Health Information Literacy in Changing Media Landscape
Maija-Leena Huotari, University of Oulu & MRC-Oulu
Meet the Top Scientist: Metabolism, Obesity and Weight Management
Biocenter Oulu, University of Oulu
Nov 27, 2019
University of Oulu
Content of myPresentation
‒Media landscape related to health
information
‒ Literacies in the context of health
‒ HIM-Oulu&Åbo studies on health
information literacy
‒ Future directions for research
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Are these health claims
outdated?
Is our contemporary health
information environment an
outcome of ’medialization’?
If so, who has the authority to
present relevant health claims?
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To describe the conceptions of health literacy (HL),
eHealth literacy (eHL) and health information literacy
(HIL) incl. related measures in relation to the
development of media and their authority in society.
To reflect these changes in the light of the empirical
studies on health information literacy (HIL) conducted
by the researchers of Health Information Mastering,
HIM-Oulu&Åbo from 2008 to present.
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Health Literacy
eHealthLiteracy
The degree to which individuals have the capacity to obtain, process, and understand basic health information and servicesneeded to make appropriate health decisions.
[Source: Healthy People 2010, 2000. ”HHS, National Institute of Health, National Library of Medicine (NLM)” In Health Literacy, January 1990 through 1999, ed. by C.R. Selden et al., vi. NLM Pub. No. CBM 2000-1. Bethesda, MD: National Library of Medicine.]
Basic reading and writing skills, working knowledge of computers, a basic understanding of science, and an appreciation of the social context that mediates how onlinehealth information is produced, transmitted, and received.
[Source: Norman, C.D. & Skinner, H.A. (2006). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2): e9. PMID: 16867972]
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H
PRINT PEOPLE
DIGITAL
Health
Literacy
eHealth
Literacy
Health
Information
Literacy
University of Oulu
Health Information Literacy
A set of capabilities and skills that enables individuals
to specify their health information needs and to seek,
retrieve, evaluate, and use health information to make
adequate health decisions.
[See Shipman, J.P. et al. (2009). The health information
literacy research project. Journal of the Medical Library
Association, 97(4), 293-301.]
Combines two constructs from different research
traditions: “health literacy” and “information
literacy”.
Research draws on theories and methodologies from
both fields.4/24/2020 [email protected]
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PrintMedia& OtherPrintedInformationSources
Literacy (reading and writing) including numeracy essentialto understand health information.
Relate to the concept of health literacy (HL) and firstmeasures introduced for screening patients in health caresettings.
Often one-way information flow (from sender to reciever) based on the mathematical theory of communication (seeShannon & Weaver 1948 ).
Easy to identify the cognitive authority of informationsources.
[See Wilson P. (1983). Second-hand knowledge: An inguiry into cognitive authority. San Diego, CA: Greenwood Press.]
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People asSourcesofInformation
In Information Studies the horizon of information sources also
includes people with a variety of roles from whom a patient or
client of health care services or an individual in his/her
everyday life contexts needs and recieves information (and can
also give information to them).
Information flow semi-interactive typically.
Together with print and digital media relate to the concept of
health information literacy (HIL) and when used in everyday
life contexts, to the concept of everyday health information
literacy (EHIL) (Niemelä et al. 2012).
Besides printed media, influental people can have cognitive
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Digital Media, incl. TV and Radio, as SourcesofInformation
Digital literacy essential to deal and cope with health
information provided via the internet and by all
applications of social media.
Relates to the concept of eHealth literacy (eHL) and
measures introduced (Huhta et al. 2018).
Multidimensional information flow based on interaction,
includes information giving and recieving from a variety
of information sources.
Multivoiced cognitive authority of information.
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SocialMedia Applications
SEE: https://markfaul.wordpress.com/tag/mapping/
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Who knows what is healthy when being partand acting in the contemporary media
environment…
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EHIL Studiesamong
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Screening EHILin Different Age Groups
Finnish upper secondary school students (n=217) (PrevMetSyn, Niemelä et al. 2012, Huotari et al. 2016)
Namibian first year university students (n=271) (Namibian study, Huotari et al. 2016)
Finnish call-up-aged men (n=1,450) (MOPO-studies, Hirvonen et al. 2012, 2015)
Finnish adults with an increased risk for metablícsyndrome (n=571) (PreDiabEx-study, Enwald et al. 2016)
Older adults (n= 918) (Gasel-study, Enwald et al., 2018)
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Interventions with the Aspect of EHIL
PrevMetSyn consortium studies
PreDiabEx study
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Cognitive Authority of Health Information Sources
CogAHealth-studies, namely, our current Academy project focusing on cognitive authority of health information environments of children and young people (school health education, free-time, the web) (see
www.cogahealth.fi)
Authority distributed both in school classrooms and web-discussions of young people but critical assessment of information sources is rare. However, young people are aware of norms of assessment and have multiliteracycompetences. (Hirvonen & Palmgren-Neuvonen
2019, Hirvonen et al. 2019.)
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FutureResearchDirections
Health information literacy is a wider levelcompetence, that is, a social phenomena, ratherthan an individual’s capability and skills to dealwith information.
Suggested that HIL is a social practice that takesplace in different types of situations.
Therefore, focus should be placed on values andnorms that influence people’s information practicesin different everyday life contexts of health andhealth behaviour.
This may increase our understanding abouteffective interventions to modify people’s healthrelated behaviour.
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References 1
Enwald, H., Hirvonen, N., Huotari, M.-L., Korpelainen, R., Pyky, R., Savolainen, M., Salonurmi, T., Keränen, A-M., Jokelainen, T. & Niemelä, R. (2016). Everyday health information literacy among young men compared with adultswith high risk for metabolic syndrome - A cross-sectional population-based study. Journal of Information Science,42(3). doi.org/10.1177/0165551516628449
Enwald, H., Hirvonen, N., Kangas, M., Keränen, N., Jämsä, T., Huvila, I .& Korpelainen, R. (2018). Relationshipbetween everyday health information literacy and attitudes towards mobile technology among older people. In: S Kurbanoğlu, J Boustany, S Špiranec, E Grassian, D Mizrachi, L Roy (Eds) Information Literacy in the Workplace: 5th European Conference, ECIL 2017.Saint-Malo, France, 18-21.9.2017. Revised Selected Papers. (Communications in Computer and Information Science Series Vol. 810, pp. 450-459.) Cham, Switzerland: Springer International Publishing. https://link.springer.com/content/pdf/10.1007%2F978-3-319-74334-9_47.pdf (full text article).
Hirvonen, N. (2015). Health information matters. Everyday health information literacy and behaviour in relation to health behaviour and physical health among young men. Oulu: University of Oulu.
Hirvonen, N., Ek, S., Niemelä, R., Pyky, R., Ahola, R., Korpelainen, R. & Huotari, M.-L. (2016). Everyday healthinformation literacy in relation to health behavior and physical fitness. A population-based study among young men. Library and Information Science Research, 38(4), 308–318.
Hirvonen, N., Enwald, H., Maye, A.-K., Korpelainen, R., Pyky, R., Salonurmi, T., Savolainen, M.J., Nengomasha, C., Abankwah, R., Uutoni, W., Raimo Niemelä, R. & Huotari, M.-L. (Under Review). Screening everyday healthinformation literacy among four populations. Health Information & Libraries Journal.
Hirvonen, N. & Palmgren-Neuvonen, L. (2019). Cognitive authorities in health education classrooms: a nexus analysis of group-based learning tasks. Library & Information Science Research, 41(3), doi.org/10.1016/j.lisr.2019.100964
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References 2
Hirvonen, N., Tirroniemi, A. & Kortelainen, T. (2019). The cognitive authority of user-generated health information in an online forum for girls and young women. Journal of Documentation, 75(1), 78–98, doi: 10.1108/JD-05-2018-0083
Huhta, A.-M., Hirvonen, N., & Huotari, M.-L. (2018). Health literacy in web-based health information environments: systematic review of concepts, definitions, and operationalization for measurement. Journal of Medical Internet Research, 20(12). doi: : 10.2196/10273
Huotari, M.-L., Enwald, H., Hirvonen, N., Nengomasha, C., Abankwah, R., Uutoni, W. & Niemelä, R. (2016). Everyday healthinformation literacy of young Finnish and Namibian students: Is there a difference? In: S. Kurbanoğlu et al. (eds) InformationLiteracy: Key to an Inclusive Society. ECIL 2016. (Communications in Computer and Information Science, vol. 676, pp. 138-146). Cham, Switzerland: Springer International Publishing. (full paper)
Huotari, M-L., Enwald, H., Hirvonen, N., Keränen, A-M., Jokelainen, T., Salonurmi, T. & Niemelä, R. (2015). Everyday healthinformation literacy in counselling on healthy eating. The case of PrevMetSyn. In: Serap Kurbanoğlu, Joumana Boustany, Sonja Špiranec, Esther Grassian, Diane Mizrachi and Loriene Roy (Eds.) Information Literacy: Moving Toward Sustainability. Third European Conference, ECIL 2015, Tallinn, Estonia, October 19–22, 2015, Revised Selected Papers. (Communications in Computer and Information Science Series Vol. 552, pp. 223-232). Cham, Switzerland: Springer International Publishing. (fullpaper)
Niemelä, R., Ek, S., Eriksson-Backa, K., & Huotari, M-L. (2012). A screening tool for assessing everyday health information literacy. Libri, 62(2), 125–134. doi: 10.1515/libri-2012-00.
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