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Peer adoption and development of health innovations by patients: national representative study of 6204 citizens

2019-03-26Journal article Open access
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dc.contributor.authorOliveira, Pedro
dc.contributor.authorZejnilovic, Leid
dc.contributor.authorAzevedo, Salome
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorCanhão, Helena
dc.date.accessioned2021-04-12T13:52:42Z
dc.date.available2021-04-12T13:52:42Z
dc.date.issued2019-03-26
dc.description.abstractBackground: There is growing evidence that many patients and caregivers innovate by developing new solutions to cope with their health disorders. Given the easy access to vast internet resources and peers globally, it is increasingly important to understand what may influence user innovation and its adoption in health for improving individual well-being and ensuring their safety, in particular, how interactions with peers and physicians or search behavior, along with sociodemographics, may influence the decision to develop a solution or adopt one developed by a peer. Objective: The aim of this paper was to study the development and peer-to-peer adoption of user innovations in health care and identify individual-level factors associated with these processes. Methods: Data were collected via computer-assisted phone survey from a large, random, and representative sample of adult residents in Portugal (N=6204). User innovation questions were added to 1 wave of an ongoing observational, longitudinal, population-based epidemiological study. By asking about individual innovation activity, the sample was split into 3 groups: (1) the developers of health-related solutions for own use (developers), (2) the adopters of solutions developed by other patients or caregivers (peer-to-peer adopters), and (3) the rest of the population. Within the last group, intention to adopt was measured and used as a proxy of future behavior. Regression analysis is used to test the associations. Results: In the population considered in this paper, an estimated 1.3% (75/6008) reported having developed a solution for own use and 3.3% reported to have adopted a solution developed by peers. The 3 groups (developers, adopters, and remaining population) have distinctive characteristics. Gender plays an important role in the solution development, as women are less likely to develop one (odds ratio [OR] 0.4, 95% CI 0.20-0.81; P<.05). Education is positively associated with the development activity (OR 1.13, 95% CI 1.03-1.24; P<.05) but also with the intentions to adopt a peer-developed solution. Search for health-related information is positively associated with the development, adoption, and the intentions to adopt a solution. Interactions with peers over the internet are rare, but in-person interactions are frequent and have a positive association with the dependent variables in all 3 groups. The results also suggest that trust in doctors represents an important dimension that shapes the attitudes of the population toward peer-developed solutions. Conclusions: This paper demonstrates the importance of the peer community, doctor-patient relationship, citizen’s search for information on innovation, and individual attitudes toward peer-to-peer adoption in health care. It stresses the need for a reliable Web-based health-related information and the necessity to deeper understand complex relationships between the need to improve health and fulfill the need and the perception of the health care system.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.2196/11726pt_PT
dc.identifier.eid85063713300
dc.identifier.issn1438-8871
dc.identifier.pmcPMC6454339
dc.identifier.pmid30912748
dc.identifier.urihttp://hdl.handle.net/10400.14/32491
dc.identifier.wos000462274300001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCitizenpt_PT
dc.subjectPatientpt_PT
dc.subjectInnovationpt_PT
dc.subjectTherapeuticspt_PT
dc.subjectHealthpt_PT
dc.subjectDevelopmentpt_PT
dc.subjectAdoptionpt_PT
dc.subjectPhysician-patient relationspt_PT
dc.subjectSocial interactionspt_PT
dc.subjectSearch enginept_PT
dc.titlePeer adoption and development of health innovations by patients: national representative study of 6204 citizenspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue3pt_PT
oaire.citation.titleJournal of Medical Internet Researchpt_PT
oaire.citation.volume21pt_PT
person.familyNameOliveira
person.familyNameZejnilovic
person.familyNameRodrigues
person.familyNameCanhão
person.givenNamePedro
person.givenNameLeid
person.givenNameAna Maria
person.givenNameHelena
person.identifierB-2619-2016
person.identifier405554
person.identifier379800
person.identifier.ciencia-id721A-B048-4EDB
person.identifier.ciencia-idEE18-A588-D905
person.identifier.ciencia-idAE18-DA10-460C
person.identifier.ciencia-id5A17-C6D9-DBC8
person.identifier.orcid0000-0002-3898-2623
person.identifier.orcid0000-0002-4209-4637
person.identifier.orcid0000-0003-2046-8017
person.identifier.orcid0000-0003-1894-4870
person.identifier.ridB-2619-2016
person.identifier.ridE-1125-2012
person.identifier.ridC-9611-2018
person.identifier.scopus-author-id7102098014
person.identifier.scopus-author-id56598092000
person.identifier.scopus-author-id57189499663
person.identifier.scopus-author-id6602393492
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication8ff25838-8d66-494c-b8c1-4fb76c196d4b
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relation.isAuthorOfPublication.latestForDiscoverydb619cfe-7dda-4c4a-ab28-9c05c2cd9209

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