general population. The aims of the study presented herein are to translate and validate the RIBS in Italian language and to adapt it to the Italian socio-cultural background (RIBS-I).Method.The RIBS considers reported and intended behaviours across four different domains: (1) living with, (2) working with, (3) living nearby and (4) continuing a relationship with someone with a mental health problem. The validation process included four phases: (1) translation/back translation of the questionnaire from English to Italian and vice versa; (2,3) face validity and reliability of RIBS-I; (4) description of model fit through confirmatory factor analysis. The questionnaire was administered to a sample of the general public via distribution in public places such as shopping centres, markets, squares, cinemas and other gathering places. Questionnaires were administered by trained mental health professionals.Results.A total of 447 lay respondents were recruited. The mean age was 38.08 (s.d. = ±14.74) years. Fifty-seven per cent of the sample (n = 257) were female. The Cronbach alpha of RIBS-I was 0.83. All indices of model fit were above the reference values: Goodness of Fit Index (GFI) = 0.987 (GFI > 0.9); Adjusted Goodness of Fit Index (AGFI) = 0.975 (AGFI > 0.9); Comparative Fit Index (CFI) = 0.994 (CFI > 0.9); and Root-Mean-Square Error of Approximation (RMSEA) = 0.023 (RMSEA < 0.05). The χ2 = 23.60 (df = 19; p = 0.21) and χ2/df = 1.24 supported the model.Conclusions.The RIBS-I demonstrated good psychometric properties and it can be considered a useful tool to: (1) assess stigmatising (actual or potential) behaviours in the general population; (2) test the efficacy of anti-stigma campaigns and actions; (3) design further studies to better understand the relationship between the three different components of stigmatisation: knowledge, attitudes and behaviours.


2017 ◽  
Vol 8 (1) ◽  
pp. 17-25
Author(s):  
Muhammad Ichsan Muchtar

Tujuan penelitian ini adalah untuk mengembangkan instrumen sikap spiritual pada siswa Sekolah Dasar (SD). Penelitian ini menggunakan metode SEM dengan second order confirmatory factor analyisis kepada 300 orang siswa SD dalam dua tahap, masing-masing terdiri dari 150 orang responden, untuk validasi konstruk secara empiris dan ketepatan model (model fit). Hasil analisis uji empiris menunjukkan ada 3 dimensi dan 12 indikator dengan loading factor λ≥ 0.30, t-hitung ≥ t-tabel, model memenuhi hampir keseluruhan kriteria nilai cut off Goodness of Fit Index yang dipersyaratkan untuk model fit, sehingga dikatakan model fit dengan nilai Construct Reliability (CR) dan Variance Extracted (VE) di atas nilai cut-off, yaitu: CR = 0.846 > 0.7 dan VE = 0.599 > 0.5. Dengan demikian, instrumen Sikap Spiritual pada siswa SD sudah valid dan reliabel.


2021 ◽  
Vol 12 ◽  
Author(s):  
Noah Henry ◽  
Diana Kayser ◽  
Hauke Egermann

Music is a tool used in daily life in order to mitigate negative and enhance positive emotions. Listeners may orientate their engagement with music around its ability to facilitate particular emotional responses and to subsequently regulate mood. Existing scales have aimed to gauge both individual coping orientations in response to stress, as well as individual use of music for the purposes of mood regulation. This study utilised pre-validated scales through an online survey (N = 233) in order to measure whether music’s use in mood regulation is influenced by coping orientations and/or demographic variables in response to the lockdown measures imposed in the United Kingdom, as a consequence of the COVID-19 pandemic. Whilst factor analyses show that the existing theoretical structure of the COPE model has indicated a poor fit for clustered coping orientations, a subsequent five-factor structure was determined for coping orientations in response to lockdown. Analyses include observations that positive reframing and active coping (Positive Outlook) were strong predictors of music use in mood regulation amongst listener’s coping strategies, as was Substance Use. Higher Age indicated having a negative effect on music’s use in mood regulation, whilst factors such as gender were not seen to be significant in relation to the use of music in mood regulation within this context. These results provide insight into how individuals have engaged with music orientated coping strategies in response to a unique stressor.


2017 ◽  
Vol 21 (03) ◽  
pp. 515-525 ◽  
Author(s):  
Gudrun Sproesser ◽  
Matthew B Ruby ◽  
Naomi Arbit ◽  
Paul Rozin ◽  
Harald T Schupp ◽  
...  

Abstract Objective Research has shown that there is a large variety of different motives underlying why people eat what they eat, which can be assessed with The Eating Motivation Survey (TEMS). The present study investigates the consistency and measurement invariance of the fifteen basic motives included in TEMS in countries with greatly differing eating environments. Design The fifteen-factor structure of TEMS (brief version: forty-six items) was tested in confirmatory factor analyses. Setting An online survey was conducted. Subjects US-American, Indian and German adults (total N 749) took part. Results Despite the complexity of the model, fit indices indicated a reasonable model fit (for the total sample: χ 2/df=4·03; standardized root-mean-squared residual (SRMR)=0·063; root-mean-square error of approximation (RMSEA)=0·064 (95 % CI 0·062, 0·066)). Only the comparative fit index (CFI) was below the recommended threshold (for the total sample: CFI=0·84). Altogether, 181 out of 184 item loadings were above the recommended threshold of 0·30. Furthermore, the factorial structure of TEMS was invariant across countries with respect to factor configuration and factor loadings (configural v. metric invariance model: ΔCFI=0·009; ΔRMSEA=0·001; ΔSRMR=0·001). Moreover, forty-three out of forty-six items showed invariant intercepts across countries. Conclusions The fifteen-factor structure of TEMS was, in general, confirmed across countries despite marked differences in eating environments. Moreover, latent means of fourteen out of fifteen motive factors can be compared across countries in future studies. This is a first step towards determining generalizability of the fifteen basic eating motives of TEMS across eating environments.


2019 ◽  
Vol 5 (2) ◽  
pp. 387-396
Author(s):  
Zakia Bano ◽  
Imtiaz Ahmad Warraich ◽  
Iram Naz ◽  
Aqsa Shahzadi

The main objective was to investigate the socioeconomic status and dependent personality as the predictor of nail biting among adults. A sample of 101 adults that nail bit was selected from Sialkot city that aged above 19 to 75 years using purposive sampling from government and private educational institutes and local communities. The socioeconomic status and nail biting measured in the demographic form asking information about income, education, profession and do you nail bit. Further, dependent personality was checked with Dependent Personality Disorder scale Urdu version (Shahzadi & Bano, 2018). Results showed that there is significant predictive relationship present between these two variables on samples (N= 101), R= .432 which indicates a moderate correlation. The R2= .187 which indicated that 1.8% variation in the dependent variable, can be explained by the independent variable. Adjusted R-square a modify form of R-square which is also 1.7 variation in data. Descriptive results of this study showed that these two variables from sample (N= 320) are co-occur only in (N= 101) participants with 31.5 percentage generally in both male and female of Sialkot city. Structure Equation Modeling was used for the analysis of data. The model fit summary indicated the p value of .000 which indicates that socioeconomic factors and dependent personality was the significant predictor of nail biting among adults. All the model fit indices were also in the best prescribed limits as Chi-square/df (1.106), Goodness of Fit Index (.976), Adjusted Goodness of Fit Index (.940), Comparative Fit Index (.974) and Root Mean Square Error of Approximation (.033). Furthermore, the income regression estimate indicates that when income, profession and dependent personality goes up by 1 standard deviation, the nail biting goes up by 0.21, 0.12 and 0.4 standard deviations respectively whereas in case of education, it goes up by 1 standard deviation and the nail biting behavior goes down by .09 standard deviations. Conclusion: In conclusion, the socioeconomic status and dependent personality was the significant predictor of nail biting behavior among adults.


Author(s):  
Mia Widianti

Penelitian ini bertujuan untuk menguji teori dan model yang fit dengan data empiris mengenai masalah pengaruh kemandirian terhadap prestasi belajar Bahasa Indonesia kelas XI SMA Di Kota Depok Jawa Barat tahun ajaran 2015/2016. Metode yang digunakan penelitian ini adalah metode kuantitatif dengan pendekatan survey. Populasi penelitian adalah siswa SMA Negeri di Kota Depok Jawa Barat. Sampel penelitian ditentukan dengan teknik sampel acak proporsional sebanyak 306 siswa. Pengumpulan data menggunakan tes objektif dan kuesioner skala Model Likert. Data diperoleh berdasarkan kemampuan siswa menjawab soal Bahasa Indonesia dankemandirian dalam belajar. Analisis data menggunakan Structural Equation Modeling (SEM), dengan bantuan program aplikasi LISREL 8.80. Hasil penelitian dari 2 variabel laten dan 9 variabel kontruk yang cocok dengan model yang diusulkan, diperoleh dari uji hipotesis berdasarkan nilai GAMMA memiliki standar loading sebesar 0.68 error sebesar 0.05 nilai t-hitung sebesar 12.62 bila dikonsultasikan dengan nilai ttabel dengan jumlah sampel > 100 : α 0.05 maka diperoleh ttabel sebesar 1.96. karena thitung 12.62 > ttabel 1.96 maka dapat disimpulkan; kemandirian belajar berpengaruh secara signifikan terhadap prestasi belajar siswa mata pelajaran Bahasa Indonesia. Kemudian untuk uji kecocokan model, merujuk pada kecocokan model fit yang dapat diterima. Untuk nilai Chi-Square Probability sebesar 285.76 < 128. 8039 (good fit), RMSEA = root mean standar error apriximations sebesar 0.18 > 0.05 (marginal fit) Root Mean Square Residual (RMR) = 0.18 ≥ 0.08 (Good fit) Goodness of Fit Index (GFI) = 0.90 > 0.90 (good fit) Adjusted Goodness of Fit Index (AGFI) = 0. 90 > 0.90 (good fit) Parsimony Goodness of Fit Index (PGFI) = 0.35 > 0.05 (good fit) Non-Normed Fit Index (NNFI) = 0.95 > 0.90 (good fit) Comparative Fit Index (CFI) = 0.95 > 0.90 (good fit) Incremental Fit Index (IFI) = 0.95 > 0.90 Relative Fit Index (RFI) = 0.95 > 0.90


2016 ◽  
Vol 14 (2) ◽  
pp. 93-103
Author(s):  
Lailah Imandin ◽  
Christo Bisschoff ◽  
Christoff Botha

A model to measure the employee engagement was developed by researching historical employee engagement models. These models, consisting of employee engagement constructs and their measuring criteria, have been empirically validated and factorized into seven employee engagement factors. The seven employee engagement factors (of which factor one consists of two sub-factors) were subjected to confirmatory factor analysis to ensure the inclusion of the factors in the validated model to measure employee engagement. The model was also tested for goodness of fit, and the model shows good fit indices with the Comparative Fit Index (0.799), while the good model fit of the secondary fit indices RMSEA (0.078 within a narrow margin of 0.004) and Hoelter (113 at p &amp;lt;= 0.1; 111 at p &amp;lt;= 0.05) also show satisfactory model fit. Management can use the model as diagnostic tool to measure employee engagement and to apply it in managerial decision-making. On the other hand, academics could apply the model to extend their research in employee engagement


2018 ◽  
Author(s):  
rizka zulfikar

This research aims to find a structural equation model that can explain the relationship and influence of the environmental concern and Environmental Knowledge to green trust and green purchase intention towards green product. This study is a survey research using questionnaires as an instrument. Population and sample used in this study is public of South Kalimantan Province and taken as many as 150 respondents using non-purposivesampling method. The analysis technique used are : the instruments test, the construct validity and reliability test, the suitability of the model based on the goodness of fit index, pathways analysis and the Influence test according to the model of SEM that complies with the goodness of fit index to determine the effect of variable perception value and risk to public trust. The study found that: (1) Structural equation model of the correlation between the environmental concern and Environmental Knowledge to green trust and green purchase intention towards green product are comply with the criteria and standards of goodness of fit index, (2) (3) (4)


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