在线健康知识服务中的用户健康赋能结构维度与量表开发研究  

Structural Dimensions and Scale Development for User Health Empowerment in Online Health Knowledge Services

作　　者：马海云 薛翔 Ma Haiyun;Xue Xiang(School of Sociology and Population Studies,Nanjing University of Posts and Telecommunications,Nanjing 210023,China;School of Elderly Care Services and Management,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京邮电大学社会与人口学院,江苏南京210023 [2]南京中医药大学养老服务与管理学院,江苏南京210023

出　　处：《现代情报》2025年第4期148-162,共15页Journal of Modern Information

摘　　要：[目的/意义]在线健康知识服务中的用户健康赋能具有场景依赖与适应性的特性,由于用户与在线健康知识服务情境下的交互方式、自主性等方面与传统医疗场景相比存在较大的差异,因此现有研究对用户健康赋能内涵和维度的阐释在在线健康知识服务下的适用性有限。本研究旨在探索在线健康知识服务中的用户健康赋能的结构维度和测量方式,以期为在线健康知识服务领域提供一个科学的、系统化的用户健康赋能评估工具。[方法/过程]本研究基于混合研究方法,首先从用户访谈资料中提炼用户健康赋能的结构维度,并进一步遵循规范化的流程开发测量量表。[结果/结论]在线健康知识服务中的用户健康赋能是由3个二级构念(包括心理赋能、结构赋能、资源赋能)以及8个三级构念构成的形成型构念结构。其中,心理赋能与传统医疗环境中的用户健康赋能识别的测量维度一致,但具体内涵更为丰富;结构赋能和资源赋能则进一步反映了在线健康知识服务情境中的医患交互新现象。正式量表包含27个题项,探索性因子分析、验证性因子分析和外部效应的检验结果表明量表具有良好的信效度和外部有效性。[Purpose/Significance]User health empowerment in online health knowledge services is scene-dependent and adaptable.However,existing studies on user health empowerment have limited applicability in this context due to significant differences in interaction mode and autonomy compared to traditional medical scenarios.Therefore,it is crucial to consider these differences when interpreting the connotations and dimensions of user health empowerment.[Method/Process]This study confidently employed a mixed-methods approach to expertly explore the structural dimensions and measurement of user health empowerment in online health knowledge services.Firstly,the study extracted the structural dimensions of user health empowerment from user interview data.Then,a standardized process was assertively followed to develop a measurement scale.[Result/Conclusion]The results clearly demonstrate that online health knowledge services significantly contribute to user health empowerment.This construct is comprised of three secondary constructs(i.e.,psychological empowerment,structural empowerment,and resource empowerment)and eight tertiary constructs.Psychological empowerment aligns with the measurement dimensions of user health empowerment in traditional healthcare settings,but with richer connotations.The structural and resource empowerment dimensions reflect the new phenomenon of doctor-patient interactions in the context of online health knowledge services.The scale consists of 27 items and has shown excellent reliability and external validity through exploratory factor analysis,validation factor analysis,and external validity tests.

关 键 词：在线健康 健康知识服务 健康赋能 赋能结构维度 混合方法 

分 类 号：G252[文化科学—图书馆学] R-058[医药卫生]