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Diabetes self-management in online health communities: an information exchange perspective

机译：在线健康社区中的糖尿病自助：信息交换视角

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Online health communities (OHCs), with a wealth of multi-source information exchange, have provided a convenient way for people with diabetes to actively participate in their self-management and have been widely used. Information exchange assists people with diabetes with health-related decisions to actively engage in their care, and reduce the occurrence of potential complications of diabetes. However, there has been relatively little research on the information exchange behaviors and their effect on health in professional online medical platforms—OHCs. Using a social exchange theory, this study focuses on two sources of information (doctors and people with diabetes) to investigate information exchange behaviors and consequences. Moreover, we also examine moderating effects of information price as patients need to pay prices for consulting with doctors to obtain medical information on OHCs. By using the Python program, a rich dataset contained 22,746 doctor-patient dialogues from December 2017 to December 2018 is collected from the biggest OHC in China. Then the logistic and ordinal regression models are used to get empirical results. We found that first information sharing from doctors and other people with diabetes can promote their information sharing behavior. Second, the moderating effects of information price are heterogeneous and change with the exchange participants. Third, rich information exchange supports self-management of people with diabetes and improves their health status. This study is among the first that tests the information exchange behavior and consequence for diabetes in OHCs and examines the moderating effects of the information price. The present study produces several insights, which have implications for social exchange, patient behavior, online health communities, and information technology in diabetes self-management literature.
机译：在线健康社区（OHCS），具有丰富的多源信息交流，为糖尿病积极参与自我管理的人提供了一种方便的方式，并被广泛使用。信息交流协助糖尿病的人与健康有关的决定，积极参与他们的护理，并减少糖尿病潜在并发症的发生。然而，对专业在线医疗平台 - OHCS的信息交换行为及其对健康影响的研究相对较少。使用社交交流理论，本研究重点介绍了两个信息（医生和糖尿病人）来调查信息交流行为和后果。此外，随着患者需要支付与医生咨询以获得关于OHCS的医疗信息，审查信息价格的调节效果。通过使用Python计划，2017年12月至2018年12月，富有的数据集团于2017年12月到2018年12月，从中国最大的OCC收集。然后使用逻辑和序数回归模型来获得经验结果。我们发现，从医生和其他患有糖尿病的人分享的第一个信息可以促进他们的信息共享行为。其次，信息价格的调节效果是异构的，与交换参与者变化。第三，丰富的信息交流支持糖尿病患者的自我管理，提高健康状况。本研究首先，在OHCS中测试了信息交换行为和对糖尿病的后果，并检查了信息价格的调节效果。本研究产生了几种见解，这对糖尿病自我管理文献中的社会交换，患者行为，在线健康社区和信息技术产生了影响。

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