Mecanismos que influenciam as percepções individuais, a motivação dos usuários das comunidades de saúde online para recorrer aos seus conhecimentos, e o seu comportamento de partilha

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ORIGINAL • Transinformação 34 • 2022 • https://doi.org/10.1590/2318-0889202234e210037 copiar

Mecanismos que influenciam as percepções individuais, a motivação dos usuários das comunidades de saúde online para recorrer aos seus conhecimentos, e o seu comportamento de partilha

Autoria SCIMAGO INSTITUTIONS RANKINGS

Resumo

O objetivo deste trabalho é investigar o mecanismo de ação da cognição individual e da motivaçãosobre o comportamento de pedirajuda e compartilharconhecimento para resolver osproblemas do grupo de pacientes-usuários, como o comportamento de pedirajuda e “pedirajuda”. Métodos: integrar a teoria Existência, Relação e Crescimento a fatorescognitivos da doença etc. Conclusões: osresultados do estudoconcluíram que: (1) a percepção da facilidade de usonãotemqualquerefeitosobre a motivação, o recursoaoconhecimento, apenastem um impactodiretonapartilha de conhecimento; (2) a motivação para o crescimento, a motivação para a sobrevivência ea motivaçãorelacionalpodem promover o recursoaoconhecimento, enquanto que apenas a motivação para o crescimentopromove a partilha de conhecimento; (3) a percepção da utilidade, a percepção da confiançainterpessoal e a percepção da doençatêmdiferentesgrausde influênciasobre as trêsmotivações; (4) a percepção da utilidade, a percepção da confiançainterpessoal e a percepção da doençatêm um impactodiretosobre o recursoaoconhecimento, enquantoapenas a percepção da utilidade e a percepção da facilidade de usotêm um impactodiretosobre a partilha de conhecimento; (5) a percepção da utilidade é o fator-chave que facilita o recursoaoconhecimento, enquanto a percepção da facilidade de utilização é o fator-chave que facilita a partilha do conhecimento; (6) a motivação para a sobrevivência e a motivação para o crescimentodesempenham um papelintermediário entre a percepção da utilidade, a confiançainterpessoal, o reconhecimento da doença e o recursoaoconhecimento, respectivamente, enquanto a motivação para o crescimentodesempenha um papelintermediário entre esses três fatores cognitivos e a partilha de conhecimento.

Palavras-chave
Grupo de usuários doentes; Percepção individual; Motivação; Recurso ao conhecimento.; Partilha de conhecimentos

Variable	Survey items	References
Perceived usefulness (Z_yoyx)	1) I think the online health community is useful for me to get health information or knowledge	Venkatesh and Davis (2000)Venkatesh, V.; Davis, F. D. A theoretical extension of the technology acceptance model: four longitudinal field studies. Management Science, v. 46, p. 186-204, 2000.; Davis, Bagozzi and Warshaw (1989)Davis, F. D.; Bagozzi, R. P.; Warshaw, P. R. User acceptance of computer technology: a comparison of two theoretical models. Management Science, v. 35, p. 982-1003, 1989.
	2) I think the online health community is useful for me to judge the type of disease
	3) I think the online health community is useful to assist my decision making
	4) I think online health community can help me solve problems such as disease care or medication
	5) I think the online health community can help me get to know more patients
	6) Generally speaking, the online health community is good for me
Perceived ease of use (Z_yyx)	1) It is considered that the interactive interface design of online health community is clear and easy to use	Davis Bagozzi and Warshaw (1989)
	2) Learning to use an online health community is easy for me
	3) It is easy for me to use online health community skillfully
	4) I can easily use the online health community to do what I want to do
Perception of interpersonal trust (Z_rjxr)	1) I think the vast majority of users in the online health community are trustworthy	Ridings, Gefen and Arinze (2002)Ridings, C. M.; Gefen, D.; Arinze B. Some antecedents and effects of trust in virtual communities. Journal of Strategic Information Systems, v. 11, p. 271-295, 2002.
	2) I think online health community users are honest when publishing information
	3) I believe most users in the online health community are objective and unbiased
	4) I trust the health community as a whole
Disease cognition (Z_jbrz)	1) I have a certain understanding of my illness	Bo, Zou and Yan (2019)Bo, L.; Zou, H.; Yan, Z. Development, reliability and validity of cognitive psychological behavior scale for asthma patients. Nursing of Integrated Traditional Chinese and Western Medicine, v. 5, 1-5, 2019.
	2) I understand the factors that can easily cause the disease
	3) I understand the symptoms of my illness
	4) I know how to prevent my illness in life
	5) I know how to relieve my illness
	6) I understand the types and methods of drug treatment for my own diseases
Survival motivation (Z_scdj)	1) I’m in a healthy online community and want to have a healthy lifestyle	Alderfer (1969)Alderfer, C. P. An empirical test of a new theory of human needs. Organizational Behavior and Human Performance, v. 4, n. 142-175, 1969.
	2) I participate in the online health community to determine the type of illness I have
	3) I joined the online health community to treat my illness
	4) I participated in the online health community to care for my illness
	5) I participated in the online health community to relieve my pressure
Relational motivation (Z_gxdj)	1) In the online health community, I can develop friends	Alderfer (1969)Alderfer, C. P. An empirical test of a new theory of human needs. Organizational Behavior and Human Performance, v. 4, n. 142-175, 1969.
	2) I can gain respect and prestige in the online health community
	3) I’m honest with other users in the online health community
	4) I have a sense of belonging in the online health community
Growth motivation (Z_czdj)	1) The online health community taught me about health	Alderfer (1969)Alderfer, C. P. An empirical test of a new theory of human needs. Organizational Behavior and Human Performance, v. 4, n. 142-175, 1969.
	2) The online health community enables me to improve my ability to make decisions or care about health
	3) The online health community allows me to help other patient users
Knowledge seeking (Z_zsqz)	1) In the online health community, I often ask other people for information about disease treatment or medication	Kumi and Sabherwal (2019)Kumi, R.; Sabherwal, R. Knowledge sharing behavior in online discussion communities: examining behavior motivation from social and individual perspectives. Knowledge and Process Management, 2019.
	2) I often spend a lot of time in the healthy online community asking other people for information about disease treatment or medication
	3) When I participate in the online health community, I often actively ask others for knowledge of disease treatment or medication
Knowledge sharing (Z_zsfx)	1) In the online health community, I often share my knowledge of disease treatment or medication with others.	Kumi and Sabherwal (2019)Kumi, R.; Sabherwal, R. Knowledge sharing behavior in online discussion communities: examining behavior motivation from social and individual perspectives. Knowledge and Process Management, 2019.
	2) I often spend a lot of time sharing my knowledge of disease treatment or medication with others in the online health community
	3) When participating in an online health community, I often actively share with others my knowledge of disease treatment or medication

Fitting indicators	χ²/df	GFI	AGFI	RMSEA	IFI	CFI	NFI	PGFI	PNFI
Evaluation criteria	<3	>0.8	>0.8	<0.08	>0.9	>0.9	>0.9	>0.5	>0.5
Model	2.334	0.820	0.792	0.059	0.914	0.913	0.858	0.709	0.782

Path	Standardized estimates of indirect effects	95% confidence intervals		P-value	significance	Assumption Verification
Path	Standardized estimates of indirect effects	Lower limit	Upper limit	P-value	significance	Assumption Verification
Perceived Usefulness→Survival Motivation→Knowledge Seeking	-0.116	-0.044	0.193	^ means P<0.01.	Significant	Established
Perceived Usefulness→Relational Motivation→Knowledge Seeking	-0.029	-0.009	0.073	0.137	Not significant	Not established
Perceived Usefulness→Growth Motivation→Knowledge Seeking	-0.090	-0.032	0.152	^ means P<0.01.	Significant	Established
Perceived Ease of Use→Survival Motivation→Knowledge Seeking	-0.002	-0.023	0.030	0.812	Not significant	Not established
Perceived Ease of Use→Relational Motivation→Knowledge Seeking	-0.001	-0.018	0.009	0.667	Not significant	Not established
Perceived Ease of Use→Growth Motivation→Knowledge Seeking	-0.010	-0.043	0.016	0.440	Not significant	Not established
Perception of Interpersonal Trust→Survival Motivation→Knowledge Seeking	-0.071	-0.024	0.123	^ means P<0.01.	Significant	Established
Perception of Interpersonal Trust→Relational Motivation→Knowledge Seeking	-0.036	-0.013	0.084	0.151	Not significant	Not established
Perception of Interpersonal Trust→Growth Motivation→Knowledge Seeking	-0.066	-0.021	0.119	^ means P<0.01.	Significant	Established
Disease Cognition→Survival Motivation→Knowledge Seeking	-0.054	-0.016	0.102	**	Significant	Established
Disease Cognition→Relational Motivation→Knowledge Seeking	-0.022	-0.006	0.060	0.132	Not significant	Not established
Disease Cognition→Growth Motivation→Knowledge Seeking	-0.094	-0.036	0.151	^ means P<0.01.	Significant	Established
Perceived Usefulness→Relational Motivation→Knowledge Sharing	-0.014	-0.057	0.020	0.390	Not significant	Not established
Perceived Usefulness→Growth Motivation →Knowledge Sharing	-0.053	-0.012	0.113	^ means P<0.01.	Significant	Established
Perceived Ease of Use→Relational Motivation →Knowledge Sharing	-0.000	-0.006	0.012	0.544	Not significant	Not established
Knowledge Ease of Use→Growth Motivation→Knowledge Sharing	-0.006	-0.034	0.009	0.385	Not significant	Not established
Perceived Interpersonal Trust→Relational Motivation→Knowledge Sharing	-0.017	-0.065	0.026	0.397	Not significant	Not established
Perceived Interpersonal Trust→Growth Motivation→Knowledge Sharing	-0.040	-0.009	0.083	^ means P<0.01.	Significant	Established
Disease Cognition→Relational Motivation→ Knowledge Sharing	-0.011	-0.046	0.016	0.347	Not significant	Not established
Disease Cognition→Growth Motivation Knowledge Sharing	-0.056	-0.013	0.123	^ means P<0.01.	Significant	Established

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[1] Source: Elaborated by the author (2021).