1
|
Zhao X, Schueller SM, Kim J, Stadnick NA, Eikey E, Schneider M, Zheng K, Mukamel DB, Sorkin DH. Real-World Adoption of Mental Health Support Among Adolescents: Cross-Sectional Analysis of the California Health Interview Survey. J Pediatr Psychol 2023:jsad082. [PMID: 37978854 DOI: 10.1093/jpepsy/jsad082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 10/19/2023] [Accepted: 10/23/2023] [Indexed: 11/19/2023] Open
Abstract
OBJECTIVE We aim to examine: (a) the extent to which patterns of adoption of counseling services and digital mental health interventions (DMHIs) shifted in recent years (2019-2021); (b) the impact of distress on adoption of mental health support; and (c) reasons related to adolescents' low adoption of DMHIs when experiencing distress. METHODS Data were from three cohorts of adolescents aged 12-17 years (n = 847 in 2019; n = 1,365 in 2020; n = 1,169 in 2021) recruited as part of the California Health Interview Survey. We estimated logistic regression models to examine the likelihood of using mental health support as a function of psychological distress, sociodemographic characteristics, and cohorts. We also analyzed adolescents' self-reported reasons for not trying DMHIs as a function of distress. RESULTS The proportion of adolescents reporting elevated psychological distress (∼50%) was higher than those adopting counseling services (<20%) or DMHIs (<10%). A higher level of distress was associated with a greater likelihood of receiving counseling (OR = 1.15), and using DMHIs to connect with a professional (Odds ratio (OR) = 1.11) and for self-help (OR = 1.17). Among those experiencing high distress, adolescents' top reason for not adopting an online tool was a lack of perceived need (19.2%). CONCLUSION Adolescents' main barriers to DMHI adoption included a lack of perceived need, which may be explained by a lack of mental health literacy. Thoughtful marketing and dissemination efforts are needed to increase mental health awareness and normalize adoption of counseling services and DMHIs.
Collapse
Affiliation(s)
- Xin Zhao
- Department of General Internal Medicine, University of California, Irvine, USA
| | - Stephen M Schueller
- Department of Psychological Science, University of California, Irvine, USA
- Department of Informatics, University of California, Irvine, USA
| | - Jeongmi Kim
- Department of General Internal Medicine, University of California, Irvine, USA
| | - Nicole A Stadnick
- Department of Psychiatry, University of California San Diego, USA
- Altman Clinical and Translational Research Institute, Dissemination and Implementation Science Center, University of California San Diego, USA
- Child and Adolescent Services Research Center, USA
| | - Elizabeth Eikey
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, USA
- The Design Lab, University of California San Diego, USA
| | | | - Kai Zheng
- Department of Informatics, University of California, Irvine, USA
| | - Dana B Mukamel
- Department of General Internal Medicine, University of California, Irvine, USA
| | - Dara H Sorkin
- Department of General Internal Medicine, University of California, Irvine, USA
| |
Collapse
|
2
|
Holland MR, Kahlor LA. A Google Trends Analysis of Interest in Nonbinary Identities. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2023. [PMID: 37140556 DOI: 10.1089/cyber.2022.0304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Emerging research on stigma suggests that society's mistreatment of nonbinary individuals can, in part, be attributed to public uncertainty and a lack of knowledge about nonbinary identities. In response to this, this study drew upon the theoretical framework of uncertainty management to explore research questions related to nonbinary identity and information behaviors by investigating uncertainty management as evidenced by longitudinal Google Trends data related to nonbinary gender identities. If individuals were found to be engaging in information seeking, the result of this behavior may be that they become less likely to hold stigmatizing attitudes toward nonbinary people, and ultimately be less likely to engage in discrimination toward them. Results indicated that indeed there has been an increase in search volume interest related to nonbinary identities in the past decade. The study concludes by presenting the need for further research to clarify the nature of the relationship between stigma and information seeking, as well as presenting a quandary for researchers regarding the desire for more detailed demographic data, as balanced with concerns for privacy.
Collapse
Affiliation(s)
- Madeleine R Holland
- Department of Communication Studies, The University of Texas at Austin, Austin, Texas, USA
| | - Lee Ann Kahlor
- School of Advertising and Public Relations, The University of Texas at Austin, Austin, Texas, USA
| |
Collapse
|
3
|
Alibudbud R. The Worldwide Utilization of Online Information about Dementia from 2004 to 2022: An Infodemiological Study of Google and Wikipedia. Issues Ment Health Nurs 2023; 44:209-217. [PMID: 36940446 DOI: 10.1080/01612840.2023.2186697] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Abstract
With the advent of Infodemics about health conditions, including dementia, nurses can engage in infodemiological studies to inform public health services and policies. This infodemiological study described the worldwide utilization of online information for dementia using Google Trends and Wikipedia page views. It found that the utilization of online information about dementia increased and will further increase using Google in succeeding years. Thus, the Internet is an increasingly important medium for dementia information in this age of misinformation and disinformation. Nurse informaticists can perform national infodemiological studies to inform and contextualize online dementia information. Likewise, public health, geriatric, and mental health nurses can collaborate with their communities and patients to address online disinformation and create culturally-appropriate information about dementia.
Collapse
Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Sciences, College of Liberal Arts, De La Salle University, Manila City, Philippines
| |
Collapse
|
4
|
Zhao X, Hayes T, Timmons AC, Wu W, Frazier SL. Unpacking Inequities in ADHD Diagnosis: Examining Individual-Level Race/Ethnicity and State-Level Online Information-Seeking Patterns. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2023:10.1007/s10488-023-01259-w. [PMID: 36929270 PMCID: PMC10020073 DOI: 10.1007/s10488-023-01259-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2023] [Indexed: 03/18/2023]
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a prevalent, persistent, and costly mental health condition. The internet is an increasingly popular source for information related to ADHD. With a nationally representative sample (2018 NSCH), we aimed to separate individual- and state-level effects to examine inequities in ADHD diagnoses. We extracted state-level relative search volumes using "ADHD," "ADHD treatment," "ADHD medication," and "ADHD therapy" from Google Trends, and sociodemographic and clinical variables from the 2018 National Survey of Children's Health (N = 26,835). We examined state variation in ADHD-related information-seeking and applied multilevel modeling to examine associations among individual-level race/ethnicity, state-level information-seeking patterns, and ADHD diagnoses. Online information seeking related to ADHD varies by state and search term. Individual-level racial/ethnic background and state-level information-seeking patterns were associated with ADHD diagnoses; however, their cross-level interaction was not significant. This study adds to the strong body of evidence documenting geographical variation and diagnostic disparity in mental health and the growing literature on the impact of the digital divide on population health, indicating an urgent need for addressing inequities in mental health care. Increasing public interest in and access to empirically supported online information may increase access to care, especially among people of color.
Collapse
Affiliation(s)
- Xin Zhao
- Department of Medicine, University of California at Irvine, Irvine, USA.
| | - Timothy Hayes
- Department of Psychology, College of Arts, Sciences, & Education, Florida International University, Miami, USA
| | - Adela C Timmons
- Department of Psychology, College of Liberal Arts, University of Texas at Austin, Austin, USA
| | - Wensong Wu
- Department of Mathematics and Statistics, College of Arts, Sciences, & Education, Florida International University, Miami, USA
| | - Stacy L Frazier
- Department of Psychology, College of Arts, Sciences, & Education, Florida International University, Miami, USA
| |
Collapse
|
5
|
Alibudbud R. Decreasing public interest in social psychiatry: An infodemiological study of worldwide Google search volumes from 2004 to 2021. Int J Soc Psychiatry 2023; 69:216-220. [PMID: 35443821 DOI: 10.1177/00207640221090960] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
BACKGROUND While mental disorder is an 'intrinsically social phenomenon', social psychiatry has been reportedly declining. Addressing public interests in social psychiatry was among the suggestions to address this decline. In recent years, public interest in social psychiatry can be explored using Google Trends, an increasingly important infodemiological tool. OBJECTIVE This study determined changes in global online public interest in social psychiatry from January 2004 to December 2021 using Google search volumes. METHODS Search query using this keyword, 'Social Psychiatry (Topic)', was made using the Explore feature of Google Trends. The Region and Time Filters were set to 'Worldwide' and January 2004 to December 2021, respectively. Afterward, the search volumes, country ranking, queries, and topics returned by the Google Trends system was described and compared. RESULTS There was a generally decreasing trend in search volumes for social psychiatry where it decreased almost 10 times between 2004 and 2021. Only 11 countries were listed in Google Trends' ranking with the top countries including Austria, Germany, and Switzerland. Search-related topics and queries were about social psychiatry related concepts, related academic discipline, human resources, social interventions, and education activities. CONCLUSIONS The findings suggest that there is a decreasing public interest in social psychiatry. To improve this, social psychiatry can address public expectation through improving its connection with allied social sciences, increasing its educational activities, and expanding its social intervention services.
Collapse
Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Science, De La Salle University, Manila, Metropolitan Manila Area, Philippines
| |
Collapse
|
6
|
Alibudbud R. A Case of Pharmaceutical Messianism Amidst the COVID-19 Pandemic: An Infodemiological Study of Ivermectin in the Philippines. Policy Polit Nurs Pract 2023; 24:17-25. [PMID: 36518047 PMCID: PMC9760496 DOI: 10.1177/15271544221139455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Pharmaceutical messianism is a manifestation of medical populism. It arises during extraordinary crises, is built on the familiar, endorsed by heterodox authorities, and involves a highly accessible panacea. Amid the politics and public desperation in the Philippines during the COVID-19 pandemic, pharmaceutical messianism can be observed in the form of Ivermectin, a panacea offered to prevent and treat COVID-19. Thus, it may be worthwhile to determine the changes and patterns of public interest toward Ivermectin. This infodemiological study utilized and described Search Volume Index and related queries for Ivermectin from Google Trends vis-à-vis reported societal events in the Philippines to determine changes in public interest in Ivermectin use. It revealed that a tremendous increase in public interest in Ivermectin has emerged during surges of COVID-19 cases, endorsement by politicians and heterodox health authorities, and public distribution of Ivermectin. It also showed that public interest increased as the number of component characteristics of pharmaceutical messianism increased. Search-related queries and topics also showed that the public might be using the internet to inform themselves regarding the use of Ivermectin for humans, including its use for COVID-19. These findings suggest that people may study the endorsed panacea and weigh it against conventional and orthodox treatment during rising COVID-19 cases. Thus, easily understandable, highly searchable, reliable, and trustworthy online information is ever-crucial in this age of information and disinformation.
Collapse
Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Sciences, De La Salle University, Manila, Philippines,Rowalt Alibudbud, Address: Department of Sociology and Behavioral Sciences, College of Liberal Arts, De La Salle University, 2401 Taft Avenue, Manila City, 1004, Philippines.
| |
Collapse
|
7
|
Mavragani A, Kyriopoulos I, Wong BLH, Mossialos E. The Effect of the COVID-19 Pandemic on Digital Health-Seeking Behavior: Big Data Interrupted Time-Series Analysis of Google Trends. J Med Internet Res 2023; 25:e42401. [PMID: 36603152 PMCID: PMC9848442 DOI: 10.2196/42401] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 11/20/2022] [Accepted: 01/05/2023] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Due to the emergency responses early in the COVID-19 pandemic, the use of digital health in health care increased abruptly. However, it remains unclear whether this introduction was sustained in the long term, especially with patients being able to decide between digital and traditional health services once the latter regained their functionality throughout the COVID-19 pandemic. OBJECTIVE We aim to understand how the public interest in digital health changed as proxy for digital health-seeking behavior and to what extent this change was sustainable over time. METHODS We used an interrupted time-series analysis of Google Trends data with break points on March 11, 2020 (declaration of COVID-19 as a pandemic by the World Health Organization), and December 20, 2020 (the announcement of the first COVID-19 vaccines). Nationally representative time-series data from February 2019 to August 2021 were extracted from Google Trends for 6 countries with English as their dominant language: Canada, the United States, the United Kingdom, New Zealand, Australia, and Ireland. We measured the changes in relative search volumes of the keywords online doctor, telehealth, online health, telemedicine, and health app. In doing so, we capture the prepandemic trend, the immediate change due to the announcement of COVID-19 being a pandemic, and the gradual change after the announcement. RESULTS Digital health search volumes immediately increased in all countries under study after the announcement of COVID-19 being a pandemic. There was some variation in what keywords were used per country. However, searches declined after this immediate spike, sometimes reverting to prepandemic levels. The announcement of COVID-19 vaccines did not consistently impact digital health search volumes in the countries under study. The exception is the search volume of health app, which was observed as either being stable or gradually increasing during the pandemic. CONCLUSIONS Our findings suggest that the increased public interest in digital health associated with the pandemic did not sustain, alluding to remaining structural barriers. Further building of digital health capacity and developing robust digital health governance frameworks remain crucial to facilitating sustainable digital health transformation.
Collapse
Affiliation(s)
| | - Ilias Kyriopoulos
- LSE Health, Department of Health Policy, London School of Economics and Political Science, London, United Kingdom
| | - Brian Li Han Wong
- Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.,Steering Committee, Digital Health Section, European Public Health Association, Utrecht, Netherlands
| | - Elias Mossialos
- LSE Health, Department of Health Policy, London School of Economics and Political Science, London, United Kingdom.,Institute of Global Health Innovation, Imperial College London, London, United Kingdom
| |
Collapse
|
8
|
Alibudbud R. An infodemiological study of worldwide google search volumes for major depressive disorder and persistent depressive disorder from 2004 to 2021. CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH 2022. [DOI: 10.1016/j.cegh.2022.101211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
|
9
|
Winter D, Braw Y. Online search strategies utilized in feigning attention deficit/hyperactivity disorder (ADHD) while performing a continuous performance test (CPT). APPLIED NEUROPSYCHOLOGY. ADULT 2022:1-10. [PMID: 36201363 DOI: 10.1080/23279095.2022.2128356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND The availability of information regarding neuropsychological tests threatens their confidentiality. This concern may be particularly relevant to Attention-Deficit/Hyperactivity Disorder (ADHD) considering its widespread online coverage. The present study explored simulators' online search strategies. METHOD Simulators (n = 39) searched for information before undergoing an evaluation which included performing a continuous performance test (CPT). Their search strategies were analyzed, and their performance was compared to that of ADHD patients (n = 36) and healthy controls (n = 38). RESULTS Most simulators reached high-risk websites that provided written and video-based information regarding the test. Sixty percent, comprised mostly of 3rd-year students, reached Google Scholar. These students were also easier to detect as simulators. Common strategies included performing the CPT in accordance with typical ADHD symptoms and avoiding the endorsement of both unusual and stereotypical symptoms. CONCLUSION Simulators can access online information that contains key test data. Higher education may increase the ability to reach academic research while decreasing the ability to convincingly feign impairment. While additional research is needed to examine coaching effects on neuropsychological testing, the risk to test security that many websites pose should be acknowledged and steps, including ones taken by test publishers, should be undertaken to minimize it.
Collapse
Affiliation(s)
| | - Yoram Braw
- Department of Psychology, Ariel University, Ariel, Israel
| |
Collapse
|
10
|
Alibudbud R. Googling "mental health" after mental health legislation and during the COVID-19 pandemic: an infodemiological study of public interest in mental health in the Philippines. J Ment Health 2022; 31:568-575. [PMID: 35762122 DOI: 10.1080/09638237.2022.2091757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND Public interest in mental health in the Philippines can change after the Mental Health (MH) act approval and during the COVID-19 pandemic. To determine these changes, online searches in Google can be analyzed as an alternative measure. AIMS To determine the trends of public interest in mental health before and after the MH act approval and during the COVID-19 pandemic. METHOD Aggregated search volumes for mental health using the keyword, "Mental Health (Topic)" were gathered from Google Trends. Search volume indices (SVIs), and related queries were analyzed. SVIs from the different periods were compared using means, t test, ANOVA, and ARIMA. RESULTS Public interest in mental health increased after the MH Act approval and during the COVID-19 pandemic. The top and rising related queries revolved around mental health definitions, translations, factors, services, policy, adverse mental state, and its context during the pandemic. CONCLUSIONS These increased public interests may stem from aspirations for mental health after legislation and higher mental health needs during the pandemic. Related queries may indicate that the public may be using online information to search for mental health services and concepts. Thus, there is a need to improve reliable and trustworthy online mental health information and services.
Collapse
Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Science, De La Salle University, Manila, Philippines
| |
Collapse
|
11
|
2020 webPOISONCONTROL data summary. Am J Emerg Med 2022; 54:184-195. [DOI: 10.1016/j.ajem.2022.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 02/02/2022] [Accepted: 02/02/2022] [Indexed: 11/21/2022] Open
|