Ethics, effectiveness and population health information interventions: a Canadian analysis.

Population health information interventions (PHIIs) use information in efforts to promote health. PHIIs may push information to a target audience (communication), pull information from the public (surveillance), or combine both in a bidirectional intervention. Although PHIIs have often been framed a...

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Publicado en:Health Promotion International Vol. 34; no. 3; pp. 501 - 510
Autores principales: Greyson, Devon, Knight, Rod, Shoveller, Jean A
Formato: research Journal Article
Publicado: Oxford University Press / USA Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: Oxford University Press / USA
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        atl: Ethics, effectiveness and population health information interventions: a Canadian analysis.
      aug:
        au:
          Greyson, Devon
          Knight, Rod
          Shoveller, Jean A
        affil: British Columbia Children's Hospital Research Institute, 950 W 28th Ave, Vancouver, BC V5Z 4H4, Canada
      sug:
        subj:
          Health Promotion Methods
          Ethics Evaluation
          Mothers In Adulthood
          Health Information
          Population Health
          Information Literacy
          Human
          Canada
          Qualitative Studies
          Ethnographic Research
          Adolescence
          Young Adult
          Cross Sectional Studies
          Interviews
          Field Notes
          Communication
          Purposive Sample
          Time Factors
          Thematic Analysis
          Social Justice
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
      ab: Population health information interventions (PHIIs) use information in efforts to promote health. PHIIs may push information to a target audience (communication), pull information from the public (surveillance), or combine both in a bidirectional intervention. Although PHIIs have often been framed as non-invasive and ethically innocuous, in reality they may be intrusive into people's lives, affecting not only their health but their senses of security, respect, and self-determination. Ethical acceptability of PHIIs may have impacts on intervention effectiveness, potentially giving rise to unintended consequences. This article examines push, pull, and bidirectional PHIIs using empirical data from an ethnographic study of young mothers in Greater Vancouver, Canada. Data were collected from October 2013 to December 2014 via naturalistic observation and individual interviews with 37 young mothers ages 16-22. Transcribed interviews and field notes were analyzed using inductive qualitative thematic analysis. Both push and pull interventions were experienced as non-neutral by the target population, and implementation factors on a structural and individual scale affected intervention ethics and effectiveness. Based on our findings, we suggest that careful ethical consideration be applied to use of PHIIs as health promotion tools. Advancing the 'ethics of PHIIs' will benefit from empirical data that is informed by information and computer science theory and methods. Information technologies, digital health promotion services, and integrated surveillance programs reflect important areas for investigation in terms of their effects and ethics. Health promotion researchers, practitioners, and ethicists should explore these across contexts and populations.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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