title: Evaluating the process of online health information searching: a qualitative approach to exploring consumer perspectives.
abstract: BACKGROUND
  The Internet is a common resource that patients and consumers use to access health-related information. Multiple practical, cultural, and socioeconomic factors influence why, when, and how people utilize this tool. Improving the delivery of health-related information necessitates a thorough understanding of users' searching-related needs, preferences, and experiences. Although a wide body of quantitative research examining search behavior exists, qualitative approaches have been under-utilized and provide unique perspectives that may prove useful in improving the delivery of health information over the Internet.
  
  
  OBJECTIVE
  We conducted this study to gain a deeper understanding of online health-searching behavior in order to inform future developments of personalizing information searching and content delivery.
  
  
  METHODS
  We completed three focus groups with adult residents of Olmsted County, Minnesota, which explored perceptions of online health information searching. Participants were recruited through flyers and classifieds advertisements posted throughout the community. We audio-recorded and transcribed all focus groups, and analyzed data using standard qualitative methods.
  
  
  RESULTS
  Almost all participants reported using the Internet to gather health information. They described a common experience of searching, filtering, and comparing results in order to obtain information relevant to their intended search target. Information saturation and fatigue were cited as main reasons for terminating searching. This information was often used as a resource to enhance their interactions with health care providers.
  
  
  CONCLUSIONS
  Many participants viewed the Internet as a valuable tool for finding health information in order to support their existing health care resources. Although the Internet is a preferred source of health information, challenges persist in streamlining the search process. Content providers should continue to develop new strategies and technologies aimed at accommodating diverse populations, vocabularies, and health information needs.
authors.affiliation: Mayo Clinic, Biomedical Ethics Program, Rochester, MN, United States.
authors.forename: Alexander S
authors.identifier: http://orcid.org/0000-0001-5480-263X
authors.initials: AS
authors.lastname: Fiksdal
authors.forename: Ashok
authors.identifier: http://orcid.org/0000-0003-2538-2618
authors.initials: A
authors.lastname: Kumbamu
authors.forename: Ashutosh S
authors.identifier: http://orcid.org/0000-0002-7380-6211
authors.initials: AS
authors.lastname: Jadhav
authors.forename: Cristian
authors.identifier: http://orcid.org/0000-0002-9372-0028
authors.initials: C
authors.lastname: Cocos
authors.forename: Laurie A
authors.identifier: http://orcid.org/0000-0002-2365-5785
authors.initials: LA
authors.lastname: Nelsen
authors.forename: Jyotishman
authors.identifier: http://orcid.org/0000-0002-4856-410X
authors.initials: J
authors.lastname: Pathak
authors.forename: Jennifer B
authors.identifier: http://orcid.org/0000-0002-2008-8180
authors.initials: JB
authors.lastname: McCormick
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D054626:Consumer Health Information / Q000379:methods*; D005260:Female; D017144:Focus Groups; D066275:Health Information Exchange / Q000639:trends*; D006295:Health Resources; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet; D008297:Male; D008875:Middle Aged; D055815:Young Adult
keywords: Internet; consumer health information; information seeking behavior; qualitative research