000			02966nam a22003377a 4500
003			OSt
005			20260521114026.0
007			a
008			260505b |||||||| |||| 00| 0 eng d
040			_cFoundation University
050			_aRA 421 _b.F35
100			_aPeng, Wei, PhD _eauthor _916015
245	0	0	_aExplaining health-related internet use forthree patient engagement Activities in rural pacific northwest _cWei Peng, PhD,; Jocelyn Mckinnon-Crowlwy, MA; Jihae Han, BA; azmyne Bryant, MPH, PhD
264			_42025
300			_3Index _apages 278-289; _billustration _fpages
336			_atext _btxt
337			_3rdamedia _aunmediated _bn
338			_3paper _avolume _bnc
490			_3Nursing index
520			_aBackground and Objective: Internet-based patient engagement (PE) can empower rural individuals in essential health services. This study investigated predisposing, need, and enabling factors associated with major online PE activities in the rural populations of the United States Pacific Northwest region. Method: A cross-sectional survey of 250 adults aged 45 to 75 residing in rural parts of Alaska, Idaho, Oregon, and Washington was conducted. Three domains of predictors (predisposing, need, and enabling factors) were assessed. The outcomes were 3 major online PE activities (online access to care, information seeking and sharing, and self-management support). Result: Online health engagement was associated with multiple chronic diseases, perceived need for colorectal cancer screening, difficulty finding providers, and lower mistrust. Younger age, higher awareness of colorectal cancer risk, better health status, difficulty finding providers, frequent internet use, and misunderstanding between patients and providers were associated with increased online information seeking and sharing. Female gender, more cancer knowledge, lower income, and higher information search difficulty were associated with increased online self-management support. Health information literacy was associated with all PE activities. Conclusion: Different factors influence online PE activities among rural populations. Optimizing diverse PE activities should assess different predisposing, need, and enabling factors in rural health care.
650			_aHealth information technology, t, _916016
650			_ainternet use _916017
650			_apatient engagement _916018
650			_arural health
700			_aCrowlwy, Jocelyn Mckinnon, MA _eauthor. _916019
700			_aHan, Jihae, BA _eauthor. _916020
700			_aBryant, Jazmyne, MPH, PhD _eauthor. _916021
773	0		_04418 _95303 _d[Frederick, Md., etc.], [Aspen Publishers] 2025- _o0352026003042 _tFamily and community health : _w(OSt)11220476 _x0160-6379
856			_3https://journals.lww.com/familyandcommunityhealth/abstract/2025/10000/explaining_health_related_internet_use_for_three.3.aspx _yaccess online
942			_2lcc _cINDEX _hRA 421 .F35 _i.F35 _k(CON-P) _n0
999			_c5919 _d5919