Cover Image
QR Code

Use of discussion boards in a theory-based health Web site for older adults.

BACKGROUND: Hip fracture, a significant public health problem among older adults, can be prevented using multimodal approaches (e.g., bone-strengthening measures, fall prevention). Many older adults, however, are unaware of this information. With the rapid growth of older adult online users who have...

Full description

Published in:Nursing Research Vol. 58; no. 6; pp. 419 - 427
Main Authors: Nahm E, Resnick B, DeGrezia M, Brotemarkle R
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins 2009 Nov-Dec
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105253850&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 105253850
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00296562
        1HA
      jtl: Nursing Research
      issn: 00296562
      maglogo: N
    pubinfo:
      dt: 2009 Nov-Dec
      vid: 58
      iid: 6
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
    artinfo:
      ui:
        105253850
        105253850
        2010491216
        10.1097/NNR.0b013e3181bee6c4
        NLM19918152
        105253850
      ppf: 419
      ppct: 8
      formats:
      tig:
        atl: Use of discussion boards in a theory-based health Web site for older adults.
      aug:
        au:
          Nahm E
          Resnick B
          DeGrezia M
          Brotemarkle R
        affil: School of Nursing, University of Maryland, 65 W. Lombard St., Suite 455 C, Baltimore, MD 21201; enahm@son.umaryland.edu
      sug:
        subj:
          Computer-Assisted Instruction
          Electronic Bulletin Boards Utilization
          Health Behavior
          Health Education Methods
          Hip Fractures Prevention and Control
          World Wide Web Utilization
          Aged
          Conceptual Framework
          Consumer Satisfaction Evaluation
          Content Analysis
          Convenience Sample
          Descriptive Statistics
          Exploratory Research
          Female
          Funding Source
          Health Behavior Evaluation
          Human
          Male
          Middle Age
          Qualitative Studies
          Social Learning Theory
          Thematic Analysis
          United States
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: Hip fracture, a significant public health problem among older adults, can be prevented using multimodal approaches (e.g., bone-strengthening measures, fall prevention). Many older adults, however, are unaware of this information. With the rapid growth of older adult online users who have a specific interest in health, the Web can serve as a valuable medium to disseminate this information. OBJECTIVES: The purpose of this study was to explore the impact of the social cognitive theory-based structured hip fracture prevention Web site (TSW) on health behaviors through analysis of discussion board postings and to assess participants' experiences with the discussion board. METHODS: In an online, randomized controlled study, the effects of a social cognitive TSW, including learning modules and a moderated discussion board, were tested on older adults' health behavior-related outcomes.This was an exploratory qualitative study. The TSW group participants used the learning modules and the discussion board for 2 weeks. Their experiences with the discussion board were explored using an open-ended question. Discussion board postings and qualitative answers were analyzed using content analysis. RESULTS: Ninety older adults actively participated in the discussion board. Analysis of 316 postings revealed eight themes. Participants shared their current health behaviors and discussed specific health problems and concerns. Many recognized opportunities for improvement and identified motivators to improve health behaviors. They also offered supportive comments to others and shared helpful and practical information. More than half of the participants (n = 65, 74.4%) reported that the discussion board enhanced their learning experiences. DISCUSSION: The themes developed from the postings showed that moderated discussion boards can be used effectively to change older adults' health behavior. Further research is needed to explore the long-term impact of using this component in online health behavior change interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N