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Article ; Online: Understanding mHealth Adoption and Lifestyle Improvement: An Empirical Test of the Antecedents and Mediating Mechanisms.

Liu, Piper Liping

2024 Volume 29, Issue 2, Page(s) 155–165

Abstract: The potential of using mobile phones for health care service delivery has been well acknowledged. Despite that mobile health (mHealth) related research has proliferated in the past decade, mHealth is still in the fledgling stage with a low adoption rate. ...

Abstract	The potential of using mobile phones for health care service delivery has been well acknowledged. Despite that mobile health (mHealth) related research has proliferated in the past decade, mHealth is still in the fledgling stage with a low adoption rate. There is a research gap in understanding factors influencing mHealth adoption and examining the effects of mHealth use on health outcomes. The purpose of this study was thus to explore influential factors of mHealth use, and test mediation pathways through which mHealth use impacts healthy lifestyle behaviors (e.g. sleep, exercise, and social participation). Survey results from 432 online participants illustrate that performance expectancy, social influence, support conditions, and perceived reliability were significantly associated with mHealth use. However, the impact of effort expectancy on mHealth use was statistically nonsignificant. Moreover, the results indicate that mHealth use can not only contribute to the improvement of healthy lifestyle behaviors directly but also exert an impact through the mediating effect of health competence. Knowing what factors motivate people's mHealth use and how mHealth use contributes to lifestyle improvement can help trigger interventions to boost mHealth adoption and improve public health. Implications and limitations are discussed.
MeSH term(s)	Humans ; Reproducibility of Results ; Telemedicine ; Delivery of Health Care ; Cell Phone ; Life Style
Language	English
Publishing date	2024-01-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	1427988-5
ISSN	1087-0415 ; 1081-0730
ISSN (online)	1087-0415
ISSN	1081-0730
DOI	10.1080/10810730.2024.2303641
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Article ; Online: Linking digital health divide to HPV awareness, HPV knowledge, and cervical cancer screening among women in the United States: A trend analysis from 2008 to 2017.

Liu, Piper Liping

Health care for women international

2021 Volume 43, Issue 12, Page(s) 1401–1414

Abstract: The author aims to explore the trend of HPV awareness, HPV knowledge, and cervical cancer screening among American female adults, and the influence of digital health divide throughout the past decade. Data from the 2008, 2013, and 2017 iterations of the ... ...

Abstract	The author aims to explore the trend of HPV awareness, HPV knowledge, and cervical cancer screening among American female adults, and the influence of digital health divide throughout the past decade. Data from the 2008, 2013, and 2017 iterations of the nationally representative survey of Health Information National Trends Survey (HINTS) were employed for this research. The author found that cervical cancer screening continuously increased in the past decade. Women's HPV awareness and knowledge remain low. Internet access, Internet health information seeking, and eHealth activities were significant determinants of HPV awareness and knowledge over the three iterations.
MeSH term(s)	Adult ; Female ; Humans ; United States ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/prevention & control ; Early Detection of Cancer ; Papillomavirus Infections/diagnosis ; Papillomavirus Infections/prevention & control ; Health Knowledge, Attitudes, Practice ; Surveys and Questionnaires
Language	English
Publishing date	2021-07-01
Publishing country	England
Document type	Journal Article
ZDB-ID	632677-8
ISSN	1096-4665 ; 0739-9332
ISSN (online)	1096-4665
ISSN	0739-9332
DOI	10.1080/07399332.2021.1931223
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Article ; Online: COVID-19 information on social media and preventive behaviors: Managing the pandemic through personal responsibility.

Liu, Piper Liping

Social science & medicine (1982)

2021 Volume 277, Page(s) 113928

Abstract: In the face of a pandemic, social media have found to be vital information channels that might exert a positive influence on people's preventive behaviors. However, little is known about the underlying processes that may mediate or moderate the ... ...

Abstract	In the face of a pandemic, social media have found to be vital information channels that might exert a positive influence on people's preventive behaviors. However, little is known about the underlying processes that may mediate or moderate the relationship. The present study examined the relation between novel coronavirus disease (COVID-19) information consumption on social media and preventive behaviors, as well as the mediation role of personal responsibility and moderation role of health orientation. A sample of 511 online participants (mean age = 32.47 years) responded to anonymous questionnaires regarding COVID-19 information consumption on social media, health orientation, personal responsibility, and preventive behaviors. Bias-corrected bootstrap method was used to test the moderated mediation model. Results indicated that after controlling for participants' age, gender, education, income, and insurance, personal responsibility mediated the relationship between COVID-19 information consumption on social media and preventive behaviors. Meanwhile, the direct relation between COVID-19 information consumption on social media and preventive behaviors, and the mediation effect of personal responsibility were moderated by health orientation. The present study can extend our knowledge about how risk information consumption on social media is related to one's behavioral outcomes. Implications and limitations about the present study are also discussed.
MeSH term(s)	Adult ; COVID-19 ; Humans ; Pandemics ; SARS-CoV-2 ; Social Behavior ; Social Media ; Surveys and Questionnaires
Language	English
Publishing date	2021-04-12
Publishing country	England
Document type	Journal Article
ZDB-ID	4766-1
ISSN	1873-5347 ; 0037-7856 ; 0277-9536
ISSN (online)	1873-5347
ISSN	0037-7856 ; 0277-9536
DOI	10.1016/j.socscimed.2021.113928
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Article ; Online: COVID-19 Information Seeking on Digital Media and Preventive Behaviors: The Mediation Role of Worry.

Liu, Piper Liping

Cyberpsychology, behavior and social networking

2020 Volume 23, Issue 10, Page(s) 677–682

Abstract: The high prevalence of novel coronavirus disease (COVID-19) and inefficient preventive measures taken to curb the disease are significant public health concerns. Rapid and innovative advances in digital media offer opportunities for health education, ... ...

Abstract	The high prevalence of novel coronavirus disease (COVID-19) and inefficient preventive measures taken to curb the disease are significant public health concerns. Rapid and innovative advances in digital media offer opportunities for health education, which could result in increased preventive behaviors. This study assessed preventive behaviors against contracting COVID-19 and tested mediation pathways linking four types of digital media consumption (social media, mobile social networking apps [MSNs], online news media, and social live steaming services [SLSSs]) to preventive behaviors, mediated by worry. Results from an online survey (
MeSH term(s)	Adolescent ; Adult ; Anxiety/psychology ; COVID-19 ; Computers ; Consumer Health Informatics ; Coronavirus Infections/prevention & control ; Coronavirus Infections/psychology ; Female ; Health Behavior ; Health Surveys ; Humans ; Information Seeking Behavior ; Internet ; Male ; Masks ; Mass Media/statistics & numerical data ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/psychology ; Social Media/statistics & numerical data ; Surveys and Questionnaires ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-06-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2545735-4
ISSN	2152-2723 ; 2152-2715
ISSN (online)	2152-2723
ISSN	2152-2715
DOI	10.1089/cyber.2020.0250
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Article ; Online: Complementary Media Use for Health Information Seeking and the Role of Health Orientation: A Survey Study in India.

Jiang, Shaohai / Liu, Piper Liping

Journal of health communication

2022 Volume 27, Issue 9, Page(s) 624–632

Abstract: Mass media are offering numerous ways to obtain health information. As people are facing with a plethora of media sources, it is important to investigate how they navigate and select multiple media sources in the process of searching for health ... ...

Abstract	Mass media are offering numerous ways to obtain health information. As people are facing with a plethora of media sources, it is important to investigate how they navigate and select multiple media sources in the process of searching for health information. With the basis of the channel complementarity theory, the current study aims to explore the patterns of media complementarity for health information seeking in the context of India. Our survey study among 1,005 participants in India showed that media complementarity did not occur within print media (e.g., newspaper, book, magazine) or within broadcast media (e.g., television and radio), but existed between these two categories of media. Also, the Internet had some complementary relationships with both print media and broadcast media. Besides, users' health orientation served as a moderating factor that strengthened the media complementarity. The theoretical and practical implications were also discussed.
Language	English
Publishing date	2022-11-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	1427988-5
ISSN	1087-0415 ; 1081-0730
ISSN (online)	1087-0415
ISSN	1081-0730
DOI	10.1080/10810730.2022.2148020
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Article ; Online: Ehealth and lifestyle change

Piper Liping Liu / Yu Zheng / Xinshu Zhao

Digital Health, Vol

The mediating roles of social support and patient empowerment

2023 Volume 9

Abstract: Objectives The purpose of this study was to investigate the impact of eHealth, the use of information and communications technologies to improve or enable health and health care, on lifestyle behaviors through social support and patient empowerment as ... ...

Abstract	Objectives The purpose of this study was to investigate the impact of eHealth, the use of information and communications technologies to improve or enable health and health care, on lifestyle behaviors through social support and patient empowerment as serial mediators. Methods We conducted an anonymous online survey of 29 items in October 2019 to assess Chinese people's eHealth activities (i.e. engaging in online health-related activities), social support (including emotional and instrumental support) and patient empowerment, for a lifestyle change. A total of 681 respondents aged 18 or above (49.9% males) with an average age of 30.8 completed the survey. Results Social support (including emotional and instrumental support) and patient empowerment were found to be salient mediators between eHealth and lifestyle behaviors. Specifically, engaging in eHealth activities can improve both perceived emotional support and instrumental support from care networks, of which both would increase patient empowerment, which subsequently prompted healthy lifestyle behaviors ( β = .01, confidence interval (CI): [.003, .013] for emotional support as the first mediator; β < .01, CI: [.003, .010] for instrumental support as the first mediator). However, the results showed that engaging in eHealth activities was not directly associated with a healthy lifestyle ( β = .01, p = .65). Conclusions Our findings suggest that eHealth is effective and useful to drive people into action to develop healthy lifestyle behaviors. Particularly, by providing multiple potential sources of social support, eHealth will promote both emotional support and instrumental support, which is vital to increase patient empowerment, and eventually leads to healthy lifestyle behaviors.
Keywords	Computer applications to medicine. Medical informatics ; R858-859.7
Subject code	300
Language	English
Publishing date	2023-08-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Examining the Intervening Roles of Patient-Centered Care and Patient Activation in the Health Impacts of Offline Healthcare Obstacles and Online Health Consultations Among Deaf and Hard-of-Hearing Patients.

Liu, Piper Liping / Yeo, Tien Ee Dominic / Ye, Jizhou Francis

Health communication

2023 , Page(s) 1–10

Abstract: Deaf and hard-of-hearing (DHH) patients often encounter difficulties in effective communication with healthcare professionals and are less likely to receive quality medical care. However, DHH populations are understudied in health communication research. ...

Abstract	Deaf and hard-of-hearing (DHH) patients often encounter difficulties in effective communication with healthcare professionals and are less likely to receive quality medical care. However, DHH populations are understudied in health communication research. This study examined how offline healthcare obstacles and online health consultation impact DHH patients' health, and the mediating roles of patient-centered care (PCC) and patient activation. Data from 323 DHH patients were analyzed using structural equation modeling to test the hypothesized mediation pathway model. Results indicate that offline healthcare obstacles negatively affect DHH patients' perception of patient-centeredness, which reduces their ability and confidence in self-care (conceptualized as patient activation in this study). This reduced patient activation may jeopardize DHH patients' physical and psychological health. Meanwhile, online health consultation is positively associated with PCC, and higher levels of PCC can increase patient activation, contributing to better physical and psychological health. Testing the same model with hearing-abled participants (
Language	English
Publishing date	2023-10-18
Publishing country	England
Document type	Journal Article
ZDB-ID	1038723-7
ISSN	1532-7027 ; 1041-0236
ISSN (online)	1532-7027
ISSN	1041-0236
DOI	10.1080/10410236.2023.2268909
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Article ; Online: Can Online Patient-Provider Communication Improve Emotional Well-Being? Examining the Roles of Social Presence and Patient Empowerment.

Jiang, Shaohai / Liu, Piper Liping / Chia, Christopher Wen Jie

Cyberpsychology, behavior and social networking

2023 Volume 26, Issue 5, Page(s) 366–370

Abstract: China has long been suffering from the problem of having health care that is expensive and difficult to access. Online patient-provider communication (OPPC) can offer a viable channel to increase access to care. However, through what underlying ... ...

Abstract	China has long been suffering from the problem of having health care that is expensive and difficult to access. Online patient-provider communication (OPPC) can offer a viable channel to increase access to care. However, through what underlying mechanisms OPPC can be associated with better health outcome is under-researched. To fill this research gap, this study investigated OPPC usage in China and identified psychological processes linking OPPC to emotional well-being. With two-wave panel surveys conducted in China, we found that mobile health app, social media, and health information service website were three common platforms for OPPC, followed by patient portal, whereas e-mail was used least frequently. Overall, OPPC did not have any direct effect on emotional well-being. Instead, OPPC first increased users' perceived social presence of providers in OPPC, which in turn triggered sense of patient empowerment, which finally enhanced emotional well-being.
MeSH term(s)	Humans ; Patient Participation ; Communication ; Telemedicine ; Electronic Mail ; Emotions
Language	English
Publishing date	2023-02-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2545735-4
ISSN	2152-2723 ; 2152-2715
ISSN (online)	2152-2723
ISSN	2152-2715
DOI	10.1089/cyber.2022.0289
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Article: Ehealth and lifestyle change: The mediating roles of social support and patient empowerment.

Liu, Piper Liping / Zheng, Yu / Zhao, Xinshu

Digital health

2023 Volume 9, Page(s) 20552076231191974

Abstract: Objectives: The purpose of this study was to investigate the impact of eHealth, the use of information and communications technologies to improve or enable health and health care, on lifestyle behaviors through social support and patient empowerment as ... ...

Abstract	Objectives: The purpose of this study was to investigate the impact of eHealth, the use of information and communications technologies to improve or enable health and health care, on lifestyle behaviors through social support and patient empowerment as serial mediators. Methods: We conducted an anonymous online survey of 29 items in October 2019 to assess Chinese people's eHealth activities (i.e. engaging in online health-related activities), social support (including emotional and instrumental support) and patient empowerment, for a lifestyle change. A total of 681 respondents aged 18 or above (49.9% males) with an average age of 30.8 completed the survey. Results: Social support (including emotional and instrumental support) and patient empowerment were found to be salient mediators between eHealth and lifestyle behaviors. Specifically, engaging in eHealth activities can improve both perceived emotional support and instrumental support from care networks, of which both would increase patient empowerment, which subsequently prompted healthy lifestyle behaviors ( Conclusions: Our findings suggest that eHealth is effective and useful to drive people into action to develop healthy lifestyle behaviors. Particularly, by providing multiple potential sources of social support, eHealth will promote both emotional support and instrumental support, which is vital to increase patient empowerment, and eventually leads to healthy lifestyle behaviors.
Language	English
Publishing date	2023-08-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2819396-9
ISSN	2055-2076
ISSN	2055-2076
DOI	10.1177/20552076231191974
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: COVID-19 Information Seeking on Digital Media and Preventive Behaviors

Liu, Piper Liping

Cyberpsychology, Behavior, and Social Networking

The Mediation Role of Worry

2020 Volume 23, Issue 10, Page(s) 677–682

Keywords	Applied Psychology ; Human-Computer Interaction ; Communication ; Social Psychology ; General Medicine ; Computer Science Applications ; covid19
Language	English
Publisher	Mary Ann Liebert Inc
Publishing country	us
Document type	Article ; Online
ZDB-ID	2545735-4
ISSN	2152-2723 ; 2152-2715
ISSN (online)	2152-2723
ISSN	2152-2715
DOI	10.1089/cyber.2020.0250
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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